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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 practitioner’s and the discipline’s 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.

By Day 3 of Week 1

Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

example:Problem Solving skills are the most important skills used in determining, practicing, and evaluating nursing care for sick or healthy individuals (Wang, Lo, Chi-Hui, & Ya Lie, 2004; Lee & Brysiewicz, 2009). The nursing process, which is called a Problem-Solving process, is an organized, systematic approach composed of collecting data, defining problems, determining interventions toward patient care, intervening, and evaluating outcomes. It is possible to provide effective, objective, and professional care by using the nursing process written by Ancel, G. (2016). Data are needed and collected for problem-solving. EMR workflow assists and facilitates the caregivers for the continuity of the patient’s care.

Hypothetical patient scenario: 

A moderately obese man, recently extubated after a left-sided thoracotomy, continues to be sedated and occasionally has desaturations of oxygen saturation levels despite stimulation and encouragement to cough and deep breathe. The patient is wearing a simple face mask with a flow of 8L/min. An arterial blood gas is drawn, with the following values: pH 7.32, PaCO2 50mmHg, HCO3 25meq/L, and PaO2 65mmHg. 

The use of the nursing process to collect data will be relevant in this situation. Pre-op nurses admit patients, read the history and physical, assess the patient’s condition, check vital signs, and obtain medication reconciliation. This information is disseminated to the anesthesia team, surgeon, and intraoperative nurse and then relayed to the PACU nurses by the anesthesia team during the patient’s phase one recovery. Accessed on all the documentation is through EPIC, which our institution used.

We know from the data collected that the patient has respiratory acidosis, a common acid-based imbalance encountered in the post-op setting. An important consideration is that the patient’s health history, condition, and surgery placed him at risk for hypoxia. Obesity is often linked with obstructive sleep apnea, which is strongly suggested in the scenario. Any type of thoracic or abdominal surgery can interfere with normal respiratory functioning because of pain, bleeding, or compromise respiratory anatomy and physiology, Putrycus, B. & Ross, J. (2013).

The use of data and information, technology, previous learning, experiences, nursing theory, McGonigle, D. & Mastrian, K.G. (2017) were utilized.

References:

Ancel, G. (2016). Problem-Solving Training: Effects on the Problem-Solving Skills and Self-Efficacy of Nursing Students. Eurasian Journal of Educational Research, 64, 231–246.

McGonigle, D., & Mastrian, K.G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Putrycus, B. & Ross, J. (2013). Certification review for perianesthesia nursing: 3rd ed. p.; cm.

Wang, J.J., Lo, Chi-Hui, K., Ya, Lie, K. (2004). Problem solving strategies integrated into nursing process to promote clinical problem-solving abilities of RN- BSN students. Nurse Education Today, 24 (8), 589-95. 

In a 1- to 2-page paper, address the following:

• Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
• Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
• Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.

1- Discussion Question:  Contrast the terms of terminal sedation, rational suicide, and physician-assisted suicide. 

2- 3 paragraphs of 3 sentences each

3- 2 references not older than 2015

4- APA style

See attachments follow instructions. 

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for the study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

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

In a 1,000–1,250 word essay, summarize two qualitative 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.

Due: Sunday night at 11:59pm Mountain Time

In this assignment, you will write a paper that describes data collection strategies used in quantitative and qualitative research; the paper will also describe strategies to gain trust with participants in your proposed research question or problem of interest.

Step 1: Reflect on your proposed research question or problem of interest.

Step 2: As you prepare to write your paper, consider the following questions:

• What data collection strategies are used in quantitative research? Why?
• What data collection strategies are used in qualitative research? Why?
• What quantitative or qualitative data collection strategies would you use in your proposed research study and why?
• Which strategy or strategies would help you to gain trust with your participants? Why?

Step 3: Write a two-four page paper.

Write a paper that describes and summarizes the various data collection strategies used in quantitative and qualitative research and those strategies used to gain participant trust. Identify and describe the qualitative or quantitative strategies you would use in your proposed study and the ways in which you would gain trust with participants.

Construct your paper and cite any sources in APA format.

• Explain the following related to this case study:  Anemia and the different kinds of anemia (i.e., micro and macrocytic). 
• Why a patient would need a splenectomy after a diagnosis of ITP.

 Case Study:

A 14-year-old female is brought to the urgent care by her mother, who states that the girl has had an abnormal number of bruises and “funny looking red splotches” on her legs. These bruises were first noticed about 2 weeks ago and are not related to trauma. PMH not remarkable and she takes no medications. The mother does state the girl is recovering from a “bad case of mono” and was on bedrest at home for the past 3 weeks. The girl noticed that her gums were slightly bleeding when she brushed her teeth that morning.

Labs at urgent care demonstrated normal hgb and hct with normal WBC differential. Platelet count of 100,000/mm3 was the only abnormal finding. The staff also noticed that the venipuncture site oozed for a few minutes after pressure was released. The doctor at urgent care referred the patient and her mother to the ED for a complete work-up of the low platelet count, including a peripheral blood smear for suspected immune thrombocytopenia purpura.

The purpose of this assignment is to gain real-world insight into how risk management programs operate within health care organizations.

Select a local health care organization where you can conduct an interview with an employee who is involved in risk management processes. This organization can be your current employer or a different health care facility in your community. Acute care, urgent care, large multi‐provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Select an individual who can provide sufficient information regarding how their organization manages risk within its facility to answer the questions below.

In your interview, address the following:

1. Risk management strategies used in the organization’s risk control program, along with specific examples.
2. How the facility’s educational risk management program addresses key professional, legal, and ethical issues, such as prevention of negligence, malpractice litigation, and vicarious liability.
3. Policies the facility has implemented that address how to manage emergency triage in high‐risk areas of health care service delivery (e.g., narcotics inventories, declared pregnancy policies, blood-borne disease sector, etc.).
4. Challenges the organization faces in managing and controlling high-risk health care (e.g., infectious diseases, nuclear medicine, abortion, class 4 narcotics/opioids, etc.).
5. Strategies the facility utilizes to monitor, evaluate, and maintain compliance within its risk management program.

After conducting the interview, compose a 750‐1,000 word summary analysis of the interview that includes the questions above, in conjunction with the interviewee’s responses. In addition, include the following elements in your response:

1. An assessment of the organization’s risk management program, including how it attends to high-risk health care and legal concerns.
2. Action steps you would take to improve one area of the organization’s risk management program, along with your rationale for doing so.

Cite appropriate references as needed to support your statements and rationale.

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.

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
4. What health promotion activities are often practiced by this group?
5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

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.