A current semi-direct or indirect nursing situation that is in need of change

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In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature.

A current semi-direct or indirect nursing situation that is in need of change

In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature. Diagnose the problem and choose a nursing change theory that suits the change(s) you want to make. Propose a detailed plan based on your chosen change theory, explaining how to implement change. Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. Finally, reflect on how your change affects the nursing profession NUR204: Week 9 Assignment Page 1 `

Assignment: Change Paper
Assignment Overview In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature. Diagnose the problem and choose a nursing change theory that suits the change(s) you want to make. Propose a detailed plan based on your chosen change theory, explaining how to implement change. Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. Finally, reflect on how your change affects the nursing profession.

Assignment Details:

Perform the following tasks:
Complete the reading assignment and the interactive lesson before attempting this assignment.
Assess a current semi-direct or indirect nursing situation that is in need of change. Observe your healthcare environment, focusing on areas of nursing process that are inefficient, unsafe, or problematic in nature.
Diagnose the problem and choose a nursing change theory that suits the change you want to make.

Propose a detailed plan based on your chosen change theory, explaining how to implement change.

Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal.

Reflect on how your change affects the nursing profession.

Write a 3-5 page paper following the criteria below:  your paper should include primary sources and include at least two peer-reviewed nursing journal articles.

Citations should be in your own words and not direct quotes.  Include a title page, running head, appropriate headings, and reference page. The paper should be double spaced, written in Times New Roman, 12-point font, follow APA style format, and cite all sources correctly.

Include the proper file naming convention: NUR204_wk9_assn_jsmith_mmddyyy. Grading:

Criteria Excellent (3pts) Good (2pts) Needs Improvement (1pt)
Research – Cited 4 or more reliable sources. – Sufficient information provided to support topic. – Research in-depth, revealing new insight.

– Cited 4 or more reliable sources. – Adequate information provided to support topic. – Research is superficial.

– Missing citations or unreliable sources used. – Information does not support research topic. – Research is not relevant to paper.

NUR204: Week 9 Assignment Page 2

Content – Appropriate topic is chosen that relates directly to the nursing process. – Proposed plan contains specific ideas for change. – Change theory is included and proposal follows theory. – Timeline is included for change proposal. – Reflection is provided.

– Appropriate topic is chosen that relates directly to the nursing process. – Proposed plan is included but missing specifics. – Change theory is included and proposal follows theory. – Timeline is incomplete – Reflection is not relevant to nursing process.

– Inappropriate topic is chosen that is unrelated to nursing process. – Proposed plan is inconsistent and missing specifics. – Change theory is missing or inappropriate. Plan does not follow theory. – Timeline is missing. – Reflection is missing.

Grammar/Spelling – Consistent and appropriate writing style. – No spelling/grammar errors. – Length is 3-5 pages using Times New Roman, 12-point font

– Writing is consistent and appropriate. – Grammar/spelling errors are minor. – Length is less than 3 pages or Times New Roman, 12-point font not used.

– Writing is inconsistent and inappropriate. – Significant grammar/spelling errors. – Length less than 3 pages or Times New Roman, 12-point font not used.

References/APA – All sources properly cited using APA format. – Includes title page, running head, page numbers, proper paragraphs, and reference page.

– All sources properly cited using APA format with minor errors (punctuation). – Includes title page, running head, page numbers, and reference page with minor errors in paragraph format.

– Sources not cited correctly. – Missing elements such as title page, running head, and reference page.

Josie Bellings, a 34-year-old nurse, presents to your office. Her boyfriend, Robs, is with her.

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Josie Bellings, a 34-year-old nurse, presents to your office. Her boyfriend, Robs, is with her. “Hi,” Josie sighs deeply. “Remember your first months as a new nurse?

Josie Bellings a 34-year-old nurse presents to your office

Josie Bellings, a 34-year-old nurse, presents to your office. Her boyfriend, Robs, is with her.

“Hi,” Josie sighs deeply. “Remember your first months as a new nurse? I just finished orientation and I’m struggling to keep up now. I’m… I’m having trouble clocking in on time because I have to be certain my hands are clean before I start my shift.”

Robs breaks in. “She’s told me she sometimes washes her hands six times in a row. Maybe even seven or eight to be sure. She does this at home, too.”

Josie nods. “Yeah, he’s right. And after seeing a patient, I also have to clean the desk and computer with wipes just as many times before I can finish the chart. My charge nurse says I’m overdoing the cleanliness a bit, but I just have to do it. And it’s not just cleanliness. At home, I’m the last to bed because I have to check the doors at night five to six times at night.”

“Even if I’ve already locked up and she saw me do it,” puts in Robs.

“Well, I feel like I have to have some control over my world. And, um, Robs doesn’t know this, sometimes I get up after he falls asleep because I worry to the point that I will have to get up and go check one or two more times before I can go to sleep.”

Robs adds, “Actually, I did know about that, Josie. I’m also concerned because Josie will get focused on something and then not be able to shut her mind down. She perseverates and I cannot distract her for anything.”

Josie reports that she has always had these symptoms but that they are worse recently. She reports feeling depressed, mainly because of the OCD symptoms that are causing her trouble. She denies any SI, HI, or A/V hallucinations.

From your perspective as Josie’s psychiatric nurse practitioner, address the following in your initial post.

What screening or diagnostic tool(s) would you use for Josie? Include a link or copy of the screening or diagnostic tool(s). Identify additional questions you need to ask that will help you know what the best treatment option(s) are for Josie.

The Nicole Mary Smith ethical and legal issues in nursing

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This is a paper that is focusing on The Nicole Mary Smith ethical and legal issues in nursing. The paper also provides additional information to use in writing the assignment paper.

The Nicole Mary Smith ethical and legal issues in nursing

An Essay on Ethical and Legal issues in nursing
Instructions to Write the Essay
An essay to be written on Ethical and Legal issues in nursing based on the case study given below.  This assessment has a weighting of 40%.
You need to consider:

o
The legal and ethical concerns that the situation in the scenario raises.
The possible actions or inactions that could be taken and also the implications of those actions.
You do not need to provide the ‘right’ answers, what you will be assessed on is your ability to determine the implications of different actions or inactions from a legal and ethical perspective.
Firstly, think of the possible courses of action (or inaction) that could be taken and then consider, do any ethical theories support (or not) the actions that you discuss?

o
Secondly, which ethical principles, doctrines or concepts apply to the actions/inactions put forward and if so, how?
Thirdly, do any of the ethical principles conflict with each other or with the law?
Fourthly, which torts or other legal concerns apply to your suggested actions/inactions?
Consider the Code of Conduct, Code of Ethics and RN Standards of Practice (2016), how do they apply to this situation?

The Nicole Mary Smith ethical and legal issues in nursing

Scenario:
On 18th January 2020, Nicole Mary Smith (pseudonym) was admitt to the Emergency department of a private hospital with the chief complaints of abdominal pain, poor appetite, and urinary symptoms. Upon review by the Emergency physician, she was admitt to the surgical ward for further investigations and symptom management. The patient is an 86-year old woman, who lives in an assisted living facility. Her daughter and also her grandson live in a nearby suburb and often visit her. During the preceding two weeks, Nicole’s condition has drastically deteriorated. Her daughter appears to be anxious and has narrated her struggle to manage the visits to the hospital and her work and family responsibilities. The visiting Oncologist has refereed Nicole to the palliative care team after the initial diagnosis of metastatic ovarian cancer.

You are the registered nurse looking after Nicole. You entered the room to administer pain relief, the patient’s daughter approaches you and says, “Why do you keep bothering us, do not give her any injections; she is going to die anyway”. She goes on, “I just cannot wait for all of this to be over; I have my own family to look after”. You realize her concerns and try to reassure her. However, you been new to palliative care and are finding the situation challenging.
Write an academic essay on Ethical and also legal issues in nursing, specific to the given scenario. Additionally, provide supporting evidence to your claims and include recommendations to improve future practice.

Janel Wood’s 9-year-old son recently began experiencing migraines

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When Janel Wood’s 9-year-old son recently began experiencing migraines, the working mother decided to try a new company health care program that allowed her to communicate with a doctor through videoconferencing, voice over IP and instant messaging.

Janel Wood’s 9-year-old son recently began experiencing migraines

Please read the narrative below and answer the questions. Record your answers in a Microsoft Word document, save and then submit here when completed.

Telehealth : The Doctor Will Tweet You Now

When Janel Wood’s 9-year-old son recently began experiencing migraines, the working mother decided to try a new company health care program that allowed her to communicate with a doctor through videoconferencing, voice over IP and instant messaging.

While her son was home for lunch, Wood logged onto a local medical practice’s website and connected via videoconferencing and IM with the doctor on duty, who then reviewed her son’s electronic medical record, or EMR, online. The doctor sent Wood links to migraine articles and podcasts and prescribed more hydration for her son, which worked overtime. “I ended up bringing [my son] back to school before missing any classes, which he was kind of bummed about. It was so quick and efficient,” Wood said. Please read the article and answer the following:

Do you agree or disagree that telehealth is cold and impersonal?

What are the advantages of telehealth?

What are the disadvantages of telehealth?

Finally, What other industries could benefit from this type of technology?

Not less than 350 words of your answers. Make sure you label each question with the question number. Use APA style if you cite other resources.

Ritchie Metcalf is a 66-year-old Caucasian man whose wife 

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Ritchie Metcalf is a 66-year-old Caucasian man whose wife has encouraged him to seek treatment. He has never been in therapy before and has no history of depression or anxiety. However, his alcohol use has recently been getting in the way of his marriage and interfering with his newly retired life.

Ritchie Metcalf is a 66-year-old Caucasian man whose wife

Ritchie Metcalf is a 66-year-old Caucasian man whose wife has encouraged him to seek treatment. He has never been in therapy before and has no history of depression or anxiety. However, his alcohol use has recently been getting in the way of his marriage and interfering with his newly retired life. He describes drinking increasing amounts over the last year, currently consuming approximately a six-pack of beer per day. He notes that this amount “doesn’t give me the same buzz as it used to.” He denies ever experiencing “the shakes” or any other withdrawal symptoms if he skips a day of drinking.

Ritchie comments that his wife, Sandra, is his biggest motivation to decrease his alcohol use. She tells him that he gets argumentative and irritable when he drinks, although he usually does not remember these incidents. Twice, he has fallen while intoxicated, causing bruises both times and once hitting his head.

Questions

From your perspective as Ritchie’s psychiatric nurse practitioner, answer the following questions in a -page double-spaced paper (not including the reference page) and in APA format. Include at least three peer-reviewed, evidence-based references.

1-What screening tool could you use for Ritchie?
2-What assessment questions would you ask regarding his alcohol use?
3-If Ritchie and Sandra want to use medication to help with alcohol cravings, what are his options? Create a table that compares and contrasts at least three medications for alcohol use and/or cravings. Choose one medication, explain why you recommend it for Ritchie, and list the prescribing information. Are there any special considerations in prescribing it for Ritchie?
4-Ritchie and Sandra are both interested in community support groups. Please list one community support group that Ritchie could attend in your area and one community support group for Sandra in your area.
5-What type of individual therapy would be appropriate for Ritchie?

The Nurse Leader as Knowledge Worker

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Assignment: The Nurse Leader as Knowledge Worker. The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959).

The Nurse Leader as Knowledge Worker

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

Firstly, review the concepts of informatics as presented in the Resources.

Secondly, reflect on the role of a nurse leader as a knowledge worker.

Thirdly, consider how knowledge may be informed by data that is collected/accessed.

The Assignment:
Firstly, explain the concept of a knowledge worker.

Secondly, define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

Thirdly, develop a simple infographic to help explain these concepts.

Fourthly, your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.

Ms. Haskins the administrator of a nursing facility

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Ms. Haskins,the administrator of a nursing facility, is headed out of the facility to getlunch when she hears someone weeping down the hall. She nds Ms. Miller, a resident, in her bed in the hallway.

Ms. Haskins,the administrator of a nursing facility

Ms. Haskins,the administrator of a nursing facility, is headed out of the facility to getlunch when she hears someone weeping down the hall. She nds Ms. Miller, a resident, in her bed in the hallway.

“What are your doing here, Ms. Miller?”

After catching her breath, Ms. Miller replies, “He moved me out here. He moved me away from Tom.”

Tom is Ms. Miller’s husband with whom she shares a room.

“Who moved you out here? One of the nurses?”

“That young man. He took me away from Tom.”

“You mean Mr. Keller, your CNA?”

“Yes! He’s mean to us.”

“Why did he move you into the hall?”

“He’s a bad man. You should get rid of him.”

Unable to get a clear answer from Ms. Miller, Ms. Haskins tracks down Mr. Keller and asks why Ms. Miller has been moved outto the hall.

“She and Tom won’t stop bickering,” Mr. Keller replies. “The other residents were starting to complain. And I was getting pretty sick of hearing it,too.”

Was Mr. Keller justied in moving Ms. Miller outin the hall? Why or why not?

Has Mr. Keller violated the Millers’ rights as residents in any way? If so, how?

How could this situation have been better handled?

If you were in Ms. Haskins’ shoes, what would be your response?

Evidence Based paper – surgery pain managment or NGT feedings

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Evidence Based paper – surgery, pain managment, or NGT feedings.

Pick a topic of either surgery, pain management, or NGT feedings (this paper should be two to three pages long not including the reference and title page) When you meet your patient, what assessments will you do? What will you ask them as far as pertinent information about their history, medications, and illness? (20 points)

 

What are normal assessments you would expect to see? (20 points) What are abnormal assessments or responses to questions? (20 points) What would be appropriate teaching for this patient? (20) Find one evidence-based research article to support your information.

You may use your book as a second reference and of course any other source that is reliable. Use appropriate APA format to site (10) Use correct spelling, grammar, and sentence structure (10) It should include a title page, a running head, and a reference page.

You will have the option of finding an evidence-based research article on one of the following topics: Surgery, Pain Management or NGT feedings. Content: * assessment of body systems (20 points) * description of normal findings (20 points)

* description of abnormal findings (20 points)

*Appropriate teaching for this patient (20) 80 Grammar: (4 points per area)

*Grammar

*Spelling

*Sentence Structure

*Punctuation 10 APA format: (2 points per area)

*Title Page

*Headings

*Typed *Double spaced

*References cited 10 Total points 100

Quality and Safety Education for Nurses

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Write a nursing QSEN paper.

QSEN 2 Quality and Safety Education for Nurses (QSEN) is a project designed to empower baccalaureate prepared nurses to apply basic goals of quality, safety, informatics, patient centered care and evidence based practice into the healthcare environment.

The topic of my QSEN paper is “Fall Prevention in the hospital” Please use nursing journals, case studies ect.. as resources please include the following objectives in the paper:

• Identify one or more of the QSEN competencies referring to the specific knowledge, skills, or attitudes and behaviors for that particular competency(ies) o Analyze the significance of the concern and relevance for nursing practice in relation to the one or more QSEN/KSA competencies. (From different perspectives, what and why is it important to explore this concern or issue?) o Complete a review of the literature related to the nursing or patient care concern and the associated QSEN/KSA competency.

• Provide a case exemplar from your clinical experience that exemplifies the nursing or patient care concern and its related QSEN/KSA competency(ies)

. • Synthesize the nursing implications from recent literature (within the last 5-7 years) to the specific concern or issue and include implications for these two areas:

o Practice: What did you determine was the best or preferred nursing practice for this concern, providing rationales and evidence? o Education:

What are the current guidelines for educating staff about patient care or nursing practice related to this concern or issue, providing rationales and evidence?

Differing approaches of nursing leaders and managers to issues in practice

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In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice.

To complete this assignment, do the following:

1.Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.

2.Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.

3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.

4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.

5. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.

6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

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.