Monthly Archives: May 2023

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Healthcare-associated infections are common, costly, and potentially deadly. However, effective prevention strategies are underutilized, particularly for catheter-associated urinary tract infection (CAUTI), one of the most common healthcare-associated infections. Conferring to Kennedy, Greene, & Saint (2016), “healthcare-associated infections affect 5% to 10% of all hospitalized patients each year in the United States, account for nearly *45 billion in direct hospital costs, and cause nearly 100,000 deaths annually.” Because catheter-associated urinary tract infection (CAUTI) is one of the most common healthcare-associated infections in the United States and is reasonably preventable, the Centers for Medicare and Medicaid Services stopped reimbursing hospitals in 2008 for the additional costs of caring for patients who develop CAUTI during hospitalization.

Financial aspect.

CAUTI has significant clinical and economic consequences. Catheter-associated bacteriuria may be associated with excess mortality, even after controlling for under-lying factors such as severity of illness and comorbidities; hospital-onset bloodstream infection resulting from a urinary source has a case fatality of 32.8%. In addition, each episode of CAUTI is estimated to cost at least $600 while urinary-tract-related bloodstream infection costs at least $2,800. Consequently, CAUTIs result in as much as $131 million excess direct medical costs nationwide annually (Chenoweth, & Saint, 2016).

Quality aspect

Under quality aspect, consulting between nurses and physician and inserting catheters when absolutely necessary is a requisite to prevent associated infection. Also, removing the catheter as soon as it is no longer needed, a maneuver which may be prompted by automated computer stop orders is a quality aspect that has helped stop urinary tract infection.

Clinical aspect

Reducing CAUTI requires both nurse and physician support. Although a physician order has been historically viewed as essential to place or discontinue the catheter, nurses may be empowered to make decisions about removal without a physician order in some settings, and they are most affected with respect to workload if the catheter is discontinued. In a recent survey, “the vast majority of nurses viewed themselves as responsible for the evaluation and discontinuation of the catheter, but only two-thirds thought it does not affect their workload” (Chenoweth, & Saint, 2016). Most of the work to reduce unnecessary urinary catheter use involves a nurse-driven assessment for appropriateness, with many requiring physician approvals for discontinuation.

Select one of the technology trends identified in the Week Two Technology Trends Proposal Part 1 assignment and research the privacy risks, security safeguards, and strategies for evaluating the effectiveness of the technology selected. (Healthcare Robots is the technology selected)

Write a 500 to 700-word summary describing the privacy risks, security safeguards, and strategies for evaluating the effectiveness of the technology selected in the Week Two Technology Trends Proposal Part 1 assignment. 

Provide 2 peer-reviewed, scholarly, or similar references to support your assignment and cite your sources according to APA guidelines.

· Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

The Assignment: (2- to 3-page Comparison Grid; )

 ( 1-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

· Determine the legislative intent of the bill you have reviewed.

· Identify the proponents/opponents of the bill.

· Identify the target populations addressed by the bill.

· Where in the process is the bill currently?

·  Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

· Advocate a position for the bill you selected and write testimony in support of your position.

· Describe how you would address the opponent to your position. Be specific and provide examples.

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

· Chapter 3, “Government Response: Legislation” (pp. 37–56)

· Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only)

Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350. doi:10.1016/j.outlook.2017.05.003

https://www.senate.gov/

https://www.house.gov/

Points: 100 | Due Date: Week 5, Day 7 | CLO: 5 | Grade Category: Assignments

Assignment Prompt

This week’s assignment is STEP 2 – Project Purpose Statement, Background & Significance and PICOt Formatted Clinical Project Question.

The student will answer the items below in a Word doc and submit to the assignment link.

1. Provide a title that conveys or describes the assignment.
2. Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
3. Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
4. PICOt formatted Clinical Project Questions – Provide the Population, Intervention, Comparison, Expected Outcomes and timeframe for the proposed project.
5. References – Cite references using APA 7th ed format.

Expectations

• Due: Monday, 11:59 pm PT
• Length: See section requirements above
• Format: Completed template with references in APA 7th ed. format
• File name: Save the file with Student First Name_Last Name_Part 2

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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. Please 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. Refer to the LopesWrite Technical Support articles for assistance. 

See attached

This is a discussion post that I will need completed by tomorrow 09/25/2020 at 5:00 pm EST. Please see attached word document with instructions and attached grading rubric. Must follow requested references and grading rubric accurately.

APA FORMAT

MINIMUM 250 WORDS

PLEASE ANSWER THE QUESTIONS BELOW

1. Describe the organizational characteristics of the facility in which you currently have a clinical assignment. Include the following:

a. Type of organization

b. Overall climate of the facility 

c. How the organization is structured 

d. Formal and informal goals and processes of the organization 

2. Why is the work climate of an organization important to nurse leaders and managers?

3. What are the ways in which a nurse can enhance his or her expertise?

4. Explain “shared governance,” and describe how it can affect the power structure of a health-care organization. 

5. Why is it important for staff nurses to understand the culture and real goals of the organization in which they work? 

1. Describe your ideal organization. Explain each feature and why you think it is important.

2. Interview one of the staff nurses on your unit. Find out what practices within the organization help to empower the nurses. Compare this list of practices with those discussed in the textbook. 

3. Recall the last time you walked into a hospital, clinic, or physician’s office for the first time. What was your first impression? Did you feel comfortable and welcome? Why or why not? If you could change the first impression this facility makes, what would you do?

4-What changes could be made at a very low cost? What changes would be expensive?Finally, discuss why it is important for a health-care facility to make a good first impression 

Watch TED talk “A Tale of Mental Illness” and submit a reflection  paragraph

  https://www.ted.com/talks/elyn_saks_a_tale_of_mental_illness_from_the_inside?language=en

The Office (2005-2013), was a mockumentary television series that featured a myriad of hilarious characters.  Watch the videos below that showcase the show’s characters; Kelly Kapoor, Michael Scott, and Dwight Schrute.  For each character, select a personality disorder that could be diagnosed based on their behavior in the video.  Provide specific examples that made you make this decision.  There’s no right or wrong answer.  This is just an exercise to familiarize yourself with the behaviors of individuals with personality disorders. The DSM-5 should always be used as a tool to help others, not to weaponize or stigmatize others.  If you are unfamiliar with the show, pictures below state who Kapoor, Scott, and Schrute are in the videos. 

WATCH>>>>>>   https://youtu.be/MPIco2oQbvA      https://youtu.be/4TMi9EMRyQc

use scholar nursing article, apa format