Category: Nursing

  • Week 4: From stepping stones to the American civil war to re…

    Please choose from the topics found in the tabs below and write a one to two paragraph initial post.

    Stepping Stones to The American Civil War

    In preparation for the initial post, consider two (2)of the leading causes of the American Civil War:

    • The Compromise of 1850
    • The Fugitive Slave Law of 1850
    • Uncle Tom’s Cabin 1852
    • The Kansas-Nebraska Act of 1854
    • The Dred Scott Case of 1857
    • The Lincoln Douglas Debates 1858

    Then, in one (1) to two (2) paragraphs, address one (1) of the following:

    • Based on the historical facts given your two (2) selections above, assess if the American Civil War was inevitable.
    • Analyze if the United States Supreme Court can settle legal and moral issues through judiciary review. In your response, provide a documented example of a modern parallel of a legal or moral issue settled by the United States Supreme Court.
  • Nursing Question

    Write an essay of 750-1,000 words exploring the role of culture, spirituality, social determinants of health, and bias as related to a specific patient population.

    Using the definition of Culture as the learned beliefs, values, habits, norms, and life ways of a particular group (Leninger, 1994). Choose a specific culture and address the following:

    • Define the chosen group. Provide data regarding health and health disparities as related to this group.
    • Discuss how this culture defines health, describing their views on health, wellness, and the health care system.
    • Discuss how racism, prejudice, trust, cultural trauma, stigma, and bias impact the health of your chosen group. Refer to Chapter 3 of this topics textbook reading and the topic Resource Bias in Healthcare an Overview to support your response.
    • Explain how you as an AGACNP can engage patients and families from this group as active participants in culturally relevant, patient-centered care through appropriate education, consultation, and support.

    You are required to cite 3-5 sources to complete this assignment. Each section must be supported by at least one APRN approved scholarly reference.

    Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

    This assignment uses a rubric. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

    You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

  • Nursing Question

    Introduction

    Note: Complete the assessments in this course in the order in which they are presented.

    In today’s health care environment, the focus on major purchases, as part of the capital budget, has emphasized the need for newer and better technology. Although the need to invest in capital equipment and technology has been ongoing, the nursing workforce must also have a safe and pleasant work environment.

    This assessment provides an opportunity for you develop a capital budget for a major facility improvement that will benefit patients, nurses, and the organization.

    Most nurse leaders work with operating budgets, but will also have input into capital budgets. A capital budget is typically developed separately from the operating budget and is usually developed to purchase items that are often referred to as big-ticket items that will enhance the capacity or services of an organization. For example, capital budgets may cover land purchase for the future site of a new outpatient surgical center, construction of a new building or build-out for renovation of an already existing building, or replacement of old equipment.

    It is important to remember that health care is also a major business. While for health care providers, patient care and safety are priorities, health care institutions must operate from a business model in order to survive financially. As nurse leaders or executives, you often have a role to play in developing a capital budget to improve care at some level. In addition, a rapidly changing health care environment requires nurse leaders who have the financial management and budgeting skills to ensure that large capital expenditures further the mission and goals of the organization.

    Preparation

    Note: Complete the assessments in this course in the order in which they are presented.

    You are the unit manager of a 50-bed, step-down unit, and it is time for you to prepare your annual capital budget. You have seen a significant turnover in your nursing staff in the past three years; a review of exit interviews and patient surveys indicates low nurse satisfaction, poor morale, and complaints of an antiquated and depressing work environment. You have researched the impact of a positive working environment on staff productivity and morale and decided to request a renovation of the nurses’ lounge as the main purchase in your capital budget. You will present your request as a quality improvement investment.

    As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

    • How would you approach the process of designing a capital budget? For example:
      • What steps would you need to take?
      • What resources would you access?
      • Will you collaborate with other executives or staff?
      • How will you tie the vision for the capital expenditure to the organization’s mission and goals?
    • What challenges do you anticipate in justifying a capital budget to administrative leaders in an organization?
    • What criteria might a particular health care organization or service provider apply to evaluate the return on a capital investment?

    MSN Program Journey

    Please review this guide for your degree program. It can help you stay on track for your practicum experience, so you may wish to bookmark it for later reference.

    • .

    The following resources are required to complete the assessment.

    • . Use this tutorial for the written portion of your capital budget.

    Requirements

    Note: The requirements outlined below correspond to the grading criteria in the assessment scoring guide. Be sure that your budget addresses each point, at a minimum.

    Prepare a capital budget for a facility renovation. Assemble your budget figures in a table, using a format of your choice. You may use either Microsoft Word or Excel to create your budget table.

    Note: You may use the budget in the Vila Health: Preparing a Capital Budget multimedia exercise as an example of how you might format your table. You may also use a budget format used in your organization or a format you find in any of the course resources or on the Internet.

    • Describe the capital acquisition.
    • Justify the need for the capital acquisition.
    • Prepare the capital budget.
    • Describe the process for calculating costs.
    • Present a plan for budget management.
    • Explain how the capital acquisition will affect the financial health of the organization.
    • Present budget data and information clearly and accurately.
    • Integrate relevant and credible sources of evidence to support your budget data and information, correctly formatting citations and references using current APA style.

    Additional

    If you used Microsoft Excel to create your budget table, submit the Excel file along with your budget narrative. You may also add the Excel file to your Word document as an embedded object.

    Format your budget using APA style.

    • Use the APA Style Paper Template, linked above, to help you in writing and formatting your budget. Be sure to include:
      • An APA-formatted title page and reference page. An abstract is not required.
      • A minimum of five properly formatted citations and references.
    • Your budget should be 45 pages in length, not including the title page and reference page.

    Portfolio Prompt: You may choose to save this learning activity to your ePortfolio.

  • Nursing Question

    Introduction

    Note: Complete the assessments in this course in the order in which they are presented.

    Negotiating budgets and communicating financial needs to stakeholders are vital skills for nurse leaders. Given today’s numerous constraints on funding and a highly competitive environment, the ability to win support for your budget proposals hinges on being able to present a compelling argument based on well-documented needs, accurate financial information, and a justifiable business case.

    This assessment provides an opportunity for you to examine the mission and goals of a health care organization, in order to justify a budget proposal. A persuasive argument requires thoughtful justification and rationale for the expenses required to support your proposal. A proposal that supports the organization’s mission and goals strengthens your argument and is much more likely to get you what you need.

    In every health care organization, dollars are scarce and the budget process is carefully scrutinized at every level. Nurse leaders must be business-savvy. They must be able to make a compelling case for why every budget line item and every dollar on a budget supports the mission and goals of the unit and the organization. This means that nurse leaders must be able to think in terms of the business of health care and be able to present a business proposal or plan with thorough and thoughtful justification and rationale for expenses. The business plan should present accurate, factual data and costs, and should also be concise and clearly organized.

    Preparation

    Note: Complete the assessments in this course in the order in which they are presented.

    The financial department has reviewed your unit’s operating budget and has asked you to submit an executive summary that provides support for your budget proposal. Your challenge is to position your unit favorably within an environment of competing demands for limited funding.

    As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

    Consider the operating budget you developed in Assessment 2.

    • How would you justify your budget to executive leaders?
    • How would you link your budget to the organization’s goals and objectives?
    • How would you propose to meet productivity goals while staying within budget?

    The following resources are required to complete the assessment.

    • . Use this tutorial for your executive summary.

    Requirements

    Note: The following requirements correspond to the grading criteria in the assessment scoring guide. Be sure that your executive summary addresses each point, at a minimum. You may also want to read the to better understand how each criterion will be assessed.

    Write an executive summary of the operating budget you prepared in Assessment 2 that makes a compelling case for why funds should be allocated for your budget.

    • Outline a strategic plan that ensures profitability and fiscal success.
    • Present a plan to meet staff productivity goals, while staying within budget parameters.
    • Justify equipment and service costs.
    • Analyze department, unit, or project alignment with the organization’s mission and goals.
    • Write clearly and concisely, using correct grammar and mechanics.
    • Integrate relevant and credible sources of evidence to support your assertions, correctly formatting citations and references using current APA style.

    Format your summary using APA style.

    • Use the APA Style Paper Tutorial to help you in writing and formatting your summary. Be sure to include:
      • A title page and reference page. An abstract is not required.
      • Appropriate section headings.
      • A minimum of five properly formatted citations and references.
    • Your summary should be 35 pages in length, not including the title page and reference page.

    Portfolio Prompt: You may choose to save this learning activity to your ePortfolio.

  • Transforming Nursing & HC Discussion #1

    In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioners and the disciplines body of knowledge.

    Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

    In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

    To Prepare:

    • Reflect on the concepts of informatics and knowledge work as presented in the Resources.
    • Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.
    • Rubric:
      Main Posting 50 to >44.0 ptsExcellentAnswers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. … Supported by at least three current, credible sources. … Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
    • Your initial post should be at least 800 words, formatted and cited in current APA style with support from at least 2 academic sources.
  • Nursing Question

    how the impact of the government in soci

  • Pedegree Research

    Choose one of the case studies: either Peggy or Jeff & Maria. View the case study.

    For this assignment you will construct a complete pedigree for either Peggy or Jeff and answer the questions in this assignment.

    Construct a pedigree for Peggy or Jeff following Bennetts standardized nomenclature. Bennett is posted on Blackboard. Review the material on pedigree construction from the synchronous session. Review additional pedigree construction instructions here:

    Once you have constructed the pedigree, answer the following questions (choose Peggy or Jeff):

    Answers should be a minimum of 2 paragraphs per question, double-spaced, in paragraph format, with complete sentences and proper grammar. Remember to use references and proper APA citation.

    Peggy Case Study Questions (10 points/question)

    1. Describe the causes of PTSD. Explain the symptoms and categories (re-experiencing, avoidance, negative cognition and mood, and hyperarousal) of PTSD.
    2. Describe the risk factors of and the influence of personal/family history on PTSD. Is it hereditary? What genes, if any, are involved? Is Peggy at risk for PTSD? Why, or why not?
    3. What is the Genetic Information Nondiscrimination Act (GINA) and what protection does it provide?
    4. Explain the protections, and lack of protections provided by GINA. Which groups does GINA protect, and which groups does GINA not protected? Which types of insurance does GINA not apply to?
    5. Does Peggys family history exhibit any red flags, as defined by the F-GENES red flags list? What are the nursing implications? What should Peggys healthcare provider do next?
    6. Peggy tells you she has a cousin in your home town. Using the NSGC genetic search website, (or google NSGC Find a Genetics Counselor), find the closest genetics professional/practice who you could refer this family member to for psychiatric disorder counseling. Search by state, as there are not many providers. Provide the name and contact information, and report how far the family member would have to travel to see this practitioner.

    Jeff Case Study Questions (10 points/question)

    1. Explain the Mendelian pattern of transmission associated with BRCA 2. Use appropriate terms (autosomal/dominant/recessive, heterozygous/homozygous, alleles). What is the gene involved and where is its locus?
    2. Identify the cancer risks for men and women with a BRCA2 mutation. What cancers are they at risk for, and what is their lifetime percentage risk for each of these cancers?
    3. What is the Genetic Information Nondiscrimination Act (GINA) and what protection does it provide?
    4. Explain the protections, and lack of protections provided by GINA. Which groups does GINA protect, and which groups does GINA not protected? Which types of insurance does GINA not apply to?
    5. Does Jeffs family history exhibit any red flags, as defined by the F_GENES red flags list? What are the nursing implications? What should Jeffs healthcare provider do next?
    6. Jeff tells you he has a cousin in your home town. Using the NCI genetic search website, find the closest genetics professional/practice who you could refer this family member to for BRCA testing and/or counseling. Provide the name and contact information, and report how far the family member would have to travel to see this practitioner.

    Review the RUBRIC in the syllabus. Remember to put your name on your paper and upload the pedigree and answers to the questions as one WORD document.

    Additional Instructions about Pedigree Assignments:

    DO NOT PAY FOR A PEDIGREE SERVICE OR PROGRAM!

    The following websites offer free trial downloads. (Please do not buy any programs solely for the purpose of this assignment.) Or you can search the internet to find a program that works for you.

    • Surgeon Generals Family Health History –
    • Cyrillic includes downloadable demos.
    • Progeny Genetics –
  • Pedegree Research

    Choose one of the case studies: either Peggy or Jeff & Maria. View the case study.

    For this assignment you will construct a complete pedigree for either Peggy or Jeff and answer the questions in this assignment.

    Construct a pedigree for Peggy or Jeff following Bennetts standardized nomenclature. Bennett is posted on Blackboard. Review the material on pedigree construction from the synchronous session. Review additional pedigree construction instructions here:

    Once you have constructed the pedigree, answer the following questions (choose Peggy or Jeff):

    Answers should be a minimum of 2 paragraphs per question, double-spaced, in paragraph format, with complete sentences and proper grammar. Remember to use references and proper APA citation.

    Peggy Case Study Questions (10 points/question)

    1. Describe the causes of PTSD. Explain the symptoms and categories (re-experiencing, avoidance, negative cognition and mood, and hyperarousal) of PTSD.
    2. Describe the risk factors of and the influence of personal/family history on PTSD. Is it hereditary? What genes, if any, are involved? Is Peggy at risk for PTSD? Why, or why not?
    3. What is the Genetic Information Nondiscrimination Act (GINA) and what protection does it provide?
    4. Explain the protections, and lack of protections provided by GINA. Which groups does GINA protect, and which groups does GINA not protected? Which types of insurance does GINA not apply to?
    5. Does Peggys family history exhibit any red flags, as defined by the F-GENES red flags list? What are the nursing implications? What should Peggys healthcare provider do next?
    6. Peggy tells you she has a cousin in your home town. Using the NSGC genetic search website, (or google NSGC Find a Genetics Counselor), find the closest genetics professional/practice who you could refer this family member to for psychiatric disorder counseling. Search by state, as there are not many providers. Provide the name and contact information, and report how far the family member would have to travel to see this practitioner.

    Jeff Case Study Questions (10 points/question)

    1. Explain the Mendelian pattern of transmission associated with BRCA 2. Use appropriate terms (autosomal/dominant/recessive, heterozygous/homozygous, alleles). What is the gene involved and where is its locus?
    2. Identify the cancer risks for men and women with a BRCA2 mutation. What cancers are they at risk for, and what is their lifetime percentage risk for each of these cancers?
    3. What is the Genetic Information Nondiscrimination Act (GINA) and what protection does it provide?
    4. Explain the protections, and lack of protections provided by GINA. Which groups does GINA protect, and which groups does GINA not protected? Which types of insurance does GINA not apply to?
    5. Does Jeffs family history exhibit any red flags, as defined by the F_GENES red flags list? What are the nursing implications? What should Jeffs healthcare provider do next?
    6. Jeff tells you he has a cousin in your home town. Using the NCI genetic search website, find the closest genetics professional/practice who you could refer this family member to for BRCA testing and/or counseling. Provide the name and contact information, and report how far the family member would have to travel to see this practitioner.

    Review the RUBRIC in the syllabus. Remember to put your name on your paper and upload the pedigree and answers to the questions as one WORD document.

    Additional Instructions about Pedigree Assignments:

    DO NOT PAY FOR A PEDIGREE SERVICE OR PROGRAM!

    The following websites offer free trial downloads. (Please do not buy any programs solely for the purpose of this assignment.) Or you can search the internet to find a program that works for you.

    • Surgeon Generals Family Health History –
    • Cyrillic includes downloadable demos.
    • Progeny Genetics –
  • Nursing Question

    BEFORE YOU BEGIN:

    – i attached pdf forms provided by our school as guides – i also attached the excel sheet of the grades that are to be used for this assignment/ i attached it as a pdf and an excel sheet




    I-TRODUCTION:

    Using the final and lowup variables in your grades.jasp data set, create two histograms and paste them into your Word document:

    Variables and Definitions

    Variable

    Definition

    Lowup

    lower division =1; Upper division =2

    Final

    Final exam: number of correct answers

    Create:

    A histogram for lower division.

    A histogram for upper division.

    Briefly describe what a visual inspection of this output tells you about the shape of the distributions.

    INSTRUCTIONS

    Your first statistical software assessment includes two sections in which you will do the following:

    1.Create two histograms.

    2.Calculate measures of central tendency and dispersion.

    This will give you some experience with the data set.

    Key Details and Instructions

    Submit your assessment as a Word document.

    Refer to the document for additional help in completing this assessment.

    View for a brief tutorial on this assessment.

    As you work on this assessment, refer to the file for information on variables used in this course.

    Provide a title for your document and your name.

    Download the 7864 data set, , which is a sample data set, and save it to your computer. The data represent a teacher’s recording of student demographics and performance on quizzes and a final exam. For this assessment, you will create and describe two histograms and a descriptives table using these data.

    SECTION 1: HISTOGRAMS FOR VISUAL INTERPRETATION

    Using the final and lowup variables in your grades.jasp data set, create two histograms and paste them into your Word document:

    Variables and Definitions

    Variable

    Definition

    Lowup

    lower division =1; Upper division =2

    Final

    Final exam: number of correct answers

    Create:

    A histogram for lower division.

    A histogram for upper division.

    Briefly describe what a visual inspection of this output tells you about the shape of the distributions.

    SECTION 2: CALCULATE MEASURES OF CENTRAL TENDENCY

    Using the final and lowup variables in your grades.jasp data set, create two histograms and paste them into your Word document:

    Variables and Definitions

    Variable

    Definition

    Lowup

    lower division =1; Upper division =2

    Final

    Final exam: number of correct answers

    Create:

    A histogram for lower division.

    A histogram for upper division.

    Briefly describe what a visual inspection of this output tells you about the shape of the distributions.

    COMPETENCIES MEASURED:

    Using the final and lowup variables in your grades.jasp data set, create two histograms and paste them into your Word document:

    Variables and Definitions

    Variable

    Definition

    Lowup

    lower division =1; Upper division =2

    Final

    Final exam: number of correct answers

    Create:

    A histogram for lower division.

    A histogram for upper division.

    Briefly describe what a visual inspection of this output tells you about the shape of the distributions.