Urine Specimen Collection

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Please respond with a paragraph to the following post, add citations and references.

Evidence – based practice has left a positive impact on the profession of nursing outcomes, education and the science of nursing. It has made our way of practicing safer, effective and efficient. The use of evidence base practice has kept the healthcare system up-to-date with the newest technology and best practice methods that has helped improve our patient outcomes. The first study article that I read that impacted patient care was titled: Urine specimen collection: How a multidisciplinary team improved patient outcome using best practices. It provided ways to improve procedures for collecting and testing urine specimens. In this study, researchers observed how the collected method was processed/carried out and the time frame of how long it took the specimen to reach the laboratory once it was collected to the testing. It was determined that these collections and the method that was used was improperly handled and processed. The specimens were also sitting too long at room temperature. Both mistakes influenced the test results, giving false positive, false negative and inconclusive results. Having contaminated, mishandled or improper time frame specimens lead to unreliable test results. Many patients received the wrong diagnosis, received the wrong treatments or had to send a recollection that they didn’t need. This study has helped identify major errors and created solutions to those problems. Now we can have mid-stream clean catch, use straight catheters, receive proper education on the proper way to collect specimens from an indwelling catheter and we have an appropriate time frame for the specimen to sit at room temperature. This study has improved patient outcomes because it has improved the rate of accuracy test results, which prevents misdiagnosed patients. Now patients will receive appropriate treatments which will prevent readmits, sepsis rates and other urinary tract infections.

The second study titled: Effective Pain management and improvements in patient outcomes and satisfaction has shown that effective pain management will improve our patient’s overall health. This study shows that pain affects patients physically and mentally, we must view the whole patient. Pain management has been one of the number one complaints on patient surveys and it continues to grow. Our patients are not satisfied with how their pain levels are treated, some have expressed that their providers don’t believe them when they rate their pain. Unfortunately, this is true, its difficulty to yield accurate results when asking about someone’s level of pain. There is no test that can tell us the exact before and after statistics, we must rely on what our patients tell us. The article tells us that pharmacology still needs improvements when it comes to effective pain management for our patients. This topic will take many years to develop. No every patient has the same level of pain tolerance, each patient requires different treatment methods. This article teaches us that we must treat our patient safely and not the monitors to gain patient satisfaction. Each patient has a different perspective and we must trust what our patients are stating, use our nursing process when they describe their pain levels. The article gave great insight on how to improve patient outcomes, satisfaction, and nursing effectiveness.

Reference:

Dolan, V. J. & Cornish, N. J. (2013). Urine Specimen Collection: How a Multidisciplinary Team Improved Patient Outcomes Using Best Practices. Society of Urologic Nurses and Associates, 249-256.

Glowacki, D. (2015). Effective Pain Management and Improvements in Patients Outcomes and Satisfaction. Association of Critical Care Nurse, 33-42.

 

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Nursing Informatics and the Foundation of Knowledge.

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Are there areas in your practice that you believe should be more fully explored? The central aims of nursing informatics are to manage and communicate data, information, knowledge, and wisdom. This continuum represents the overarching structure of nursing informatics. In this Assignment, you develop a research question relevant to your practice area and relate how you would work through the progression from data to information, knowledge, and wisdom.

To prepare:

  • Review the information in Figure 6–1 in Nursing Informatics and the Foundation of Knowledge.
  • Develop a clinical question related to your area of practice that you would like to explore.
  • Consider what you currently know about this topic. What additional information would you need to answer the question?
  • Using the continuum of data, information, knowledge, and wisdom, determine how you would go about researching your question.
    • Explore the available databases in the Walden Library. Identify which of these databases you would use to find the information or data you need.
    • Once you have identified useful databases, how would you go about finding the most relevant articles and information?
    • Consider how you would extract the relevant information from the articles.
    • How would you take the information and organize it in a way that was useful? How could you take the step from simply having useful knowledge to gaining wisdom?

Write a 3- to 4-page paper that addresses the following:

  • Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.
    • Identify the databases and search words you would use.
    • Relate how you would take the information gleaned and turn it into useable knowledge.
  • Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search.

Your paper must also include a title page, an introduction, a summary, and a reference page.

 

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Is it more expensive in Florida or New York

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Part 1

  1. Follow the weblink to the Genworth Research page. https://www.genworth.com/corporate/about-genworth/industry-expertise/cost-of-care.html
  2. Look up the prices ofadult daycare centers and nursing homes.
    1. Write down the average cost for each of the services
    2. Utilize these figures in your calculation. Hint: https://www.payingforseniorcare.com/longtermcare/find_adult_day_care.html
  3. Look up the prices in Florida and the last State you resided before Florida. If Florida is the only State you resided then refer to New York as a reference.
    1. Is it more expensive in Florida or New York (reference State)?
    2. Are the labor costs greater in Florida or your reference State?
    3. Is the cost of living higher in Florida or the reference State?
    4. Do these factors have anything to do with the cost of elderly services?

Part 2

Scenario:Your spouse is 70 years old and they just received a diagnosis of dementia.Considering that you will be needing 7 years of nursing home and 4 years of adult day care services.Considering the age and extent of the disease processCalculate what the total cost will be utilizing 5 days/week for the daycare cost. Your spouse worked most of their life and was able to save $650,000 for retirement.
  1. Read the scenario above.
  2. Will this be enough money to pay for these services? (Remember: Daycare – 5 days/week and 52 weeks/years, and 7 days a week for Nursing Home/365 days a year).
  3. Comment on the prospects below:
    1. Will you have enough money saved?
    2. Are you sorry you did not pay for long-term insurance?
 

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Unorganized and unstandardized handoff processes can lead to uncoordinated care and unnecessary waste and cost

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Unorganized and unstandardized handoff processes can lead to uncoordinated care and unnecessary waste and cost. There are many different handoff process which can lead to miscommunication or lack of proper communication. Poor communication is often associated with near misses and adverse events. Most handoffs take place at a centralized nurse’s station or a conference room away from the patient. In this familiar setting many interruptions take place and confusion may occur when discussing multiple patients. The existing various handoff processes can unintentionally lead to information gaps and errors that can cause patient harm. Handoff reports lack standardization and are associated with sentential events and near misses (Taylor, 2015). Various handoff methods lead to confusion, interruptions, and poor communication techniques. One of the leading causes of serious medical errors is due to miscommunications during the handoff process which includes delayed treatment, adverse events, preventable readmissions, longer hospital stays, decreased satisfaction rates, and omissions of care which are all costly (Lim & Pajarillo, 2016).

Evidence has proven that when a structured and consistent bedside handoff procedure takes place this results in improved communication and decreased information loss. Improvements in medication errors and patient falls were witnessed when a consistent nursing handoff process was implemented to promote better communication (Taylor, 2015). Effective communication and collaboration is crucial to prevent adverse events. Communication and interdisciplinary collaboration improves patient quality of care and safety.

References:

Lim, F. & Pajarillo, E.J.Y. (2016). Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality of care. Nurse Education Today, 37, 3-7. Retrieved from http://www.sciencedirect.com.lopes.idm.oclc.org/sc…

Taylor, J. S. (2015). Improving patient safety and satisfaction with standardized bedside handoff and walking rounds. Clinical Journal of Oncology Nursing, 19(4), 414-416. Retrieved from http://eds.b.ebscohost.com.lopes.idm.oclc.org/eds/…

 

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Application of Standards of Care Choose a case study example is Case Study

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Topic 1: Application of Standards of Care Choose a case study example is Case Study 1 : Wrongful Death by Howard Carpenter on Behalf of Wilma Carpenter, Deceased..Or Case Study 2: Malpractice Action brought by Yolanda Pinnelas. Look at the legal malpractices involved in the case study. Describe the case and discuss the standard of care that the parties will be held to in this case. How will the standards of care and the Nurse Practice Act be applied in a court of law if the case is sued?

Topic 2: Clinical Criteria for Determining Danger to Self

A 45-year-old wife of one of the staff physicians was admitted to the emergency room. She is intoxicated and loud. Her husband wants her admitted to the psychiatric unit. He has asked to have two other physicians that are his friends to sign the paper work to admit her. In New York State where the hospital is located two physicians can admit a patient against their will if they are a danger to themselves or others. You happen to be a neighbor and know that the couple is going through a divorce and the husband wants custody of the two children. You also know he is dating a nurse on another unit.

Differentiate between the ethical and legal implications of her admission. What actions will you take? Support your decisions with legal reasoning and case law.

Textbook Readings

Essentials of Nursing Law and Ethics

  • Chapter 2: “Regulation of Nursing Practice”
  • Chapter 4: “Standards of Care”
  • Chapter 20: “Abusive Situations”
  • Chapter 22: “Restraints”
  • Chapter 23: “Emergency Psychiatric Admissions”
  • Chapter 49: “Reporting Illegal, Unethical, or Unsafe Conduct”

Web Resources

American Nurses Association. (2015). Scope of practice. Retrieved fromhttp://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses/Scope-of-Practice-2

Journal Readings

Hunt, J. A., & Hutchings, M. (2014). Innovative group-facilitated peer and educator assessment of nursing students’ group presentations. Health Science Journal, 8(1), 22–31.

Web Resources

 

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Reflective Analysis Case Report

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Reflective Analysis Case Report Component Paper

Details:

In this assignment, learners are required to construct a reflective analysis incorporating a personal nursing philosophy which will directly relate to the case report assignment due in Topic 7. As such, learners are encouraged to review the case report assignment requirements in Topic 7 to ensure that the Reflective Analysis Case Report Component Paper will provide the foundational support necessary to complete the Topic 7 assignment successfully. The Reflective Analysis Case Report Component Paper may be written in first-person language as appropriate to express personal perspectives, but must otherwise adhere to the guidelines below.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

•This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

•This assignment requires that at least three additional scholarly research articles related to this topic, and at least one in-text citation from each source be included.

•You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Directions:

Compose a 1,250-1,500 word reflective analysis incorporating your personal philosophy of nursing including the following core elements:

1.What is your central belief about the individual person?

2.How does your personal worldview influence your approach to patients?

3.What constitutes the environment?

4.How do the individual and the environment interact?

5.What is your view of health?

6.How does illness relate to health?

7.What is the central reason for the existence of nursing?

Please make sure that you follow EVERY part of the assignment. Also, only scholarly journals accepted in this course (no books or websites).

 

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Qualitative Annotated Bibliography

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Assignment 2: Qualitative Annotated Bibliography

For this assignment you will continue to review current research from South’s Online Library and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: https://owl.english.purdue.edu/owl/resource/614/01/

A total of four annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a qualitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable. 

Each annotation must address the following critical elements:

  • Explanation of the main purpose and scope of the cited work
  • Brief description of the research conducted
  • Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration
  • Possible shortcomings or bias in the work
  • Conclusions or observations reached by the author
  • Summary as to why this research lends evidence to support the potential problem identified specific to your role specialization (family nurse practitioner).
 

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psychology

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Reflection Paper, psychology article review. 1-2 pages. APA

Students working in the field of ABA are often exposed, on a more intimate level, to a family or individual’s life, unlike those working in other professions, as ABA is often provided within the home or community of the recipient. Even for those providing ABA services within a clinic based setting, the details requested of clients or families regarding their everyday happenings exceeds that of a visit to a physician or specialist. The details provided may be necessary to make decisions regarding programming, but what is the most important information and what may be left out due to cultural difference or lack of understanding. Additionally, what bias or prejudices does a practitioner bring into an environment due to a lack of cultural competence. Cultural differences may be thought to be a barrier to appropriate treatment by the practitioner. Examples: financial constraints may not allow for a family to purchase materials deemed necessary by the practitioner, a family’s expectation of academic skills above all other skill acquisition may not be the focus of the goals of a program, a desire for age appropriate leisure activities or dating rituals/sexual activity by the client may not be the accepted by the guardians, or inclusion in religious ceremonies may be at the forefront of a parent for a child with few self-help skills. Practitioners may not value the importance placed on a particular skill that a family identifies as significant. In Module 1 read: Dunaway, K.E., Morrow, J.A., and Porter, B.E. (2012). Development and validation of the cultural competence of program evaluators (CCPE) self-report scale. American Journal of Evaluation, 33, 4, 496-514, Preview the document and one additional article chosen from those listed below (Choose 1 new article each term, do not repeat any article). Then complete a minimum of a 1 page single spaced reflection paper. In your reflection paper include the results of your self-report scale, summary of the additional article you chose, and how you include cultural competence in your direct field work. Foronda, C.L. (2008). A concept analysis of cultural sensitivity. Journal of Transcultural Nursing, 19, 3, 207-212. doi: 10.1177/1043659608317093 RUBRIC:This criterion is linked to a Learning Outcome Submission of Self-evaluation results and 1 page reflection paper that includes how the student applies cultural competence within their direct field work.

 

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explain how the Critical Path Method would apply to the issues presented in the Northway Preconstruction Planning memorandum in Form 26, and

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explain how the Critical Path Method would apply to the issues presented in the Northway Preconstruction Planning memorandum in Form 26, and

Forum Assignment for the Week: 500 Words minimum
Textbooks: Dresang, D. L. (2017). The public administration workbook (8th ed.). London, UK: Routledge. ISBN: 9781138682085.

Overview
Many of the activities of public administration can be divided between those that have an ongoing existence, and those that have a definite beginning and end. Project Managers have come to play a special role in the world of public administration. In this module/week, you will examine the concept of project management in public administration.

For this week’s Forum, respond to all of the following:

Topic: Project Management in Public Administration

Thread: After carefully reading Exercise 6 and the “Key Competencies of Public Sector Project Managers,” you will

1) explain how the Critical Path Method would apply to the issues presented in the Northway Preconstruction Planning memorandum in Form 26, and

2) describe which competencies discussed in the “Key Competencies of Public Sector Project Managers” article would best equip a public sector manager to effectively address complex public sector projects.

Sources & citations required (APA)

Specifics:

· All assertions in your thread and replies must be supported by Reading & Study materials, good examples, thoughtful analysis, and additional research needed to substantively address the assigned topic. There must also be an appropriate incorporation of Judeo-Christian worldview/analysis and biblical principles. All sources must be cited in current APA format.

· Biblical integration must be included in a thoughtful manner as articulated in the required reading and presentations.

· Citations from the required reading and presentation must be included in answering the assigned questions.

General Instructions Applicable to All Forums:

enlightened To receive 100% as a grade (the exemplary level) for the weekly forums, you should ensure that your responses meet the following criterion:

Critical Analysis – Discussion postings display an excellent understanding of the required readings and underlying concepts including correct use of terminology. Postings are made in time for others to read and respond as well as deliver information that is full of thought, insight, and analysis. The information presented makes connection to previous or current content or to real-life situations, and must contain rich and fully developed new ideas, connections, or applications. (It is important that you integrate the weekly readings in your response. One way to do that is to make position statements, then discuss supporting evidence (i.e. research and/or personal experience).

Professional Communication and Etiquette – Written interactions in the Forum show respect and sensitivity to peers’ background and beliefs (Regardless of the position you are taking, please ensure that your participation comments are respectful to your peers’ background and beliefs).

Writing Skills – Written responses are free of grammatical, spelling or punctuation errors. The style of writing facilitates communication. (Make sure your work is free of errors. If there are any errors as outlined above, you will not receive 100% for the forum).

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