CODES OF ETHICS AND STANDARDS FOR PROFESSIONAL NURSING

Codes of ethics and standards for professional nursing practice have been developed by some professional nursing organizations. These codes and standards guide us in our practice and our interactions with consumers, other nurses, and other healthcare professions. Select at least one of the ethical standards or one of the standards of practice and tell us how you implement this in your current practice or how you will implement it in your future practice. Which standard is most challenging to you, and why?

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Professional Nursing & Leadership

You are the nurse manager on a large unit that has 14 FTE RNs on staff, 25 FTE LPNs, and 15 FTE nursing aides, orderlies, and clerks. The schedule for the next 2 months is due in administration by next week, and you are beginning to work on it. Various requests have been submitted by personnel for vacations, educational conferences, time to attend a wedding, and long weekends, and a request from one nurse asks not to be rotated to weekend evenings or nights because her husband bowls on weekends, and she has no babysitter for their three young children. Then answer the following questions:

  • What types of additional information do you need to complete this schedule?
  • How do you honor requests as submitted? What if two of the requests for vacations came from RNs scheduled to work the same weekends, and they both asked for exactly the same days off?
  • How do you inform staff whether their requests have been honored? Are they informed by seeing the posted schedule?
  • Are requests taken in the order in which they are received? Or do you have another means of honoring requests?

Provide your responses on an APA formatted paper.

Psychology homework help
This assignment focuses on vignette analysis and direct application of course concepts to the persons and situations presented in the vignette for each question.   All discussions must take into account legal and ethical considerations, as well as issues of culture and diversity that may pertain to the situations presented below. Legal/Ethical and Cultural information is included throughout the course text. You are encouraged to use other resources for ethics and culture as needed.
Use the reading assignments thoroughly in an integrative discussion. All assignments MUST be typed, double-spaced, in APA style, and written at graduate level English. You must integrate the material presented in the text and cite your work according to APA format. Use of the internet and the University Virtual Library is encouraged, but the majority of your work should be based on the reading assignments.Please keep your responses focused on what is presented in the vignette. Do not add information but use your creativity to support what you see in the vignette as written.  Avoid elaborations and assumptions. This assignment should be 5-6 pages total
Pauline and Miriam are a lesbian couple in their mid 20’s. Pauline is Japanese-American and Miriam is from Italian descent.  The couple was referred for family therapy by their adoption agency.  They are in the process of adopting 2 children, both female. The girls are natural sisters, ages 2 and 4.  They were abandoned by their drug addicted, natural mother 8 months ago. The natural father is unknown.  As part of the adoption process, they are required to participate in 10 family sessions to assure the health and well being of the children. Both women are well-educated professionals.  Pauline complains that Miriam is an indulgent parent, “she buys them whatever they want and can’t say no”.  Miriam says that Pauline, “is ridiculous. She expects the girls to be perfect. After all they’ve been through, they deserve to be spoiled”.  During the session, you notice the sisters start to scuffle with each other.1. Utilizing the information in the reading assignments, in consideration of ethical, cultural and diversity factors, discuss how you would formulate therapy for this family?
2. Briefly discuss your treatment of this family with regard to each of the following:-  Solution-Focused Therapy-  Narrative Therapy-  Postmodern Approaches
References:
Nichols, M.P. & Davis, S.D.   (2017).   Family Therapy: Concepts and Methods .   (11th).   New Jersey   Pearson.     ISBN 9780133826821

Nutrition Research

For your nutrition research project pick a macronutrient, a micronutrient, a phyto- or zoo- chemical or a nutrition-related illness and write a research paper on it. Your research paper can be 8 to 10 pages long. Please submit it through the assignments tab as a word or pdf document.

For your nutrition research project:
1) Prepare a detailed typed report on your research paper.
2) Using scientific data, journal papers, books, and valid internet resources discuss in your report the following about your topic:
a) If you have picked a nutrient or a functional food for your project, discuss the structure and characteristics of the nutrient or composition of the functional food material.
b) If you have picked a nutrition-related disease discuss about the conditions and causes of the disease and the significance of nutrition related to the illness and how nutrition would help in prevention or possible treatment of the disease.
c) State the relevant food sources of the nutrient(s) and related disease(s).
d) What are the effects of deficiencies or overdoses of the nutrient(s) and related illness(es).
e) Discuss any DRI standards for the nutrient(s).
 
Running head: NURSING SHORTAGE 1
NURSING SHORTAGE 5


Nursing Shortage

Monica Castelao

Grand Canyon University

Nursing Shortage

Demand for improved healthcare services has increased tremendously over the years thereby creating a shortage for nurses to take care of the patients. The primary obstacle facing healthcare industry is constant changes in demography which has in turn pushed for an expansion of the working force and the period required to train new nurses (Bucha, Duffield & Jordan, 2015). Shortage of nurses has also brought up challenging values to the industry making most of the practitioners to ask themselves if they can take care of their patients when they are not enough in number. Perhaps, the primary reason for nurse’s shortage is the inability of schools enrolment of new students because of lack of nursing school faculties (Nardi, & Gyurko, 2013).

Setting

In intensive care units (ICUs) most nurses are exposed to a lot of stress. According to Rosseter (2012) primary reason for nurse’s turnover in intensive care units is their inability to counter stress associated with working in the department. On top of that, the long hours and the amount of stress also reduce nurse’s cognitive skills. World Health Organization, for instance, has given several detailed reports regarding nurse shortages in ICUs of several countries around the globe (Stoddart & Evans, 2017). The report goes further to show that staff levels and the working conditions have been the primary reasons for nursing shortages in ICUs.

Description

Intensive care unit department requires nurses to work for long hours; it is noisy and hectic since it bombards people with all different kinds of stimuli. Nursing in ICU is described as demanding since most of the activities is high risk since patients are often very sick and fighting for their lives (Urden, Stacy, & Lough, 2017). Advancement in technology has escalated the problem because it expects nurses to work very fast to help the ill by using hugely complex machines. This working setup has made most nurses dissatisfied and stressed thus making some resign or discourage other potential future nurses.

Impact

Nurses working in ICUs work for very long hours and in stressful conditions which can make them easily suffer from injuries or fatigue. In such scenarios, they are prone to making mistakes which can quickly lead to a patient in critical condition losing their lives or reduce the quality of medical care. In other words, a single error in an ICU can cause alarmingly increase mortality rates in a country that has shortages of nurses in that crucial department (Sawatzky, Enns & Legare, 2015). It is imperative also to note that these uncertain working environments in ICUs promote individualism while at the same time reduce any chances of solidarity and formations of working groups. Nurses may, therefore, feel incompetent in their work making them disengage from what they are supposed to do.

Significance

Nurses are vital in every health organization especially when providing quality health care and educating patients about their health. Nurses mostly spend a lot of time with patients during their healing process hence creating some personal relationships along the way. When considering mood and attitude required during the healing process, nurses become even more important since they are trained to persevere and take good care of the ailing patients (Oulton, 2010). Their shortage is, therefore, a global concern that should be addressed in every health organization.

Solution

Solving nurse shortages in ICUs requires innovative and long-term remedies that can solve the problem once and for all. One such solution is increased wages for nurses to compensate them for working long and stressful hours (Bryant, 2017). Another solution is to improve nursing images by encouraging the already available nurses to freely communicate with the press about the benefits of nursing to a society. A good image can help in promoting the profession by encouraging others to join the industry.

References

Bryant, C. R. (2017). From the Top Down: Assisting Critical Care Nurses in Coping with Job Stresses.

Buchan, J., Duffield, C., & Jordan, A. (2015). ‘Solving’nursing shortages: do we need a New Agenda?. Journal of nursing management23(5), 543-545.

Nardi, D. A., & Gyurko, C. C. (2013). The global nursing faculty shortage: Status and solutions for change. Journal of Nursing Scholarship45(3), 317-326.

Oulton, J. A. (2010). The global nursing shortage: an overview of issues and actions. Policy, Politics, & Nursing Practice7(3_suppl), 34S-39S.

Rosseter, R. (2012). Nursing shortage. American Association for the Colleges of Nursing. Found.

Sawatzky, J. A. V., Enns, C. L., & Legare, C. (2015). Identifying the key predictors for retention in critical care nurses. Journal of advanced nursing71(10), 2315-2325.

Stoddart, G. L., & Evans, R. G. (2017). Producing health, consuming health care. In Why are some people healthy and others not? (pp. 27-64). Routledge.

Urden, L. D., Stacy, K. M., & Lough, M. E. (2017). Critical Care Nursing-E-Book: Diagnosis and Management. Elsevier Health Sciences.

 
 Psychology homework help
 
Please no plagiarism and make sure you are able to access all resource on your own before you bid. One of the references must come from Corey, M. S., Corey, G., & Corey, C. (2018). You are expected to include at least one scholarly and peer-reviewed resource outside of those provided in the readings for each discussion post. I need this completed by 07/18/18 at 6pm.
By Day 3
· Explain how you will terminate your group. Be specific in describing the strategies you would use.
· Provide at least 2 supports or resources that you would offer members in need of help outside the group.
· Explain how you would evaluate the group experience. (This can be a more subjective gauge of group satisfaction.)
· Explain how you would measure progress toward group goals. (This should be an objective measure of group outcomes, such as a rating scale, standardized instrument, or a questionnaire.)
Here is an example of a post that a classmate completed from my group. We are doing a group for Domestic Violence Survivors:
The group that has been established is a group of Domestic Violence survivors.  With this particular group it is important to not wait until the final session to prepare the participants for the end.  As the initial stage of a group is critical to the groups functioning preparing members for the end of the group is equally imperative.  Since dealing with a group that can be an emotionally charged group, to end the group I would educate the group about what to expect during the final stages.  For instance, about two to three sessions prior to the final stage, I will remind members that the group will end and the importance of making the most of the group time; as well as helping them comprehend the benefits of being involved in the group before it ends. According to Corey, Corey, and Corey (2018) termination can begin on the first day of the group so leaders should prepare members throughout their interactions for the ending of the group.  During the video Dr. Corey (Haynes, 2014) emphasize reminding members of the ending and always preparing the for termination.  With a group like Domestic Violence survivors it can be most helpful to let them know what can be expected in an attempt to ease tension of the unknown since they come from situations that can often times be unpredictable.
Resources after Group
Even though the group sessions have been terminated it is still important to offer group members resources that they can take with them when the weekly group experience is no longer available to them.  Two resources or supports I would offer group members after the sessions have ended include a follow-up session and the option of linking with a group member.  One objective of the follow-up session would be for the member to realize how he or she is utilizing the tools learned in group in their everyday life. Dr. Corey detailed the importance of follow-up groups and how they allow members to explore what they have achieved while in the group outside of the group (Haynes, 2014).  Like the follow-up sessions, linking with a former group member will give the member support as well as an accountability partner.  These resources can give members a reference when the group is no longer available for support and help members identify things that they have or wish to accomplished.
Evaluations
After the group experience has ended a tool that can be used to evaluate the group experience is a questionnaire.  According to Corey (et. al 2018) questionnaires encourage members to again reflect and one more time put into words the meaning of their experiences in the group.  Questionnaire also give the group leader a tool to measure how well the group benefitted the members and gives the leaders an opportunity to make constructive changes.  Another way to evaluate the group experience is to check in with the members during the final meeting to hear what different members have to report about their experiences of the group (Haynes, 2014).  This dialogue could help the members and leaders to gauge the mindsets of the members from the first session to the last sessions.  In other words, it will allow all involved to witness that the feelings and attitudes may have changed since the initial session.  Evaluations are helpful to the group experience since it can benefit both members and leaders.
References
Corey, M. S., Corey, G., & Corey, C. (2018). Groups: Process and practice (10th ed.). Boston, MA: Cengage.
Haynes, R. (2014). Groups in action: Evolution and challenges [Video file]. Borderline Productions.

Research priorities on nursing leadership
This week’s Discussion asks you to choose a research priority from the list that is shared in your Resources for the week.  You are asked to find 2-3 articles that address the selected priority, and based on what you find in those articles and in your searches more generally, reflect on the state of research in the priority area you have chosen.
To do this, you will need to:

  • identify Nursing databases useful for this research
  • identify search terms that will produce useful search results in the Nursing databases
  • conduct a search that turns up useful results on a chosen research topic from the Resource listed
  • assess the current state of research on your selected priority, based on the existence (or non-existence) of results

The Walden University Library can help!  On this page you will find information on a Library Lab that offers live instruction on how to research this discussion post.  See the box below for details on dates and times that the Lab is offered live, as well as links to watch recordings of previous sessions.
You will also find guidance on how to choose useful databases, identify good search terms, and conduct an effective search.  Then, you can draw your conclusions about the state of research for the priority you have chosen, and respond to the discussion post.

Discussion
Isaac has worked as a staff nurse on the telemetry floor for over 15 years. He holds seniority in the unit. His patient care is satisfactory; however, his interpersonal behaviors are becoming an increasing issue for his coworkers. He throws papers around the unit, gives short answers to questions, and seems generally miserable. He tells the staff that they are lazy and stupid. He is constantly questioning their decisions. You have come from another local hospital in the role of the assistant nurse manager. Based on your observations, you have met with Isaac informally and discussed his behaviors, but they have not changed. Now three new nurses have already come to you saying that this unit is a great match for them, except for one problem. Although they have not identified Isaac by name, they have told you that one of the nurses is extremely abusive verbally, and they have been calling in sick on the days they are scheduled to work with this person.

1. What are your responsibilities as an assistant nurse manager in regard to Isaac’s behavior problem?

2. What is the next step in dealing with Isaac’s behaviors?

3. How will you, as the manager, have Isaac develop more effective people skills?

This is your first position as a nurse manager. The holidays are rapidly approaching, and the hospital policy states that each unit will negotiate holiday coverage individually. You are already getting requests via e-mail and on Post-it notes for holiday time. Several staff members have come to you stating that they “never” seem to get their requests for holidays. Discussion among the staff members is creating dissension and conflict.

1. Discuss the potential impact of this problem on you and the unit staff.

2. Describe a minimum of one positive consequence and one negative consequence of this conflict.

3. Select a model of conflict resolution and explain how you, as a nurse manager, might resolve this conflict.

Lab 1 Introduction to Science BIO101

Student Name: Click here to enter text. Kit Code (located on the lid of your lab kit):

Exercise 1: Data Interpretation

Dissolved oxygen is oxygen that is trapped in a fluid, such as water. Since many living organism requires oxygen to survive, it is a necessary component of water systems such as streams, lakes and rivers in order to support aquatic life. The dissolved oxygen is measured in units of ppm (parts per million). Examine the data in Table 4 showing the amount of dissolved oxygen present and the number of fish observed in the body of water the sample was taken from; finally, answer the questions below.

Table 4: Water Quality vs. Fish Population
Dissolved Oxygen (ppm) 0 2 4 6 8 10 12 14 16 18
Number of Fish Observed 0 1 3 10 12 13 15 10 12 13


Post-Lab Questions

1. What patterns do you observe based on the information in Table 4?

Click here to enter text.

2. Develop a hypothesis relating to the amount of dissolved oxygen measured in the water sample and the number of fish observed in the body of water.

Click here to enter text.

3. What would your experimental approach be to test this hypothesis?

Click here to enter text.

4. What would be the independent and dependent variables?

Click here to enter text.

5. What would be your control?

Click here to enter text.

6. What type of graph would be appropriate for this data set? Why?

Click here to enter text.

7. Graph the data from Table 4: Water Quality vs. Fish Population (found at the beginning of this exercise).

Insert graph here:

8. Interpret the data from the graph made in Question 7.

Click here to enter text.

Exercise 2: Testable Observations

Determine which of the following observations are testable. For those that are testable, answer the following:

Determine if the observation is qualitative or quantitative. Write a hypothesis and null hypothesis. What would be your experimental approach? What are the dependent and independent variables? What are your controls – both positive and negative?

Observations

1. A plant grows three inches faster per day when placed on a window sill than it does when placed on a on a coffee table in the middle of the living room.

Testable?- Hypothesis- Null Hypothesis- Experimental Approach- Dependent Variable- Independent Variable- Control(s)-

2. The teller at the bank with brown hair and brown eyes is taller than the other tellers.

Testable?- Hypothesis- Null Hypothesis- Experimental Approach- Dependent Variable- Independent Variable- Control(s)-

3. When Sally eats healthy foods and exercises regularly, her blood pressure is 10 points lower than when she does not exercise and eats fatty foods.

Testable?- Hypothesis- Null Hypothesis- Experimental Approach- Dependent Variable- Independent Variable- Control(s)-

4. The Italian restaurant across the street closes at 9 pm, but the one two blocks away closes at 10 pm.

Testable?- Hypothesis- Null Hypothesis- Experimental Approach- Dependent Variable- Independent Variable- Control(s)-

5. For the past two days, the clouds have come out at 3 pm, and it has started raining at 3:15 pm.

Testable?- Hypothesis- Null Hypothesis- Experimental Approach- Dependent Variable- Independent Variable- Control(s)-

6. George did not sleep at all the night following the start of daylight savings.

Testable?- Hypothesis- Null Hypothesis- Experimental Approach- Dependent Variable- Independent Variable- Control(s)-

Exercise 3: Unit Conversions


For each of the following, convert each value into the designated units.

1. 46,756,790 mg = kg

2. 5.6 hours = seconds

3. 13.5 cm = inches

4. 47 °C = °F

Exercise 4: Accuracy and Precision

For the following, determine whether the information is accurate, precise, both or neither.

1. During gym class, four students decided to see if they could beat the norm of 45 sit-ups in a minute. The first student did 64 sit-ups, the second did 69, the third did 65, and the fourth did 67.

2. The average score for the 5th grade math test is 89.5. The top 5th graders took the test and scored 89, 93, 91 and 87.

3. Yesterday the temperature was 89 °F, tomorrow it’s supposed to be 88 °F and the next day it’s supposed to be 90 °F, even though the average for September is only 75 °F degrees!

4. Four friends decided to go out and play horseshoes. They took a picture of their results shown below:

5. A local grocery store was holding a contest to see who could most closely guess the number of pennies that they had inside a large jar. The first six people guessed the numbers 735, 209, 390, 300, 1005 and 689. The grocery clerk said the jar actually contains 568 pennies.

Exercise 5: Significant Digits and Scientific Notation

Part 1: Determine the number of significant digits in each number and write out the specific significant digits.

1. 405000

Number of significant digits- Specific significant digits-

2. 0.0098

Number of significant digits- Specific significant digits-

3. 39.999999

Number of significant digits- Specific significant digits-

4. 13.00

Number of significant digits- Specific significant digits-

5. 80,000,089

Number of significant digits- Specific significant digits-

6. 55,430.00

Number of significant digits- Specific significant digits-

7. 0.000033

Number of significant digits- Specific significant digits-

8. 620.03080

Number of significant digits- Specific significant digits-

Part 2: Write the numbers below in scientific notation, incorporating what you know about significant digits.

1. 70,000,000,000 –

2. 0.000000048 –

3. 67,890,000 –

4. 70,500 –

5. 450,900,800 –

6. 0.009045 –

7. 0.023 –

Exercise 6: Percentage Error

In the questions below, determine the percentage error.

1. A dad holds five coins in his hand. He tells his son that if he can guess the amount of money he is holding within 5% error he can have the money. The son guesses that he is holding 81 cents. The dad opens his hand and displays 90 cents. Did the son guess close enough to receive the money from his father?

2. A science teacher tells her class that their final project requires the students to measure a specific variable and determine the velocity of a car with no more than 2.5% error. Jennifer and Johnny work hard and decide the velocity of the car is 34.87 m/s. The teacher informs them that the actual velocity is 34.15 m/s. Will Jennifer and Johnny pass their final project?

3. A locomotive train is on its way from Chicago, IL to Madison, WI. The trip is said to last 3.15 hours. When the train arrives in Madison the conductor notices it actually took them 3.26 hours. The train company prides itself on always having its trains to the station within a 3% error of the expected time. Will the train company live up to its reputation on this trip?

4. A coach tells his little league players that hitting a 0.275 batting average, within 7% percentage error, means that they had a really great season. Seven year old Tommy ended the season hitting a 0.258 batting average. According to his coach, did he have a great season?

Exercise 7: Experimental Variables

Determine the variables tested in the each of the following experiments. If applicable, determine and identify any positive or negative controls.

1. A study is being done to test the effects of habitat space on the size of fish populations. Different sized aquariums are set up with six goldfish in each one. Over a period of six months, the fish are fed the same type and amount of food. The aquariums are equally maintained and cleaned throughout the experiment. The temperature of the water is kept constant. At the end of the experiment the number of surviving fish are surveyed.

A. Independent Variable:

B. Dependent Variable:

C. Controlled Variables/Constants:

D. Experimental Controls/Control Groups:

2. To determine if the type of agar affects bacterial growth, a scientist cultures E. coli on four different types of agar. Five petri dishes are set up to collect results:

. One with nutrient agar and E. coli

. One with mannitol-salt agar and E. coli

. One with MacConkey agar and E. coli

. One with LB agar and E. coli

. One with nutrient agar but NO E. coli

All of the petri dishes received the same volume of agar, and were the same shape and size. During the experiment, the temperature at which the petri dishes were stored, and at the air quality remained the same. After one week the amount of bacterial growth was measured.

A. Independent Variable:

B. Dependent Variable:

C. Controlled Variables/Constants:

D. Experimental Controls/Control Groups:


 Psychology homework help
 Memory and technology
Revisit the Module One Areas of Interest and Practical Applications in Cognitive Psychology discussion topic, where you examined your interests, potential problems, and applied settings related to cognitive psychology. Building on those conversations, draft a topic suggestion by identifying your particular area of interest in cognitive psychology (attention, learning, memory, language, or decision making), select an applied setting (education, law, mental health, or technology), and describe the contemporary problem as it relates to your topic and setting. Last, draft three potential research questions that explore potential improvements related to your topic and the applied setting.
For example, if you suggested the topic of attention and online students, the applied setting would be education, and you might develop the following research questions:

  • How does multitasking while studying (e.g., listening to music while reading, or texting while reading) influence attention to course material?
  • How do individuals with ADHD perform in an online learning environment, and what strategies can help them succeed?
  • What strategies can teachers and students use to increase attention to relevant material in an online course?

Memory and technology