Archive for month: March, 2019

Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this should not be a medical issue.

How do nurses promote patient safety and improve quality at your workplace?
Here are the discussion questions. answer each questions and make references to where u got ur ans from….aka APA style and also use the links below

1. Integration of Evidence-Based Practice Into Professional Nursing practice.
As the professional nurse, you realize that your nursing care area often sees patients with the same particularly challenging nursing care issue (NOT medical care issue). Include allof the following in your answer to this discussion:

Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this should not be a medical issue.
Explain how you would search the nursing literature for evidence on this topic (including search terms you would use) and how you would critically appraise the evidence found in your search. NOTE: You do not need to perform the search and provide an article for this discussion, but you may do so if you like.
2. Nursing Roles in Quality Improvement.
How do nurses promote patient safety and improve quality at your workplace? How do you report errors and near misses? What changes would you suggest be made on your unit or facility to improve a non-punitive culture of safety?

3. Leadership in Diverse Situations
Nurses demonstrate leadership in many situations. For this discussion, select one of the following situations that you have not previously experienced and tell us how the nurse would demonstrate leadership in that situation:

Communicating with legislators to influence health policy1
Clinical leadership at the bedside
Nursing management of units or facilities
Impact of systems-based practice on leadership
4. Use of Informatics in Professional Nursing.
How do you use informatics and technology in your nursing practice? How do you see that use changing in the future? What ethical issues have arisen or might arise from use of technology and informatics in professional nursing?

5.AACN BSN Essentials and Your Future Practice.

Question: Select one of the AACN BSN Essentials and elaborate on its meaning and importance in your own future professional nursing practice. In your post intended to clearly and thoroughly address the topic of this TD, be sure to:

Identify the AACN BSN Essential that you have selected by name and number.
Clearly and thoroughly explain why you selected this Essential.
Clearly and thoroughly explain how this Essential will be used in your future professional nursing career.
Pls chose any topic from the link I attached in AACN below for question 5. Thanks The links to answer the topic questions. http://www.aacn.nche.edu/ > [8/15/2016]

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What are the NPV, IRR, MIRR, and payback of the proposed ambulatory surgery center?

1. What are the NPV, IRR, MIRR, and payback of the proposed ambulatory surgery center? Do the
measures indicate acceptance or rejection of the proposed ambulatory surgery center?
2. Inflation is one of the most difficult factors to deal with in project analysis.
a. Complete the inflation impact table shown in Exhibit 20.2.
b. What management information is provided by the inflation impact table?
3. One board member wants to make sure that a complete risk analysis, including sensitivity and scenario
analyses, is performed before the proposal is sent to the board.
a. Perform a sensitivity analysis.
b. What management information is provided by the sensitivity analysis?
4. a. Perform a scenario analysis.
b. What management information is provided by the scenario analysis?
c. Why is the expected NPV obtained in the scenario analysis different from the base case NPV?
5. A board member is interested in the utilization breakeven of the Center.
a. What are the breakeven values of the three input variables that are highly uncertain?
b. What management information is provided by the breakeven analysis?
6. To help with the risk-incorporation phase of the analysis, Jules consulted with Mark Hauser, the
hospital’s CFO, about both the risk inherent in the hospital’s average project and how the hospital
typically adjusts for risk.
a. What is the project’s differential risk-adjusted NPV?
b. Assess the corporate risk of the project. (No calculations are required. Think about correlation of the
surgery center and hospital cash flows.)
7. Jules Bergman is aware that there are some qualitative factors that are relevant to the surgery center
decision.
a. What qualitative factors might support project acceptance?
b. What qualitative factors might preclude project acceptance?
c. Can you think of any costs that might be associated with the project that have not been included in
the analysis?
d. Are there any potential benefits that have not been included?
e. What additional data would you seek from other hospital staff members to conduct a more thorough
analysis?
8. Considering all points, would you build the ambulatory surgery center?
9. In your opinion, what are three key learning points from this case?

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Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees.

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:
1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
4. Use at least two references other than your text and those provided in the course.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

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Summarize your community assessment and diagnosis findings and include a brief statement about the problem and the major factors that contribute to this problem. This information should be no more than two paragraphs.

 

Guidelines for Caring for Populations Milestone 2:
Assessment and Diagnosis
PURPOSE
The purpose of this paper is to provide an opportunity to utilize community assessment strategies, uncover a community health problem, and identify the components of one community health nursing problem related to the community dynamics.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO2: Assess the health needs of individuals, families, aggregates, and communities using demographic and epidemiological data to identify population health risks. (PO 4)
CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2)
DUE DATE
Submit to the appropriate basket in the Dropbox by 11:59 p.m. MT Sunday of Week 4.
POINTS: 225 points
DIRECTIONS
Watch the Milestone 2 tutorial by clicking this link. This tutorial is also available on Course Project page under Course Home as well as Week 4 Assignments page.

This paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the following categories as the first level headings on your paper. See the documents in the APA category in Course Resources for assistance with APA formatting.
• [Introduction:] This beginning of your paper should catch the reader’s attention with interesting facts about your community and should include the purpose statement of the paper. This should be one paragraph. APA states that you should not title this as introduction; however, you are still expected to write a separate introduction. The title of the paper should be repeated at the top of page two and centered.
• Community Overview: Identify the community that you are assessing by name and state and provide a general description of the community. What is the general character of the community? Statistics should not be included here. Your community should be the area you live or work in and should include a residential area. It should be a large enough area to answer the questions in the text. This should be one paragraph.
• Demographic Data: Compile a range of demographic (population description) data for your community by examining U.S. Census Bureau reports. Using this data, describe your community. Compare your community data to state or national data. A summary of this data should be no more than two paragraphs.
• Epidemiological Data: Compile and summarize a range of epidemiological (illness, morbidity, and mortality) data for your community by examining data from sources such as city or county health department reports, County Health Rankings (countyhealthrankings.org), or the Centers for Disease Control to describe priority health problems in your area. See the Webliography for applicable sites to search. Compare your community to state or national data. This comparison will help to identify a priority community health problem specific to your community. A summary of this data should be no more than two paragraphs.
• Windshield Survey: Provide a summary of your observations from your first milestone. Make sure to discuss observations related to your identified problem. This should be one to two paragraphs.
• Problem Diagnosis:
o Using the assessment data, identify one community health nursing problem that you consider to be a priority concern.
o Relate your choice to one of the Healthy People 2020 specific numbered objectives (not just a goal). Healthy People objectives are located within a topic area under the Objectives tab.
o Your rationale should also include why this is a problem in your community and factors that contribute to the problem. Avoid discussion of interventions in this milestone.
o Include a discussion of your problem with information from at least two scholarly sources (such as professional journal articles). (Review the documents in the APA category in Doc Sharing for help in determining sources that are considered scholarly—hint, .com websites are not considered scholarly sources). This should be no more than three paragraphs.
• Summary: Summarize your community assessment and diagnosis findings and include a brief statement about the problem and the major factors that contribute to this problem. This information should be no more than two paragraphs.
• Reference Page: All references should be cited within the paper and should be included on the reference page.
GUIDELINES
• Application: Use Microsoft Word 2010 (or later) to create this assignment.
• Use the categories above as APA headings for the sections of your paper.
• Length: This paper is expected to be no more than four pages in length (not including the title page and reference list).
• Submission: Submit your file via the basket in the Dropbox: Milestone 2 Assessment and Diagnosis, by 11:59 p.m. MT Sunday of Week 4.
• Scholarly Writing: APA format is required. Review APA documents in the APA category in Course Resources and use the free resources of SmartThinking for writing tutors.
• Save your paper with your last name in the document title (e.g., Smith Assessment and Diagnosis).
• Late Submission: See the course policy on late submissions.
BEST PRACTICES IN PREPARING THE PAPER
The following are best practices in preparing this project.
• Complete the demographic, epidemiologic, and windshield survey prior to choosing a problem to focus on.
• Choose one nursing problem specific to your community.
• Make sure all elements of the paper are addressed and headings for each category are included.
• Review directions thoroughly.
• Cite all sources within the paper as well as on the reference page.
• Proofread prior to final submission.
• Check for spelling and grammar errors prior to final submission.
• Use the A column of the rubric below to ensure that you have included all the needed elements.
• Abide by the CCN academic integrity policy. The paper must be your original work. Once submitted to the Dropbox, check back to ensure that your Turnitin similarity index is less than 24%, if not revise and resubmit prior to the deadline.
GRADING RUBRIC: MILESTONE 2: ASSESSMENT AND DIAGNOSIS (225 POINTS)

Criteria A
(92–100%)
Outstanding or highest level of performance B
(84–91%)
Very good or high level of performance C
(76–83%)
Competent or satisfactory level of performance F
(0–75%)
Poor or failing or unsatisfactory level of performance Pts
Introduction
10 points Includes the purpose of the paper and catches the reader’s attention with interesting facts
(9–10 points) Missing purpose of paper or hook
(8 points) Missing purpose of paper and hook
(7 points) Introduction missing
(0–6 points) /10
Community Overview
20 points Community identified and adequately described
(18–20 points) Community identified but description is inadequate
(16 points) Community identified but description is missing
(15 points) Community not identified or described
(0–14 points) /20
Demographic Data
30 points Describes a range of demographic data about your community from U.S. Census Bureau reports with comparisons to state or national data
(28–30 points) Adequate demographic data described but missing state or national comparison
(25–27 points) Little demographic data and missing state or national comparisons
(23–24 points) Lacks demographic data and missing state or national comparisons
(0–22 points) /30
Epidemiological Data (Disease or health behavior rates)
30 points Describes a range of epidemiological data about community from appropriate reports with comparisons to state or national data
(28–30 points) Adequate epidemiological data described but missing state or national comparison
(25–27 points) Little epidemiological data and missing state or national comparisons
(23–24 points) Lacks epidemiological data and missing state or national comparisons
(0–22 points) /30
Windshield Survey
20 points Community windshield survey findings adequately summarized and findings relate to identified problem
(18–20 points) Windshield survey findings adequately summarized but not clearly related to identified problem
(16 points) Windshield survey findings not adequately summarized and not related to the problem (15 points) Windshield survey findings not described
(0–14 points) /20
Problem Diagnosis
40 points Assessment data used to identify one priority community health problem, Healthy People 2020 specific objective included, and rationale for problem selection stated with supportive data (such as factors that contribute to this problem) from two scholarly articles
(37–40 points) Problem not related to Healthy People objective or lacks rationale with supportive data
(34–36 points) Problem not related to Healthy People objective and lacks rationale with supportive data
(30–33 points) Problem discussion missing
(0–29 points) /40
Application of Evidence-Based Scholarly Resources
30 points Two or more quality references from professional literature discussed with clear support of your problem rationale
(28–30 points) Two references discussed, but information does not clearly support problem rationale or references are not scholarly
(25–27 points) Only one reference discussed that is directly relevant to problem rationale
(23–24 points) No references discussed
(0–22 points) /30
Summary
20 points Summary includes assessment and diagnosis findings, a brief statement about the problem, and factors that contribute to this problem
(18–20 points) Lacks reiteration of assessment findings or problem identification or contributing factors
(17 points) Summary lacks two or more of: reiteration of assessment findings, problem identification, and contributing factors
(16 points) Summary not completed
(0–15 points) /20
Presentation
10 points Discussion well organized and logical and structure is clear and compelling to reader; paragraphs are linked together logically, and main ideas stand out
(9–10 points) Discussion missing one of the organizational elements in column one and has some minor organizational concerns
(8 points) Discussion missing two of the organizational elements in column one and overall flow is difficult to follow
(7 points) Paper appears disorganized and is difficult to understand
(0–6 points) /10
Mechanics
15 points Excellent mechanics with no more than two of the following errors:
– correct grammar, spelling
-complete sentences
-all sources cited in the text
-all references listed on the reference page and in APA format
-title page in APA format
-correct APA format of headings
-12 point font, double spaced, 1 inch margins
(14-–15 points) Three mechanical or APA errors of elements listed in column one
(13 points) Four mechanical or APA errors of elements listed in column one
(12 points) More than five mechanical or APA errors of elements listed in column one
(0–11 points) /15
Total Points: /225

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Describe an authentic example of suspected or proven sexual harassment.Julie has been a nurse at Memorial Hospital for three years.

 

 

Describe an authentic example of suspected or proven sexual harassment.Julie has been a nurse at Memorial Hospital for three years. During that time, she has developed productive relationships with her colleagues and has earned a reputation for providing exceptional care to patients.
Assignment: Sexual Harassment in the Workplace

Julie has been a nurse at Memorial Hospital for three years. During that time, she has developed productive relationships with her colleagues and has earned a reputation for providing exceptional care to patients. One day she approaches you, her manager, and asks to speak in private. Once you are alone, Julie explains that over the past couple of months she has heard a physician and two nurses repeatedly make disparaging remarks about people who are homosexual. She appears visibly upset as she tells you this. Julie says that the situation has become so uncomfortable that she no longer feels safe in this environment.

Does this scenario reflect a possible case of sexual harassment? How would you respond to Julie, and what steps might you take next?

Sexual harassment is an important topic in today’s organizations–one that is often addressed through HR presentations and trainings. However, even for experienced nurse managers and HR professionals, it can be challenging to recognize some of the behaviors and actions that may indicate sexual harassment. Nurses in leadership and management positions have a critical responsibility to become attuned to the various interactions that can be problematic, including inappropriate remarks and jokes, improper fraternization, quid pro quo situations, and potentially offensive images.

To prepare

Review the articles, “Sexual Harassment – A Touchy Subject for Nurses,” “Why Are Nurses Leaving? Findings from an Initial Qualitative Study on Nursing,” and “Bullying, Harassment, and Horizontal Violence in the Nursing Workforce.” Consider sexual harassment situations most commonly experienced by nurses.
Think about a work environment with which you are familiar. Have you witnessed or experienced any behaviors that–perhaps with the benefit of hindsight and increasing awareness–may be construed as sexual harassment, even if you did not think of them that way at the time? Do you recall any instances in which you might have intentionally or unintentionally contributed to or participated in an environment that tolerated harassment against one or more individuals? If so, what were your thoughts and feelings at the time? How, perhaps, has your perspective since shifted?
Select one of the following options:
Option 1:Conduct research via the Walden Library, or other scholarly sites, to select an article that presents an authentic example of workplace sexual harassment.
Option 2:Identify an authentic example of suspected or proven sexual harassment from your professional experience.
Conduct research related to your selected example to assess the ramifications that may result from instances of sexual harassment.
Consider how you could partner with HR to mitigate situations of sexual harassment in your workplace. In addition, think about specific steps you could take to diminish inappropriate behaviors in the workplace.
To complete

Submit a 3- to 5-page paper in which you do the following:

Describe an authentic example of suspected or proven sexual harassment.

Explain how this specific instance of sexual harassment impacted the workplace.
Identify at least two legal ramifications that could have (or did) result from this situation and how they could (or did) negatively impact the workplace.
Briefly explain other ramifications (e.g., organizational culture, staff relationships, individual and team performances, patient safety, quality of care) that could have (or did) result because of this specific instance.
Describe the actions that were taken to resolve the situation, if applicable.
Formulate an action plan that can be used to mitigate and/or ameliorate behaviors that constitute sexual harassment.

Based on your example, explain how you would educate staff on the identification and prevention of inappropriate behaviors. Describe at least two specific steps you would take to diminish similar sexual harassment situations.
Describe at least two ways you could partner with HR to effectively accomplish your action plan.
NOTE: For the purposes of this assignment, please do not reveal the name of your workplace or the individuals involved.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

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