1. Differentiate the key organizations leading patient safety movements in the United States.

2.Value the need for leaders and managers to focus on patient safety.

3. Apply a decision-making model to create the best option to solve a problem.

4.Evaluate the effect of faulty information gathering on a decision-making experience.

5. Analyze the relationships among mission, vision, and philosophy statements and organizational structure.

6. Analyze factors that influence the design of an organizational structure.

7. Analyze the nature and types of change in the healthcare system.

8. Distinguish the differences between the role of leaders and followers and the role followership has in collective action.

I have total of 8 discussion question, each require 170-250 words per question.

APA style, per each question I need the reference underneath the question. Please do not put the references all together at the end of the paper.

Following question are due on 4/17/19 at 12 : 00 noon pacific time.

Book name : Leading and Managing in Nursing

Patricia Yoder-Wise

 

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Case Studies,

Chapter 18, Nursing Management of the Newborn

1. As a postpartum nurse your next client is an LGA baby boy who was born at 37 weeks’ gestation. He had Apgar scores of 8 and 9. He was circumcised. The mother is breast-feeding. Your unit requires a full assessment, screenings, discharge instructions, and documentation. (Learning Objectives 3, 6,7, and 9)

Describe what a normal head-to-toe assessment would be for an infant born at 37 weeks’ gestation. What test is used to determine this gestational age? What is the scale used to determine the Apgar score, and are this baby’s scores normal?
As the discharging nurse, you are responsible for what screenings in an infant in the first 24 to 48 hours? What immunizations would be required?
What discharge instructions would be pertinent to this mother? How would you educate her or the family?
How would you document your discharge teaching? Write a sample narrative of your teaching.

1. You are the newborn nursery nurse and have been called to the labor and delivery suite to attend the delivery of a G5P4 mother whose pregnancy was complicated by gestational diabetes. At 2032 a male infant weighing 8 lb 2 oz was delivered vaginally with the assistance of a vacuum extractor. You have assigned Apgar scores of 7 and 9. (Learning Objectives 1, 2, 4, 5, and 7)

What are the assessments you need to carry out in this immediate postdelivery time period?
What are the nursing interventions you will perform before the baby is taken to the newborn nursery?
After taking the baby to the newborn nursery, you notice that the baby has developed diffuse swelling and bruising on the occiput of his head from the vacuum extractor use. What are the differences between a cephalhematoma formation and caput succedaneum development? Which one is more serious?
When the baby is 6 hours old, you notice that he has become jittery and is cyanotic. You check a heel stick blood sugar and it reveals a blood glucose level of 30. What are the immediate nursing interventions you will implement and what additional interventions you can implement to prevent this from occurring again in the future?

 

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Instructions for Completing Your Assignment

Step one:Choose the topic, identify a nursing clinical practice problem that you would like to explore. Using the information that you discussed in Module 1 Discussion- Research Problem, briefly discuss the significance and identify the gap in the literature. (Why do you need to study this problem?)

Step two: Complete the readings from Module 1, 2 & 3, focusing on Chapter 7 Stages of a Literature Review pp.126-134, and 18.

Step three:Search for at least FOUR nursing research articles that relate to your clinical problem using Academic Search Complete, CINHAL, Pubmed, Google Scholar, or any other database that contains nursing research articles. Make note of your search strategy (keywords and databases used) to integrate into your next assignment.

• Your studies must be quantitative research articles (for example: quantitative descriptive, correlational or quasi-experimental or experimental designs). At least two studies must be prospective (data actually collected at the time of the study). The other two may be retrospective or prospective. Your studies may NOT be a qualitative study, a mixed-method study, a quality improvement study, a systematic review, meta-synthesis, meta-analysis, meta-summary, or integrative review, or a thesis or dissertation. The article should not be a general information article without the elements of a study (e.g.: must include a review of literature and a methods section with results and discussion).
• Studies/ articles must be current, within 5 years, and in English..

The articles you will find must meet the following mandatory requirements noted in Chapter 3 (Types of Quantitative Research).

Step four: Find the elements in your articles that are named in the PINCH Table in Module 4 to help prepare you for your next assignment.

Step five:If you have questions about finding articles, post them to the Q & A discussion board for feedback from your peers / instructor.

Step six: Turn in the four articles (PDF format only) in to the assignment submission link under the Assignments Tab in Module 3 at the due date and time listed in your syllabus. There are multiple links available.Attachment preview

Does implementation of evidence -based practice reduce Healthcare -associated infections (HAI) in long term care facilities.

 HAI  has become a widely known problem occurring  in health care in recent times.  Patients continue to contract infections leading to more health decline and complications including death and poor quality of life.

One of my concerns with HAI has to do with the financial burden imposed on patients when it was not their fault that the contracted infections in the first place.

I always panic whenever I think of how  stressful this  would make patients feel. I couldn’t even imagine wondering how much my hospital bills  would be and how  I can pay when I am on my sick bed. Patients should be allowed  to free their minds which aids healing .

Through experiences, I know that patients in long term care facilities  are already compromised and are prone to contacting infections  faster  due to reduced immunity found in the elderly population .The frequency  of exposing patients  in this  category infection  increased the chances of contracting infections.

Evidence based practices that have been tested and verified to be effect and that works have been highlighted as one of the leading approaches that can not only reduce  but eliminate HAI. This continues to  be an area  that I  intend to explore  since expert say use of evidence-based practices will infarct reduce HAI.

 

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You should choose from the list of cultural and sociocultural groups below (German Heritage was chosen) and prepare a PowerPoint presentation. Preparation for the presentation will include synthesizing the information from readings, scientific literature, Internet resources and other sources.

This presentation should address the following; history, values, and worldview, language and communication pattern, art and other expressive forms, norms and rules, lifestyle characteristics, relationship patterns, rituals, the degree of assimilation or marginalization from mainstream society, and health behavior and practices.

In addition to describing these characteristics, the presentation must include;

a) a comparative and contrast analysis of common characteristics and distinguishing traits between the groups

b) a discussion of differential approaches needed by health care professionals

The assignment must be presented in an APA format, 13 slides PowerPoint, Arial 12 font attached to the forum in the assignment tab and discussion board title “Population presentation”. A rubric will be used to grade the assignment.

 

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