Patho Discussion W6

D. D. is a 66 year-old female suffering from shortness of breath. She smoked 2 packs a day until she quit 2 years ago. She has a history of bronchiolitis, hyperinflated lungs, pulmonary edema, and syncope. Her primary care practitioner suspects she also has pulmonary hypertension (PH). After examination, D. D. has a PAP of 35mmHg and mild CHF.

Citing scholarly resources, answer the following questions: 

            1.   What is pulmonary hypertension and how could D. D. have developed PH?

            2.   How does her history fit in with her new diagnosis?

In addition to the two questions above, select ONE other question from the list below to complete your discussion post. Be sure to cite the sources of your information. Be sure to clearly identify which supplemental question you chose to answer. 

     1.   How many patients are suffering from COPD in the US? Do COPD sufferers die of respiratory causes or other causes? (be sure to cite the data)

     2.   What are the two separate diseases that are the main COPD diseases? Give background on each disease.

     3.   How does COPD correlate with left ventricular pressure and primary heart failure?

     4.   What are the three types of bronchodilators, and how do they function to alleviate the symptoms of COPD? What are other possible treatments 

           for COPD?

     5.   Through what mechanism does bronchiolitis cause destruction of alveoli? Is emphysema genetic? Can environmental factors increase the risk 

           of emphysema, why or why not? 

     6.   Is lung transplantation a solution for emphysema? Can new technology be useful in the treatment of emphysema? Why or why not? 

Annotated bibliography

Complete an ANNOTATED bibliography in APA format (12 pt. Times New Roman, double-spaced, 1-inch margins).

• Address the following assignment requirements as it relates to disaster management – disease outbreak preparedness, response and recovery efforts

o Summarize and evaluate a minimum of 10 (ten) peer-reviewed journal articles published within the past 5 years that address current research topics in public health.

o Each annotation must be a minimum of 250 words and include the following:

▪ Summary of the resource content

▪ Evaluation of resource utility

▪ Assessment of resource credibility and reliability

o Paraphrase information to demonstrate your own understanding of the topic in the context of public health research.

Nursing paper

This paper is on Schizophrenia
Apa format , needs a title , abstract , references page 

6 pages not including title, abstract, and reference pages  

wk7 responses 6053

jennifer hay RE: Discussion – Week 7COLLAPSE

Work Environment Assessment

                Nurses and other healthcare staff may not always communicate respectfully or be able to manage their emotions due to the stressful environment they work in. Cynthia Clark created a healthy workplace inventory that can assess how healthy a workplace is. The score for the work environment in the workplace inventory was 70 (Clark, 2015). This score equals out to a mildly healthy work environment.

Why the Workplace is or is Not Civil

Unsafe working conditions can arise from an uncivil working environment (Clark et al., 2011). Prior to the pandemic, the score would have been higher. With census remaining so high, and there being a higher census of higher acuity and critical patients the workload is not disbursed manageably. The morale of the work environment is also not ideal. We are required to work mandatory overtime and are often short staffed. This is leading to wearing down of the employees and increased nurse burnout.

Incivility in the Workplace

In this week’s media it explains that working in a team each person must hold themselves accountable to show up for the team (Producer, 2009). Incivility has been experienced by the same employees frequently calling in. When people are assigned to be in staffing and then call in for their shift it changes the workflow to have in scramble to find someone to come in and work or shift patients onto a different team. It has been addressed by having call shifts to help ease the staffing if there is a call in. However, the same staff will call in for their call shifts. It can be very frustrating when there is no accountability and people do not feel accountable to their teammates for what kind of situation it may put them in.

References

Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leader perspectives. Journal of Nursing Administration, 41(7/8), 324–330. doi:10.1097/NNA.0b013e31822509c4

Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today10(11), 18-23.

Laureate Education (Producer). (2009a). Working with Groups and Teams [Video file]. Baltimore, MD: Author.

Jocelyne Clement RE: Discussion – Week 7COLLAPSE

Examine the Clack Healthy Workplace Inventory 

     Any healthcare organization is considered to be a social unit of people. That is structured and managed to meet the need of people or pursuing collective goals.  The smooth operating or running of any healthcare organization has direct relationship with its organizational structure which in turn, has direct bearing with the company or organization style. The Clark assessment brings awareness to certain unhealthy behaviors which sometimes are not noticed in the aforementioned student workplace. This clear and precise assessment of my workplace scores 67% which is classified as barely healthy. Clark et al. (2015). It is shocking, disbelief and true results. I have always believed my workplace is a fine and friendly place to work. But my eyes are open to some subconscious truth from the Clark inventory assessment.

 How Civil is my Workplace

      The inventory and real truth from the Clack assessment results concluded my workplace is not civil nor a friendly environment. Realizing the damage and the implication of the potential misconduct between nurses against nurses. Embree et al. (2013). it is imperative that leaders and management are made aware of the relationship between the activities of its members in the organization. It is obvious, the upper management are focusing more on better patient outcomes versus nursing staff that are being oppressed by some of their peers who believe to hold the upper hand of power. delivered the care.

Some Examples of Incivility In the workplace

 This event dated more than 15yrs ago, being a new nurse at the well known local hospital in y city. There was a group of nurses who were had refused to give a report to the nurses who communicate with an accent dependent on areas the foreign nurses were from.  This type of behavior was insane and had driven a sadness in my heart. But I was a brand new nurse. i could not understand this situation. I was afraid to speak out although some of them were my former classmate from the same university. Finally, within the years of watching these peers bullying others. On my yearly evaluation, i was able to confide to my nurse manager what was ongoing Clark et al (2014).

Addressing The Issues

The Nurse manager within a week had a meeting with the unit staff addressing the subject of incivility , and quickly involved an implemented a policy within the organization on zero tolerance policy on incivility toward any staff member regarding of their race, age, color, sex and origin. During the meeting, nurses were able to speak out without the fear  retaliation from their oppressers or any other persons who think of having more power. The subject of intimidation, bullying had gone viral throughout the hospital and become the part of employee hand book throughout the hospital. All the disciplines, I have strongly encouraged the student and the new nurses along with the new hires to speak out on the importance of being a whisle blower on negative or unhealthy treatment from peers or any form antagonistic method.

References

Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leader perspectives. Journal of Nursing Administration, 41(7/8), 324–330. https://doi.org/10.1097/NNA.0b013e31822509c4

Clark, C.M.(2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10 (11), 18-23. Retrieved on October 14, 2020 from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf.

Embree, J.L.,& Bruner, D. A., & White, A.(2013). Raising the level of awareness of nurses-to-nurse lateral violence in a critical access hospital. Nursing Research and Practice, 2013, 1-7.10.1155/2013/207306

3 SOURCES FOR EACH DISCUSSION

class4wk4d1

Minimum of 350 words with at least 2 peer review reference in 7th edition apa style

 

As a practice scholar, you are searching for evidence to translate into practice. In your review of evidence, you locate a quantitative descriptive research study as possible evidence to support a practice change. You notice the sample of this study includes 200 participants and is not normally distributed. Reflect upon this scenario to address the following.

  • What statistical procedure is needed to determine an effective sample size to make a reasonable conclusion? Explain your rationale.
  • Reading through the study, you observe that the researcher used a chi-square analysis to analyze nominal and ordinal data. Is this the appropriate level of statistical analysis to answer the research question? Explain your rationale.
  • Reading further, the researcher reports that the p-level led her to conclude that the null hypothesis was rejected. In your critique of the study, you determine that the null hypothesis is true. Do these findings impact your decision about whether to use this evidence to inform practice change? Why or why not?