Read Chapter 11

1. Why is the subject of workplace health and safety of concern to nurses? 

How are these concepts related to patient safety and patient outcomes? 

2. What action is suggested when you are faced with an angry or hostile coworker?

3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?

4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work? 

5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.

6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety? 

• Latex allergies

• Needlestick injuries

• Violence 

3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.” 

Which concepts discussed in these sections are particularly important to the beginning RN? Why? 

4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.

• Substance abuse among nurses

• Emergency preparation 

• Quality of work life within the organization

The purpose of this task is to develop a working knowledge of nursing theory, nursing ethics, and professional accountability and apply these concepts to your professional clinical practice. You will be required to think about real-life scenarios and how they relate to nursing codes in your professional practice.

Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. 

A.  Identify a nursing theory that has influenced your values and goals.

1.  Explain how nurses apply the identified theory from part A to implement excellent nursing practices.

2.  Discuss how the identified theory from part A fits your professional practice. 

B.  Identify the contributions of two historical nursing figures in the nineteenth or twentieth century.

1.  Compare the differences in contributions of the two historical figures identified in part B.

2.  Describe how the contributions of the two historical figures influence your professional nursing practice. 

C.  Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA).

1.  Define the roles of these two organizations.

2.  Explain how these two organizations influence your nursing practice.

3.  Explain the requirements for professional license renewal in your state.

a.  Discuss the consequences of failure to maintain license requirements in your state.

4.  Compare the differences between registered nursing license requirements in a compact state versus a non-compact state. 

D.  Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below).

1.  Discuss how the two regulatory agencies influence your professional nursing practice.

a.  Describe your role as a patient advocate in promoting safety when a patient has requested to use an alternative therapy. 

E.  Discuss the purposes of the Nurse Practice Act in your state and its impact on your professional practice.

1.  Discuss the scope of practice for a RN in your state.

2.  Discuss how your state defines delegation for the RN. 

F.  Apply each of the following roles to your professional practice:

•   a scientist

•   a detective

•   a manager of the healing environment 

G.  Identify two provisions from the American Nurses Association (ANA) Code of Ethics (see web link below).

1.  Analyze how the two provisions identified in part G influence your professional nursing practice.

2.  Describe a nursing error that may occur in a clinical practice (e.g., clinical setting, skills lab, or simulation).

a.  Explain how the ANA provisions identified in part G can be applied to the error discussed in part G2. 

H.  Identify four leadership qualities or traits that represent excellence in nursing.

1.  Discuss the significance of the four leadership qualities identified in part H in the nurse’s role as each of the following:

•   a leader at the bedside

•   within a nursing team or interdisciplinary team

2.  Identify how your work environment impacts the following:

•   nursing leadership

•   decision making

•   professional development 

I.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized. 

J.  Demonstrate professional communication in the content and presentation of your submission.

RUBRIC:       

A. https://lrps.wgu.edu/provision/124909813

A nursing theory that has influenced the candidate’s values and goals   is identified.

A1. https://lrps.wgu.edu/provision/124909813

The explanation of how nurses apply the selected theory in part A to   plan excellent nursing practices is logical.

A2. https://lrps.wgu.edu/provision/124909813

The discussion of how the theory from part A fits the candidate’s   professional practice is relevant, and it accurately addresses the identified   theory.

B. https://lrps.wgu.edu/provision/124909185

The contributions of 2 historical nursing figures in the nineteenth or   twentieth century is identified.

B1. https://lrps.wgu.edu/provision/124909185

The comparison accurately addresses the differences in the   contributions of the 2 historical figures identified in part B and is logical   and well supported.

B2. https://lrps.wgu.edu/provision/124909269

The description of how the contributions of the 2 historical nursing   figures have influenced the candidate’s nursing practice is accurate.

C. https://lrps.wgu.edu/provision/124909391

The explanation of the functional differences between the State Board   of Nursing and the ANA is accurate and well supported.

C1. https://lrps.wgu.edu/provision/124909391

The definition of the roles of the State Board of Nursing and the ANA   is provided and supported.

C2. https://lrps.wgu.edu/provision/124910128

The explanation of how the State Board of Nursing and the ANA   influence the candidate’s nursing practice is accurate and relevant.

C3. https://lrps.wgu.edu/provision/124910128

The explanation of the requirements for professional license renewal   in the candidate’s state is accurate and well supported.

C3a. https://lrps.wgu.edu/provision/124910128

The discussion of the consequences of failure to maintain license in   the candidate’s state is accurate.

C4. https://lrps.wgu.edu/provision/124909391

The comparison accurately addresses the differences between registered   nursing license requirements in a compact state versus a non-compact state   and is well supported.

D. https://lrps.wgu.edu/provision/124914320

The discussion of the functional differences between the given   agencies is accurate and well supported.

D1. https://lrps.wgu.edu/provision/124914320

The discussion of how the regulatory agencies influence the   candidate’s professional nursing practice is relevant.

D1a. https://lrps.wgu.edu/provision/124914320

The discussion of the candidate’s role as a patient advocate in   promoting safety when the patient has selected an alternative treatment is   relevant.

E. https://lrps.wgu.edu/provision/124909391

The discussion of the purposes of the Nurse Practice Act and its   influence on the candidate’s professional practice is accurate and well   supported.

E1. https://lrps.wgu.edu/provision/124909391

The discussion of the scope of practice for an RN in the candidate’s   state is logical and well supported.

E2. https://lrps.wgu.edu/provision/124909391

The discussion of how the candidate’s state defines delegation for the   RN is logical and well supported.

F. https://drive.google.com/file/d/0B2zUu4WEvTZ4eWsxa0Zia1JMeDg/edit

The discussion of the application of each nursing role to the candidate’s professional practice is   relevant.

G. https://lrps.wgu.edu/provision/124910272

2 provisions from the American Nurses Association (ANA) Code of Ethics   are accurately identified.

G1. https://lrps.wgu.edu/provision/124910272

The analysis accurately addresses how the 2 provisions identified in   part G influence the candidate’s professional nursing practice and the   analysis is reasoned.

G2. https://lrps.wgu.edu/provision/124910530

The description of a nursing error in a clinical practice example is   relevant.

G2a. https://lrps.wgu.edu/provision/124910272

The explanation of how the ANA provisions in part G can be applied to   the error from part G2 is relevant.

H. https://lrps.wgu.edu/provision/124913469

4 leadership qualities or traits that represent excellence in nursing   are identified, and are appropriate for a nursing practice.

H1. https://lrps.wgu.edu/provision/124913469

The discussion of how the nurse uses the identified leadership   qualities or traits in part H includes each   of the 4 traits, includes each of   the given roles, and it is relevant.

H2. https://lrps.wgu.edu/provision/124913469

The submission identifies of how the work environment is impacted, and   provides relevant details and examples of how each given point is impacted.

I. https://lrps.wgu.edu/provision/71484321

The submission includes in-text citations and references for content   that is quoted, paraphrased, or summarized and demonstrates a consistent   application of APA style.

J. https://lrps.wgu.edu/provision/27641407

Content reflects attention to detail, is organized, and focuses on the   main ideas as prescribed in the task or chosen by the candidate. Terminology   is pertinent, is used correctly, and effectively conveys the intended   meaning. Mechanics, usage, and grammar promote accurate interpretation and   understanding.

Choose a contemporary school of nursing, hospital, nursing home, or other facility in the healthcare arena and research the nursing theory used there. Describe the changing role of the nurse today and how they are influenced by the organizational nursing theory.

Your presentation should include (60 pts.):

How the nursing theory enhances professional nursing practice in the roles of advocate, provider, teacher, manager, researcher, and leader. (20 pts.)

How using nursing theory and theory from other disciplines as a basis for the nursing process helps promote health and healing. (10 pts.)

How we can use nursing theory to challenge professional and organizational assumptions, explore alternatives, and guide nursing actions. (30 pts.)

This assignment is a PowerPoint presentation only. (40 pts.) The presentation should include no more than 20 slides. If you use graphics be sure they are small in size, so your presentation can be loaded quickly.

When you have completed this assignments, you will be able to differentiate the concepts of person, environment, health, and nursing, as they relate to select nursing theories by: (Competency 1)

identifying and defining the nursing metaparadigms. (10 pts.) analyzing the philosophical bases of the concepts as they relate to specific theorists. (10 pts.) differentiating the concepts as they relate to selected nursing theories. (10 pts.) constructing a personal nursing philosophy by integrating the metaparadigms and the his/her individual values. (10 pts.)

Nursing

For the initial discussion post, review the article by Miller, Drummond and Carey:

  • Miller, J., Drummond Haye, D., & Carey, K. W. (2015). 20 QUESTIONS: Evidence-based practice or sacred cow? Nursing, 45(8), 46-55. doi:10.1097/01.NURSE.0000469234.84277.95

Scenario:

  • You begin your career in an acute care hospital as a newly licensed RN. During your orientation, you observe your preceptor checking gastric feeding tube placement by injecting air and auscultating the abdomen, stopping continuous enteral tube feedings before a patient is turned or repositioned, and routinely inserting rectal tubes for patients with diarrhea. You know that ALL three (3) of these practices are currently NOT supported by nursing evidence. When asked, your preceptor responds, “This is the way we have always cared for patients with tube feedings and diarrhea.” You prepare to talk to this peer about necessary changes in nursing practice.

Initial Discussion Post:

Address the following:

  • Choose ONE (1) of the practices described in the scenario.
  • Describe how you will address this gap in nursing practice with your preceptor. Write out exactly what you might say to this RN to professionally address the current evidence for the nursing care of patients.
  • Include when and where you would communicate this information
  • Consider any additional information you might provide to your preceptor to support changing nursing practice

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Choose an infectious disease that is currently a human health risk. 
Research your topic using online sources such as the NIH, CDC, and WHO.
Write a 350- to 525-word blog entry on the disease.  You are getting the word out to your chosen audience.  Answer the following questions:

Describe the cause and symptoms of the disease.   
Which populations are most susceptible to infection? How is the disease transmitted?
Is there a vaccine or treatment available for the disease?
Is the disease new or has it occurred in the past?
Does the disease present a significant problem for the human population globally, or is it localized?

Format the reference consistent with APA guidelines.

Q2

How has the Patient and Affordable Care Act of 2010 (the “Health Care Reform Act”) reshaped financial arrangements between hospitals, physicians, and other providers with Medicare making a single payment for all care received by a beneficiary from 72 hours before admission to 30 days after discharge from an inpatient facility?

Decide on an Information Security Standard or Compliance Law that is applicable to your fictional organization that is just big enough to have a Chief Technology Officer. Explain to your CTO what the rule/law is and what your organization needs to do to ensure compliance. Feel free to vibrantly describe what can happen if you don’t comply. It’s okay to strike fear into the CTO by referring to examples of punishment for non-compliance, even if those are merely in the court of public opinion.
You can use any type of communication that you feel is appropriate, whether that is a letter, memo, slide deck, infographic, interpretive dance, etc.
You should assume your CTO is technical and communicate accordingly. Remember that CTOs can be either women or men and have names other than “Dear CTO” 🙂 Pretend letterhead is always a worthwhile investment of time.

The Evolution of Nursing

Future Perspectives

Purpose:

Nurses work together in many environments. Understanding the roles and responsibilities of each type of graduate nurse will foster cooperative relationships.

Directions:

  1. Select and describe a specialty that has evolved in a different direction from that of advanced practice nursing (e.g., informatics, administration, health policy, and/or forensic nursing).
  2. What key differences do you see in this evolution as compared with developed APN specialties?
  3. Describe the future vision and goals each role and relate to emerging healthcare trends and needs.

Your paper must be presented in a single Word document. The paper must be between 2 to 3 pages in length, not including the title and reference list pages. The paper must use proper APA Publication Manual, 6th Editionformatting, including title page, running head, and reference list with properly formatted citations in the body of the paper.

I need someone who is proficient in graphs/ statistic nursing,here are the figures to use.I JUST NEED A LINE GRAPH THANKS.

The objective is to create a line graph for the following information:

Volumes projected in this area for the first year are 1275 patient days (or visits). With physician support and effective marketing, it is expected that the volume will increase 10% the second year, 14% the third year, and 20% the fourth year. The financial goal of this project is to break even by the end of the third year of operations.For payroll, merit increases and overtime hours should be computed at 5% each. Use the salaries and benefit data from you’re your current knowledge of your local market or assume average hourly rate for the Registered Nurse is $28/hour and assistive personnel hourly rates at $9/hour. Benefit costs can be estimated at 25% of hourly rates.Expected revenue is calculated at $4864 per case for the first year. The payer mix for this facility is: Medicare 37.9%; Medicaid 4.5%; Managed Care (HMO/PPO) 38.8%; Private Pay 6%; other insurance 10.6%; Worker’s Comp 2.2%.

Focuses on the assessment, nursing process, evidence-based practice and standards used to develop and evaluate a holistic client-centered care plan to include:

Brief Overview of Anatomy and Physiology of Vision and Hearing Disorders

Common Disorders of Vision and Hearing Disorders

Assessment Required for Vision and Hearing Disorders

Diagnostics and Therapeutic Techniques for Treatment

Health Promotion and Risk Management Needs for Vision and Hearing Disorders

Cultural Considerations for Vision and Hearing Disorders

Holistic Client Centered Care Plan Strategies (include one evidence-based article) for Vision and Hearing Disorders.

Presentations must be in the form of a PowerPoint,

Software Project Team (YOU): JBB Software
Customer: Astin Martin Electronics LLC
RFP awarded for specific
message
services which will be incorporated into a
n
electronic instrument
company (Astin Martin
Electronics
LLC)
interface to electronic
gauges
. Topical level requirements for the software were provided. Deliverable products
include:

Systems Engineering to provid
e appropriate requirements decomposition

Software Engineering to provide design/development/unit test of software

System Test Engineering to provide component and enterprise level testing

Quality Engineering to provide quality control through the entire de
velopment life
cycle

Management functions to include all primary functions (project management,
finance, planning & scheduling, Overhead support (contracts, engineering matrix,
etc.)
Award date of May 15 and required completion date (deliverables provided)
of
November 15.
Astin Martin
Electronics
request of planned deliverables, acceptance criteria, quality
plan, and work breakdown structure. These items need to be provided in an acceptable
time for Astin Martin to review and approve.
Astin Martin
Electroni
cs
further requests other deliverables to include final software
(source and binary) which meets all approved acceptance criteria, associated design
documents (system and development level)
All project questions or request for project scope changes should
be directed to the
Astin Martin
Electronics
designee (course instructor).
There is no requirement relative to project tools used to generate the required data.
Topical requirements
include:

System Engineering: UML design
artifacts
for
graphic widgets to di
splay
aeronautical expanse gauges
for interface testing
within the technical specs
guidelines for twenty

five different visual aspects. Include appropriate level of
peer review. Design should include graphical mock

up of gauges.
4

System Engineering: Derive
component level requirements for Software
Engineering to design, code, and unit test and System Test can provide System
and Enterprise level testing

Software Engineering: Provide appropriate level design artifacts from System
Engineering UML design artifac
ts. Include appropriate level of peer review.

Software Engineering: Code and Unit Test software modules that execute the
software which meets all topical and derived requirements

System Test Engineering: Derive sell

off acceptance criteria. Include appropr
iate
peer review (including System Engineering) and customer approval.

System Test Engineering: Derive System and Enterprise Level Test Cases.
Include appropriate level of peer review.

System Test Engineering: Execute test cases as software modules
become
available

Quality Engineering: Provide quality checks during the processes described for
System Engineering, Software Engineering, and System Test Engineering as
appropriate

Include the following customer related reviews: Design Review (after System
Engineering completes design artifacts), Pre

Ship Review (provided prior to Astin
Martin
Electronics
acceptance of software), and Final Acceptance Test (software
demonstration at customer facility showing software meets all requirements as
installed)
Appr
oved labor rates as follows:

System Engineer I: 4
1
.15

System Engineer II: 4
7
.37

System Engineer III: 51.17

Lead System Engineer: 5
6
.91

Software Engineer I: 4
2
.38

Software Engineer II: 47.62

Software Engineer III: 51.01

Lead Software Engineer: 5
8
.83

System Test Engineer I: 4
1
.78

System Test Engineer II: 43.
62

System Test Engineer III: 49.25

Lead System Test Engineer: 5
5
.25

Quality Engineer I: 40.38

Quality Engineer II: 47.55

Quality Engineer III: 5
2
.01

Lead Quality Engineer: 59.83

Project Manager: 91.
5
5
(LOE

Level of Effort
)

Chief Engineer: 7
5
.41 (LOE

Level of Effort
)
Approved
overhead
rates as follows:

Finance:
6
.
2
% of total hours

Planning & Scheduling:
5
.
5
% of total hours
5

Management (Contracts/Senior Management): 2.
1
% of total hours

Facility: 1.
2
% of total hours

HR/Staffing: 0.5
5
% of total hours
ACTIVITY / TASK LIST BY LOWEST WBS LEVEL LEG
2.1
Systems Engineering
: UML Design
for Interface
System Engineering: Create outline of UML
and derived requirements artifacts
.
Software Engineering: Assist system engineering.
Quality Engineering: Provide quality checks
2.2
Systems Engineering:
System/
Software Design
System Engineering: Design appropriate
software components
to display aeronautical
expanse gauges within the techn
ical specs guidelines for twenty

five different visual
aspects. Include appropriate level of peer review.
Software Engineering: Assist system engineering.
Quality Engineering: Provide quality checks.
2.3
Systems Engineering:
Approve design
System Enginee
ring: Derive component level requirements for Software Engineering to
design, code, and unit test and System Test can provide System and Enterprise level
testing.
Software Engineering: Assist system engineering
System Test Engineering: Derive sell

off acce
ptance criteria. Include appropriate peer
review (including System Engineering) and customer approval.
Quality Engineering: Provide quality checks.
3.
1
Software Engineering:
Approve
C
ontent
S/W Component Design
System Engineering: Assist software
engineering
Software Engineering: Provide appropriate level design artifacts from System
Engineering UML design artifacts. Include appropriate level of peer review.
System Test Engineering: Derive sell

off acceptance criteria. Include appropriate peer
revi
ew (including System Engineering) and customer approval.
6
Quality Engineering: Provide quality checks.
3.
2
Software Engineering: Code and Unit Test
System Engineering: Assist software engineering
Software Engineering: Code and Unit Test software
modules that execute the software
which meets all topical and derived requirements.
Quality Engineering: Provide quality checks.
3.3
Software Engineering: Function Test (with actual gauges)
System Engineering: Assist software engineering
Software Engineer
ing: Check the function
Quality Engineering: Provide quality checks.
4.1
Test Engineering: Design Test Artifacts
System Engineering:
Support
with other engineers for opinion
Software Engineering:
Support
with other engineers for opinion
System Test Engine
ering: Derive System and Enterprise Level Test Cases. Include
appropriate level of peer review.
Quality Engineering: Provide quality checks.
4.2
Test Engineering:
Perform
Environment Level Tests
System Engineering:
Support
with other engineers for opinion
Software Engineering:
Support
with other engineers for opinion
System Test Engineering: Execute test cases as software modules become available
Quality Engineering: Provide quality checks.
4.3
Test Engineering:
Approve
Test Services (with Customer
Acceptance
Criteria
)
System Test Engineering: Assist Quality Engineering
Quality Engineering: Quality checks during the processes described for System
Engineering, Software Engineering, and System Test Engineering as appropriat
e
7
Include the following customer related reviews: Design Review (after System
Engineering completes design artifacts), Pre

Ship Review (provided prior to Astin Martin
Electronics
acceptance of software).
4.4
Test Engineering: Run Test on Live
Environment (Customer Facility)
System Test Engineering: Assist Quality engineering
Quality Engineering: quality checks, and Final Acceptance Test (software demonstration
at customer facility showing software meets all requirements as installed) installed)
4.
5
System Test Engineering: Deploy to Operational Environment (Customer Facility)
System Test Engineering:
work with customer facility team for full deployment
Use approved installation instructions to deploy software into operational environment
with s
upport from customer facility team
*** Add more WBS activities as required or you deem necessary ***
Example: May want to add WBS level for Quality Engineering for derived tasks or those
tasks could be incorporated in the WBS items noted above.
NOTIONAL
ACTIVITY DURATION
SCHEDULE
Notional
Activity estimated Duration
The estimated total elapsed time for how long an activity will take from starts
to finish, including associated waiting time. Also referred to as activity
resource estimated or
estimated activity resources.
Example only:
Does not reflect tasks of this assignment
.
8
PROJECT QUESTIONS & TASKS
1.
Provide  a
project  objective
associated  with  the
Astin  Martin  Electronics
project.
Include a list of
assumptions
about the project.
2.
What is a work breakdown structure? What is a resp
onsibility matrix?
Using the Astin
Martin
Astin  Martin
Electronics
project
activity  list  and  activity  duration  schedule
,
create a WBS and RAM.
Work Breakdown Structure
(Should provide
hierarchical graph)
???
Responsibility Assignment Matrix
???
(Example
  • attachment

    428.docx