Imagine that you have been appointed the Director of Health at the Kaluyu Memorial Hospital in Nairobi, Kenya – a for-profit hospital. The facility is also a referral hospital and receives severe cases of accidents, chronicle / communicable diseases and houses an HIV / AIDS ward. As you settle into your position, you realize that the employees always act scared as they approach their superiors. Some of the employees even deliver files and leave your office in a hurry.

As you make your routine departmental visits, you realize that there are tensions between nurses and doctors, and there is a sentiment that the nurses tend to do the majority of the work within patient care but the doctors get all the credit. You realize that the employees are always looking forward to the end of their shifts to go home. Some employees even come back to work wearing the same unwashed clothes as the previous day. Too many employees are calling in sick, and many of them give weak reasons for their tardiness.

There is also a sense that employees and nurses dominate other employees in similar positions. In meetings and conference calls some employees are always quiet and never participate. You notice that people with families tend to gather and talk quietly on breaks. The new mothers working for the hospital have to use bathrooms to pump breast milk for their infants and the refrigerators do not work well. Looking at the financial statements of the hospital, you realize that the hospital expenses are higher than the industry standard, and it makes losses year after year.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a four to six (4-6) page paper in which you:

Investigate the major demotivational factors at Kaluyu Memorial Hospital. Assess the level of impact that the identified factors could have on specific areas of service and business if the administration does not address the situation. Support your response with at least two (2) examples of the potential negative impact of the identified demotivational factors on the hospital.
Choose Maslow’s, Herzberg’s, or McClelland’s model of motivation, and argue the primary reasons why it is applicable to the Kaluyu Memorial Hospital scenario.
Formulate a communication system that will have the greatest impact on improving the situation, and specify the major reasons why your system will influence the employee behaviors for the better. Justify your response.
Use four (4) recent (within the last five [5] years) quality academic resources in this assignment.
Note: Wikipedia and other websites do not qualify as quality academic resources. 

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.

Formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular   clinical area and identifies clinical problems or issues that arise   from clinical care. The intervention should be an independent,   specified nursing change intervention. The intervention cannot require   a provider prescription. Include a comparison to a patient population   not currently receiving the intervention, and specify the timeframe   needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the   assigned readings. The PICOT statement will provide a framework for   your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem   and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing   Practice

Prepare this assignment according to the guidelines found in the APA   Style Guide. An abstract is not required.

This assignment uses a rubric.

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

Rubric:

1. Clinical problem/issue is identified based on key concepts that define evidence-based practice or clinical experience. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can show a marked improvement through a nursing intervention. 

2. Clinical problem/issue description includes a developed and thorough explanation of the problem/issue, the setting, the patient population, and the rationale for why it is a problem/issue. The identified clinical problem/issue explains the following elements with detail and clarity: evidence-based solution, nursing intervention, and improved patient care consistent with specific health care agency resulting in nursing practice change. Sound rationale is provided in the discussion of the clinical problem/issue resolution. 

3. PICOT statement clearly focuses on the resolution of a clinical problem/issue and aims at improving patient care through the application of an evidenced-based nursing intervention.

4. Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details. 

5. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 

6. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

7. Writer is clearly in command of standard, written, academic English. 

8. All format elements are correct.

9. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 

  • 1-s2.0-S019665531400649X-main.pdf
  • 1-s2.0-S096433971730071X-main.pdf
  • document.pdf
  • document1.pdf
  • document2.pdf
  • Improving_Registered_Nurses_K.pdf
  • NPSG_Chapter_HAP_Jan2019.pdf
  • GCULibraryResources-NursingHealthSciences.html
  • Strategiestopreventcentralline-associatedbloodstreaminfecti.pdf
  • Articles1.docx

Nursing case study

You are a nurse educator and one of your students came to you seeking your advice.

He complained that he usually instead of doing his work assignments; he find himself sidetracked doing other things such as talking with friends on the phone, watching TV, playing music while avoiding his required school assignments.

He tells you that he keeps delaying doing his work till the last minute and keeps telling himself I will do and I will finish, but what he does is postponing  and not completing his work.

As an educator and based on the student’s description; what is the name for such behavior and how can you help the student overcome this unhealthy behavior or habit ?

QUESTION

NSG 5522 Family Nursing: Theory, Research, and Practice

Thanks,

NSG 5522 Family Nursing: Theory, Research, and Practice

Genogram/Ecomap Assignment

Purpose: Genograms provide a quick and useful context in which to evaluate an individual’s health risks. Eco-maps are important because, when fully completed, they serve as a tool to highlight different the relationships and human resources in the person’s life. These resources and the information about each relationship then serve as a starting point when addressing the featured person’s needs.

Course Objective: Compare and contrast a variety of theoretical frameworks to understanding dynamics within families.

Directions:

  • Choose a family (for this assignment this can be your own family)
  • Refer to the Boxs and Figures in your text in developing a family genogram and eco map.
  • Use the symbols posted in the Figure in your text
  • Include birth/death dates, relationships, and health problems/risks
  • Complete an in depth analysis of the information gained in the genogram and eco map.
    • In writing up your analysis use high quality/scholarly writing skills.
    • Use references more than 2 references less than 5 years and peer review
    • Due date 01/26/2017
    • 5-6 pages in APA formatFigures from my text book below:Book reference:Kaakinen, J.R., Gedaly-Duff,V. Coehlo, D.P., & Hanson, S.M.H. (2015). Family health care nursing: Theory, practice and research (5th ed.). Philadelphia: FA Davis.NOVA SOUTHEASTERN UNIVERSITYCOLLEGE OF NURSING NSG 5522 Family Nursing: Theory, Research, and PracticeGenogram/Ecomap RubricThis assignment is due according to the date posted on the Assignments and Activities Schedule.

Arial font 12 , 500 words

1.  a. Discuss current factors that influence the public’s image of professional nursing? b. How can you as a nurse/student nurse, tell members of society what professional nurses do?

2. a. What advantages do women have in nursing? b. What advantages do men have in the profession?  c.What are the risks of being gender exclusive?

3. a.Discuss present trends associated with the profession of Nursing. b. What do you think the profession of Nursing will look like in 10 years from now?

Discussion Question 2 Using the South University Online Library or the Internet, research about nursing informatics or technologies used in nursing. Based on your research, answer the following questions:

Discussion Question 2

Using the South University Online Library or the Internet, research about nursing informatics or technologies used in nursing. Based on your research, answer the following questions:

·         What technology does your facility use?

·         How has it improved patient care or outcomes?

·         What can be done to make it more useful or to further improve patient care or outcomes?

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.

Assignment 2: Nursing Theory Analysis Paper on Dorthea Orem Overview/Description: The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below. Theory/Author Name and Background Select a Grand or Mid-Range Theory that is appropriate to your practice setting. Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development. Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory. Identify the phenomenon of concern or problems addressed by the theory. Theory Description Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion. Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory? Interpret how the concepts are defined. Implicitly or explicitly? Examine the relationships (propositions) among the major concepts. Evaluation Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build? Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why? Discuss the clarity of the theory. Did it have lucidness and consistency? Application Examine how the theory would guide nursing actions. Describe specifically how you can use this theory in your area of nursing (Practice, Education, Informatics or Administration). APA Style/Format

Case Study:

Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy.   Mrs. Adams apartment is located in a low income area of the city where crime is prevalent.  Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her cloths appeared unchanged and she had no food in the apartment.  The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner.

  • Using Nightingales Environmental Theory, what actions would the nurse take upon the first assessment? What are the five essential components?
  • What would be an appropriate plan of care be for Mrs. Adams? How would you prioritize the care plan?
  • Apply Nightingale’s Environmental Theory to an area of your nursing practice?  What patient population would benefit from this approach?  Support this practice change with at least one evidenced-based article.

The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 3 outside references and the textbook. The paper should be in APA format with a title page, level headings, and reference page.

 The field of public health is constantly faced with serious issues affecting the health of populations, from chronic diseases, such as diabetes and obesity, to communicable diseases, such as influenza and HIV. When working in the public health field, it is crucial for practitioners to be able to critically analyze an issue and understand the complex factors that drive health behaviors. Basic knowledge of public health principles assists in analyzing an issue and informs effective solutions. For your final project, you will select a public health issue for analysis. The topic must be approved by the instructor. This analysis will give you the opportunity to explore a public health issue in depth and analyze various components, including a program or intervention that has been designed in order to improve or eradicate the health issue. Information should come from credible sources; in today’s information-rich age, it can be sometimes be difficult to distinguish between credible and non-credible sources. This project will give you an opportunity to perform research and analyze information for its credibility—a skill that is critically needed in modern public health practice and one that you will use throughout your future MSPH program courses. The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules Two, Four, and Seven. The final submission will be due in Module Nine. This assessment addresses your mastery with regard to the following course outcomes:  Evaluate public health for its historical and current significance in protecting and promoting individual, community, and population health  Analyze the role of the determinants of health in both the onset of and solution to public health problems  Assess the impact of social and behavioral factors on individual and population health behaviors for informing design of effective public health programs  Analyze the contributions of public health agencies, positions, and roles in effectively delivering public health’s core functions and essential services  Assess the extent to which public health programs utilize fundamental public health principles and theories in promoting individual and population health  Assess the impact of local, national, or international programs or interventions on public health issues Prompt Your public health issue analysis paper will allow you to gain a deeper understanding of your selected public health issue, including why it has become a public health issue and its significance in the public health landscape. This project will also provide you the opportunity to hone your research skills for future use throughout the program 

Musculoskeletal and neurologic disorders can present complications for pediatric patients from infancy to adolescence. These disorders affect patients physically and emotionally and often impact a patient’s ability to participate in or carry out everyday activities. Patients with these disorders frequently need long-term treatment and care requiring extensive patient management and education plans. Musculoskeletal and neurologic disorders present various symptoms because they affect multiple parts of a patient’s body. Consider treatment, management, and education plans for the patients in the following three case studies.

Case Study 1:

Clay is a 7-year-old male who presents in your office with complaints of right thigh pain and a limp. The pain began approximately 1 week ago and has progressively worsened. There is no history of trauma. Physical examination is negative except for pain with flexion and internal rotation of the right hip and limited abduction of the right hip. Limb lengths are equal.

Case Study 2:

Trevon is an 18-month-old with a 3-day history of upper-respiratory-type symptoms that have progressively worsened over the last 8 hours. His immunizations are up to date. Mom states he spiked a fever to 103.2°F this morning and he has become increasingly fussy. He vomited after drinking a cup of juice this afternoon and has refused PO fluids since then. Pertinent physical exam findings include negative abdominal exam, marked irritability with inconsolable crying, and he cries louder with pupil examination and fights head and neck assessment. You are unable to elicit Kernig’s or Brudzinski’s signs due to patient noncompliance.

Case Study 3:

Molly is a 12-year-old who comes to your office after hitting her head on the ground during a soccer game. Her mother reports that she did not lose consciousness, but that she seems “loopy” and doesn’t remember what happened immediately following her fall. She was injured when she collided with another player and fell backward, striking her head on the ground. She has no vomiting and denies diplopia but complains of significant headache. Physical examination is negative except for the presence of slight nystagmus. All other neurologic findings including fundoscopic examination are normal.

To prepare:

  • Review “Neurologic Disorders” and “Musculoskeletal Disorders” in the Burns et al. text.
  • Review and select one of the three provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the musculoskeletal or neurologic disorder.

By Day 3

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the musculoskeletal or neurologic disorder.