INTERACTION BETWEEN NURSE INFORMATICISTS AND OTHER SPECI

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QUESTION

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

evidence based DB

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Question

Overview

In this discussion board, you will review a video on BAD psychology experiments: https://youtu.be/zZ3l1jgmYrY

Watch Video5 Psychology Experiments You Couldn’t Do Today

Duration: 10:55
User: n/a – Added: 9/11/16

Choose one of the five studies discussed in the video. (You can explore other websites/articles/sources to find out more about the study).

Give some thought to the following questions and post your response in the DB:

  • In a couple of sentences, summarize what took place in the study.
  • Address the following:
    • Why do you believe the participants took part in this study?
    • What ethical principles were violated in this research study?
    • Would an experiment such as this be conducted today? Why or why not?

Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

Week 2- Part 1 Direct Care Project

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QUESTION

Directions for Part 1

I have selected Substance Abuse for this project because it is something so common in my city.  Location to use is Miami Florida, zip code 33135 for a more specific demographic if you need it.  

Review the Direct Care Project Overview above.

  1. Select topic (Air Quality OR Substance Use) from the table. This will be the topic of your entire course project.
  2. View the Direct Care Project Part 1 Tutorial: 
  3. Download the corresponding Assessment and Diagnosis template under Templates below. For example, if you have selected Air Quality as your topic, download the Air Quality Assessment and Diagnosis Template.
  4. Collect the data outlined in the template. There are two parts:
    • Online data collection – gather data from the weblinks provided on the template
      • Please note, if you live in Washington D.C. it may be listed as a state or county. You may list the Washington D.C. data as state and county, then compare to the U.S. data.
    • Modified windshield survey data collection – gather local community data by physically looking at your community
      • If possible, plan on asking someone to drive during your survey so that you can take notes.
      • Your community should be the area where you live or the area surrounding your work. The community must include a residential area and be a large enough area to answer the survey questions. If you live in a large area, you may choose a suburb.
      • Note:?It is helpful to conduct this portion of the assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend.
  5. Identify a nursing problem (nursing diagnosis) based on data and observations

leadership DB M

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QUESTION

Overview

Workplace violence against nurses is a major challenge for healthcare leaders. Common types of violence such as physical harm, sexual abuse, aggression, mobbing and bullying can occur from patients, family and co-workers.

For this discussion, you will use information from your assigned readings, the self-paced tutorial and the literature to discuss the following in a discussion board post.

What impact does workplace violence have on nurses, other clinical staff and the organization as a whole? Be specific and provide rationale.

How is workplace violence addressed in your organization, i.e. policies, protocols, training. Be specific.  Is it sufficient?  What else could be done?

What are the legal and ethical implications for the nurse leader if workplace violence occurs on their unit(s)?

  • Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.
  • Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

reflection NR 667

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QUESTION

Reflection on Learning

Describe how learning in this course helped you to meet Program Outcome 5: Advocates for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice (Extraordinary Nursing).

  1. Describe how course assignments or activities will help you achieve ONE of the advanced-level nursing education competencies from AACN Essentials Domain 9 listed below. Click each section below to view the competencies.

Expand AllPanels Collapse AllPanels

9.1 Demonstrate an ethical comportment in one’s practice reflective of nursing’s mission to society.

  1. 9.2 Employ participatory approach to nursing care.

9.3 Demonstrate accountability to the individual, society, and the profession.

  1. 9.4 Comply with relevant laws, policies, and regulations.

9.5 Demonstrate the professional identity of nursing.

9.6 Integrate diversity, equity, and inclusion as core to one’s professional identity.

Describe how course assignments or activities will help you achieve ONE NONPF Independent Practice CompetencyLinks to an external site. listed below.

NP 2.1g: Engage in shared decision-making with consideration of determinants of health. 

NP 2.6 Demonstrate accountability for care delivery. 

NP 2.6k: Provide healthcare services within scope of practice boundaries, which include health promotion, disease prevention, anticipatory guidance, counseling, disease management, palliative, and end-of-life care 

NP 2.6l: Collaborate with the interprofessional team to formulate a plan of care. 

NP 2.9k: Implement evidence-based guidelines and strategies that enable effective transitions of care and care coordination.  

NP 3.5 Demonstrate advocacy strategies. 

NP 4.2 Integrate best evidence into NP practice. 

NP 9.6 Integrate diversity, equity, and inclusion as core to one’s professional identity 

NP 10.2n: Uphold standards of the NP profession 

NP 10.3v: Engage in advocacy efforts to address health disparities, social justice, and equity to improve healthcare outcomes

ORGANIZATIONAL POLICIES AND PRACTICES TO SUPPORT HEALTHCARE ISSUES

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QUESTION

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.

To Prepare:

The Affordable Care Act and The Provisions of Medication Access and Cost Discussion

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Question

Make a peer response to the following response: 

The RN would discuss the need for hospitalization with this patient by first detailing how important it is to monitor the patient and make sure the antidote, in this case Acetylcysteine, gives the appropriate therapeutic effects for the overdose. Acetaminophen can cause extensive liver damage because the glutathione pathway is overwhelmed by too much of acetaminophen’s metabolite, NAPQI. This toxic compound can accumulate in the liver and cause damage like hepatic necrosis. Apart from the physiological concern, the nurse must also take the patient’s report of wanting to die seriously because this demonstrates that she has suicidal ideations and that she is having something in her life negatively affecting her mental health. In this case, it is the nurse’s responsibility to understand what caused the patient to make this decision, does she still actively want to harm herself, is she a harm to others, and if she has a support system of friends or family to help her through this difficult time. An alternative to a hospitalization in this case would most likely involve Mimi going to therapy to get to the root of the issue. For example, since she is a first generation student this can lead to her feeling an overwhelming responsibility to succeed and she does come from a culture where there is a negative stigma surrounding mental health issues.

NOW.. follow the instructions for the following discussion: 

What are your views on the Affordable Care Act (ACA), as it relates to the provisions of medication access and cost?

paopa na a

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QUESTION

This week, you will consider your own cultural background and how it impacts the care you provide to your patients.

For this written assessment we will focus on cultural competency, humility, and health inequities. First, complete this week’s readings and learning activities.

Then, address the following questions on the template provided.  

Define and describe health inequalities. How would you advocate for patients, families, and communities? 

Discuss your results for each of the test (a brief response for all 6 of the tests). 

Discuss if you are culturally competent or have cultural humility. Or are you not there yet? Why? What are your next steps? 

  1. References

Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

  1. Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

Number of Pages/Words

Unless otherwise specified all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title and reference pages. 

Andrews, M. M., Boyle, J. S., & Collins, J.M., (2020). Transcultural concepts in nursing care (8th ed.). Wolters Kluwer/LWW.

Chapters 11 and 13

Websites: 

Health Inequities and Their Causes

Link to the website. 

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Journal Articles:

Abbasinia, M., Ahmadi, F., & Kazemnejad, A.  (2020). Patient advocacy in nursing: A concept analysis. Nursing Ethics, 27(1), 141-151.  https://doi.org/10.1177/0969733019832950

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Explain the influence of historical events on American culture and society.

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QUESTION

In your American History course, you will utilize scholarly sources to address questions in the weekly assignments. Please be advised that History.com, Wiki, Wikipedia, or websites such as cliffnotes.com, studymode.com, coursehero.com, and the like are not deemed scholarly sources. Therefore, use your course text and incorporate an additional scholarly source from the Chamberlain Library in your response.

Below is a list of resources you must choose from:

Textbook: Chapter 11

Lesson

Minimum of 1 scholarly source from the Chamberlain Library resources below:

Sources for the Week 3 Discussion are available by accessing this link.Links to an external site.

The Lewis and Clark Expedition 

  • The Missouri Compromise 

Independence of Texas 

Mexican War of 1846–1848 

The California Gold Rush 

Then, in one (1) to two (2) paragraphs, address one (1) of the following:  

Which of your two selections do you consider most impactful on Westward Expansion during 1800–1848? Explain why. 

Analyze the effects of the ideology of Manifest Destiny on the two historical events that you chose from the list above.

  • Follow-Up Post Instructions

Respond to one peer.  

Further the dialogue by building upon their post with information you uncovered while researching. 

Include one (1) meaningful scholarly source to demonstrate much depth. A scholarly source can include your textbook, assigned readings, or additional scholarly research.

BU HERZING

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QUESTION

Instructions I DO NOT NEED A VOICEOVER. I NEED SPEAKERNOTES

This assessment addresses the following course objective(s):

Examine the history and theories of the development of health care delivery in the U.S.

The United States federal government oversees multiple regulatory aspects of healthcare. For this assignment, you will identify a specific topic from the website www.regulations.govLinks to an external site. and analyze its impact. Then, you will summarize your knowledge for an internal audience, from the healthcare administrator perspective.

  • Part I – Research

Navigate to the regulations.govLinks to an external site. website.   

Learn about the regulatory process here: https://www.regulations.gov/aboutLinks to an external site. and https://www.regulations.gov/learnLinks to an external site.

From the home page https://www.regulations.gov/Links to an external site., search for proposed rules or dockets in a topic area of your interest. This could include quality metrics, reimbursement changes, etc.

All key word results will be displayed. You may use the filter menu on the left sidebar to narrow the selection. Begin filtering results by “agency” such as CMS, HHS, AHRQ, etc. You may also filter by date range, and other options. 

Review the results. Select one that interests you, and that you feel would be relevant to share in a presentation with your desired [fictional] internal audience.

Keep in mind, these dockets are open for public comments. Read the comments, and consider the perspectives presented.  These comments may be biased or come from places of frustration, or a desire to enact or resist change.