Nurse Leadership Interview

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Leadership Interview and Reflection Paper-Appendix D You may select to interview a person in a leadership position.

The person must be responsible in some capacity for other employees. The interview may be conducted by phone, email or in person. This nurse manager may be from a variety of health care areas: Hospital Unit Managers; Chief Nurses; Home Health Director of Nursing; Nursing Home Director of Nursing; Unit Charge Nurse or if not listed you may approach your faculty to determine if the individual you want to interview is appropriate. As with all papers, utilize APA format. The Interview Paper must be APA formatted and should have: a Title Page; Interview section the paper should be a minimum of 3 but no more than 5 pages, Reflection portion should not be more than 2 pages (each student reflection), and a Reference Page. See Appendix D for grading rubric Interview section:

In your interview, include the name of the leader and his or her position, organization or field the leader works in, and length of time in position. Below are some questions you may ask the leaders. Include at least 10 questions in your interview-List these. 1. Describe the organization that you work in, including the culture of the organization and your responsibilities as a leader. 2. Describe your leadership style. 3. Describe the steps taken to get in your current leadership position. 4. What has been your biggest challenge as a leader? 5. What has been your greatest achievement as a leader? Reflection: Include a citation to one Leadership Article of your choosing and attach copy Each group member must write their own reflection portion related to the interview.

1. What did you learn about the connection between culture, health career roles, and leadership from conducting this interview? How can this improve your leadership abilities? 2. What surprised you, if anything, about the interview. 3.Were there any nuances to the leader’s responses, which may be attributed to healthcare roles or cultural differences in leadership behaviors discussed in the module? please use this question to write the paper

Middle Range Theory on Patient Advocacy

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Description

1. Define the middle range theory and the purpose of the selected middle range theory.

2. Define and discuss the nursing metaparadigm within the context of the selected middle range theory.

a. Explain how the theorist employs and defines each of the four concepts that comprise the nursing metaparadigm within the selected middle range theory

3. Explain the importance of the selected middle range theory in nursing practice.

a. Provide and discuss two examples of use of the selected middle-range theory from current nursing practice

4. The scholarly paper should be 4-5 pages excluding the title and reference pages.

5. Include level 1 and level 2 headings.

6. The paper should begin with an introductory paragraph that includes the purpose statement.

The introductory paragraph and purpose statement allow the reader to understand what the paper/assignment is going to address.

7. The paper should include a conclusion.

8. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’).

9. Include a minimum of three references from professional peer-reviewed nursing journals (review in Ulrich Periodical Directory) to support the paper.

***Historical references may be used as appropriate. (Definition of historical reference: reference to a well-known person, place event or literary work that adds meaning to the paper.)

10. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).

**MIDDLE RANGE THEORY: Developing a mid-range theory of patient advocacy through concept analysis by Xioaoyan Bu and Mary Ann Jezewski**

What must you check before releasing the patient records

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Case Study: A member of the hospital’s medical staff has been accused of improperly billing Medicare for treatments done in his office that were not medically necessary. A subpoena for copies of patient records was received but the subpoena does not include a patient authorization for the release of records.

In addition, the subpoena requests all “peer review committee” records pertaining to this physician. Consider the following questions:

1) What must you check before releasing the patient records?

2) What legal concept described in this chapter will determine the admissibility of the hospital records into evidence?

3) The defendant’s lawyer objects to the subpoena, arguing that the patient records are “hear-say”. To resolve this issue, identify at least one element will likely be required in your testimony.

4) Your hospital attorney objects to the subpoena of the peer review committee materials, citing state law that protects peer review records from discovery. What legal concept describes this protection?

5)While acting on the subpoena, you discover that one of the patient records (which are electronic) has had major sections deleted. Your review of the audit trails determines that a hospital staff member was responsible for the deletions. Under what legal concept could the hospital be subject to liability for the deletions? What should have been done to protect the records? It must follow the case study writing guidelines by using the link below https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2597880/

Infectious Diseases: Choose either Influenza or Tuberculosis

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Description Infectious diseases come with extremely tough challenges to mitigate them and then finally get them under control. Bringing any such infectious disease under control involves a lot of decisions and cooperation between various branches of government and the health services. Based on your research, create a 3 to 4-page report in a Microsoft Word document that includes the following: •A brief description of your chosen infectious disease along with your reasons for choosing the disease. •Information on the work conducted by government departments to mitigate the impact of your chosen infectious disease. •Investigations, research studies, and other surveillance data analyses regarding your chosen infectious disease. •Instances of the emergence and re-emergence of your chosen disease. •A brief summary of the government’s findings and investigations about your chosen disease. •Past, current, and ongoing research pertaining to your chosen disease. Support your writing with relevant facts or figures and indicate your current knowledge of the infectious disease. Support your responses with examples, Cite any sources in APA format.

Impact of APN in patient education in a geriatrics ward

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Topic: Free topic –  Impact of APN in patient education in a geriatrics ward

 

Paper details:

Here is the description of the assignment Paper (60%)

Students are expected to state the title of the paper and develop the content individually.

The paper should compose of two parts, the content and reflection. In the content part, the student provides a theoretical discourse of the issues related to advanced nursing practice learned in the lectures and tutorial presentation, with illustration of clinical scenarios / cases as appropriate. In the reflection part, the student reflects on the issues raised in the first part, made observations or suggestions related to their own area of specialty practice. The students should substantiate discussion with references in the paper showing that they are conversant with the topic in a scholarly manner.

There is no word limit. A reasonable length of the paper would be around 3000 to 5000 words. As I am working in a geriatrics ward in Hong Kong, I would like to stick to my specialty and talk about the role of our nurse in-charge (APN) making use of advanced skills teaching DM patients and their relatives in pen-prefilled-insulin injection, medications and diet adherence. Please kindly state the importance of having ‘advanced’ knowledge, experience and skills and make use of nursing models to illustrate the methods and techniques APN uses in the process. My professor (Professor Frances Kam Yuet Wong) is the one pushing APN legal qualification in Hong Kong and she is super hyped while talking about the difference between APN and RNs. Quoting her publications might be useful as well. This is the proposed structure of the easy:

1. Topic & intro Try to elaborate a bit in about the topic and talk about role of APN with some references

2. Case sharing Please complete my experience of a case with multiple admission because of poor DM control, high blood HbA1c level shows that the diet of patient is not well regulated. With her wife bringing coke and different food to ward. He also suffers from diabetic foot and eye problems.

Then APN in our ward perform education in insulin injections, concepts of diet modification, medication adherence and regular blood glucose level checking to patient and his wife. In the process, different advanced education and communication skills are used with possible minor conflicts between patient and nurses on diet changes, which was resolved by the mediation of our experienced APN Please make use of Chinese names: Patient: Mr Chan, his wife: Mrs Chan, Nurses: APN: Miss Wong, Junior RN Mr Cheung

3. Evaluation (most important part) Elaborate on the case and review all the skills APN used in the whole process. Put different models in and highlight the role of APN in the case and what will happen if the case is handled by junior RNs. These are the models you may want to make use of but not limited to: QF levels: 7 levels of attainment/education in Hong Kong – talks about the difference between APN and RN – https://www.hkqf.gov.hk/filemanager/en/content_13/The%20revised%20GLD%20and%20the%20Explanatory%20Notes_Eng_April_2018.pdf Consensus Model for APRN regulatory Model Health belief model Transtheoretical model of behavioural change

4. Conclusion Talk about the importance of APN, APN qualification in Hong Kong is not legalized yet, there is only RN register in Hong Kong at the moment. In public hospitals, there is RN and APN but they are all holding RN certificate only. APN in Hong Kong usually holds a master degree with postgraduate certification in their own specialty and have at least 7 years of experience. Then make a short comment in importance in recognise APN legally in Hong Kong. I have attached the course menu to you and two of the important lecture notes related to the assignment. Please make use of it. The assignment will be online checked for plagiarism and required to use APA format as referencing.

Fluids and Electrolytes Case Study

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F&E case study:

Fluids and Electrolytes Case Study

A 68 year-old alcoholic is admitted with medical diagnoses of cirrhosis of the liver, atrial fibrillation, and hypertension. At home he has been on a low Na+ diet and he takes digoxin 0.125 mg daily.

1. Initial assessment: (explain each, including appropriate pathophysiology; may list this section only in bullet format and then explain adequately) – obvious ascites with 3+ peripheral edema – VS: 108/66 lying, 82/48 standing; 116 and regular but weak; 32 and shallow – breath sounds clear but diminished all lobes – hypoactive bowel sounds x 4 – urine voided shortly after admission: 80 mL, very concentrated, specific gravity 1.048 – he demonstrates alternating drowsiness and confusion and is c/o cramping in the lower extremities – at one point during the assessment, he looks at you and comments “Oh, my dear, you look just like an angel.” – Admitting labs: H&H, Na+ , and BUN all elevated; K+ 2.7; total protein 5.0, albumin 2.8; digoxin level 0.6 ng/mL.

2. This patient has experienced a fluid shift. Explain: fluid compartment(s) involved?? direction of fluid movement?? Cause of such in his case?? Include appropriate pathophysiology.

3. MDs orders: (explain each, including the goal of each therapy) – 1000 ml D5NS with 30 mEq KCl at 125 ml/hr – Albumin 25% 100 mL now (1 bottle) and again at 0600 the next morning – Furosemide 80 mg IVP Describe appropriate assessments by the nurse during each therapy above.

4. He continues to receive D5NS with KCl during the evening and night shifts and demonstrates marked improvement. However, the night nurse reports that the ordered 0600 albumin infused “ahead of schedule” and your initial assessment reveals: -BP 180/110, pulse 120 and bounding -Extreme dyspnea with crackles throughout both lung fields to mid-scapular area -Engorged neck veins at 90 degrees What has occurred and why?? What would you as the RN do immediately and what MDs orders would you anticipate?? Explain rationale for EACH.

Osteoporosis Medications

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Osteoporosis Medications

Investigate osteoporosis and the patent medications that are prescribed for it.

Discuss the evidence for and against osteoporosis medications.

Your initial post should be at least 600 words, formatted and cited in current APA style with support from at least 2 academic sources. This is the pdf link for the book used in class should it be useful to you please let me if able to access it. ****file:///C:/Users/mangu/OneDrive/Documents/Health%20Assessment%20Physical%20Examination%20&%20Health%20Assessment%207E%20Book.pdf*****

Identify the external factors that influence nurse manager’s decision making

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Read Mason, Gardner, Outlaw & O’Grady text: Chapters 8, 10, 11, 12, and 13 Online Materials & Resources Review:

Hinshaw, A. S (2007). Shaping health policy through nursing research. American Association of College of Nursing. Available at http://www.aacn.nche.edu/membership/members-only/presentations/2007/07fall/Hinshaw.pdf (Links to an external site.) (Links to an external site). Read: Majumdar, S. R., & Soumerai, S. B. (2009). The unhealthy state of health policy research. Health Affairs, Supplement 28(5), 900-908. Assignment # 3 – Summary and Analysis of Nurse Manager Interview Submission Interview a nurse manager to explore the external factors that influence decision making such as health policy, regulatory requirements, accreditation, health care financing. Write a 4 – 5 page paper summarizing and analyzing your interview with the nurse manager. Rubric is at the end of the syllabus. Goal: Identify the external factors that influence nurse manager’s decision making. Content requirements for this assignment: 1. Provide an overview of the role of the nurse manager interviewed. Summarize the information from the interview (do not report the interview question by question) 2. Perceptions related to impact on health policy on decision. Perceptions related to impact of regulatory agencies on decision making. Perceptions related to impact of health care financing on decision making. 3. Analysis of the interview supported by the literature. Format Requirements: The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling. The paper is to be no shorter than 4 pages; nor longer than 5 pages in length, excluding the title, abstract and references page. Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library(Links to an external site.)Links to an external site. has a copy of the APA Manual). Your paper should be formatted per APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions).

Case Study – infection

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M.Z. is a 38-year-old female with a past medical history of uterine fibroids and had a myomectomy. It is post-operation day two, and, M.Z.’s temperature is 101.9°F, HR 100, RR 22, BP 100/68, purulent drainage is noted from the wound. The following prescriptions are entered: • 1L of 0.9% sodium chloride IV over 2 hours, then continue 0.9% sodium chloride at 125ml/hr. • Obtain blood cultures x2, CBC, and abdominal wound cultures • Acetaminophen 650 mg PO every 4 hours for a temp. > 100.5 • Cefepime 2g IV every 8 hours.

• Metronidazole 500mg IV every 8 hours • Vancomycin 25mg/kg IV now, then 15mg/kg every 8 hours. Pharmacists to monitor and dose. Assignment: 1. Name three nursing priorities? 2. List a short-term (during the visit) and a long-term (within one week) SMART goal for the patient? 3. What are the classification, action, and therapeutic effects (reason) for each medication? 4. List drug interactions or contraindications to be concerned about for each drug? 5. What adverse effects/side effects does the nurse need to monitor for each medication? 6. In what sequence would you carry out to following orders/prescriptions (state your rationale)? 7. Why are three anti-infective medications prescribed for the patient?

Nursing : current healthcare organization and think about potential opportunities for evidence-based change

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The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes. In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach. To Prepare: Reflect on the four peer-reviewed articles you critically appraised in Module 4. Reflect on your current healthcare organization and think about potential opportunities for evidence-based change. The Assignment: (Evidence-Based Project) Part 5: Recommending an Evidence-Based Practice Change Create an 8- to 9-slide PowerPoint presentation in which you do the following: Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.) Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general. Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered. Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change. Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking. Add a lessons learned section that includes the following: A summary of the critical appraisal of the peer-reviewed articles you previously submitted An explanation about what you learned from completing the evaluation table (1 slide) An explanation about what you learned from completing the levels of evidence table (1 slide) An explanation about what you learned from completing the outcomes synthesis table (1 slide)