week 8

Case Study, Chapter 14, Medical Errors: An Ongoing Threat to Quality Health CareA nurse manager is reviewing occurrence reports of medical errors over the last six months. The nurse manager knows that medical errors are not the only indicator of quality of care. They are, however, a pervasive problem in the current health care system and one of the greatest threats to quality health care. The nurse manager is putting together a list of possible solutions to decrease the number of occurrences of medication errors.1. Recognizing that health care errors affect at least one in every 10 patients around the world, the World Health Organization’s World Alliance for Patient Safety and the Collaborating Centre identified priority program areas related to patient safety. What are the patient safety program areas the nurse manager should consider for implementation?2. Describe the Joint Commission 2017 National Patient Safety Goals for Hospitals.3. Discuss the Institute of Medicine’s four-pronged approach to reducing medical mistakes?

 
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God, Humanity, and Human Dignity. Response 1

1. What is the Christian concept of the imago Dei? How might it be important to health care, and why is it relevant?Student response:   Yemisi Abolarinde Re: Topic 2 DQ 1Imago Dei is the Christian belief that humans were created in the image of God. (White, 2020) Humans depend on health care for preventative measures like vaccinations, medical treatments of diseases, and cures to live longer healthier lives. As nurse’s we choose to care for those sick and dying by offering comfort, educating patients about their illness or disease and providing support while they go through their treatments. In health care, patients are seen as another human being who deserves dignity and compassion as they too are created in the image of God and our worth is connected to God. How we treat and care for people indicates our value of God. Those called as nurses can praise God through their hands, bodies, minds, hearts, and spirit, and will make decisions that may decide life and death. (White, 2020)When caring for a patient, it makes a difference what a physician believes. If they see a patient as having an eternal soul, then they will incorporate spirituality in their treatment, treating the body and the mind. If they see the patient as only a physical body, treatment will include treating only the body. Also, in being created in God’s image, it is important for us to do good, and help all of God’s creations. One way we can do that in the health care field is in taking care of our patients. When we are taking care of our patients and working on healing and overall wellness, we are caring for other humans who were likewise created in God’s image. In doing this, we are doing good and fulfilling our purpose in honoring God.References:White, N. H. (2020). Practicing Dignity: An Introduction to Christian Values and Decision Making in Health Care. https://lc.gcumedia.com/phi413v/practicing-dignity-an-introduction-to-christian-values-and-decision-making-in-health-care/v1.1/#/chapter/2.

 
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Introduction to Target Community & Program Intervention Sample and Program

Introduction to Target Community & Program Intervention Sample and ProgramREQUIRED COMPONENTS for Assignment #2: Introduction to Target Community & Program Intervention Sample and ProgramThe assignment should be typed out on a word document in APA format. Each paragraph should consist of 5-6 complete sentences. The assignment should consist of 1,500- to 2,500-words (excluding references and title pages). This assignment must be completed and submitted on a Microsoft word document.APA format is required. 12 font size should be used, font names that should be used are Times New RomanorCambria (not both), normal margins (no more than 1 inch), double spaced, indentation, etc. Please include the title page that consists of your name (First and Last), Panther ID number and title of the article (APA format).In addition, include a reference page that consists of three (3) references from creditable resources.1. Description of Target Community. Describe, succinctly, the “community” that you perceive can be targeted to meet the selected HP 2020 Objective.  Community means the target population that is within your reach and that is at risk for not meeting this HP 2020 objective.Describe the following:Stated target objective from HP 2020 (Same as assignment #1 targeted objective).Description of your “community” at the city or county or municipality level; in other words, “who are these people?” in terms of demographics; you can typically find this demographic data from census databases or other national or local databases or information that is within the public domain.You must include important epidemiological “person, place and time” information about your target community.  This includes the target population size and target population demographics.  Include local incidence and prevalence rates of health outcomes that are directly related to your chosen Healthy People 2020 health behavior.*With regards to the “community”, I strongly recommend you target a relatively narrow segment or community.  For example, it would be advisable to choose to target the issue of underage drinking and subsequent car crashes in a target community within your county, city, town or local school district versus addressing this issue by choosing a chosen target community of your entire state.2.  Description of Your Health Promotion Program and Sample Size(a) Provide detailed and specific information about your chosen “Building Your Own Health Promotion Program” intervention sample group in whom you plan on being your program participants in your eventually implemented “Building a Health Promotion Program Project”. This program intervention sample should be taken from within your chosen target community. You MUST provide a SPECIFIC INTERVENTION SAMPLE SIZE AND A SPECIFIC SAMPLE INTERVENTION LOCATION AND A SPECIFIC SAMPLE INTERVENTION START DATE AND COMPLETION DATE.  This will specify when the program’s intervention sample subjects will begin the program and begin to have activities administered to them.  This will also describe the completion date of the program.   You will eventually have specific health promotion program educational activities and components that you will develop and administer during the implementation period of your program.  If you decide to implement your program in a school or worksite or hospital or community center or place of worship or clinic within your target community then you must obtain try to obtain important descriptive statistical information and demographic information about your sample from the site manager or overseer.  For example, if you decide to implement an obesity prevention program that targets first and second graders in your city because the city or county or state statistics reveal high child obesity prevalence rates in this area, then you may choose to implement your program at a local elementary school.  Your intervention sample would be first and second grade classes in this particular elementary school.  You will seek to gather basic information about the number of first and second graders in your chosen school and also seek to gather basic demographic data about the school population if at all possible.  Try to choose an intervention sample in which you will be able to research and find and report on all of this important demographic data.  This data will be important for your “stakeholders” as well as for your program planning.3. Proposed Program. Conclude this proposal with a brief discussion of your idea for a health promotion program plan to meet your HP 2020/2010 objective, health behavior and associated health indicator (assuming the results of your needs assessment indicate a need).  Please use three (3) sources of research supporting this type of program.

 
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Reply 1 and 2 ,150 words each by 07/17/2021 at 2:00 pm

Reply 1Evidence-based practice (EBP) has been a goal for health care professionals for decades. Healthcare should be based on the greatest available evidence. Evidence is required of healthcare practitioners, who are supposed to interact with it and practice in accordance with it. According to previous study on nurses’ views, abilities, and understanding of EBP, nurses face a variety of hurdles to EBP implementation, resulting in a lack of involvement. Lack of time, staff shortages, large patient caseloads, family responsibilities, little understanding of EBP and unfavorable attitudes about it, and low academic abilities are all common barriers (Mallion and Brooke, 2016).I could think about the two potential barriers for my project change proposal plan on patient safety are staffing and noncompliance of patients with safety protocol. First, as far as staffing is concerned, there is a shortage of nurses in every healthcare sector. Based on patient acuity in this unit, patients with complex post-traumatic stress disorder are more complex than patients in other units. Patients here constantly have self-harm urges and suicidal ideations. Staff who work in this unit needs to be trained in trauma-informed care. With inadequate staffing, we are putting patient safety at risk.Moreover, maintaining consistency in safety protocol is essential. The second I could think of is noncompliance with patients’ planned safety protocol. Therefore, it is significant to remind and reinforce patients about the importance of being compliant with introduced safety protocol to keep them safe and ensure quality patient care is the top priority.My strategies for overcoming these barriers are to have treatment meeting with nursing leaders regarding inadequate staffing and making them understand result of poor staffing could be life threatening for patients. Persistent reinforcement of safety protocol among patient population and encouraging to explore coping skills and work on it to commit to safety.ReferenceMallion J Brooke J (2016) Community-and hospital-based nurses’ implementation of evidence-based practice: are there any differences? British Journal of Community Nursing 21, 148–154.Reply 2Re: Topic 9 DQ 2Topic 9 DQ 2It is the dream of the United States healthcare system to migrate all of its practice to EBP. However, only 15% of the practice is moved to evidence-based practice. This low implementation is attributed to increased barriers to EBP change proposal implementation in healthcare at the local levels. Local levels are recognized since it’s there that these changes come in. evidence-based improves the quality of nursing practice, ensures patient-centered care, and reduces costs to this quality care. For change to be implemented and executed and for results to be found, an organization must have a change-oriented culture (Jamieson et al., 2019).One of the barriers to EBP implementation is nurse shortage. There is a shortage of nurses in the country, which makes it hard to perform various activities aimed to improve the quality of care, one of them being EBP implementation. Nurses are the key professionals mandated in the EBP. They, therefore, are involved in creation, implementation, and execution. This whole process consumes a lot of time and manpower, making it hard for organizations with less manpower. Nurse shortage limits the workforce needed in research implementation and execution, thus leaving many organizations with no option but to remain with a practice that is not evidence-based (Jamieson et al., 2019).The second barrier to EBP implementation is the lack of skilled nurses or personnel to create, implement, and execute. Evidence-based practice requires skilled personnel who know well about it to be able to create something that meets its standards. The lack of nurses who know about evidence-based practice makes it hard for EBP change proposals to be implemented (Jamieson et al., 2019).ReferencesJamieson, E., Whyte, L. A., & McCall, J. M. (2019). Clinical Nursing Practices: Guidelines for Evidence-Based Practice. Elsevier Health Sciences. Retrieved from https://www.booktopia.com.au/clinical-nursing-practices-elizabeth-jamieson/ebook/9780702033384.html

 
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English Composition

Create a flyer on Microsoft Word or Publisher on the following topic:How to Survive Nursing School. The flyer should list aminimum of 7 tips or suggestionson how to give a successful oral presentation in class or a job.The tips and suggestions must be written in clear sentences.How to create a professional flyer in Microsoft Word:

 
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2 coments each one 150 words (CITATION AND REFERENCE)

Quantitative and qualitative techniques are the main approaches used to evaluate evidence in nursing research (Liddle, Williamson & Irwig, 2016). Quantitative technique entails assessment of data and comparison of various measures used in the research study. Metrics applied in quantitative method of evidence evaluation include standard deviation, mean or average, as well as other statistical parameters. In addition, quantitative criteria is a measurable formal tool used for predicting, and ensures objectivity of both the results and applied variables.Conceptual framework in respect to qualitative methods of evaluating evidence involve assessment of the process, meanings, experiences, and perceptions that study subjects including patients with reference to a particular variable under evaluation (Jake-Schoffman, Silfee, Waring, Boudreaux, Sadasivam, Mullen & Pagoto, 2017). However, qualitative approach is not used in measurable parameters. Nevertheless, in order to analyze the relevance of evidence, interpretation we use of emphatic comprehensions. The above implies that the findings and variables relies on the context of research study.ReferencesLiddle J, Williamson, M, & Irwig, L. (2016). Method for evaluating research and guideline evidence. Sydney: NSW Health Department.Jake-Schoffman, D. E., Silfee, V. J., Waring, M. E., Boudreaux, E. D., Sadasivam, R. S., Mullen, S. P. … & Pagoto, S. L. (2017). Methods for evaluating the content, usability, and efficacy of commercial mobile health apps. JMIR mHealth and uHealth, 5(12), e190.REPLY2In conducting a research, the researcher often needs evidence from a variety of articles, journals, and/or other studies to direct, guide, and support his or her research. However, it is not every evidence that the researcher finds online, in journals, or in the library that can provide valuable evidence in research. In other words, evidence must be reliable and valid before it can be used in research, and must take the study’s methodology, as well as other important factors into consideration (East Carolina University Libraries, 2020).Two different methods for evaluating evidence would include criteria pertaining to publication characteristics and criteria pertaining to study design and relevance to the study and variables of interest (Treadwell et al, 2011). Evaluating evidence through its publication characteristics involves determining the source or evidence is peer-reviewed or whether it is a practice-based publication that publishes expert opinions about a specific issue. Another publication characteristic that must be considered when evaluating research evidence is the year of publication. Evidence published not more than five years ago are considered more appropriate than older evidence. Lastly, language of publication should also be considered when evaluating research evidence because of translation problems. On the other hand, evaluating evidence through the study design and study relevance criteria involves determining the kinds of research methodology used in the evidence and the relevance of such evidence to your own study or in explaining your variables of interest, and the applicability of such evidence to nursing practice. The hierarchy of research designs and levels of scientific evidence suggests that Meta- Analysis Systematic Reviews and Randomized Controlled Trials provide a more reliable and valid evidence in nursing research (Bowen and Forrest, 2017).ReferencesBowen, D. M., & Forrest, J. L. (2017). Translating Research for Evidence-Based Practice. Access, 10–14.East Carolina University Libraries. (2020). Evidence-Based Practice for Nursing: Evaluating the Evidence. Available from: https://libguides.ecu.edu/c.php?g=17486&p=97640Treadwell, J. R., Singh, S., Talati, R., McPheeters, M. L., Reston, J. T. (2011). A Framework for “Best Evidence” Approaches in Systematic Reviews [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011 Jun. Available from: https://www.ncbi.nlm.nih.gov/books/NBK56653/

 
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Create a Power Point 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 slee

Create a Power Point 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.  Your PowerPoint should include at least 1 outside reference and your book. The presentation should be

 
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PICOT QUESTION PAPER

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.The PICOT question will provide a framework for your capstone project change proposal.In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.Describe the problem in the PICOT question as it relates to the following:Evidence-based solutionNursing interventionPatient careHealth care agencyNursing practicePrepare 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.

 
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Nursing Questions

Note: Refer to the attachment for Isbar guide. APA Style, at least three citations and references1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.2. What similarities and differences can you identify among the above interactions?3. Explain the concept of congruence between verbal and nonverbal communication.4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective?5. How have you seen ISBAR used during your clinical experiences?6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports.7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond?8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.10. Discuss the differences between direct delegation and indirect delegation.1. You have to observe delegation procedures in your assigned unit:A-What considerations does the RN take into account when delegating patient care?

 
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Perceptions on a nurse role

In this initial entry into your Course Entry for this course, you will be examining your perceptions of the nurse in the role of collecting and assessing information. Using a Word document, answer the following questions. Make sure you spend some time thinking about the answers to these questions before writing.

 
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