Nursing influence on patient outcomes, registered nurse role and responsibility

write a paper using journals and research articles, explore the following; Nursing influence on patient outcomes, registered nurse role and responsibility, adapting to health changes and meeting the needs of the patients, burnout, lateral violence, continuing education, feel free to add in any other points beyond this list if applicable..

*A well-written paper; 1,000 words, APA format, minimum 6-10 cited references (the only acceptable web-based sources are .edu or .org), 

proper grammar and professional writing style..

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health information exchange in the state of Maryland my budget is 12

I have a health information management assignment due on the health information exchange in the state of Maryland my budget is 12 and due by Monday.

Part one:
a. Define HIE.
b. List some benefits of a HIE.
c. Define and list an advantage/disadvantage for each HIE model.
· Centralized HIE architecture
· Decentralized/Federated HIE Architecture
· Hybrid HIE Architecture
· Health Record Banking HIE Architecture
d. Define and give one example of these exchange methodologies:
· DIRECT Exchange
· Query –based Exchange
· Consumer Mediated Exchange
e. List and explain two HIE initiatives that are currently going on in the United States.
f. Identify two issues/challenges in health information exchange.
Part two:
Write a 1-2 page paper (double-spaced) with a Reference list included (APA format preferred).
a. Using the State you have been assigned below, describe the progress made thus far in regard to health information exchange. Are there any current HIE initiatives in your state? What is the structure of their HIE? What are the successes and/or barriers thus far? If there are no initiatives, why do you think that is the case? Is there something specific about this State that would me an HIE more or less successful?

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NURSING HOMEWORK HELP

Details:

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline, and their local communities.

The learning activity and corresponding assignment in this topic requires students to perform a heritage assessment with families selected by the student from their local community.

Click on http://wps.prenhall.com/wps/media/objects/663/679611/box_6_1.pdf in order to access the “Heritage Assessment Tool.”

Interview three families from different cultures. One family should be from your own culture. Compare the differences in health traditions between these cultures.

Assess the three families using the “Heritage Assessment Tool.” In 1,000-1,500 words discuss the usefulness of applying a heritage assessment to evaluate the needs of families and develop plans for health maintenance, health protection, and health restoration. Include the following:

  1. Perform a heritage assessment on three families. One of these families should be from your own culture.
  2. Complete the “Heritage Assessment Tool” and submit to: – one assessment for each of the three families interviewed. You are not required to include the tool in your LoudCloud submission.
  3. Identify common health traditions based on cultural heritage. Evaluate and discuss how the families subscribe to these traditions and practices. Address health maintenance, health protection, and health restoration as they relate to your assessment.

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 Turnitin. Please refer to the directions in the Student Success Center.

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Statistical Analysis of Community Health Problem

QUESTION

Nursing

Module One (Week One): Part One Windshield Survey and Key Informant Interviews

Please complete the following information on this template about the community you have selected. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type.  Use as much space as necessary to provide your answers

Reference Module 2 (Week 2) Part Two: Statistical Analysis of Community Health Problem

Please complete the following information on this template. If you do not use this template there will be a 10-point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers

Name of Community or Zip Code:

Instructions:  Enter your response in each category marked below.  Provide objective, statistical support for your subjective findings. 

● Include all the data listed in the Objective Data Criteria listed below.  

● Add supplemental data as needed for your community.

● All statistical data must be reported in NARRATIVE form only. Tables and graphs will not be accepted. 

● Compare objective data for your community with local (city), state, and national data.

You may increase the size of the block by continuing to type.  Use as much space as necessary to provide your answers

General Objective Data Criteria for the Community-at-Large

1.    Demographics:  Total population; age distribution; gender distribution; family characteristics (single parent, multi-family, etc.). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

  1. Racial/Ethnic Characteristics: Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.
  2. Economy: poverty rate, unemployment rates, median income. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

4.    Education: High school completion rates; higher education statistics. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.                                                                                                                                                                                                                                                                                                                                                                                                                                                    

5.    Identify two Morbidity and Mortality/Risk Problems: (Based on your observations from Week 1 subjective assignment, windshield survey and key informants provide Morbidity, Mortality (M&M) and risk data for your community… Example 1: if you observed obesity in your community then present obesity rates and health conditions associated with obesity [i.e. CVD, HD, Depression, etc.). Example 2: smoking/drinking rates and health conditions associated with smoking [i.e. Lung Cancer, COPD, etc]. These variables may include the following: gender (who does this problem affect the most, men or women); age distribution; ethnicity or racial group(s) mostly-affected; morbidity and mortality rates; any data related to life-expectancy in light of the health issues; is there a geographic area where the health problems mainly exist; is there a relationship between the health issue(s) and environmental health hazards; are these life-threatening health issues? Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

6.    Other data as needed (air, water quality, crimes rates). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

Analysis of Data

1.    Based on your subjective and objective review of your findings, what conclusions have you arrived at? Remember to cite sources as appropriate.

·         What impressions from your subjective observations were unfounded/invalid?

·         Given the objective data, what impressions were validated/substantiated?

·         What cause-and-effect relationships did you discover/identify?

2.    Problem Analysis for Community/Zip Code:

Problem: List two (2) problems within your community (for example, Infant Malnutrition, CVD, Lung Cancer, Obesity, Alcoholism, Violence) NOTE: These problems need to be something the Community Health Nurse can impact(for example, a CHN cannot build a sidewalk, repair a street, implement a new bus route, etc.). Remember to cite sources as appropriate.

1.    ____________________________________________

2.    ____________________________________________

    Select one of these problems and complete the Problem Analysis chart

*These are factors that contribute to problem and outcomes.

+ Refer to appropriate sections of the database and relevant research of the findings in current literature.  Data in the third column could be local, state, or national statistics.

Refer to text (pg. 420-423) for additional examples.

3.    Community Health Nursing Diagnoses:

Based on your subjective and objective assessment findings above for both Weeks 1 and 2, write TWO priority community health nursing diagnoses.

You must use this format as outlined in your text page 413 (do NOT use NANDA):

Health Risk/problem of (specific injury, illness, or potential of, complication of, etc) among (specific population) related to (supporting evidence from your assessment findings). 

Ø  Your CHN Diagnoses MUST be something that a community/public health nurse can do something about. See example below.

Ø  Note: Poverty is NOT a CHN diagnosis.

Ø  Remember do NOT use NANDA Nursing Diagnoses.

For example: Risk of asthma complications among children in SE Dallas County related to observations of overcrowded living conditions, lack of public transportation (may result in inability to access health care), high number of animals observed living in homes, poverty indications (may result in lack of access to medications).

Community Health Nursing Diagnosis #1

Community Health Nursing Diagnosis #2

Reference

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non-nursing or borrowed theories occurs.

While the focus of this course is nursing theory, frequently the use of non-nursing or borrowed theories occurs. Select a nursing practice area (i.e. education, executive, advance clinical practice, informatics, and health care policy); then identify a non-nursing (borrowed) theory; and apply it to the area you have selected. Be sure to provide an example of how the non-nursing theory can be used to enhance the selected practice area. Don’t forget to include scholarly reference(s) to support your information.

Janine was hospitalized with severe abdominal pain and placed in an intensive care unit. Her doctor told the hospital personnel to order around-the-clock nursing care for Janine. At the hospital’s request, a nursing services firm, Nursing Services Unlimited, provided two weeks of in-hospital care and, after Janine was sent home, an additional two weeks of at-home care. During the at-home period of care, Janine was fully aware that she was receiving the benefit of the nursing services. Nursing Services later billed Janine $4,000 for the nursing care, but Janine refused to pay claiming she had never contracted for the services, either orally or in writing. Since no express contract was ever formed can Nursing Services recover the $4,000 from Janine? If so, under what legal theory?

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TECHNOLOGY THAT AN HEALTHCARE ORGANIZATION CAN IMPLEMENT THAT WOULD IMPROVE THE DELIVERY OF CARE TO THE ORGANIZATION’S PATIENTS.

Power point presentation 

Instructions
Several weeks ago, your healthcare organization’s board of directors asked you, along with a team of others within your department, to research the following two topics:

improvements in the delivery of health care to patients and
workplace safety plans and violence prevention programs and the cost of implementing them.

The time has now come for you and your team to present your findings to the board. Create a PowerPoint presentation of no less than 10 slides in which you cover the following information:

at least three examples of new technology that your healthcare organization can implement that would improve the delivery of care to the organization’s patients and
descriptions of at least one healthcare workplace safety plan and one violence prevention program. Be sure to include the costs associated with each plan/program.

The 10-slide requirement does not include your title and reference slides. You must include at least three outside sources, one of which can be your textbook. The other two sources must be found within the CSU Online Library.

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How do you know a real problem, situation, or opportunity will be studied? Does evidence indicate you have chosen an important problem, situation, or opportunity that deserves more attention?

Choose an article from your annotated bibliography. Obtain faculty approval for your article to ensure that it is a peer-reviewed research article

Read the following:

  • Background: The background statement answers the following questions: How do you know a real problem, situation, or opportunity will be studied? Does evidence indicate you have chosen an important problem, situation, or opportunity that deserves more attention? What evidence indicates that the problem, situation, or opportunity relates to an organizational management issue or clinical concern?
  • Methodology: This part of a research study provides an overview of the scope of the study or how large, long, and comprehensive the study was. This is a brief overview explaining the gathering of the qualitative and quantitative data and where the data may be found. Implicit in this overview is the recognition by the researcher that both secondary data—document-based data, organizational material, library books, and journals—and primary data—empirical, qualitative, and quantitative data incorporated by a survey, experiment, and so on in a real-time fashion—was gathered to make the study comprehensive, fully researched, and as rigorous as a project must be within the scientific method of data planning, gathering, and analysis.

Respond to the following questions in a 700- to 1,050-word paper:

  • Definition of the problem
    • What is the problem the study was conducted to resolve?
    • Why is the problem important for health care administrators to study?
  • Study purpose: What is the purpose of the study?
  • Research question
    • What is the main research question?
    • If it is not stated, what would you say the research question is?
  • Hypothesis or hypotheses
    • What is the study hypothesis?
    • If it is not stated, what would you say the hypothesis is?
    • It there is more than one study hypothesis, state the hypothesis or hypotheses.
  • Study variables: What are the independent and dependent study variables?
  • Conceptual model or theoretical framework: In what way was a conceptual model or theoretical framework used to guide this study?
  • Review of related literature: In what ways does the literature review support the need for this study?
  • Study design
    • What study design is used?
    • How many subjects were studied?
    • Where are the subjects found?
    • What organization was studied?
    • How long did the study take?

Format your paper consistent with APA guidelines.

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Comparing screening tools such as the Edinburgh Postnatal Depression Scale (EPDS) versus Postpartum Depression Screening Scale (PDSS) helps to accurately diagnose depression in postpartum among first time mothers following 4 weeks of delivery.

Question Description

1. APA format

2. Power Point for presentation

the PICOT question is whether Comparing screening tools such as the Edinburgh Postnatal Depression Scale (EPDS) versus Postpartum Depression Screening Scale (PDSS) helps to accurately diagnose depression in postpartum among first time mothers following 4 weeks of delivery.

  1. Introduction
  2. The Spirit of Inquiry Ignited
  3. The PICOT Question Formulated
  4. Search Strategy Conducted
  5. Critical Appraisal of the Evidence Performed
  6. Evidence Integrated with Clinical Expertise and Patient Preferences to Inform a Decision and Practice Change Implemented
  7. Outcome Evaluated
  8. Project Dissemination
  9. Conclusion

Question Description

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your EBP project. Do you plan to use this technology? If not, what are the barriers that prevent its use?

THE PICOT STATEMENT RELATED TO MY EBP PROJECT IS ATTACHED. PLEASE ANSWER BASED ON THAT.

APA REFERENCE REQUIRED

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What is the objective of the project or measurable goals?

Nursing management area

  • I need this power point APA format ready for jun 27 ,as an APA format need all references at the end . Is a bachelor level and no plagiarism  , please let me Know if you can do it?
  •  Due Jun 28 by 11:59pm 
  • Points 50 
  • Submitting a file upload

Mary is a registered nurse working on an acute care hospital. Mary meets with Jane, the nurse manager, to discuss initiatives to improve (care, satisfaction, etc) services on the unit. 

Jane asks Mary to form a team to review the identified issue on the unit, and develop a plan to improve. Mary has no quality improvement experience but is willing to learn and excited about this new project. Mary has been referred to you, the director of quality improvement at the hospital to guide you with this project.

Describe your plan to achieve this goal. What advise would you give Mary to start the project, select the members of the team and develop a plan to improve?  What data would you collect? 

You will give a power point presentation of your plan to the class addressing at least the following:

Aim statement –

  • What is the objective of the project or measurable goals?
  • Why is this important?
  • Who is the target population?

Team selection

Who are the team members?

What strategies did you use to motivate staff to participate in the project?

Map or clarify current process

Identify and understand all variation sources

Select the improvement

Implement improvement

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Case Scenario

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

1. Is very anxious and asks whether she is going to die.

2. Denies pain but says she feels like she cannot get enough air.

3. Says her heart feels like it is “running away.”

4. Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5 kg

2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58

3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation

4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%

5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

1. IV furosemide (Lasix)

2. Enalapril (Vasotec)

3. Metoprolol (Lopressor)

4. IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

  • dq1week3410.docx
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