Currently I work at Disneyland where I am a tour guide.

For this assignment you will respond to the following with 150 words

Issue #1

A. Currently I work at Disneyland where I am a tour guide. Basically I take all the stress away that you would normally face at an amusement park such as dining, shows, attractions, etc. I also have to be very well versed in the history and heritage that the Disney legacy carries.

B. I’m currently going to school to get my nursing degree and then I hope to become a midwife after that. I still plan to work at Disney though once I become a nurse and going into the nursing program there.

C. The most important thing to me is enjoying what you do. I’m going to be honest Disney does not pay me a lot but I love what I do and i also know that this stage in my life is temporary and if you’re miserable doing what you do what’s the point in it?

Issue #2

I am currently living with my Grandparents who get Social Security and disability checks so honestly 750$ from each of us would be an immense relief. I think though if that money were to come my answers would not change. I love Disney and I have wanted to work there since I was five years old so no matter what I would be there. Like I also said the most important thing about working is to enjoy what you’re doing. If you’re just doing it for a paycheck you will find your life will become more miserable as time goes on.

 

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Complete this worksheet to develop your research focus for this course. To help you better understand the main parts of research, this topic will be the basis for other assignments in the course.

Assignment Content

  1. This assignment is designed to guide your thinking about the research process and help you explore topics that may be of interest or relevant in your practice.See examples of research problems and questions.
    Complete the Research Foundations worksheet.

University of Phoenix Material

Research Topic, Problem, and Question

Complete this worksheet to develop your research focus for this course. To help you better understand the main parts of research, this topic will be the basis for other assignments in the course.

Identify a Research Topic

Grove, Gray, and Polit (2015) define a research topic as “a concept or broad issue that is important to nursing, such as acute pain, chronic pain management, coping with illness, or health promotion” (p. 131).

Define your broad research topic in one to two sentences.

Identify your Research Problem

Grove, Gray, and Polit (2015) explain that a research problem “is an area in which there is a gap in the knowledge needed for nursing practice” (p.131).

Write your research problem and explain the significance and background in a 175- to 260-word narrative.

Develop your Research Question

Research questions should be short, probing, and take variables into account (Grove, Gray & Polit, 2015). Although the PICOS format is not required, your question should address patient, intervention, comparisons, outcomes for practice, and study design.

Develop a one-sentence research question.

 

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Examine the sources of evidence that contribute to professional nursing practice.

Research Article Critique Guidelines

Updated 7/23/2017

Purpose

The purpose of this assignment is for the student to learn to examine, analyze, critique, and summarize an original research article. Student is to select an article from the Research Article Critique List of Articles(Links to an external site.)Links to an external site.. Open the link to find a choice of articles from which you must choose ONE to complete this assignment.

Course Outcomes

Through this assignment, the student will demonstrate the ability to meet the following course outcomes:

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)

CO4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs 4 and 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 and 8)

Points

The assignment is worth a total of 175 points.

Rubric

Click to view and download the NR439 Research Article Critique Paper Rubric (Links to an external site.)Links to an external site..

Due Date

You are to submit your paper by Sunday 11:59 p.m. MT at the end of Week 6.

Requirements

Through this assignment, the student will:

  1. Critique a peer-reviewed study, and in your own words, describe the research question, sample, design of study, data collection method, findings, and limitations of each. (CO 1, CO2,)
  2. Summarize the research article and evaluate the significance to nursing. Do not just quote the author’s words. Paraphrase the information. (CO 4, CO5).

Guidelines to writing the Paper

  1. Tips on how to complete this assignment may be found at http://www.brainshark.com/devry/vu?pi=zFmz5THHgzHr05z0&intk=406182077 (Links to an external site.)Links to an external site.
  2. Download the Research Article Critique List of Articles (Links to an external site.)Links to an external site. and select ONE to analyze.
  3. Retrieve the full-text version of the article from the library. Read it thoroughly.
  4. Introduction (one paragraph): The introduction should be interesting and capture the reader’s attention.
    1. Provide a brief description of the research article to be discussed.
    2. Discuss the purpose of your paper. The purpose statement of the paper should relate to the research article reviewed and the implications that it has to evidence based nursing practice.
    3. You will need to summarize and analyze the information from the article in your own words
  5. Describe the research question for this study in a paragraph.
  1. Describe the research in greater detail.
  2. Include your observations about this question.
  3. Discuss events or trends that could have affected this question.
  4. You will need to summarize and analyze the information from the article in your own words
  1. Describe the research design of this study, and in your own words discuss the design.
    1. Discuss the research design of the study.
    2. Discuss the strengths and weaknesses of the type of design and hypothesize why the author utilized the design as opposed to others.
    3. You will need to summarize the information from the article in your own words
  2. Describe the sample.
  1. Briefly describe the sample size used for this study
  2. Make a judgment as to whether the sample size was adequate and defend your answer.
  3. Describe the number or participants and determine if the number of participants was adequate compared to the research question and the intent of the study.
  4. Are these numbers adequate? Discuss gaps in that you identified.
  5. You will need to summarize and analyze the information from the article in your own words
  6. Describe the data collection method(s)’
  1. Who collected the data?
  2. What tools were used?
  3. What were the ethical considerations addressed and discuss gaps you identified.
  4. You will need to summarize and analyze the information from the article in your own words
  5. Describe the limitations of the study.
  1. Identify the limitations within the study
  2. Describe how the limitations could be overcome in subsequent studies
  3. Comment on why limitations are important to list and discuss within a study
  4. You will need to summarize and analyze the information from the article in your own words
  5. Describe the findings reported in the study.
  1. Describe the findings reported in the study
  2. Discuss whether the findings of the study answered the research question posed within the study
  3. Discuss the credibility of the findings
  4. If the findings do not support the research question posed within the study, what do you believe is the reason?
  5. You will need to summarize and analyze the information from the article in your own words
  1. Summary
    1. Summarize important points from the body of your paper including the key components of the paper.
    2. Include a statement about the research question and the findings.
    3. Discuss the probability of implementation into practice. Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in practice, or an idea for practice?
    4. End with a concluding statement.
  2. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source.
  3. Reference Page: The Reference Page should start on a new page (insert a page break). All references should be cited within the body of the paper as (Author, year) and the full reference should be included in APA format on the reference page. A url link alone is not an adequate reference. See the APA Guidelines in Course Resources for examples of properly formatted references.
  4. Submit the completed paper by 11:59 p.m. MT on Sunday at the end of Week 6.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

 

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Develop a community based educational plan on student identified goals while meeting the health literacy needs of the community.

This assessment is aligned with the module objective “Discuss educational and community-based programs in Healthy People 2020.” As part of the written assignment, you will complete the following task:

  • Develop a community based educational plan on student identified goals while meeting the health literacy needs of the community.

Your educational proposal will be based on the data gathered in module 1 and the problems identified in modules 1 & 2. Only one teaching plan is required. You will be using the template provided to develop your teaching plan. You do not need to include a title page, introduction, or conclusion for this assignment. Type directly on the template. The cells expand as you type.

The data collected during module 1 was based off of Licking County Ohio Population. I will attach that template so you can see what was filled out. The problem identified was Risk for obesity among the members of Licking County Ohio: “Risk of obesity among employed people in licking county related to insufficient physical activities, lack of knowledge regarding healthy diets and less time being set aside for physical activities as evidenced by increasing number of people categorized as obese”

I WILL ATTACH THE BLANK TEMPLATE THAT THE HOMEWORK SHOULD BE FILLED OUT ON.

– The file attached reading “template community health” is the one you will use for this assignment

– The file attached reading “community health1” is just a reference from module 1 so you can use it as a guide.

 

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Discuss how health informatics evolved from being a concept to becoming a discipline or specialty.

RESPOND TO INITIAL POST-(600 words). —–Discuss how health informatics evolved from being a concept to becoming a discipline or specialty. Emphasize the importance of the formation of professional organizations and educational programs in advancing health informatics as a field. As you begin to conduct research, explore (and cite in your discussion) an early journal article or excerpt from a seminal book on the topic of health informatics. If applicable, how has informatics evolved since then? cite both scholarly and the Bible

For your replies, respond to 2 classmates, identifying at least 1 strength and 1 weakness in each classmate’s reasoning. Also cite scholarly sources and the Bible.

RESPOND TO CLASSMATE #1-(450 words)

Nelson and Staggers (2018, p. 2) state that “¦health informatics is defined as an interdisciplinary professional specialty and scientific discipline that integrates the health sciences, computer science, and information science, as well as a number of other analytic sciences, with the goal of managing and communicating data, information, knowledge, and wisdom in the provision of healthcare for individuals, families, groups, and communities.” Braunstein (2014) suggest that health information technology consists of a set of instruments used to assist or accelerate electronic documentation and healthcare delivery management. Health informatics is a field that is now well-established; it is recognized as a discipline and a profession.

“2003 the IOM identified five core competencies that should be achieved by all healthcare professionals:

  • Delivering patient-centered care
  • Working as part of interdisciplinary team
  • Practicing evidence-based medicine
  • Focusing on quality improvement
  • Using informatics” (Nelson & Staggers, 2018, p. 2).

As you can see, utilizing informatics is included in the five essential proficiencies that healthcare professionals should encompass; therefore, it is imperative in the nursing profession.

Stodart (2017) suggests that Michelle Honey is a long-term supporter and promoter of information technology within the nursing profession. Honey states that nurses should not be concerned or apprehensive that information technology will come between them and their patients; technology is an instrument and does not substitute the interaction between the patient and the nurse (Stodart, 2017). With what Stodart discusses above, nurses need to understand that health informatics will assist them in taking better care of their patients by using all the tools and resources available to them. A nurse-patient relationship can and should continue be established; however, the nurses will now have instruments in order to provide improved patient care with increased patient outcomes.

Prerequisite including informatics are now being obligatory by other professional groups, including the American Association of Colleges of Nursing (AACN) (Nelson & Staffers, 2018). Professional organizations and educational programs play a huge role in the advancement of health informatics as a field of study. Health informatics can be used to advance health care delivery and clinical outcomes.

“Translating data into clinical decision support tools would be one basic example” (Fridsma, 2016, p. 372). An illustration of this is utilizing health informatics on a person who may have uncontrolled diabetic; information can be evaluated from the electronic health record and related to an algorithm. This information can then be used to provide recommendations for improving the patient health outcomes (Fridsma, 2016). If this information is known early (a patient may have uncontrolled diabetes) then intervention can occur early as well; this can result in a better patient outcome. Therefore, it is seen that health informatics is crucial in the health care profession as it allows us to provide superior care. Colossians 3:23-24 tell us, “Whatever you do, work heartily, as for the Lord and not for men, knowing that from the Lord you will receive the inheritance as your reward. You are serving the Lord Christ.”

Fridsma (2016) suggests that health informatics has occurred as a focused region of study for approximately 30 years. Health informatics initially began as persons connecting in order to gather, examine, and utilize data. Originally, health informatics was perceived to improve health care delivery. Health informatics has progressed into a profession instead of just a field of study with the implementation of the electronic health record (EHR) as well as additional developments. Fridsma (2016) suggests that with the application of health informatics, persons began to see it as a way to relate what is learned in approaches that are more realistic and adjacent to the bedside.

RESPOND TO CLASSMATE #2-(450 words)

The challenge of managing a growing volume of health information has led to the increasing reliance on health informatics. Health informatics incorporates processes, procedures, theories, and concepts from computer and informatics sciences, Health sciences, Social science. Informatics has improved the field by “helping people to revisualize and redesign their information management and knowledge management skills and learn new ways of using clinical data to manage clinical practice and patient care” (McLane & Turley, 2011, p.30).

Health informatics as defined by the U. S. National Library of Medicine is the “interdisciplinary study of the design, development, adoption and application of IT-based innovations in healthcare services delivery, management and planning” (Physician Informatics Community, 2014, p.1). Health informatics is further defined as “ an interdisciplinary professional specialty and scientific discipline that integrates the health sciences, computer science, and information science, as well as a number of other analytic sciences, with the goal of managing and communicating data, information, knowledge, and wisdom in the provision of healthcare for individuals, families, groups, and communities.” (Nelson and Staggers (2018, p. 2-3).

The field of health informatics, as we know it now, emerged when computer technology became sophisticated enough to manage large amounts of data. Previously other attempts were made to delve into informatics but not until the 1960’s that health informatics began to standardize as a field of study. The term “informatics” was introduced in the 1960s in France – a French version of the word, of course: Informatique. And, of course, it makes sense to use the informatics, since the whole field of health care and medical informatics is based on data and information (Physician Informatics Community, 2014). New journals about informatics began to be published in the 1960’s. The first peer-reviewed informatics journal, Computers in Biomedical Research, began publishing in 1967. The first journal article using the term nursing informatics was indexed in MEDLINE and Cumulative Index to Nursing and Allied Health Literature (CINAHL) in 1986.

The first professional informatics organization was started in 1949 — even before computers gained widespread acceptance . Gustav Wagner founded a professional organization in Germany, and from there it spread .“Our vision is for a healthcare system that draws on the best evidence to provide the care most appropriate to each patient, emphasizes prevention and health promotion, delivers the most value, adds to learning throughout the delivery of care, and leads to improvements in the nation’s health.” ( IOM, 2010). This shows he importance of informatics in healthcare and how relevant it is to safe and effective patient care. Professional organizations helped to advance health informatics by creating opportunities in education and networking to professionals who were interested in the field. Various health informatics groups were established at the local, national, and international levels. The American Medical Association (AMA), American Medical Informatics Association (AMIA), and the Healthcare Information and Management Systems Society (HIMSS) are all examples of organizations that educate and use health informatics to their members. The Health Information Management and Systems Society (HIMSS).The HIMSS was created in 1961 and holds its headquarters in Chicago, Illinois. “HIMSS is a cause-based, global enterprise producing health IT thought leadership, education, events, market research and media services around the world” (“About HIMSS,” n.d., p. 1). The HIMSS collaborates with a multitude of other informatics groups (AMIA (American Medical Informatics Association), IHE (Integrating the Healthcare Enterprise), Connecting for Health, etc.) to help expand the efforts in integrating healthcare informatics into the workforce. This organization shows up-to-date informatics updates and includes a blog of the latest news in the healthcare technology industry. It contains a Resource Library, a Bookstore, and an Events page to see what’s going on around the world. It also has a tab that contains ways to Get Involved with connections to local chapters in the community, committees, and ways to become a member and reap the rewards of belonging to such a credible organization. The main objective of this organization is to bring together individuals across the health care and technology fields, around the world, in an effort for, “better health through information technology” (“About HIMSS,” n.d., p. 1). HIMSS has a great impact on health care informatics in the way that it is accessible and ready to share, collaborate, and exceed expectations of those involved in the business.

With advancement in technology and changes in the laws, health informatics will continue to grow and paly a major role in the healthcare delivery system. With all these advances though, we need to remember that God is always the creator. 1 Corinthians 10:31 ESV So, whether you eat or drink, or whatever you do, do all to the glory of God.

 

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Discuss how health informatics evolved from being a concept to becoming a discipline or specialty

Question Description
RESPOND TO INITIAL POST-(600 words). —–Discuss how health informatics evolved from being a concept to becoming a discipline or specialty. Emphasize the importance of the formation of professional organizations and educational programs in advancing health informatics as a field. As you begin to conduct research, explore (and cite in your discussion) an early journal article or excerpt from a seminal book on the topic of health informatics. If applicable, how has informatics evolved since then? cite both scholarly and the Bible

For your replies, respond to 2 classmates, identifying at least 1 strength and 1 weakness in each classmate’s reasoning. Also cite scholarly sources and the Bible.

RESPOND TO CLASSMATE #1-(450 words)

Nelson and Staggers (2018, p. 2) state that “¦health informatics is defined as an interdisciplinary professional specialty and scientific discipline that integrates the health sciences, computer science, and information science, as well as a number of other analytic sciences, with the goal of managing and communicating data, information, knowledge, and wisdom in the provision of healthcare for individuals, families, groups, and communities.” Braunstein (2014) suggest that health information technology consists of a set of instruments used to assist or accelerate electronic documentation and healthcare delivery management. Health informatics is a field that is now well-established; it is recognized as a discipline and a profession.

“2003 the IOM identified five core competencies that should be achieved by all healthcare professionals:

Delivering patient-centered care
Working as part of interdisciplinary team
Practicing evidence-based medicine
Focusing on quality improvement
Using informatics” (Nelson & Staggers, 2018, p. 2).
As you can see, utilizing informatics is included in the five essential proficiencies that healthcare professionals should encompass; therefore, it is imperative in the nursing profession.

Stodart (2017) suggests that Michelle Honey is a long-term supporter and promoter of information technology within the nursing profession. Honey states that nurses should not be concerned or apprehensive that information technology will come between them and their patients; technology is an instrument and does not substitute the interaction between the patient and the nurse (Stodart, 2017). With what Stodart discusses above, nurses need to understand that health informatics will assist them in taking better care of their patients by using all the tools and resources available to them. A nurse-patient relationship can and should continue be established; however, the nurses will now have instruments in order to provide improved patient care with increased patient outcomes.

Prerequisite including informatics are now being obligatory by other professional groups, including the American Association of Colleges of Nursing (AACN) (Nelson & Staffers, 2018). Professional organizations and educational programs play a huge role in the advancement of health informatics as a field of study. Health informatics can be used to advance health care delivery and clinical outcomes.

“Translating data into clinical decision support tools would be one basic example” (Fridsma, 2016, p. 372). An illustration of this is utilizing health informatics on a person who may have uncontrolled diabetic; information can be evaluated from the electronic health record and related to an algorithm. This information can then be used to provide recommendations for improving the patient health outcomes (Fridsma, 2016). If this information is known early (a patient may have uncontrolled diabetes) then intervention can occur early as well; this can result in a better patient outcome. Therefore, it is seen that health informatics is crucial in the health care profession as it allows us to provide superior care. Colossians 3:23-24 tell us, “Whatever you do, work heartily, as for the Lord and not for men, knowing that from the Lord you will receive the inheritance as your reward. You are serving the Lord Christ.”

Fridsma (2016) suggests that health informatics has occurred as a focused region of study for approximately 30 years. Health informatics initially began as persons connecting in order to gather, examine, and utilize data. Originally, health informatics was perceived to improve health care delivery. Health informatics has progressed into a profession instead of just a field of study with the implementation of the electronic health record (EHR) as well as additional developments. Fridsma (2016) suggests that with the application of health informatics, persons began to see it as a way to relate what is learned in approaches that are more realistic and adjacent to the bedside.

RESPOND TO CLASSMATE #2-(450 words)

The challenge of managing a growing volume of health information has led to the increasing reliance on health informatics. Health informatics incorporates processes, procedures, theories, and concepts from computer and informatics sciences, Health sciences, Social science. Informatics has improved the field by “helping people to revisualize and redesign their information management and knowledge management skills and learn new ways of using clinical data to manage clinical practice and patient care” (McLane & Turley, 2011, p.30).

Health informatics as defined by the U. S. National Library of Medicine is the “interdisciplinary study of the design, development, adoption and application of IT-based innovations in healthcare services delivery, management and planning” (Physician Informatics Community, 2014, p.1). Health informatics is further defined as “ an interdisciplinary professional specialty and scientific discipline that integrates the health sciences, computer science, and information science, as well as a number of other analytic sciences, with the goal of managing and communicating data, information, knowledge, and wisdom in the provision of healthcare for individuals, families, groups, and communities.” (Nelson and Staggers (2018, p. 2-3).

The field of health informatics, as we know it now, emerged when computer technology became sophisticated enough to manage large amounts of data. Previously other attempts were made to delve into informatics but not until the 1960’s that health informatics began to standardize as a field of study. The term “informatics” was introduced in the 1960s in France – a French version of the word, of course: Informatique. And, of course, it makes sense to use the informatics, since the whole field of health care and medical informatics is based on data and information (Physician Informatics Community, 2014). New journals about informatics began to be published in the 1960’s. The first peer-reviewed informatics journal, Computers in Biomedical Research, began publishing in 1967. The first journal article using the term nursing informatics was indexed in MEDLINE and Cumulative Index to Nursing and Allied Health Literature (CINAHL) in 1986.

The first professional informatics organization was started in 1949 — even before computers gained widespread acceptance . Gustav Wagner founded a professional organization in Germany, and from there it spread .“Our vision is for a healthcare system that draws on the best evidence to provide the care most appropriate to each patient, emphasizes prevention and health promotion, delivers the most value, adds to learning throughout the delivery of care, and leads to improvements in the nation’s health.” ( IOM, 2010). This shows he importance of informatics in healthcare and how relevant it is to safe and effective patient care. Professional organizations helped to advance health informatics by creating opportunities in education and networking to professionals who were interested in the field. Various health informatics groups were established at the local, national, and international levels. The American Medical Association (AMA), American Medical Informatics Association (AMIA), and the Healthcare Information and Management Systems Society (HIMSS) are all examples of organizations that educate and use health informatics to their members. The Health Information Management and Systems Society (HIMSS).The HIMSS was created in 1961 and holds its headquarters in Chicago, Illinois. “HIMSS is a cause-based, global enterprise producing health IT thought leadership, education, events, market research and media services around the world” (“About HIMSS,” n.d., p. 1). The HIMSS collaborates with a multitude of other informatics groups (AMIA (American Medical Informatics Association), IHE (Integrating the Healthcare Enterprise), Connecting for Health, etc.) to help expand the efforts in integrating healthcare informatics into the workforce. This organization shows up-to-date informatics updates and includes a blog of the latest news in the healthcare technology industry. It contains a Resource Library, a Bookstore, and an Events page to see what’s going on around the world. It also has a tab that contains ways to Get Involved with connections to local chapters in the community, committees, and ways to become a member and reap the rewards of belonging to such a credible organization. The main objective of this organization is to bring together individuals across the health care and technology fields, around the world, in an effort for, “better health through information technology” (“About HIMSS,” n.d., p. 1). HIMSS has a great impact on health care informatics in the way that it is accessible and ready to share, collaborate, and exceed expectations of those involved in the business.

With advancement in technology and changes in the laws, health informatics will continue to grow and paly a major role in the healthcare delivery system. With all these advances though, we need to remember that God is always the creator. 1 Corinthians 10:31 ESV So, whether you eat or drink, or whatever you do, do all to the glory of God.

 

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Assignment: Application: Taking a Stand

Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others.

As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.

At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.

For this Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.

To prepare:

  • Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.
  • To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.
  • Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly).
  • What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between ethical, moral, and legal leadership.
  • Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?

To complete:

BY DAY 7

Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:

  • Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.
  • Consider an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.
  • Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.
  • Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.

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.

Learning Resources

Note: To access this week’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 4, “Ethical Issues”This chapter examines ethical frameworks for decision making and principles of ethical reasoning. You are also introduced to the ANA Code of Ethics and Professional Standards, MORAL decision-making model, and ethics committees.
  • Chapter 5, “Legal and Legislative Issues”Chapter 5 provides an overview of the many legal and legislative issues of which leaders and managers need to be aware. As you read this chapter, keep these issues in mind.
  • Chapter 6, “Patient, Subordinate, and Professional Advocacy”Nurses are the best advocates for patients and the profession. This chapter examines more closely the role of becoming an advocate, patient rights, subordinate advocacy, whistle-blowing, professional advocacy, advocacy in legislation and public policy, and media.

Cianci, A. M., Hannah, S. T., Roberts, R. P., & Tsakumis, G. T. (2014). The effects of authentic leadership on followers’ ethical decision-making in the face of temptation: An experimental study. The Leadership Quarterly25(3), 581–594. doi:10.1016/j.leaqua.2013.12.001
Retrieved from the Walden Library databases.

Disch, J. (2014). Using Evidence-Based Advocacy to Improve the Nation’s Health. Nurse Leader12(4), 28–31. doi:10.1016/j.mnl.2014.05.003
Retrieved from the Walden Library databases.

Martin, M. B. (2014). Transcultural Advocacy and Policy in the Workplace: Implications for Nurses in Professional Development. Journal for nurses in professional development30(1), 29–33. doi: 10.1097/NND.0000000000000027
Retrieved from the Walden Library databases.

Woods, M. (2014). Beyond moral distress preserving the ethical integrity of nurses. Nursing Ethics21(2), 127–128.
This guest editorial discusses the difficulties involved in dealing with those sometimes-painful moral problems encountered in practice.

 

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An investigation into post-anesthesia nausea and vomiting in a community hospital-based anesthesiology practice

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 reading

McKenzie, S., & Halavan, J. (1987). An investigation into post-anesthesia nausea and vomiting in a community hospital-based anesthesiology practice. AANA Journal55(5), 427-433

A study investigating the incidence of nausea and vomiting among post-anesthesia patients in a private, community hospital anesthesiology practice was undertaken. A total of 826 patients were semi-sequentially sampled and evaluated using the Chi-square statistic. Findings supported many widely held beliefs about the problem of nausea and vomiting (for example, it appears to be related to age and sex). The most significant information obtained was that recovery room nausea and vomiting were closely related to the patients’ immediate post-anesthesia experience of pain (p < 0.0001). This relationship presents some interesting ideas in the search for a better understanding of this difficult clinical problem, as well as some alternatives for treatment.

An investigation was undertaken to determine i£ there has been an increase in the number of patients suffering from nausea and/or vomiting following anesthesia. This report will basically review the anatomy, physiology, and pharmacology of vomiting to provide a foundation for better understanding of this complex clinical problem. It is interesting that in spite of how frequent and commonplace the problem of nausea and vomiting is in every clinical setting, there is little available information about what actually happens in the brain to create this problem or what kinds of stimulation can cause this response in the body. The design of this project was quasi-experimental. There was no specific treatment group identified and manipulated by the authors, and the data were collected by the respective anesthetists rendering the anesthesia care. The purpose of this study is to provide surgeons, physician and nurse anesthetists, and recovery room nurses with statistical data concerning the incidence of nausea and vomiting present in the patient population currently, and to investigate factors that may cause this problem. It is presumed that in identifying contributing factors to this problem, methods and practices to decrease the incidence of postoperative nausea and vomiting may also be identified, enabling anesthesia and recovery room personnel to provide better care for the perioperative patient.

Hypothesis: The incidence of nausea and vomiting following anesthesia among the patients studied is lower than that of the currently reported incidence within the anesthesia community. Additionally it is believed that there is a difference in post-anesthesia nausea and vomiting among different drug techniques.

#2)

Thompson, H. (1999). Themanagement of post-operative nausea and vomiting. Journal Of Advanced Nursing29(5), 1130-1136. doi:10.1046/j.1365-2648.1999.00998.x

Despite the advent of new technology and pharmacological agents, post-operative nausea and vomiting (PONV) continues to have an incidence of 20-30% today. Development of PONV can lead to serious complications such as aspiration, dehydration, electrolyte disturbances and disruption of the surgical site. PONV leads to increased cost of treatment, and may be associated with increased anxiety, dissatisfaction with the surgical experience and anticipatory nausea in the future. The mechanisms of PONV are examined with associated risk factors. A review of the literature of PONV management is included covering pharmacological, dietary and behavioural interventions; culminating in the development of assessment and management guidelines and identification of areas for further study.

#3)

Hambridge, K. (2013). Assessing the risk of post-operative nausea and vomiting. Nursing Standard27(18), 35-43.

Post-operative nausea and vomiting (PONV) is a common complication for many surgical patients, causing anxiety and distress. Evidence suggests that nursing practice in this area is inconsistent and that nurses’ knowledge needs to improve, to promote better patient outcomes. This article provides a review of the incidence of PONV, associated complications and risk factors. Examples of risk assessment tools that could be used to identify patients at risk of developing PONV are described to ensure timely and appropriate treatment.

#4)

Waterman, H., Leatherbarrow, B., Slater, R., & Waterman, C. (1999). Post-operative pain, nausea and vomiting: qualitative perspectives from telephone interviews. Journal Of Advanced Nursing29(3), 690-696. doi:10.1046/j.1365-2648.1999.00938.x

Previous studies on post-operative pain, nausea and vomiting tend to be quantitative in method and focus on in-patient or day case surgery. The objectives of this study carried out in one specialist eye hospital in England were to consider post-operative pain, nausea and vomiting from a qualitative perspective. Fifty-five patients undergoing general anaesthetic short-stay ophthalmic surgery (orbital hydroxyapatite implantation) consented to participate in telephone interviews 8 days post-surgery. The interviews lasted between 20 and 60 minutes. Data were analysed thematically and offer insight into varying experiences of pain, nausea and vomiting in hospital, on discharge and at home. Results indicate that not all patients were discharged home in optimum condition. The needs of post-operative short-stay patients should come before financial imperatives to vacate beds. Patient education and information giving is discussed in the light of the findings.

#5)

Sakellaris, G., Georgogianaki, P., Astyrakaki, E., Michalakis, M., Dede, O., Alegakis, A., & … Charissis, G. (2008). Prevention of post-operative nausea and vomiting in children – a prospective randomized double-blind study. Acta Paediatrica97(6), 801-804

Background/Purpose: Post-operative nausea and vomiting (PONV) are common complications related to surgery and anesthesia. The aim of this study was to assess whether sevoflurane, with or without the use of an antiemetic such as ondansetron, increases or not the incidence of PONV in children. Methods: One hundred and ten children, 2 months to 14 years undergoing inguinal hernia, hypospadias and penile deformity repair, were randomly allocated into one of two groups, according to whether they received ondansetron or placebo (47 vs. 63). Induction and maintenance of anesthesia was with Sevoflurane in both groups. Regional anesthesia was performed on all children (inguinal nerve, penile or caudal block). No opioids were used. In post-operative period, children were assessed for PONV, every 4 h for the first 24 h. Results: Vomiting was very low in both groups (8 cases: 7.3%). No significant statistical difference of post-operative nausea (p=0.296) and vomiting (p=0.462) (Fisher’s exact test) was found between the group that received ondansetron and the placebo group.

#6)

Ming, J., Kuo, B., Lin, J., & Lin, L. (2002). The efficacy of acupressure to prevent nausea and vomiting in post-operative patients. Journal Of Advanced Nursing39(4), 343-351. doi:10.1046/j.1365-2648.2002.02295.x

BACKGROUND: Post-operative nausea and vomiting is a common complication following general anesthesia. Traditional Chinese medicine indicates that acupressure therapy may reduce nausea and vomiting in certain ailments. AIM(S) OF THE STUDY: The aim of this study was to examine the effect of stimulating two acupressure points on prevention of post-operative nausea andvomiting. DESIGN AND METHODS: A randomized block experimental design was used. The Rhodes Index of Nausea, Vomitingand Retching (INVR) questionnaire was used as a tool to measure incidence. To control the motion sickness variable, the subjects who underwent functional endoscopic sinus surgery (FESS) under general anesthesia were randomly assigned to a finger-pressing group, a wrist-band group, and a control group. There were 150 subjects in total with each group consisting of 50 subjects. The acupoints and treatment times were similar in the finger-pressing group and wrist-band pressing group, whereas only conversation was employed in the control group. RESULTS: Significant differences in the incidence of the post-operative nausea and vomiting were found between the acupressure, wrist-band, and control groups, with a reduction in the incidence rate of nausea from 73.0% to 43.2% and vomiting incidence rate from 90.5% to 42.9% in the former. The amount of vomitus and the degree of discomfort were, respectively, less and lower in the former group. CONCLUSION: In view of the total absence of side-effects in acupressure, its application is worthy of use. This study confirmed the effectiveness of acupressure in preventing post-operative nausea and vomiting.

The weaknessess of these and most probably all of the articles to be found for my topic are the unbelieveable number of variables and combinations of variables for this issue – the different catagories of data are overwhelming – thus making it extreamly difficult to suggest a solution comprehensive of all of the potential patients and their “list of factors”

 

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Develop and explain how you would integrate a process to create collaboration and cohesion within the environment of your team

For the second phase of your project, using your reading and other resources, create your plan to form your Health Care Inc. team.

1- From your knowledge of team building, until now answer the following:

a) Develop and explain how you would integrate a process to create collaboration and cohesion within the environment of your team. It includes specific benefits for the organization.

b)Evaluate the types of leadership: select at least three and compose an outline of what leadership considers it necessary for the tasks of your team Health Care Inc. Specific examples of tasks, events and / or situations that may need to occur.


Case Study: ( use this resourse and the attachment)

Building an effective team is more than just choosing team members, you will to consider many factors.

Recall the dynamics of the organization:

Organization: Health Care Inc.

Employees: 15-20 thousand worldwide

Employee Occupations: Nurses, IT Specialist, Human Resources, Administration Staff, Management, Nursing Assistants (various levels & positions)

Goal of team: The business needs to expand to remain competitive in the worldwide marketplace. A team needs to be created to help the organization evaluate, justify, and propose ideas.

Business Module: Contract Nurses and Nursing Assistants to organizations worldwide.

Please submit 2-3 pages, No plagiarism, be professional, include citations and references

 

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