Integrative Review of Outcomes and Performance Improvement Research on Advanced Practice Nursing

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Please, see details of Assignment below for more understanding.

Topic is on Data Management in Health Care or Health Research And Using Health Care Information Technology to Evaluate and Improve Performance

Reflect on your experience with different aspects of data management—for example, identifying the target population and relevant measures, access to data sources, strategies for data collection, coordination of data entry, and data analysis to final deliverable to stakeholders. Discuss those areas in which you feel skilled versus those areas that will require more skill development. List at least three activities in which you might engage in your current practice setting that would increase your competencies in the area of data management.

Please note in the above paragraph that the specific questions are highlighted in bold prints.

Reading

Textbook Readings

Advanced Practice Nursing: An Integrative Approach 5thEdition by A. B. Hamric et al

  • Chapter 23: “Integrative Review of Outcomes and Performance Improvement Research on Advanced Practice Nursing”
  • Chapter 24: “Using Health Care Information Technology to Evaluate and Improve Performance and Patient Outcomes”

After completing this chapter reading, you should be able to:

  • Monitor the quality of care delivered and the outcomes achieved by APNs.
  • Discuss performance indicators at two levels: the aggregate level, where evidence addresses APN role impact; and the individual level, with activities directed at the outcomes of a single APN’s practice.
  • Define key terms and describe frameworks for quality and outcomes assessment.
  • Perform outcome evaluation and manage health information using systems that are developing in the United States.
 

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Explain the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.”

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Prompt #1

  • Explain the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.” Be sure to define an ethical dilemma in the course of your discussion. Describe a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. (Be sure to respect and maintain patient and colleague confidentiality.)

Prompt #2

  • Apply the framework of The Five R’s approach to ethical nursing practice from this week’s reading to answer the questions about values and choices.

What are values?

Q. What are your personal values?

Q. Why do you value them?

Q. What are the values in your society?

Q. How do you make choices?

Q. Are your choices based on your values?

Q. What values are useful in society?

What are the limits to personal choice?

Q. Who limits your choices?

Q. Are limits to choices good?

Q. Do you limit other people’s choices?

Q. Should the health care organization or the government limit people’s choices? If so, how, and under what circumstances?

 

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Describe the organization and its significance to nurses in the specialty area

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Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to your specialty area, or a specialty area in which you are interested. In a 750-1,000 word paper, provide a detailed overview the organization and its advantages for members. Include the following:

  1. Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.
  2. Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses.
  3. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.
  4. Discuss opportunities for continuing education and professional development.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

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

 

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Community health education requires continuous knowledge from research and work experiences.

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Question Description

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

Nurses play a crucial role in healthcare. Nurses as educators play a critical role in improving the nation’s health. Educating individuals is an essential part of the nurse’s role
in schools, communities, homes, and healthcare delivery sites (Flanders, 2018). Health education provides relevant information and facilitates health-related behavior change. Nurses use health education principles to help individuals achieve their health goals. Other strategies that nurse educators can use when developing educational programs include research and knowledge development, community health nursing models, and effective and continuous communication among key stakeholders.

Community health education requires continuous knowledge from research and work experiences. Communication facilitates learning because nurses disseminate health
information to the society. Nurses should use behavioral objectives in health promotion to identify needed changes in the behaviors of the target population (Flanders, 2018). The objectives should be specific and measurable to enable nurses to evaluate the effectiveness of their action plans. They also enable nurses to evaluate the knowledge, skills, attitudes, and behaviors of the target population.

Flanders, S. A. (2018). Nurses as Educators. Effective Patient Education: Evidence and Common Sense. MEDSURG Nursing, 27(1), 55–58

 

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Describe the organization and its significance to nurses in the specialty area.

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Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to your specialty area, or a specialty area in which you are interested. In a 750-1,000 word paper, provide a detailed overview the organization and its advantages for members. Include the following:

Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.
Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses.
Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.
Discuss opportunities for continuing education and professional development.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

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

 

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Describe the factors that impact health and health care delivery, and the interventions that have been implemented.

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Hey Robert, I’m going to post the scoring guide at the end. I need to score at least in “basic” I cannot have anything in “non-performance” please.

  • OverviewDevelop a 6–8 page, APA-formatted article on a global health topic for publication. Describe the factors that impact health and health care delivery, and the interventions that have been implemented. Explain the influence of altruism on global health, and identify evidence-based interventions to address the global health topic.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:SHOW LESS
    • Competency 1: Explain the factors that affect the health of communities.
      • Describe the factors that impact health and health care delivery associated with a global health care issue.
      • Explain the influence of altruistic organizations on health and health care practices associated with a global health care issue.
      • Explain how health care decisions and practices at a local level relate to health and health care delivery on a global scale.
    • Competency 2: Apply evidence-based interventions to promote health and disease prevention and respond to community health issues.
      • Describe interventions implemented to address a global health care issue.
      • Identify evidence-based interventions to promote wellness and disease prevention associated with a global health care issue.
    • Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.
      • Provide background information and statistics on a global health care issue.
      • Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
      • Correctly format paper, citations, and references, using current APA style.

    Context
  • The overall wealth of a country often influences the country’s level of accessible health care and, ultimately, the health of the country’s citizens. However, developed countries often face similar public health issues as developing and middle-income countries. For example, HIV and AIDS are major public health concerns in both the United States and in many less developed sub-Saharan African countries. Through collaboration, research, and direct care, community/public health nurses can provide expertise and leadership in international health issues (Maurer & Smith, 2013). Understanding the processes involved in caring for populations provides the foundation for collaborative practices in international nursing care.ReferenceMaurer, F. A., & Smith, C. M. (2013). Community/Public health nursing practice: Health for families and populations (5th ed.). St. Louis, MO: W. B. Saunders.

  • Questions to ConsiderTo deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.
    • What health issue do you see as having the greatest impact on the world today?
    • What is the attitude of the United States towards this health issue?
    • How might nursing influence the outcome of this health issue?

  • Assessment InstructionsPREPARATIONSuppose you have been asked to submit an article for publication in your organization’s newsletter, about a global health topic and how policies and practices at the local level can affect global health. Choose one global health topic from the list (or use another of your choice):
    • Mental health.
    • Communicable diseases (HIV/AIDS, influenza, malaria, tuberculosis).
    • Non-communicable diseases (cancer, lung, and heart disease).
    • Maternal and child health (prenatal care, midwife education, childhood vaccinations).
    • LGBT health.
    • Disabilities.
    • Global water supply and safety (GlobalHealth.gov, n.d.).
    Look in the Capella library and on the Internet for very recent peer-reviewed articles, statistics, and professional nursing information on the global health topic you selected.REQUIREMENTSFor this assessment, develop an APA-formatted research review article that covers one global health topic of your choice. In this assessment:
    • Identify your topic. Provide background information and statistics on the topic, including the global areas most affected by the topic and the types of health care issues most often associated with the topic.
    • Describe the factors that impact health and health care delivery in the global areas most affected by the topic you selected. These factors may include not only culture and tradition, but also politics, economics, and social attitude.
    • Explain the influence of altruistic organizations (Peace Corps, Project Hope, religious and non-religious missions, and so on) on health and health care practices in the global area specifically associated with the topic.
    • Describe the interventions implemented to address the health care issues associated with the topic. Include both conventional and unconventional interventions.
    • Explain how the health care decisions and practices at the local level (the area most impacted by the topic) relate to health and health care delivery in other global areas. This is not limited only to best practices, but could include poor health care decisions and practices.
    • Identify evidence-based interventions that are effective, efficient, cost-effective, and equitable for promoting wellness and disease prevention in the specific area and population.
    ADDITIONAL REQUIREMENTSComplete your assessment using the following specifications:
    • Title page and reference page.
    • Number of pages: 6–8 (not including the title and reference pages).
    • At least 3 current scholarly or professional resources.
    • APA format for citations and references.
    • Times New Roman font, 12-point, double-spaced.
    ReferenceGlobal Health Topics. (n.d.). Retrieved from http://www.globalhealth.gov/global-health-topics/
  • Global Health Scoring GuideCRITERIANON-PERFORMANCEBASICPROFICIENTDISTINGUISHEDDescribe the factors that impact health and health care delivery associated with a global health care issue.
    Does not list the factors that impact health and health care delivery associated with a global health issue.Lists the factors that impact health and health care delivery associated with a global health issue.Describes the factors that impact health and health care delivery associated with a global health issue.Describes the factors that impact health and health care delivery associated with a global health issue, showing an in-depth understanding of the relationship between a variety of factors and the quality of health care.Explain the influence of altruistic organizations on health and health care practices associated with a global health care issue.
    Does not describe the role of altruistic organizations with regard to health and health care practices.Describes the role of altruistic organizations with regard to health and health care practices, but does not associate it to a global health care issue.Explains the influence of altruistic organizations on health and health care practices associated with a global health care issue.Explains the influence of altruistic organizations on health and health care practices associated with a global health care issue, and considers the likely outcomes of being without the aid of the organizations.Explain how health care decisions and practices at a local level relate to health and health care delivery on a global scale.
    Does not explain how health care decisions and practices at a local level relate to health and health care delivery on a global scale.Explains how health care decisions and practices at a local level relate to health and health care delivery on a global scale, but the explanation is inaccurate or is missing key elements.Explains how health care decisions and practices at a local level relate to health and health care delivery on a global scale.Explains how health care decisions and practices at a local level relate to health and health care delivery on a global scale, using relevant real-world examples.Describe interventions implemented to address a global health care issue.
    Does not identify interventions implemented to address a global health care issue.Identifies interventions implemented to address a global health care issue.Describes interventions implemented to address a global health care issue.Describes interventions implemented to address a global health care issue, and includes both conventional and unconventional interventions.Identify evidence-based interventions to promote wellness and disease prevention associated with a global health care issue. 
    Does not identify interventions to promote wellness and disease prevention associated with a global health care issue.Identifies interventions to promote wellness and disease prevention, but does not provide supporting evidence, or does not associate the interventions with a global health care issue.Identifies evidence-based interventions to promote wellness and disease prevention associated with a global health care issue.Recommends evidence-based interventions to promote wellness and disease prevention associated with a global health care issue.Provide background information and statistics on a global health care issue.
    Does not provide background information and statistics on a global health care issue.Provides background information and statistics on a global health care issue, but does not reference the source of the information.Provides background information and statistics on a global health care issue.Provides well-sourced background information and statistics on a global health care issue, and identifies likely causes of the health care issue.Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
    Does not write content clearly, logically, or with correct use of grammar, punctuation, and mechanics.Writes with errors in clarity, logic, grammar, punctuation, and/or mechanics.Writes content clearly and logically with correct use of grammar, punctuation, and mechanics.Writes clearly and logically with correct use of spelling, grammar, punctuation, and mechanics; uses relevant evidence to support a central idea.Correctly format paper, citations, and references, using current APA style.
    Does not correctly format paper, citations, and references, using current APA style.Uses current APA style to format paper, citations, and references, but with numerous errors.Correctly formats paper, citations, and references, using current APA style.Correctly formats paper, citations, and references, using current APA style w
 

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Discussed the actions taken in response to the ethical dilemma presented in the case study and whether the approach was effective in solving the ethical dilemma.

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Address the effectiveness of the communication approach used by Corey or other professionals in the case study as well as the approach used to resolve the issue.

Discussed the actions taken in response to the ethical dilemma presented in the case study and whether the approach was effective in solving the ethical dilemma. 

Please highlight in yellow the revision you make. THANKS

CASE STUDY:

Corey Davidson is the new Emergency Department Director at Crosby Community Hospital. When he was hired, the hospital administrator explained that the first order of business would be for Corey to develop a system for documenting the reappraisal process for physicians applying for reappointment to the medical staff and for clinical privileges. At the time of his interviews, Corey didn’t think much of this focus, but now that he has been on the job for several months, he realizes that there was a very specific reason: Dr. Lacey.

Dr. Lacey has been practicing medicine in Crosby County longer than the hospital has existed, and has treated virtually everyone who works in the hospital. With his twinkly blue eyes and white hair, Dr. Lacey was Crosby’s very own Dr. Santa. Dr. Lacey’s reputation used to be unassailable, but unfortunately age and declining health are taking a toll on his skills. Complicating the situation is the fact that Dr. Lacey is seen as a beloved icon by anyone who didn’t actually work with him.

When Corey logs onto his email one Monday morning, he finds a request to meet with Margaret Truman, Director of Nursing. When they meet, she wastes no time in explaining what she wants to discuss.

“You’re going to have to do something about Dr. Lacey… or rather, Dr. Lasix, as the nursing staff are currently calling him”

“What’s happened?” Corey asks, somewhat nervously.

“Well, you know how we’ve been moving toward a more evidence– based approach to diagnosis and treatment in the ED” Margaret says. One of the areas where we’ve established some solid guidelines is regarding patients presenting with shortness of breath.”

Corey nods. “Yes, I remember you presented on piloting the use of the guidelines.”

“That’s just it — Dr. Lacey is completely unwilling to use them” Margaret says. We’ve come to terms with his unwillingness to use the electronic health record — that’s a battle we just weren’t going to win — but this is getting serious. He’s gotten it into his head that Lasix is the drug of choice for anyone who comes in with dyspnea. This goes against the guidelines we’ve assembled, but he won’t listen to a mere nurse — especially when he’s ordering meds for a patient.

“The thing is — Lasix can be an effective treatment in some cases, but it isn’t recommended as the first treatment option for a patient who has been brought into the ED. There are a number of situations where Lasix can actually be harmful. If the patient has pneumonia or dehydration, they shouldn’t be given Lasix at all. The guidelines we established specifically call for delaying the use of Lasix until a definitive diagnosis of heart failure can be confirmed by chest Xray and laboratory studies.”

A thought occurs to Corey. “Why are you coming to me today with this? Did something happen over the weekend?”

“That’s exactly why I’m here,” says Margaret. “We had a patient present Saturday night with confusion and difficulty breathing. Dr. Lacey ordered Lasix and chest xrays, but the nurse assisting him suspected sepsis. The patient had come in from a nursing home and her skin was not in good shape. Sure enough, the patient had a particularly nasty pressure sore.

“The problem is that Dr. Lacey will not listen to the nursing staff and his own skills are less than they used to be. In this case, the nurse was able to convince him to follow the guidelines, but honestly, nurses have their own work to do and it doesn’t include watching over a doctor to make sure he doesn’t actually harm anyone.”

Corey nods, glumly aware that he is going to be the person who took away Dr. Santa’s ER privileges.

 

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Pediatric Nursing

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For this assignment, you will examine ethical dilemmas that exist in pediatric acute care settings, particularly

those involving genetics/genomics issues You will also explore the resources available to assist patients,

families, and healthcare professionals in solving these dilemmas, and integrate the principle of the ANA code of

Ethics.Attachment preview

NR322 Pediatric Nursing

Required Uniform Assignment: Ethical Dilemma

PURPOSE

For this assignment, you will examine ethical dilemmas that exist in pediatric acute care settings, particularly

those involving genetics/genomics issues You will also explore the resources available to assist patients,

families, and healthcare professionals in solving these dilemmas, and integrate the principle of the ANA code of

Ethics.

COURSE OUTCOMES This assignment enables the student to meet the following course outcomes.

CO #1: Providesindividualized comprehensive care for children and their families with multiple health problemsin

institutions and community care settingsfrom birth through adolescence. (PO #1)

CO #4: Utilizes critical thinking skills in clinical decision making in the care of pediatric clients. (PO #4)

CO #6: utilizeslegal, ethical, and professionalstandards and principles, including those related to child abuse recognition

and intervention, as a basis for pediatric clinical decision?making. (PO #6)

DUE DATE

Refer to Course Calendar for details. The Late Assignment Policy applies to this assignment.

TOTAL POINTS POSSIBLE

100 points

REQUIREMENTS

? Write a 2?3 page paper (not including the title page and reference page) using APA format.

? Describe an ethical dilemma you encountered in your clinical setting. Example topics related to

genetics/genomics issues include, but are not limited to: genetic testing, diagnosis of a genetic disorder,

genetic counseling (or lack thereof), pharmacogenomics, lifelong surveillance, and recruiting individuals

for genetics research.  Keep in mind to maintain the privacy of all members involved in the dilemma.

PREPARING THE ASSIGNMENT

? Identify all the relevant and applicable principles within the ANA Code of Ethics that relates to your

dilemma.

? Describe in detail how your dilemma relates to the principle(s) you have identified.

? Discuss the outcome of the dilemma to the best of your knowledge.

? Discuss the resources within the clinical agency for dealing with such ethical dilemmas.

? Utilize resources such as your textbook, journal articles, Internet sites, etc, to aid in your discussion and

to support your perspective about the situations.

? Complete the assignment using APA formatting. Include a reference page in APA format of sources

used.  You must use at least two references in this assignment (one will be the ANA Code of Ethics).

 

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Licensed Practical Nurse

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Licensed Practical Nurse 40hrs/week May2018-Present

Ft. Campbell Ky, Byrd Clinic

ProvidesgeneralsupporttotheRN, Medical Provider and PAThe LPN performs progressively complex age-specific nursing care for Military Soldiers for outpatients, which require increased judgment and independent action, according to assignment and training.

Responsible for assisting in the coordination of patient care delivery to ensure quality care according to established standards of care/practice, policy and procedures,

assist MD with frequently performed procedures.

Data collection for respective Flight Physicals

Documentation of information into AERO, MWDE, MHS Database

Administers oral, subcutaneous, and intramuscular medications

Properly set-up treatment room for procedures

Promptly set-up follow-up appointments

Coordinate patient care by assisting with referrals and appointment setting

Upload documents In to HAIMS for patient medical records

Document immunizations into AHLTA and Medpros

Assist with Triage Line

Assist with patient check-in

Provide information for Flight, Retirement, Chapter and School briefings

Vaccine administration/medication administration to include regular vaccinations and Depo injections

Perform EKG, Strep and Flu Test and urinalysis for Pregnancy

Provide and inform consent for procedure

 

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