You are obtaining a health assessment on a patient and you ask them about their spiritual needs. The patient states that he does not want to answer any questions like that because they are private. How would you respond? Defend your rationale with references (APA format)
Must use advanced Nursing Journals less than 5 years old.
Develop a presentation no longer than 10-12 minutes, with comprehensive speaker’s notes, that covers all of the major areas of your proposal.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 not required to submit this assignment to Turnitin.
Post your Evidence-Based Practice Presentation to the Main Forum in Topic 8 as directed by the instructor for class discussion and peer feedback
Purpose
The purpose of this assignment is to explore the specialty of telehealth, and more specifically telenursing, as one example of the use of technology in various practice settings. Advantages and disadvantages for the patient and legal and ethical principles for the nurse of this technology will be explored.
Background
Our text (Hebda, 2013) provides us with a broad perspective on telehealth. However, the specialty of telenursing is only briefly discussed. Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and lower costs. This technology includes the use of various applications based in various environments where registered nurses indirectly provide professional nursing care.
Scenario
The following scenario serves as the basis for your paper:
You have worked with Tomika for the past five years. Tomika shares with you that she has resigned and plans to work in an agency that installs telemonitoring equipment into the homes of those with chronic illnesses. Nurses monitor the patients using the equipment with the goal of detecting problems before patients need to be readmitted to the hospital. Tomika will be working from her own home, with occasional meetings at the agency. She would not be visiting her patients in their homes, but rather would be assessing and interacting with them via videoconferencing. She tells you that there are still job openings and encourages you to apply.
You are intrigued by this, and decide to investigate whether telenursing would be a good choice for you, too. Is telenursing in your future?
Directions
1. You are to research (find evidence), compose, and type a scholarly paper that describes telenursing as described above, and whether it is a good fit for you. Reflect on what you have learned in this class to date about technology, privacy rights, ethical issues, interoperability, patient satisfaction, consumer education, and other topics. Your text by Hebda (2013, Chapter 25) discusses telehealth in detail. However, your focus should be from the professional nurse’s role in telenursing. Do not limit your review of the literature to only what you read in your text. Nurses in various specialties need to know about the advantages and disadvantages of telenursing as it applies to their patients. For example, when you discharge a patient from an acute care setting, will a telenursing service assist that individual with staying out of the hospital? You may need to apply critical thinking skills to development of your paper. In the conclusion of your paper, describe your current employment situation, and whether a job in telenursing would, or would not, fit with your career goals and life situation once you graduate from Chamberlain.
2. Use Microsoft Word and APA formatting to develop your paper. Consult the Publication manual of the APA, 6th edition if you have questions, for example, margin size, font type and size (point), use of third person, and so forth. Take advantage of the writing service, Smarthinking, which is accessed by clicking on the link called the Tutor Source, found under the Course Home tab. Also, review and use the various documents in Doc Sharing related to APA.
3. The length of the paper should be 4–5 pages, excluding the title page and the reference page. Limit your references to key sources.
4. The paper should contain an introduction that catches the attention of the reader with interesting facts and supporting sources of evidence, which need to be mentioned as in-text citations. Keep in mind that APA guidelines state you are not to call this an “Introduction” but you should include it at the beginning of your paper. The Body should present the advantages and disadvantages of telenursing from your perspective as an employee, and the patient’s perspective as a recipient of the care nurses provide. The Conclusion and Recommendations should summarize your findings and state your position on whether you will apply for a position with the agency.
Defining a Quality Care Issue in Nursing (graded)
Think of an area of opportunity within your current or former clinical setting that is quality driven. Define (D) one nursing care issue (not a workforce issue such as staffing) from a current or former nursing workplace (or clinical setting) that could be impacted by improved quality. This nursing care issue should not be one that has already undergone a quality improvement process. Tell us details of this issue and how it this issue impacts nursing care quality at that facility.
Topic Three: Managing a witnessed wrongdoing in the workplace. Consider examples of wrongdoing in the workplace. In the past ten years we have seen many examples of wrongdoing in the workplace. Consider your actions should you witness a wrongdoing in the workplace. What are the mandatory reporting guidelines to AHPRA? Discuss your role as a Registered Nurse should you witness a wrong doing in the workplace.
DEVELOPMENTAL THEORY Erik H. Erikson (1963-1964), adapted and expanded Freud’s theory of development to include the entire lifespan, believing eight stages of development. Erikson envision life as a sequence of levels of achievement. Each stage signals a task that must be achieved.
Please write a Paragraph answering to this discussion below with your opinion. Please include citations and references in case of another source.
“Nurses practice within a framework of legal principles on a daily basis. Legal concepts, expectations, and consequences surround all health care professionals in the United States. An informed and safe nurse must be aware of the effect these legal aspects have on nursing practice to reduce exposure to adverse legal consequences.” (Friberg & Creasia, 2016). We must follow the legislative process starting with maintaining our nursing license, all the way through delegation to non-licensed staff members.
Professional organizations and associations in nursing are critical for generating the energy, flow of ideas, and proactive work needed to maintain a healthy profession that advocates for the needs of its clients and nurses, and the trust of society (Matthews, 2012). Professional organizations such as the ANA play a vital role in the nursing community, they set out to develop the standards and scope of practice in nursing, and even have set forth a Code of Ethics that many organizations follow.
Friberg, E. E., & Creasia, J. L. (2016). Conceptual foundations: The bridge to professional nursing practice.
Matthews, J., (January 31, 2012) “Role of Professional Organizations in Advocating for the Nursing Profession” OJIN: The Online Journal of Issues in Nursing Vol. 17, No. 1, Manuscript 3.
As a team consider the following scenario:
On Dec. 7, 2000, the Cincinnati Occupational Safety and Health Administration (OSHA) office heard through media and police reports that there were two deaths at a nursing home in Ohio. OSHA determined that the Food and Drug Administration (FDA) should take a lead role in performing an investigation.
Because the nursing home had many residents who had unhealthy respiratory systems, the nursing home routinely ordered and received tanks that contained pure oxygen. During one delivery, the supplier mistakenly delivered one tank of pure nitrogen in addition to the three tanks of pure oxygen that had been ordered. The nitrogen tank had both an oxygen and nitrogen label. An employee at the nursing home connected the nitrogen tank to the nursing home’s oxygen delivery system. This event caused two nursing home residents to die, and three additional nursing home residents were admitted to hospitals in critical condition. Within the following month, two of these three additional residents also died, bringing the total death toll to four.
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