Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature

In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature. Diagnose the problem and choose a nursing change theory that suits the change(s) you want to make. Propose a detailed plan based on your chosen change theory, explaining how to implement change. Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. Finally, reflect on how your change affects the nursing profession. 

Assignment Details: 

Perform the following tasks:  Complete the reading assignment and the interactive lesson before attempting this assignment.  Assess a current semi-direct or indirect nursing situation that is in need of change. o Observe your healthcare environment, focusing on areas of nursing process that are inefficient, unsafe, or problematic in nature. o Diagnose the problem and choose a nursing change theory that suits the change you want to make. o Propose a detailed plan based on your chosen change theory, explaining how to implement change. o Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. o Reflect on how your change affects the nursing profession.  Write a 3-5 page paper following the criteria below: o Your paper should include primary sources and include at least two peerreviewed nursing journal articles. o Citations should be in your own words and not direct quotes. o Include a title page, running head, appropriate headings, and reference page. o The paper should be double spaced, written in Times New Roman, 12-point font, follow APA style format, and cite all sources correctly.  Include the proper file naming

 

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Theoretical Basis for Nursing

  1. The purpose of this assignment is to draft and submit a comprehensive and complete rough draft of your Nursing Theory Comparison paper in APA format. Your rough draft should include all of the research paper elements of a final draft, which are listed below. This will give you an opportunity for feedback from your instructor before you submit your final draft during week 7.
    Based on the reading assignment (McEwen & Wills, Theoretical Basis for Nursing, Unit II: Nursing Theories, chapters 6–9), select a grand nursing theory.
    • After studying and analyzing the approved theory, write about this theory, including an overview of the theory and specific examples of how it could be applied in your own clinical setting.
    Based on the reading assignment (McEwen & Wills, Theoretical Basis for Nursing, Unit II: Nursing Theories, chapters 10 and 11), select a middle-range theory.
    • After studying and analyzing the approved theory, write about this theory, including an overview of the theory and specific examples of how it could be applied in your own clinical setting.
    The following should be included:
    1. An introduction, including an overview of both selected nursing theories
    2. Background of the theories
    3. Philosophical underpinnings of the theories
    4. Major assumptions, concepts, and relationships
    5. Clinical applications/usefulness/value to extending nursing science testability
    6. Comparison of the use of both theories in nursing practice
    7. Specific examples of how both theories could be applied in your specific clinical setting
    8. Parsimony
    9. Conclusion/summary
    10. References: Use the course text and a minimum of three additional sources, listed in APA format
    The paper should be 8–10 pages long and based on instructor-approved theories. It should be typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. APA format must be used, including a properly formatted cover page, in-text citations, and a reference list. The proper use of headings in APA format is also required.Recommended: Before you begin, review A Pocket Style Manual (APA) and the Writing Resources area of the Student Resources tab.Due: Sunday, 11:59 p.m. (Pacific time)Points Possible: 100
 

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Application of Nursing Theory to Practice

Week 7: Application of Nursing Theory to Practice

11 unread reply.11 reply.

This week’s graded discussion topic relates to the following Course Outcome (CO).

  • CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)

You are a professional nurse caring for Mr. R, a 58-year-old patient who recently underwent surgery for colon cancer that resulted in a temporary colostomy. Select one of the nursing theories from our textbook and address the following:

  • How you would provide professional nursing care for Mr. R. using the theory you have selected? Be sure to use terminology from the selected nursing theory to explain your interventions.
  • How can patient-centered care and the patient’s cultural preferences be enhanced by use of this theory?
  • Relate applications of legal and/or ethical standards to this case study.
 

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Board of nursing

Please respond to the following post with a paragraph Thank You !!!

The process for developing nursing standards in each state includes developing a board of nursing (BON) “which further refines the statutes through the development of administrative rules, known as rules or rules and regulations” (Green, S. 2018). Basically, each state’s board of nursing is responsible for dictating the nursing standards specific to that state. Per the Kansas State Board of Nursing (pg 1., 2018), “The governor shall appoint a board consisting of 11 members of which six shall be registered professional nurses, two shall be licensed practical nurses, and three shall be members of the general public, which shall constitute a board of nursing, with the duties, power and authority set forth in this act.” But what happens before this?

The American Nurses’ Association (ANA) begins the process by creating the general scope of practice as well as basic standards that all nurses should follow. From there, specialty organizations take those general standards and develop and revise their own scope and standards of practice (Maloney, P. 2016).

The standards of practice influence the nursing process by defining what nurses can and cannot do in their respective state. They also align with the nursing process in that the Nurse Practice Act (NPA) for Kansas shows what tasks may be delegated to licensed nurses and also what occurrences are known as misconduct. There have been multiple revisions to the standards and scope of practice for the nursing community. In these cases, task forces are developed to revise the standards.

 

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Resourse Cultural Competency in Nursing Presentation

For this assignment, you will select a topic of your choice related to cultural competency in nursing. You will create and submit a PowerPoint presentation on the topic, with a minimum of six (6) slides and no more than ten (10).

Due by 10/30/17

Resourse Cultural Competency in Nursing Presentation
To ensure both equal access to quality health care by diverse populations, as well as a secure environment, all health care providers must “promote and support the attitudes, behaviors, knowledge, and skills necessary for staff to work respectfully and effectively with patients and each other in a culturally diverse work environment” (Office of Minority Health, 2001, p. 7). Cultural competency infers that professionals providing nursing care must be cultivated to be culturally “sensitive, culturally appropriate, and culturally competent” (Spector, 2013, p. 11).

 

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The Role of the Informatics Specialist in Healthcare

The Role of the Informatics Specialist in Healthcare

Laureate Education (Producer). (2018). The Nurse Informaticist [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:

Analyze interactions between nurse informaticists, data/technology specialists, and other professionals in healthcare organizations

Recommend strategies to improve interactions between nurse informaticists and other professionals

Analyze how nursing informatics as a specialty and new technologies impact interactions between nurse informaticists and members of healthcare teams

Recommend nursing informatics projects to improve outcomes or efficiencies in healthcare organizations

Identify stakeholders impacted by nursing informatics projects

Analyze how nursing informatics projects improve outcomes or efficiencies in healthcare organizations

Identify technologies required for implementation of nursing informatics projects

Analyze the role of the nurse informaticist in nursing informatics project teams

 

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An Epidemic in the Community

An Epidemic in the Community

To prepare for this Discussion, visit the CDC Wonder site in this week’s resources. https://wonder.cdc.gov/Investigate the incidence and prevalence of TB in your community. My County is TALBOT. https://dph.georgia.gov/sites/dph.georgia.gov/file… What information did you find? Analyze how your community compares to county, state, or national data for the same topic. Was the incidence and prevalence of each higher or lower than you expected?

Consider the following scenario: This is Debbie’s first year working as a nurse at the local health department in a rural county. Most of her days are spent in the clinic seeing clients who often do not have health insurance.

Over the past month, Debbie has noticed that several young Hispanic men have come to the health department, each diagnosed with tuberculosis. Debbie is concerned about what the outbreak of tuberculosis among the migrant workers could mean for the community. Through a community health profile, Debbie identifies the group of migrant farm workers as being at highest risk for contracting tuberculosis.

Using the Epidemiologic Triangle concept, consider the relationship among causal agents, susceptible persons, and environmental factors. Then, respond to the following:

  • As a BSN-prepared community health nurse, what steps should Debbie take next?
  • Considering economic and social considerations within the community, what are the primary, secondary, and tertiary interventions that Debbie might use in managing this outbreak?
  • Can similar interventions be applied to your community and its TB prevalence?
  • What considerations need to be addressed within your community that are different form Debbie’s community?

By Day 3

Post your response to this Discussion.

Support your response with references from the professional nursing literature.

Notes Initial Post: This should be a 3-paragraph (AT LEAST 230-350 WORDS) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (USUALLY </= 5 YEARS OLD).

Read two or more of your colleagues’ postings from the Discussion question.

Respond to at least two colleagues. Your responses should be substantial and should contribute to the Discussion. Support with evidence, if indicated.

Response #1

N, S

Debbie is facing many challenges that could lead to a severe TB outbreak in her small community. To start, she can initiate a necessary detailed assessment that would include questions and observations concerning potential and existing environmental exposures (Stanhope & Lancaster 2016). With education being a critical step in the process, she will need to educate all of the migrant workers she sees on how fast the disease can spread. Most migrant workers live in close quarters with other family members or friends. Further educating these people as well, that a simple cough, sharing eating utensils, cups, or a simple handshake can spread this disease, will be essential to controlling the spread of this disease further into their community.

Now Debbie must focus on the community and how to manage the potential outbreak. 

With a primary, secondary and tertiary plan in mind, she must act quickly (Stanhope & Lancaster, 2016). The host is the Hispanic migrant worker, and the agent is TB, so the challenge becomes the environment. She could start with a town meeting and educate the community on the levels of prevention as well as basic understandings of the disease. Providing everyone with a flyer describing the illness, how it spreads and how to prevent it from the primary level would also be another resource. Trying to counsel the community in small groups or individuals would not work because time is of the essence in this case. 

From the secondary level, she could host an open house where the community could come in for free screenings, vaccine updates, TB skin testing and hand out masks, in hopes of early detection to help stop the spread. 

For tertiary prevention, she could provide follow up care to those that did test positive by Directly Observed Therapy (DOT), which is when a nurse visually observes a TB patient taking a TB medication (Stanhope & Lancaster, 2016). She could also plan to have a nurse on site at the farms or work in conjunction with the nurses that are employed by farms to ensure the medications are taken correctly by those affected by TB. Being a public health nurse, she would collaborate with her team at the Health Department to provide interventions and care as needed.

The data for Tuberculosis in Florida that I found with the Centers for Disease Control and Prevention (2017) in the years 2013-2017 there were 325 people tested positive for TB. The people with the highest data was Black or African American, Non-Hispanic Females age 25-34 and Males age 25-34. The data proposed for this population shows this group most likely became infected through illicit drug use. Living in close quarters such as prison, sharing pipes, and drug paraphernalia, while some also have a co-infection like Hepatitis B/C or even HIV are a couple of notable findings. Diagnosing tuberculosis is more complicated in a high-risk population, such as people who use illicit drugs (“Tuberculosis (TB),” 2018).

Prevention, diagnosis, and treatment of this disease have the same underlying cause and effect; however, each populations’ plan could differ. Without ignoring the diagnosis of TB, you must move into the “how” the disease was transmitted. For Debbie’s situation it is environmental, so the question about illicit drug use would not be ruled out. In my city, I could use the same interventions if ever faced with an outbreak like Debbie. For the tertiary prevention portion in my community, I would involve the health department for medication management, continued education, support, the teaching of standard precautions about infection control and the benefits of adhering to treatment plans (Stanhope & Lancaster, 2016). Education is a crucial factor in every community to prevent the spread of any disease that could quickly become an epidemic. 

References:

Stanhope, M., & Lancaster, J. (2016). Public health nursing: Population-centered health care in

the community (9th ed.). St. Louis, MO: Elsevier.

Tuberculosis (TB). (2018, September 18). Retrieved March 5, 2019, from

https://www.who.int/news-room/fact-sheets/detail/t…

Centers for Disease Control and Prevention. (2017). CDC Wonder: Online Tuberculosis

Information System (OTIS) Data. Retrieved from https://wonder.cdc.gov/tb.html

Response #2

A, R.

Tuberculosis is a disease that is caused when a bacterium called Myco-bacterium tuberculosis infects the lungs. It can also affect other organs when a person who has not had treatment coughs or sneezes and fills the air with droplets infecting anyone in their path (Green, 2014). According to the CDC, roughly one-fourth of the world’s populace are diseased with TB. There were 1.3 Million TB-related demises worldwide. Tb can be one of the chief causes of killers with individuals with HIV infections. In the united states, there are 2.9 cases per 100,000 persons compared to the 2.8 cases in Arizona. Nearly 186 cases in Arizona out of the 9.287 total in the united states (Data & Statistics | TB | CDC). With Tb loving to live in a more damp dark, a dusty area one would not think it would be more prevalent in Arizona versus other states. (Data & Statistics | TB | CDC). Epidemiology is the science that supports us in comprehending the strength of the association among exposures and health effects (Stanhope & Lancaster, 2016). The Epidemiological triangle is an instrument used to assist in finding a solution of public health problems like in this case TB. (Stanhope & Lancaster, 2016). Using the epidemiological triangle, we understand that the Infectious agent, in this case, is the bacteria tuberculosis microbe. The host is the are the young Hispanic men in this week’s post. The environment in this scenario is that the migrant farm was the worker who put them in a position where they were at high risk for contracting tuberculosis. The Primary step in treating Tb would be to treat the patients; in this case, the farm workers. The second step would be to check their family and make sure none of them have TB. If they do one would also have to treat them, Then I would find out who has the family been in contact with and were and start tracing all the places they have been checking for Tb. Then I would advertise on the news and social media the concern regarding Tb and inform the community what the symptoms of TB were providing a helpline for those who have the infection of this specific bacteria. I think this intervention can be applied in any community and I would not do anything different.

 

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A Strategic Plan for the State of Texas to Meet Nursing Workforce Needs of 2013

Please do a paragraph about this post with this instruction .

post most have 4 or more sentences .

you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings

Rep. Donna Howard, D-48th District, is a former RN who has served in the Texas House of Representatives for six years. She stated nursing is invaluable to her legislative career and it has been helpful, particularly in learning to work with a multidisciplinary team and see the bigger picture which was a preparation for the way that she approached issues.

As an advocate for improving health care delivery, she tried to get rid of bureaucratic procedures and open up more opportunities in nursing. She was the prime sponsor of HB 1209 in 2009, which removed the boards rulemaking authority, provided standards for approval of nursing programs and specifies programs are deemed approved if the board does not act within prescribed timeframes. In the three years since the bill passed, the board of nursing approved 111 nursing education programs, increasing the number of available spots for students by 47% and the number of students graduating from Florida nursing schools by 14%, according to the Florida Legislatures Office of Program Policy Analysis and Government Accountability’s report 12-4. She is committed to nursing workforce issues and co-authored “Texas Nursing: Our Future Depends on It — A Strategic Plan for the State of Texas to Meet Nursing Workforce Needs of 2013.” “

With her input, they built a coalition of stakeholders to look at workforce issues and they were able to increase funding significantly to increase opportunities to get nurses into the pipeline and graduate nurses, not only at the entry level but at the master’s level, to help address the nursing faculty shortage. Together with funding, she helped pass legislation to provide greater protections to nurses who report unsafe patient care. Her work is in line with Future of nursing recommendations in increasing the capacity of nursing schools, and redesigning nursing education to assure that it can produce an adequate number of well-prepared nurses able to meet current and future health care demands and also solve the problem of nursing shortage.

 

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Organizational Chart Assessment

Discussion: Organizational Chart Assessment
Think about a particular organization. How would you depict the reporting structure in this organization? What is the flow of communication and decision making between various people? Does the image in your mind match with one (or more) of the organizational structures discussed in this week’s Learning Resources? Why or why not?
For anyone working in a health care setting, looking at the organizational chart can provide useful information about the context that affects daily practice as well as the achievement of longer term goals. For managers, understanding the structure and dynamics portrayed in such a chart—as well as those that may be missing—is especially important.

For this Discussion, you analyze an organizational chart from the point of view of nursing management.

To Prepare

Obtain a copy of an organizational chart which does not have a shared governance model. You can find a list of current magnet–recognized hospitals at: http://www.nursecredentialing.org/Magnet/FindaMagnetFacility
Examine both organizational charts through the lens of management (i.e., think about the responsibilities and concerns that you, as a manager, may have).
Review Marquis and Huston (2017), Display 12.5 The 14 Forces of Magnetism for Magnet Hospital Status and Learning Exercise 12.4
Think about how the organizational charts align?
Think about how communication actually occurs at your organization.
Learning Resources
Note: To access this weeks’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
REQUIRED READINGS
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 2, “Classical Views of Leadership and Management”
Chapter 3, “Twenty–First Century Thinking About Leadership and Management”
This chapter examines new thinking about leadership and management and how this may influence the future of nursing.
Review Chapter 12, “Organizational Structure”
Chapter 19, “Organizational, Interpersonal, and Group Communication”

Chapter 19 covers many aspects of the communication process, including group communication. As you read this chapter, focus on the stages of group development (forming, storming, norming, performing) and group dynamics (group task roles, group building and maintenance roles, problematic roles). Consider how you can apply these concepts as you engage in group work.
Faulkner, J., & Laschinger, H. (2008). The effects of structural and psychological empowerment on perceived respect in acute care nurses. Journal of Nursing Management, 16(2), 214–221.
Retrieved from the Walden Library databases.
American Association of Colleges of Nursing. (2014). Fact sheet. Creating a more highly qualified nursing workforce. Retrieved from http://www.aacn.nche.edu/media–relations/fact–shee…
Huston, C. J. (2013, May 2013). The impact of emerging technology on nursing care: Warp speed ahead. The Online Journal of Issues in Nursing, 18(2) Manuscript 1. DOI: 10.3912/OJIN.Vol18No02Man01. Retrieved from the Walden Library databases.
King Saud University. (n.d.). The organizational structure of nursing service department. Retrieved from http://faculty.ksu.edu.sa/Hanan_Alkorashy/Nursing%…
Kumar, S., Deshmukh, V., & Adhish, V. S. (2014). Building and Leading Teams. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine, 39(4), 208–213. doi:10.4103/0970–0218.143020 Retrieved from the Walden Library databases.
Mindtools (n.d.). Leadership skills: Become an exceptional leader. Retrieved from http://www.mindtools.com/pages/main/newMN_LDR.htm
University of New Mexico. (2016). Nursing organizational chart. Retrieved from http://hospitals.unm.edu/nursing/documents/nursing…
Wong, C. A., Cummings, G. G., & Ducharme, L., (2013). The relationship between nursing leadership and patient outcomes: a systematic review update. Journal of Nursing Management, 21(5), 709–724. Retrieved from the Walden Library databases.

 

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