Week 6: Standards of Practice 7979 unread replies.114114 replies. This week’s graded discussion topic relates to the following Course Outcome (CO). CO3 Describe standards of practice for culturally competent nursing care. (PO 6) The basis for our lesson this week came from the Standards of Practice for Culturally Competent Nursing Care Executive Summary, Transcultural Nursing Society: http://www.tcns.org/TCNStandardsofPractice.html (Links to an external site.)Links to an external site.. Your nursing leader has decided that the department needs to better incorporate these Standards of Practice for Culturally Competent Nursing Care into the nursing care delivery model at your organization. There are 12 Standards. Read the Executive Summary. Select ONE one of the 12 Standards in the Summary. Does your department or /organization currently give credence to this standard? If so, how? Think about the standards as they relate to culturally sensitive care. If not, offer suggestions of how the standard can be incorporated into patient care or your organization as a whole. Note: There are 12 standards, so make sure you choose a standard that another student has not described. We all have different takes on a standard so the standard should be specific for the patient population or organization. The typical number of students in a class means that we should only read about a particular standard twice. And, keep in mind that each of us does not work in an acute care setting, so examples from other practice settings will add to our discussion.
Assignment Details
NU310-6: Synthesize research evidence for best practice to improve patient outcomes.
The purpose of this assignment is for you to incorporate research evidence into a clinical model for a practice change. Using the Iowa Model for Evidence Based Practice as a guide, develop a concept map/schematic that shows the pathways necessary for a clinical change that you would like to see implemented in your current practice setting.
The concept map should include the 7 steps below in schematic format:
1. Formulate a clinical problem that is nursing sensitive and patient focused. Develop a PICO statement to articulate a research question>
P=Population (Who is your population of interest to be affected?)
I= Intervention (What intervention will you implement to address the clinical problem?)
C= Comparison (Will you be comparing one intervention with another or an intervention with existing protocols?)
O= Outcome (What is the desired outcome from the intervention?)
T= Time (How long will the change take to implement?)
2. Determine organizational commitment
3. Develop a team to gather and appraise evidence
4. Determine if reasonable evidence exists to implement the clinical change
5. Implement a pilot change to test the feasibility
6. Evaluate the change/plan
7. Disseminate the results.
- The schematic/concept map should fit on one page. On a separate page, explain the rationale and process of each step of your model (briefly), incorporating references as cite sources in correct 6th edition APA style and format. You do not need to include a title page for this assignment. Provide your reference list on a separate page, with between 4-5 current scholarly references. The total submission should be no more than 3 pages. Record the hours that you spent completing each aspect of this assignment (preparation, reading, writing, etc.) on the Practice Experience Log. Submit this log along with your assignment to the Dropbox.
401005 : Nursing – Human Relationships And Life Transitions – Nursing Assessment Help
TASK
Demonstrate an understanding of the components of human development including psychological, social, cognitive and moral components of human development throughout the lifespan from pre-birth to older age.
Explain the nature of human relationships across the lifespan, social attachments and the influence of culture on human development.
Identify coping strategies used to manage life transitions in each stage of the lifespan
Explain the relevance of human relationship and life transition concepts to nursing and midwifery practice
Q2
Activity-Based Product Costing Suppose that a surgical ward has gathered the following information for four nursing activities and two types of patients:
Required:
1. Determine the total nursing costs assigned to each patient category.
2. Output is measured in patient days. Assuming that the normal patient category uses 10,000 patient days and the intensive patient category uses 8,000 patient days, calculate the nursing cost per patient day for each type of patient.
3. Conceptual Connection: The supervisor of the surgical ward has suggested that patient days is the only driver
QUESTION
Nursing research
Library Assignment
Critique a Research Article
A critique is a method of displaying a logical and organized analysis of a written or oral piece. Critique can provide the readers with both positive and negative outcomes depending on the author. The purpose of this assignment is for the student to perform a critique on a research article that deals with today’s health issues. In this paper the student must be diligent at what the author are claiming, taking into account the research methods being utilized and look for pros and cons of the researcher’s outcomes.
The assignment must be a minimal of five pages, excluding title page and references. The assignment must be strictly following APA guidelines, points will be deducted if otherwise. Do not use first person throughout the paper until the section called evaluate the paper. It will be divided in the following manner:
Title page: Give the name of the article, the authors name(s) and your name. Following APPA
Introduction:
· Provide an overview of the author’s research problem, research questions and main point including how the author supports his or her point.
· Explain what the author initial objectives (hypothesis) and results including the process he or she used to arrive at such conclusion.
Evaluate the Research Methods: in paragraph form answer the following:
· Does the author provide a literature review?
· Is the research current and relevant to today existing health issues?
· Describe the research type utilized?– experimental, non-experimental, quasi experimental, etc.
· Evaluate the sample (size, composition, or in the way the sample was selected in relation to the purpose of the study? Was the sample appropriate for the research or was it bias?
· How practicaldoes this work seem to you? How does the author suggest research results could be applied and how do youbelieve they could be applied?
· Could the study have been improved in your opinion? If so provide how you think it could have improved.
· Is the writing in the article clear straightforward?
· Can further research be conducted on this subject? Explain
Conclusion: In your conclusion, try to synthesize the pieces of your critique to emphasize your own main points about the author’s work, relating the researcher’s work to your own knowledge or to topics being discussed in your course.
Reference Page: APA style, see rubric below
Required Reading and Resources
Centers for Disease Control and Prevention [CDC]. (2012). Lesson 4: Displaying public health data. In Principles of epidemiology in public health practice [3rd ed.]. Retrieved from www.cdc.gov/ophss/csels/dsepd/ss1978/lesson4/index.html
Cook, A., Netuveli, G., & Sheikh, A. (2004). Chapter 1: Laying the foundations: Measurements and probability. In Basic skills in statistics: A guide for healthcare professionals (pp. 3-14). London, GBR: Class Publishing. eISBN: 9781859591291.
Statistics Learning Centre. (2011, December 13). Types of data: Nominal, ordinal, interval/ratio . Retrieved from http://www.youtube.com/watch?v=hZxnzfnt5v8
Norman, G. R., & Streiner, D. L. (2014). Section the first: The nature of data and statistics: Chapter 1: The basics. In Biostatistics: The bare essentials [4th ed., e-Book]. Shelton, Connecticut: PMPH-USA, Ltd. eISBN-13: 978-1-60795-279-4. Available in the Trident Online Library EBSCO eBook Collection.
Partners in Information Access for the Public Health Workforce. (2016, August 9). Health data tools and statistics. Retrieved from https://phpartners.org/health_stats.html
HOMEWORK ASSIGNMENT:
Part I (approximately 1–1½ pages, total):
Copy and paste the following examples (1-6 below), then respond by classifying each of the following variables as either: nominal, ordinal, interval, or ratio. Provide a brief explanation where indicated.
- A researcher studying lifespan categorizes individuals into single, married, divorced, or widowed. What type of variable measurement is this?
- A cognitive scientist places her subjects into categories based on how anxious they tell her that they are feeling: “not anxious,” “mildly anxious,” “moderately anxious,” and “severely anxious,” and she uses the numbers 0, 1, 2 and 3 to label categories where lower numbers indicate less anxiety. What type of variable measurement is this? Are the categories mutually exclusive?
- A Physician diagnoses the presence or absence of disease (i.e., yes or no). What type of variable measurement is this?
- A person weighing 200 lbs. is considered to be twice as heavy as a person weighing 100 lbs. In this case, what type of measurement is body weight?
- A nurse takes measurements of body temperature on patients and reports them in units of degrees Farenheit as part of a study. What type of variable measurement is this?
- Patients rate their experience in the emergency room on a five point scale from poor to excellent (1 = very poor, 2 = not very good, 3 = neither good nor bad, 4 = quite good, and 5 = excellent). What type of variable measurement is this? Is the difference between a 1 and a 2 necessarily the same as the difference between a 3 and a 4? Explain briefly.
Part II: Statistics (1/2 page)
Given what you’ve learned in this module about the meaning of “statistics,” choose one of the examples from Part I (1-6), and raise a relevant question of your own that could be answered by a statistician. Then without answering your own question, explain how a pattern could be studied or a useful prediction made based on data that are to be collected.
Part III: Quantitative vs. Qualitative Data (approximately 1–1½ pages)
A health scientist wishes to measure how well participants diagnosed with Post Traumatic Stress Disorder are coping. Explain how a variable such as coping could be measured quantitatively or qualitatively.
Question Description
Week 1 Personal Nursing Philosophy, Part 1
After reading this week’s assigned chapters, think about your nursing philosophy. In your own words, discuss your philosophy of nursing. Reflect on the definition of the four concepts of the nursing meta-paradigm. Write your own definition for each concept of the meta-paradigm of nursing. Which concept would you add to the meta-paradigm of nursing and why? Which concept would you eliminate and why?
Your paper should be 1–2 pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. Cite at least one outside source using APA format.
Recommended: Before you begin, review chapters 13 and 14 in A Pocket Style Manual (APA)
OR
Click here for examples on how to format in-text citations and reference lists.
For instance, if you were using your text as a resource, it would be listed like this on your reference list:
McEwen, M., & Wills, E. M. (2014). Theoretical basis for nursing (4th ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Due: Sunday, 11:59 p.m. (Pacific time)
Points Possible: 50
lbaugh, J. 2003. “Keeping Nurses in Nursing: The Profession’s Challenge for
Today.” Urologic Nursing 23 (3): 193–99.
Albright, L. E., J. R. Glennon, and W. J. Smith. 1963. The Use of Psychological Tests
in Industry. Cleveland, OH: Howard Allen.
Algier, A. J. 2013. “L+M Offers Bonuses, Urges Vote on Contract.” The Westerly Sun. Pub-
lished December 12. www.thewesterlysun.com/news/westerly/3132613-129/
lm-offers-bonuses-urges-vote-on-contract.html.
Allen, D. G., T. V. Mahto, and R. F. Otondo. 2007. “Web-Based Recruitment: Effects
of Information, Organizational Brand, and Attitudes Toward a Web Site on
Applicant Attraction.” Journal of Applied Psychology 92 (6): 1696–1708.
Alonzo, A. 2014. “YRC Union Workers Approve New Labor Pact.” Kan-
sas City Business Journal. Published January 26. www.bizjournals.com/
kansascity/news/2014/01/26/yrc-union-workers-approve-new-labor-pact.
html?page=all.
American Association of Colleges of Nursing. 2014. “Nursing Shortage Fact
Sheet.” Updated April 24. www.aacn.nche.edu/media-relations/fact-sheets/
nursing-shortage.
Q2
Write a 1,000-1,250 word paper examining how the Conceptual – Theoretical – Empirical (CTE) structure translates into nursing practice based on one of the middle range theories
Write a 1,000-1,250 word paper examining how the Conceptual – Theoretical – Empirical (CTE) structure translates into nursing practice based on one of the middle range theories that has been formulated or derived from your preferred conceptual model of nursing. Translate and apply the selected theory to nursing practice using actual examples. Evaluate the theory using the CTE steps below:
Evaluation of the conceptual-theoretical-empirical linkages.
Evaluation of the selected theory.
Evaluation of the empirical indicators.
Evaluation of research findings.
Evaluation of the utility and soundness of the practice theory.
Think about health information for yourself and your extended network of family and friends. Discuss consumer health informatics touching on the following:
1) Does information flow in an efficient and effective consumer-centric way? For example, do you have easy access to your own lab results, reports, appointments, immunizations, significant health history, prescriptions/refills online?
2) Can and do you email your doctor?
3) If you don’t already access to your electronic health record, try setting up your own electronic personal health record or family health history https://familyhistory.hhs.gov or http://www.microsoft.com/healthvault
4) Share your perspectives on persona health records based on relevant readings from the textbook, videos, or other research in addition to personal experience with your own personal health record such as MyHealtheVet, Kaiser’s My Health Manager, or Microsoft HealthVault.
5) A new initiative is focusing on the health care consumer. http://www.healthit.gov/patients-families Take a look at this web site.
Overall, Share your thoughts on the value of consumer engagement in health information.
Q2
QUESTION
Statistics for Nursing Research: A Workbook for Evidence-Based Practice
Complete Exercises 6, 8, and 9 in Statistics for Nursing Research: A Workbook for Evidence-Based Practice, and submit as directed by the instructor.
Use MS Word to complete “Questions to be Graded: Exercise 27” in Statistics for Nursing Research: A Workbook for Evidence-Based Practice. Submit your work in SPSS by copying the output and pasting into the Word document. In addition to the SPSS output, please include explanations of the results where appropriate.
one paragraph each post
Desiree post
Skeletal growth along with brain development, grow rapidly during early childhood. Although it can vary from culture to culture, the fact remains that there will be undeniably a growth spurt in physical and mental development. Skeletal growth is what is the most obvious during development. We notice the physical changes of children getting taller, thinner, baby teeth falling out and even facial maturity. Brain development is noticeable over a period of time. Memory, language, attention, and coordination can all be indicators of mental development.
Asthma is said to be the most chronic disease in child development. It is defined as “a condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath” (Clinic, 2016). Factors that have a major influence on asthma are pre and post birth smoking environments. Another factor that grossly effects asthma is air pollution. “Air pollutions exposure before 2-3 years of age appear most important for asthma development” (Nina Clark, 2010). Although there is no cure for asthma, nebulizers and inhalers are used to keep it under control. This health issue is so important to me because my husband suffers from severe asthma, and I worry that it will be passed down to our young daughters.
LaRoya post
During the preschool age, children learn how to regulator their physical development and movement patterns through physical activities & play. Gross motor skills are essential for running jumping and throwing throwing. Gross motor skills develop faster than fine motor development skills, which progress at a slower pace during this age range. Physical activities that develop and nurture preschoolers’ coordination, fine motor skills and gross motor skills will benefit them to progress physically and it may also increase their interactions and performance times with one another. Educating children about having a healthy lifestyle and encouraging a positive body image is critically imperative at this age. The most vital way for parents to assist children in developing a lifestyle of healthy attitudes and behaviors towards food and exercise is to train, to demonstrate, and to encourage correct eating and activity patterns. It is also imperative to continue to deliver children with love and nurturing that builds string, positive self – images based on attributes other than appearance is important as well.
It is extremely important for child’s health development to be assessed and observed. This is the period in which young children reach their developmental milestones emotional, cognitive and motor skills. During this time young children are at risk of many health conditions, one that is extremely known is obesity. Childhood obesity raise the risk for cardiovascular disease and can affect every organ system in the body. For this reason it is imperative to detect this disease at an early stage to ensure that the needed treatment are given to maintain a healthy weight throughout life. There are very limited management programs therefore it is crucial to create a well balanced nutrition plan, emphasizes exercise are very critical. There is an increase recognition of rare monogenic variants causing severe early Kinsey obesity. Some genetic cause such as leptin deficiency or Prader-Willi Syndrome though rare, maybe amenable to treatment and inform to societal attitudes towards severe obesity.
Critique Stacia and Tenora post in one paragraph
Stacia post
Miguel Soto-Escobar is a five-year-old Hispanic kindergarten student. He is an English language learner who was considered low birth weight being born at five pounds. Miguel’s most significant challenge is language which is compounded by a speech disorder. He has difficulty verbalizing his work and expressing himself. Miguel’s strengths include understanding directions in Spanish and physical tasks. Miguel has great fine and gross motor skills and positive interactions with his peers.
Low Birth Weight and Cognitive Development.
Miguel was born at what is considered be a low birth weight of five pounds. Low birth weight has documented effects on children’s development. Miguel’s birth weight could attribute to some of his developmental delays. Physical, cognitive, and neurobehavioral impairments are associated with low birth weight in children. Language and executive functioning issues are deficits of lower birth weights. (Browne, Jenkins, Madigan, & Plamondon, 2014).
Jean Piaget.
Jean Piaget proposed the cognitive theory of development. His stages of cognitive development have shaped how we understand how children think in the earliest stages of life. Piaget believed that children learned by their experiences or exposure to the environment. According to him, children construct their own knowledge of the world based on their individual experiences. All in all, Piaget states that the best way for children to learn is by doing. He constructed his theory by building on the Montessori theory that children must do everything for themselves in order to learn. (Berk & Meyers, 2015).
Language Areas within the Brain.
Language for most people is located in the left hemisphere of the cerebral cortex. There are two structures within the cerebral cortex that assist with the areas functions, Broca’s Area and Wernicke’s Area. Broca’s area is in the front to support processing of grammar and production of language. Wernicke’s area is in the temporal lobe and comprehends word meaning. Both areas work together as to not allocate one area as responsible for specific functions. (Berk & Meyers, 2015). Impaired pronunciation in Miguel’s speech impediment could be attributed to Broca’s aphasia.
Tenora post
The chosen subject for child development case study and evaluation is Gwen Cohen-Green a happy little girl who lives at home in the suburban dwelling with her parents. The family is Jewish in religion and Gwen’s parents are undergoing some marital issues according to the case study. The information about Gwen that can be utilized in analyzing developmental and cognitive theories that applies to her current behavior and attitude is her being active and switching moods form time to time. Gwen is very expressive and out rightly expresses herself through dancing and singing when she is happy but Gwen turns out to be disruptive and can be violent to other classmates when she is mad. There is also an apparent behavior of Gwen where she is a creative thinker and likes to engage in imaginative play.
Piaget’s cognitive theory explains the relationship between the child’s problematic behavior and the presence of parental conflicts. This theory can explain the disruptive behavior or Gwen in school and her failing marks. The parental conflict severity varies and it can result to different maladaptation on the coping ability of the child (Piaget, 2007). There are little information regarding the nature of the parental conflict experienced by Gwen as reflected in the case study but the intensity, the content, duration as well as resolution can all be attributed to maladaptive behaviors.
Piaget’s theory differed from empiricist theories of development, which suggest that children learn through experience, and nativist theories, which maintain humans are born with innate knowledge that gradually matures.
At Gwen’s age, the child often understands the concepts of fairness, sharing, empathy and compassion for another person’s plight. She learns to focus more on alternative perspectives and can see other possibilities to the problems or situations she faces and can absorb her parent’s marital problems and manifests itself as childhood confusion.
An aspect of Vygotsky’s theory is the idea that the potential for cognitive development depends upon the “zone of proximal development” (ZPD): a level of development attained when children engage in social behavior. Full development of the ZPD depends upon full social interaction. Vygotskys (2009) believes in social constructivism is a sociological theory of knowledge according to which human development is socially situated and knowledge is constructed through interaction with others. He proposes that when a child is exposed to constant parental issues, problems with her interaction with other child is affected considerably.
References:
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