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REPLY1

I consider myself a relatively new nurse compared to so many experienced nurses with careers spanning years.  During my short career, the nursing shortage has always existed. This year the challenges of staffing shortages exceeds any other times I have experienced. We all recognize the COVID-19 pandemic as impacting the nursing shortage across the country with states continuing to plea for help to fill the vacancies. Prior to COVID-19, burnout was already making headlines with reporting that increased workloads, daily pressure and chaos in addition to our dysfunctional health care systems as contributing factors (Wan, 2019).

     The nursing shortage at one facility I am currently working has become so extreme that incentives (bonus pay) to fill shifts has become normal practice. Although the extra income can be enticing, the mental and physical ramifications are often not worth putting in another 12 or more hours. Coordination of staff during these shortages impacts the entire facility and is often handled by administrative personnel located in other cities. Often the supervisory staff are in positions that prevent them from making time-sensitive decisions regarding staffing because administrators are slow to respond. Unfortunately, the shortages and inability for efficient staffing impacts the nurses and increases risks to our patients.

                                                                  Reference

Wan, W. (2019). Health-care system causing rampant burnout among doctors, nurses. https://www.washingtonpost.com/health/2019/10/23/broken-health-care-system-is-causing-rampant-burnout-among-doctors-nurses/

REPLY2

I am currently working in a sub- acute unit of an extensive care center. The center is divided into two sub-acute and senior nursing faculty. However, sub- acute unit is very different from other unit because patients here require total care, have PEG tubes, have tracheotomies and have high levels of acuteness. The unit has 27 beds and each nurse is responsible for taking care of 8 patients in eight hours shift. Nurses also assist other health professionals like CNAs to recommend ADLs (Snavely, 2016).

Nevertheless, we are faced with high nurse turn-over rates. I can say it has been hectic one year working in this unit due to voluntary quits because of heavy workloads hence this has affected patients safety. Inadequate training also leads to high turnover rates and for our organization training takes at most 2 weeks, which is short period for one to grasp everything. Implications include burnout and voluntary job quits (Brunetto, Rodwell, Shacklock, Farr‐Wharton & Demir, 2016). According to Snavely (2016), nurses become dissatisfied because of heavy workloads and as a result quit thus leading to high turnover rates.

Reference

Snavely, T. M. (2016). A brief economic analysis of the looming nursing shortage in the United

States. Nursing Economics, 34(2), 98-101.

Brunetto, Y., Rodwell, J., Shacklock, K., Farr‐Wharton, R., & Demir, D. (2016). The impact of

Individual and organizational resources on nurse outcomes and intent to quit. Journal of

advanced nursing, 72(12), 3093-3103.

Work #1: (Final Project proposal)

Propose and defend a topic for your final project.  Write  500 words or more explaining why this topic is important for your peers to understand. Be focused and specific. Look into the general topic provided in the list in this folder to find something new and interesting to write about. You should do a deep dive into a topic. Do not do a survey. Use the Research Databases available from the Danforth Library not Google. 

You MUST make a statement saying exactly what your topic is. 

Use at least five sources. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.  Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources.

Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0. 

Write in essay format not in bulleted, numbered or other list format. 

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post. Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything. 

Work #2:

Discuss  500 words or more discuss why Security as a Service is a good investment.

Use at least three sources.  Use the Research Databases available from the Danforth Library not Google. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.  Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs.  Stand alone quotes will not count toward the 3 required quotes.

Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0. 

Write in essay format not in bulleted, numbered or other list format. 

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post. Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything. I will not spend a lot of my time trying to decipher nonsense. Proof read your work or have it edited. Find something interesting and/or relevant to your work to write about.  

Work #3: 

1) Describe the purpose of the balance sheet and how this information is useful to the stakeholders of the corporation.  

2) Please describe the information presented on the statement of cash flows.  Why is this information important for the stakeholders of a corporation?     

Purpose

The purpose of this activity is to deepen learning through reflective inquiry. This activity will allow for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals.

Preparing the Assignment

Follow these guidelines when completing each component of this assignment. Contact your course faculty if you have questions. It is each student’s responsibility to save and maintain all artifacts required in the e-Portfolio (Links to an external site.).

1-Write a brief 1-2 paragraph weekly reflection addressing the questions posed in the Reflect section of each weekly module. 

Week 1

o  What were the most important concepts you learned in week 1?

o  Why are these concepts important?

o  How will they prepare you for your future role as a DNP-prepared nurse?

o  In what ways do you feel prepared for your new role? In what ways do you feel unprepared?

Week 2

o  Provide one specific example of how you achieved the weekly objectives.

o  What do you value most about your learning this week?

o  What else do you need to explore to further grow as a DNP practice scholar?

Week 3

o  Provide one specific example of how you achieved the weekly objectives.

o  What personal values, if any, were challenged this week?

o  What values can you reaffirm or want to reconsider after this learning?

Week 4

o  Provide one specific example of how you achieved the weekly objectives.

o  What concepts, theories, models, tools, techniques, and resources in this week did you find most valuable?

o  What issues had you not considered before?

Week 5

o  Provide one specific example of how you achieved the weekly objectives.

o  How might you use this information in your future role as a DNP practice scholar?

o  What topics, if any, had you not considered before?

Week 6

o  Provide one specific example of how you achieved the weekly objectives.

o  What knowledge do you still need to demonstrate competency in the weekly concepts?

o  What skills do you need to continue developing to apply these concepts?

Week 7

o  Provide one specific example of how you achieved the weekly objectives.

o  What are the core values and best practices that define the roles of the DNP practice scholar?

o  How will this knowledge improve your effectiveness as a DNP practice scholar?

o  What skills do you need to implement these best practices and how will you develop them?

Reflection on Learning

Requirements:
1. Addresses all aspects of the weekly reflection
2. Assesses own learning
3. Assesses value of the learning experience

Includes no fewer than 3 requirements for weekly reflection.

Writing Organization and Mechanics

Requirements:

-Grammar and mechanics are free of errors.

-Presents information using clear and concise language in an organized manner (0-1 errors in English grammar, spelling, syntax, and punctuation).

Please answer each week separated 2

Minimum of 250 words with at least one peer review reference in 7th edition apa style.

 having a grasp of one’s emotional stability in a time of crisis is essential but it may not be something that comes naturally or can even be taught in a course. What are some strategies you believe might be effective in teaching this kind of self-awareness and self-regulation? If you were a mentor to a younger you, how might you guide yourself in these areas based on your own experiences? 

Evaluation of Plan Effectiveness Criteria

Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, planned to implement one intervention in a small group from the aggregate, and considered the effectiveness of the intervention on the health of the small group. It is time now for you to present your final submission of this Capstone project.

In a Microsoft Word document of 6-7 pages formatted in APA style, you will describe your project and evaluate the effectiveness of the intervention you implemented.

Include the following in your paper:

• A detailed description of the aggregate.
• A description of the aggregate’s strengths and weaknesses.
• A risk assessment of the aggregate.
• Diagnoses based on the risk assessment.
• A detailed care plan for the aggregate.
• A description of how at least one intervention was implemented in the aggregate to address an identified issue.
• An evaluation of the effectiveness of the intervention (this section should be 2-3 pages of your paper) and include the following:
  • Did I implement the intervention as planned? If not, what were the reasons?
  • Are there visible signs of success (for example, reduced health issues)? If yes, describe.
  • Interview/measure outcomes for two or three members of your group to determine/measure the effectiveness of the intervention(s).
    • Include transcripts of the interviews with the participants from the group in the appendix of your paper.
  • Finally, compare the projected effectiveness of your plan before implementation with the actual effectiveness after implementation.
  • You may want to use the responses to the above two criteria to measure the actual effectiveness of the intervention.

On a separate references page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.

• Use this APA Citation Helper as a convenient reference for properly citing resources.
• This handout will provide you the details of formatting your essay using APA style.

Filling in the information from the word document that correlates with the research article. This is a quantitative research article critique assignment 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4973492/

Delegation in Practice

What does your State Board of Nursing (MA) say about Unlicensed Assistive Personnel and their role, and the role of the Registered Nurse? Describe the responsibilities of the Registered Nurse when delegating patient care tasks.

How does the ICU environment differ from a general medical-surgical unit as far as assigned responsibilities for Unlicensed Assistive Personnel?

Assignment Expectations:

Length: 750 to 1000 words

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. Please include at least two references

Roy and Neuman

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least one (1) source and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Create a PowerPoint Presentation to discuss the following…

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

• How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
• Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
• From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
• Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.

Assignment Expectations:

Length: 10-15 slides

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft PPT document (.pptx) or a PDF document (.pdf)

Ethical considerations in health care

Please write a one page paper on Bioterrorism & Emergency Preparedness regarding the “HEALTH POLICY IMPLICATIONS”. No plagiarism, please provided proof of Turnitin document. APA format