discussion , discussion

 

  1. What is a workaround? Identify a workaround (specific to technology used in a hospital setting) that you have used or perhaps seen someone else use, and analyze why you feel this risk-taking behavior was chosen over behavior that conforms to a safety culture. What are the risks? Are there benefits? Why or why not?
  2. Discuss the current patient safety characteristics used by your current workplace or clinical site. Identify at least three aspects of your workplace or clinical environment that need to be changed with regard to patient safety (including confidentiality), and then suggest strategies for change.

Movie Review Must Have Netflix

Grey’s Anatomy- Season 15 EP 23- What I Did For Love

2-3 pages

Due-11/06/20

APA format

20 points

  1. Summary of Meredith’s patient situation
  • Main elements of the situation
  • Who, what, where, when, why
  1. Analysis
  • What barriers stood in the way of getting the proper care for Gabby?
  • Due to the inability to have insurance, Meredith explains she believes “the system is broken”, do you agree? Why or Why not?
  • Do you agree with the choices Meredith made?
  • What kind of fraud was committed? 
  • What ramifications could Meredith face?
  1. Conclusion
  • State the situation
  • Summarize your stance
  • Is there a call to action in future cases?

nursing multidimensional care2

 Module 08: GI poster

Competency

Select appropriate nursing interventions for clients with upper and lower gastrointestinal disorders. SIGN UP FOR YOUR TOPIC HERE: https://docs.google.com/spreadsheets/d/1a9aocm6ahrPHEhRBuFtYaXiR19DmdkmDTdYLacyj0Es/edit?usp=sharing

Scenario

Patient and family education is important in increasing adherence. To provide education to patient and families, you are going to create a poster about a gastrointestinal disorder that will be displayed in a physician’s office.

Instructions

Please be sure to include the following in your poster design.

  • Overview of the disorder
  • Causes of the disorder
  • Diagnostic tests to diagnosis the disorder
  • Assessment findings
  • Multidimensional nursing care interventions for the disorder

Resources

For assistance with research, refer to the Nursing Research Guide.

For assistance creating a poster, refer to the following FAQ.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. (Minimum 200 words in each reply, build on their presentation with something you found in your research) Please check the Course Calendar for specific due dates.

The Application of Data to Problem-Solving

  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.

Post a description of the focus of your scenario. ( 5-6 paragraphs)

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?

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

· Chapter 1, “Nursing Science and the Foundation of Knowledge” (pp. 7–19)

· Chapter 2, “Introduction to Information, Information Science, and Information Systems” (pp. 21–33)

· Chapter 3, “Computer Science and the Foundation of Knowledge Model” (pp. 35–62)

Nagle, L., Sermeus, W., & Junger, A. (2017).  Evolving Role of the Nursing Infomatics Specialist. In J. Murphy, W. Goosen, &  P. Weber  (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212-221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REF

Sweeney, J. (2017). Healthcare informatics. Online Journal of Nursing Informatics, 21(1).

Public Health Informatics Institute. (2017). Public Health Informatics: “translating” knowledge for health [Video file]. Retrieved from https://www.youtube.com/watch?v=fLUygA8Hpfo

Ethical Decision-Making

Instructions: Doctorate level work. 2 pages, APA format, at least 2 references (must be within 5 yrs ). Absolutely plagiarism free

Due date/time: 18 Nov, 2020 @8:00am. 

Ethical Decision-Making

Let’s return to the ethical scenario presented within Page 2 of the Explore section of Week 4 to consider it further. Upon learning that a medication error occurred resulting in a child’s death, the Chief Nursing Officer (CNO) of a regional acute care facility held a press conference to announce the mistake. The conference centered on reporter questions about why the nurse was not fired. The CNO explained that the nurse was highly regarded and that the problem was a “system” problem, not simply a problem of an incompetent nurse. The CNO also explained that an examination of the medication administration procedures was ordered and that an electronic medication error avoidance system would be implemented to ensure that such an error would not happen again. Consider this scenario to address the following.

· As the CNO in the scenario, defend your decision to disclose the incident to the media. How does this decision influence value-based healthcare? What risks might you encounter? What impact might this decision have on you personally and professionally?

·  At a regional health consortium, fellow CNOs remark that they would not disclose such an incident to the media. Provide two justifications for withholding disclosure of the error to the public. How does this decision influence value-based healthcare?

·  Imagine you are the patient’s family. How would you want the issue to be handled by the CNO? Explain your rationale

Reading/references:

1.  Chism, L. A. (2019). The Doctor of Nursing Practice: A guidebook for role development and professional issues (4 th ed.). Jones & Bartlett Publishers.

·  Chapter 7: The DNP Graduate as Ethical Consultant, pp. 177-197

·  
https://online.vitalsource.com/#/books/9781284155259/epubcfi/6/164%5B%3Bvnd.vst.idref%3Di17_Chapter07%5D!/4/2%5Bch07%5D/8/6%400:0

2.  Marshall, E. S. & Broome, M.E. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.).  Springer Publishing Company.

·  Chapter 4: Economics and Finance

o”The Present State of Health Care Finance,” p. 88

o”Emerging Models of Care Delivery: A Glimpse into The Future of Financing,” -p. 114

·  https://online.vitalsource.com/#/books/9780826193995/epubcfi/6/32%5B%3Bvnd.vst.idref%3DChapter_4%5D!/4/2/366/2%400:61.2

3.Nelson, E. C., Batalden, P. B., & Godfrey, M. M. (2007). Quality by design: A clinical microsystems approach. Jossey-Bass.

·  Chapter 7: Planning Patient-Centered Care, pp. 148-164

4.Sorbello, B. (2008). The nurse administrator as caring person: A synoptic analysis applying caring philosophy, Ray’s ethical theory of existential authenticity, the ethic of justice, and the ethic of care (Links to an external site.)International Journal for Human Caring, 12(1), 44-49. Permalink

Advance Pharmacology

Shelly is a 4-year-old preschooler who lives with her parents and younger brother. She and her brother attend a local daycare center during the week while their parents are at work. In the evenings she and her brother take a bath and then their parents read to them before bedtime at 8 PM. Shelly’s daycare class includes many children her age and she enjoys playing outside with them. Although snack times are planned, Shelly would rather play and does not always finish her beverages.

Shelly’s mother calls the clinic and tells the nurse practitioner that Shelly has been “running a fever of 101 F for the past 2 days” and although her temperature decreases to 37.2 C (99 F) with Tylenol, it returns to 38.4 C (101 F) within 4 hours of each dose. Further, her mother says that Shelly complains that “it hurts when I pee-pee”. Shelly’s mother also has noticed that her daughter seems to be in the bathroom “every hour”. She makes an appointment to see the nurse practitioner this afternoon.

The potential diagnosis is UTI.

1.      What other assessment data would be helpful for the nurse practitioner to have?

2.      What are the organisms most likely to cause an UTI?

3.      What is the pharmacological treatment for Shelly? Keep in mind safe dosing.

4.      What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?

Please keep it concise. 1 initial post and 2 replies using peer-reviewed references published within 5 years.

Health Assessment of the Toddler, Preschool, and School-Aged Child

Child abuse and maltreatment are not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. 

A.Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age. 

B.Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. 

C.Discuss cultural variations of health practices that can be misidentified as child abuse. 

D.Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse. 

2. A.Compare the physical assessment of a child to that of an adult. 

B. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.