Normal Accident Theory to the Culture of Safety model.

As a team, consider the following scenario:

On Dec. 7, 2000, the Cincinnati Occupational Safety and Health Administration (OSHA) office heard through media and police reports that there were two deaths at a nursing home in Ohio. OSHA determined that the Food and Drug Administration (FDA) should take a lead role in performing an investigation.

Because the nursing home had many residents who had unhealthy respiratory systems, the nursing home routinely ordered and received tanks that contained pure oxygen. During one delivery, the supplier mistakenly delivered one tank of pure nitrogen in addition to the three tanks of pure oxygen that had been ordered. The nitrogen tank had both an oxygen and nitrogen label. An employee at the nursing home connected the nitrogen tank to the nursing home’s oxygen delivery system. This event caused two nursing home residents to die, and three additional nursing home residents were admitted to hospitals in critical condition. Within the following month, two of these three additional residents also died, bringing the total death toll to four. (Based on accident #837914 www.osha.gov)

Write a 200-word paper in which your team compares the Normal Accident Theory to the Culture of Safety model. Include the following in your paper:

  • Explain what factors can play a role in organizational accidents similar to the one highlighted in the scenario.
  • How do organizational processes give rise to potential failures?
  • How can certain conditions influence errors and violations within the workplace (e.g., operating room, pharmacy, intensive care unit)?
  • What are the errors and violations committed by “sharp end” individuals?
  • How does the breaching of defenses or safeguards affect these accidents?

1-peers

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Servant Leadership

Topic: Servant Leadership From a Christian Perspective: In the Real World

                                   Leadership Journal: Humility

Journaling provides a valuable tool for recording, reflecting on, and reviewing your learning. This approach provides an opportunity for you to “connect the dots” and observe the relationships between and among activities, interactions, and outcomes.

Unlike a personal journal of thoughts and feelings, this Leadership Journal is a record of your activities, assessments, and learning related to this academic experience.

Journal entries should include a record of the number of hours spent with your nurse leader each week.

Write a journal entry of 750-1,500 words on the subject of humility, including the following:

1. Provide observations and thoughts on the activities in Weeks 13-14.

2. Describe an interaction or decision point this semester in which your nurse leader demonstrated humility or a missed opportunity to promote the success of others.

3. Summarize your practicum experience with your nurse leader. What insight into your own leadership style were you able to see? What do you believe was the most important thing you learned in this experience?

4. Utilizing servant leadership principles, outline a plan to improve your own success as a leader. Identify specific steps you plan to take to create this improvement.

5. Reflect on at least two things you learned from the “Issue of Humility” video

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What does it mean to be a nurse with a practice or research doctorate? What are the expectations associated with this degree? How might this be different for a nurse who holds a different degree?

The Doctoral Degree and Professional Nursing Practice

In response to the continuous changes in health care today, nurses are charged with staying well informed on many rapidly evolving aspects of patient care. They are also expected to contribute to the improvement of health care quality. Engaging in doctoral education is an admirable way to position oneself for accomplishing this goal, and it can lead to new professional opportunities.

Why did you decide to enroll in graduate school? What informed your decision to pursue your chosen degree? How will earning this degree influence your career?

This week, you consider the characteristics of various programs, including the DNP and the PhD. The focus of the DNP degree is on clinical practice, whereas the focus of the PhD is on research. In conjunction with other professional colleagues, DNP- and PhD-prepared nurses often collaborate to analyze critical issues and find appropriate ways to address them.

This first Discussion provides an opportunity for you to examine what it means to earn a doctorate and how your selected degree program relates to your professional goals.

To prepare:

  • Consider the reasons you have chosen to pursue an advanced degree. How do you anticipate that earning this degree will support your professional goals?
  • Reflect on the comments shared by the experts in this week’s media regarding the value of a DNP degree and the various roles available to DNP-prepared nurses, as well as the characteristics of the PhD program and opportunities for PhD-prepared nurses.
  • Based on the information presented this week, have you developed any new ideas or goals for your future? If so, what are they?

By tomorrow 5/31/17, post 550 words essay in APA format with 3 references from the list below, that include the level one heading as numbered below:

Posta cohesive response that addresses the following:

1)       What does it mean to be a nurse with a practice or research doctorate? What are the expectations associated with this degree? How might this be different for a nurse who holds a different degree?

2)       How do these considerations relate to your motivation to pursue a doctoral degree right now?

Required Readings

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett. [Vital Source e-reader]

[For DNP students ONLY]

“Imagining the DNP Role” (pp. xvii–xxviii)

 This reading introduces and defines the DNP degree, with a particular emphasis on the aim to provide high-level preparation for the advanced practice of nursing.

Houser, J. (2015). Nursing research: Reading, using, and creating evidence (3rd ed.). Burlington, MA: Jones & Bartlett.

[For PhD students ONLY]

Chapter 1, “The Importance of Research as Evidence in Nursing”

 This chapter describes nursing research, its evolution, and its application in nursing practice.

 American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author. Retrieved from http://www.aacn.nche.edu/DNP/pdf/Essentials.pdf

[For DNP students ONLY]

“Introduction” (pp. 3–7)

 This section of an AACN document focuses on how the practice-oriented DNP degree complements and relates to the research-oriented PhD and other degrees.

 Cleary, M., Hunt, G. E., & Jackson, D. (2011). Demystifying PhDs: A review of doctorate programs designed to fulfill the needs of the next generation of nursing professionals. Contemporary Nurse: A Journal for the Australian Nursing Profession, 39(2), 273–280.

Note: You will access this article from the Walden Library databases.

[For PhD students ONLY]

Conn, V. S. (2014). Prepare to launch: Optimizing doctoral education to ensure career success. Western Journal of Nursing Research, 36(1), 3–5.

Note: You will access this article from the Walden Library databases.

Conn, V. S., Zerwic, J., Rawl, S., Wyman, J. F., Larson, J. L., Anderson, C. M., Markis, N. E. (2014). Strategies for a successful PhD program: Words of wisdom from the WJNR editorial board. Western Journal of Nursing Research, 36(1), 6–30.

Note: You will access this article from the Walden Library databases.

[For PhD students ONLY]

Foster, R. L. (2012). Doctoral education and the future of nursing. Journal for Specialists in Pediatric Nursing, 17(2), 77–78.

Note: You will access this article from the Walden Library databases.

Sperhac, A. M., & Clinton, P. (2008). Doctorate of nursing practice: Blueprint for excellence. Journal of Pediatric Health Care, 22(3), 146–151.

Note: You will access this article from the Walden Library databases.

[For DNP students ONLY]

 This article provides background on the development of the DNP degree, illustrates its necessary competencies, and evaluates the value of a DNP degree as well as challenges to its validity.

Required Media

 Laureate Education (Producer). (2012g). Welcome to Walden [Video file]. Retrieved from https://class.waldenu.edu

 Note: The approximate length of this media piece is 2 minutes.

 In this media program, the president of Walden University welcomes you to the Walden learning community and shares examples of how Walden students are making a difference in their communities. She also describes how Walden’s Welcome Center supports you as a new student and makes it easier for you to connect with Walden when you have a question or need information.

 Laureate Education (Producer). (2011b). Introduction: The doctor of nursing practice [Video file]. Retrieved from https://class.waldenu.edu

 Note:  The approximate length of this media piece is 15 minutes.

 In this media presentation, Dr. Joan Stanley discusses how the DNP degree evolved. In addition, Dr. Linda Beechinor and Dr. Susan Stefan share their experiences completing the DNP degree and explain how it has influenced their nursing careers.

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EXPLAINING WHY IT’S IMPORTANT AND HOW IT FUNDAMENTALLY IMPACTS HEALTHCARE MARKETING.

Patients traditionally have received all their medical information from their physicians. However, “Dr. Google” and “Nurse Bing” have increasingly become trusted sources of health information. As a result, everyone from pharmaceutical companies to prosthesis suppliers has added direct-to-consumer advertising to their promotional mix. This is very controversial because it tends to disrupt the traditional doctor-patient relationship.

This project provides you with the opportunity to thoroughly research a current direct-to-consumer advertising technique (online ads or social media, for example) and how it is used to promote a healthcare product or service. This project will help you understand how to communicate directly with healthcare consumers and improve your marketing knowledge.

Your final project is due in Module 09. There will be individual assignments along the way. The module they are due is noted in the time line below.

Time Line

ModuleAssignment
02Introduction
04Thesis and Outline
05Annotated Bibliography
06Start Work on Rough Draft
07Rough Draft Due
09Final Paper Due

Requirements

For this project, you will write an original research paper with a body of 5-6 pages. The paper should focus on a direct-to-consumer technique, thoroughly explaining what it is, why it’s important, and how it fundamentally impacts healthcare marketing.

Your paper final should consist of the following pages:

Title Page – captivating title, your name, title of the course, date

Body – 5-6 pages consisting of introduction, background on your topic, research support using in-text citation, personal evaluation, and strong conclusion.

Reference Page – in APA format.

Research and Writing Requirements include the following:

  • Incorporate key elements of a quality research paper (e.g., strong thesis, attention-getting opening, topic sentences, etc.).
  • Use proper mechanics: clear, concise, complete sentences and paragraphs, proper spelling, grammar, and punctuation. (See style handbooks recommended by your college’s Online Library, which you can access through the Resources tab.)
  • Use five or six sources for the paper from your research. Your textbook is a good resource. Internet resources should be reliable, for instance, a university or government website. Please use one or two sources as available from your college’s Online Library. Use statements and ideas that you have come up with on your own and blend these in with your research. Do not plagiarize. If you want to use actual words from a source, put them in quotation marks with the source.
  • Follow APA format for citing your sources. APA format should be followed in parenthetical references to research in the body of the text and in the annotated bibliography in the References Page at the end. For APA guidelines, go to your college’s online library, which you can access through the Resources tab.

Evaluation

Each assignment leading up to the final assignment is evaluated and graded independently. Your instructor will provide specific grading criteria for each step of the project prior to its due date.

For Further Questions

If you have further questions throughout this project, please ask your Instructor. Post ideas and questions for your classmates in the General Course Questions forum in the Getting Started folder of this course.

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Case Study on Moral Status


Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

  1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
  2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
  3. How does the theory determine or influence each of their recommendations for action?
  4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

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Validity in Quantitative Research Designs

Validity in research refers to the extent researchers can be confident that the cause and effect they identify in their research are in fact causal relationships. If there is low validity in a study, it usually means that the research design is flawed and the results will be of little or no value. Four different aspects of validity should be considered when reviewing a research design: statistical conclusion validity, internal validity, construct validity, and external validity. In this Discussion, you consider the importance of each of these aspects in judging the validity of quantitative research.

To prepare:

  • Review the information in Chapter 10 of the course text on rigor and validity.
  • Read the method section of one of the following quasi-experimental studies (also located in this week’s Learning Resources). Identify at least one potential concern that could be raised about the study’s internal validity.
    • Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 18–25.
    • Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24(4), 325–331.
    • Yuan, S., Chou, M., Hwu, L., Chang, Y., Hsu, W., & Kuo, H. (2009). An intervention program to promote health-related physical fitness in nurses. Journal of Clinical Nursing, 18(10), 1,404–1,411.
  • Consider strategies that could be used to strengthen the study’s internal validity and how this would impact the three other types of validity.
  • Think about the consequences of an advanced practice nurse neglecting to consider the validity of a research study when reviewing the research for potential use in developing an evidence-based practice.

Post on or before Day 3 (1) the title of the study that you selected and your analysis of the potential concerns that could be raised about the study’s internal validity. (2) Propose recommendations to strengthen the internal validity and assess the effect your changes could have with regard to the other three types of validity.(3) Discuss the dangers of failing to consider the validity of a research study

 REQUIRED RESOURCES

Readings

  • Polit, D. F., & Beck, C. T. (2012).  Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
    • Chapter 10, “Rigor and Validity in Quantitative Research”

      This chapter introduces the concept of validity in research and describes the different types of validity that must be addressed. Key threats to validity are also explored.
    • Chapter 11, “Specific Types of Quantitative Research”

      This chapter focuses on the specific types of quantitative research that can be selected. The focus is on the purpose of the research rather than the research design. These include such approaches as clinical trials, evaluation research, health services and outcomes research, needs assessments, or replication studies.
  • Cantrell, M. A. (2011). Demystifying the research process: Understanding a descriptive comparative research design. Pediatric Nursing, 37(4), 188–189.
    Retrieved from the Walden Library databases. (for review)

    The author of this article discusses the primary aspects of a prominent quantitative research design. The article examines the advantages and disadvantages of the design.
  • Schultz, L. E., Rivers, K. O., & Ratusnik, D. L. (2008). The role of external validity in evidence-based practice for rehabilitation. Rehabilitation Psychology, 53(3), 294–302.
    Retrieved from the Walden Library databases.

    This article details the results of a study that sought to balance concern for rigor with concern for relevance. The authors of the article derive and determine a rating format for relevance and apply it to cognitive rehabilitation.
Note: For the Discussion this week, you will need to read the method section of one of the following quasi-experimental studies. Refer to the details provided in the Week 6 Discussion area.
  • Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 18–25.
    Retrieved from the Walden Library databases.
  • Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24(4), 325–331.
    Retrieved from the Walden Library databases.
  • Yuan, S.-C., Chou, M.-C., Hwu, L.-J., Chang, Y.-O,, Hsu, W.-H., & Kuo, H.-W. (2009). An intervention program to promote health-related physical fitness in nurses. Journal of Clinical Nursing, 18(10), 1,404–1,411.
    Retrieved from the Walden Library databases.
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Professional Development

Based on what you have learned so far this week, create a PowerPoint presentation with detailed notes for each slide that addresses each of the following points/questions. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations (an example is located in the Resources tab) related to text size, color, images, effects, wordiness, and multimedia enhancements.

  1. Title Slide (1 slide)
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Nursing -Becoming A Registered Nurse

Nursing -Becoming A Registered Nurse –  Nursing Assignment Help

TASK

This task is an opportunity for you to reflect on leadership, clinical practice and patient care in a professional health care context, and to identify and evaluate strategies that may assist transition from student to graduate nurse.

Critique the application of health and nursing informatics and quality improvement in health care settings.

Critically review management and leadership approaches within a nursing practice context. CO3. Critically evaluate own knowledge, skills and attitudes for transition to professional practice and ongoing competence device

Q2

National Council of State Boards of Nursing. 2008. Consensus Model for APRN
Regulation: Licensure, Accreditation, Certification & Education. Report of
the APRN Consensus Work Group and the National Council of State Boards
of Nursing APRN Advisory Committee. Published July 7. www.ncsbn.org/
Consensus_Model_for_APRN_Regulation_July_2008.pdf.
National League for Nursing. 2013. Annual Survey of Schools of Nursing, Fall 2012.
Accessed December 19. www.nln.org/researchgrants/slides/index.htm.
Pittman, P., C. N. Herrera, K. Horton, P. A. Thompson, J. M. Ware, and M. Terry.
2013. “Healthcare Employers’ Policies on Nurse Education.” Journal of
Health Administration 58 (6): 399–411.
Tubbs-Cooley, H. L., J. P. Cimiotti, J. H. Silber, D. M. Sloane, and L. H. Aiken.
2013. “An Observational Study of Nurse Staffing Ratios and Hospital Read-
mission Among Children Admitted for Common Conditions.” BMJ Quality
& Safety 22 (9): 735–42.
White, K. R., and J. W. Begun. 1998. “Nursing Entrepreneurship in an Era of Chaos
and Complexity.” Nursing Administration Quarterly 22 (2): 40–47.

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Using the information you learned from your assessments and from this course(Caring for a Multicultural Society), describe five points or areas that would affect nursing care for a person of the African Culture.

Project

Using the information you learned from your assessments and from this course(Caring for a Multicultural Society), describe five points or areas that would affect nursing care for a person of the African Culture. Include the areas and evaluate the type of accommodation or change in nursing care needed to give culturally competent care. Retake the cultural competency quiz and summarize if and how your cultural competency has changed. Evaluate how your learning can positively affect the nursing care of individuals from diverse cultures. Submit your response in a 4- to 6-page Word document. Support your responses with examples.

Cite any sources in APA format.

Assignment 2 Grading Criteria

  1. Analyzed and described at least five points on how the concepts learned may be used to influence nursing care.
  2. Analyzed and submitted a summary of how the student’s cultural competency has changed.
  3. Evaluated and described how your learning can be used to positively affect nursing care.
  1. Supported answers with journal articles.

Q2

Havard auther -date referencing. Write a 800-word case scenario essay which reflects a patient care episode using clinical reasoning where your health assessment skills were used or required and 200 word discussion focus on your use of specific health assessment skills as well as your use of clinical reasoning, highlighting the importance of each to the

  • Texts
  • Readings
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DISCUSS THE BASIC INFORMATION ON PARTIES INVOLVED INCLUDING AGES, SEX, LIVING CONDITIONS, EDUCATION LEVEL, HEALTH STATUS.

Please Read and Follow the Directions Carefully!!!!
Watch the following video from the perspective of a Human Services professional.
After viewing the case study, complete the following analysis. For each section, give complete details related to what is being asked for using objective language. Each section should be a minimum of 2 paragraphs.

Presenting Information

Discuss the basic information on parties involved including ages, sex, living conditions, education level, health status, et cetera. This section can ONLY be factual information that can be gathered through viewing the case study and should not have opinions or possible deductions.

State the Problem

Discuss what is currently being presented, not what might happen.
 

Possible Areas of Concern

What do you think are the main problems? Use the information presented to discuss some possible issues that might be occurring or could occur. Think of this as a brainstorming session by discussing a variety of ways this scenario might play out. Discuss in terms of physical, cognitive, emotional, and social development.
 

Theoretical Foundation

Apply developmental theory/theories that help relate a general path the client should be on, and discuss some common outcomes that should be occurring at this age/stage based on theory.
 

Possible Solutions

What are some things that might help this client? Again, regardless of outcome, discuss a variety of ways the issue might be handled.

Possible Resources

What other types of Human Services organizations should be involved in this case? List the types of services needed.

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