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Kelie Hein
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Re:Topic 10 DQ 2
Simply stated, EBP is an essential part of the BSN-prepared nurse because EBP is best practice, and it ensures the most positive outcomes for patients. Nurses are leaders, and as education level increases, credibility and responsibility also increase. Each degree obtained causes people to look at the nurse as more of a leader, and leads patients to have more trust. The ANA agrees with those concepts, calling all nurses to further their education, and posits that EBP improves “care processes and patient outcomes” (Stevens, 2013, para. 3).
The first way I will integrate and encourage EBP is to continue to learn. As I increase my knowledge regarding EBP, I will be more prepared to utilize it. I will attend conferences and read the journals I subsribe to in order to stay abreast of new technology and advnaces, and the most current evidence. The other way I will integrate and encourage EBP is to set the example. We often get nursing students on our unit, and I will guide them in utilizing EBP, and encourage their spirit of inquiry. I will also be involved on my unit, presenting knowledge as I learn it, and perhaps even being a preceptor. At some point in my nursing career, I would like to be a clinical instructor.
The major obstacles to this plan are time and finances. School is extremely expensive and time-consuming. My facility is Magnet designated and very encouraging of education. I will utilize their tuition reimbursement program to minimize the financial impact. In order to minimize time impact, I will be sure to engage in self-care and balance my work, school, life time. I will also continue to strive and motivate myself based on making myself better, and making my patients’ lives better. I am also blessed to have God’s love and guidance, as well as that of my family.
PROBLEMS OF HYPERTENSION
Details:
Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.
You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.
Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity.
You may use the “Scholarly Activity Summary” resource to help guide this assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are not required to submit this assignment to Turnitin.
infant development Assignment
Assignment 4
Assignment 4
Highlight the correct answer, and explain why.
1) The mother of an infant child asks the nurse what the right feeding schedule is for an infant. Of the following responses, which would be the best response for the nurse to make?
Highlight the correct answer, and explain why.
1) The mother of an infant child asks the nurse what the right feeding schedule is for an infant. Of the following responses, which would be the best response for the nurse to make?
| a. | Feed the infant every 2 hours. | c. | Feed the infant every 4 hours |
| b. | Feed the infant every 3 hours | d. | Feed the infant when the infant is hungry. |
2) A concerned parent asks the nurse how much fiber a 4 year old child should have each day. Of the following responses, which best answers the parents question?
| a. | As much as the child will eat. | c. | Fourteen grams per day. |
| b. | Between 9 and 14 grams per day. | d. | Nine grams per day. |
3) A client tells the nurse when discharged from the hospital that the client is going to do whatever is necessary to lose some weight. What is the most appropriate response for the nurse to make?
| a. | Be sure to contact your physician before embarking on a weight reduction plan. | c. | I’ll have the registered dietitian put together a meal plan for you. |
| b. | Good luck with your effort. | d. | Just follow a MyPyramid plan for 1,000 calories less a day than you think you need. |
4) The nurse is caring for a client in long term care who has been prescribed tetracycline. What, if any, dietary issues related to the tetracycline must the nurse be concerned with?
| a. | Dairy products should not be consumed within 2 hours of taking tetracycline. | c. | There are no food-drug interactions associated with tetracycline. |
| b. | The tetracycline should be taken with milk 2 hours before eating. | d. | This patient cannot have any dairy products until the course of antibiotic treatment is complete. |
5) The nurse is completing the initial assessment of a hospitalized client who has arthritis. The client uses aspirin daily for pain relief. The nurse makes a note to look at the patient’s labs when they come in to see if the patient may need supplementation of what nutrient?
| a. | calcium | c. | magnesium |
| b. | iron | d. | vitamin E |
analysis, synthesis and evaluation of nursing theory
Smith, Turkel & Wolf (2013) Chapter 4
Summary: The purpose of the weekly reflective journal exercises is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011). Also a useful definition of reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).
Directions: Complete the Reflective Journal questions presented in your Smith, Turkel, & Wolf (2013) text as defined in the course outline. Post the responses to the questions in the D2L dropbox.
book: https://books.google.com/books?id=x8jOEKojWRQC&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false
application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions
This week builds on that foundational awareness with a focus on the application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions. In this Discussion, consider how these strategies can sustain practice changes.
To prepare:
Read: Newhouse, R.P. (2007) Diffusing confusion among evidence-based practice, quality improvement and research. JONA 37,432-535 (see attached pdf)
Read: Mazurek Melynk B., Gallagher-Ford, L., English Long, L., & Fineout-Overholt, E. (2014) The establishment of Evidence-Based practice competencies for practicing registered nurses and advanced practice nurses in real world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing 11(1),5-15. (see attached pdf)
We all agree that research is the highest form of reliable evidence, when implemented in an organization that provides the basis for an evidence based practice. FIND a research study published in a peer reviewed journal related to a clinical practice problem that is of interest to you, and which would ultimately contribute to an evidence based practice.
The discussion assignment:
ANSWER the following discussion questions. Include the research study in your post (attach it to the post and post it in doc sharing). See page 11 #15 in Mazurek Melynk, Gallagher Ford, English Long and Fineout-Overholt. In this assignment, you are being asked to critically appraise a single research study for its relevance to a QI practice problem.
Discussion questions:
1) What was the purpose of the research?
2) Identify the independent and dependent variables in the study.
3) Briefly describe the research design, data collection method(s), and instruments used to measure the variables under study.
4) Briefly summarize study findings, conclusions and recommendations. Do you agree with these?
5) As a DNP prepared nurse, would you recommend a change in nursing practice based on the study? Defend and/or justify your decision based on research evaluation principles. In other words, does the evidence generated by this research article signify a need to change nursing practice? If not, why not; if so, why?
Post by tomorrow Wednesday January 31, 2018 by 10 pm America New/York time
Required Readings
Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.
- Chapter 14: “Leadership for Quality”
- Chapter 16: “Implementing Quality as the Core Organizational Strategy”
Baur, C. (2011). Calling the nation to act: Implementing the national action plan to improve health literacy. Nursing Outlook, 59(2), 63–69.
Note: You will access this article from the Walden Library databases.
This article describes the aspects of the National Action Plan to Improve Health Literacy. It starts by covering the background and objectives of the plan and then moves to its vision and goals.
Ferrara, L. R. (2010). Integrating evidence-based practice with educational theory in clinical practice for nurse practitioners: Bridging the theory practice gap. Research & Theory for Nursing Practice, 24(4), 213–216.
Note: You will access this article from the Walden Library databases.
The author of this article discusses using constructivist theory to teach nurse practitioner students to use evidenced-based practice. She focuses on introducing the student’s theoretical knowledge into real-life practice.
Grant, B., Colello, S., Riehle, M., & Dende, D. (2010). An evaluation of the nursing practice environment and successful change management using the new generation Magnet Model. Journal of Nursing Management, 18(3), 326–331. doi:10.1111/j.1365-2834.2010.01076.x
Note: You will access this article from the Walden Library databases.
Health care organizations have implemented the Magnet Model as a way to successfully implement practice change. This article examines the aspects of this process.
Lavoie-Tremblay, M., Bonin, J.-P., Lesage, A., Farand, L., Lavigne, G. L., & Trudel, J. (2011). Implementation of diagnosis-related mental health problems: Impact on health care providers. Health Care Manager, 30(1), 30(1): 4-14 (50 ref). doi:10.1097/HCM.0b013e3182078a95
Note: You will access this article from the Walden Library databases.
The study within this article analyzes two cases related to the implementation of diagnosis-related mental health programs.
Mark, D. D., Latimer, R. W., & Hardy, M. D. (2010). “Stars” aligned for evidence-based practice: a TriService initiative in the Pacific. Nursing Research, 59(1), S48–S57. doi:10.1097/01.NNR.0000313506.22722.53
Note: You will access this article from the Walden Library databases.
Nurses from a military health care system in Hawaii established ways to use and evaluate evidence-based practices. This article details the process and results of this collaborative effort between the Army, Air Force, and Navy.
Scobbie, L., Dixon, D., & Wyke, S. (2011). Goal setting and action planning in the rehabilitation setting: Development of a theoretically informed practice framework. Clinical Rehabilitation, 25(5), 468–482. doi:10.1177/0269215510389198
Note: You will access this article from the Walden Library databases.
In order to develop a theory-based framework for setting goals, the authors of this article use casual modeling to determine effective patient outcomes. They identify four major components of the framework that can be used to set effective goals.
Optional Resources
Schifalacqua, M. M., Mamula, J., & Mason, A. R. (2011). Return on investment imperative: the cost of care calculator for an evidence-based practice program. Nursing Administration Quarterly, 35(1), 15–20.
reading response
By the due date assigned, post your response of at least 150-200 words to the Discussion Area. By the end of the week, comment on at least two of your classmates’ submissions.
IMPORTANT NOTE: Your instructor will assign a play for the class to read and will post the information as a Week 3 Announcement (i.e., The Glass Menagerie, Trifles, or A Doll’s House).
Prompt: The setting (space, place, and time) forms the backdrop and defines the atmosphere for a play. Settings sometimes symbolically present plot and character issues. For example, a locked door could represent an obstacle within a character’s life. At other times, the setting can limit or permit the characters’ actions.
Think about the setting in the play you read. Consider these aspects:
- Physical space in which the story is placed (confined or open, small or large, limited to one place or not)
- Cultural and social landscape in which the story is situated
- Time in which the action takes place (time of day, year, era, or century)
- Stage directions, including lighting, music, and placement of props
Discuss the setting and stage directions in the play you read. Does the setting produce certain responses from the audience? In what ways does the setting influence the events? Does the setting constrain or liberate the characters? How does the setting reflect the central ideas of the play?
Tips: Remember to provide evidence for your claims in the form of quoted passages from the play. Quotations, paraphrases, and summaries should be cited according to APA rules of style, including in-text and reference citations. Quoted material should not exceed 25% of the document.
Check grammar and spelling before posting.
Williams, The Glass Menagerie is the play.
Addiction/Dependency
Summary Paper on Addiction
In this class you have already written (Response paper 1 and 2) a paper describing a definition of addiction and another paper explaining the BioPsychoSocial theories of addiction. Now write this paper as a summary of the information you have gathered. The ASAM website and the textbook are your sources of information so far, but you can use other sources and include them in your citations.
Write a 3 page paper (typed, double spaced) explaining alcohol/drug addiction or dependency. Use this rubric and make sure to include certain required information. Use at least 2 credible sources of information and include this in the bibliography.
Define Addiction/Dependency
Explain the differences between use, abuse and addiction/dependence
3 points
Signs and Symptoms of Addiction
(Use DSM and ASAM definitions)
Describe the physical and psychological features of addiction.
4 points
Theory or Theories
Describe the Disease Model of addiction
2 points
Resources/Bibliography
Properly cite at least 2 credible sources of information.
1 point
Addiction and Theories-Reflection Paper
Reflection Paper: Addiction and Theories
Ksir, C., Hart, C., Ray,O. Drugs, Society and Human Behavior, Twelfth Edition. McGraw Hill Publisher
Read Chapter 2 of the text, note the definitions and the major theories about how drug use leads to drug abuse/addiction.
What is your favorite theory(s) of Addiction?
Why do people become addicted to alcohol, tobacco and other drugs (ATOD)?
Write a definition of addiction/dependency:
Nature of addiction/dependency – etiology: what happens to a person who is addicted/dependent on ATOD (See also chapter 1 “Drug Dependence” and “Stages of Drug Dependence”; Chapter 2 “The vicious Cycle of Drug Addiction)
Bio-Psycho-Social Model: write your favorite explanations of why someone might become addicted to AOD, based on specific theories in each of the following categories
Biological causes/factors of addiction/dependency
Psychological causes/factors of addiction/dependency
Social causes/factors of addiction/dependency
The Biopsychosocial Approach
The biopsychosocial approach was developed at Rochester decades ago by Drs. George Engel and John Romano. While traditional biomedical models of clinical medicine focus on pathophysiology and other biological approaches to disease, the biopsychosocial approach in our training programs emphasize the importance of understanding human health and illness in their fullest contexts. The biopsychosocial approach systematically considers biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery.
• Biological, psychological, and social factors exist along a continuum of natural systems, as depicted in the list here.
• Systematic consideration of psychological and social factors requires application of relevant social sciences, just as consideration of biological factors requires application of relevant natural sciences. Therefore, both the natural and social sciences are ‘basic’ to medical practice. In other words, psychological and social factors are not merely epiphenomena: they can be understood in scientific ways at their own levels as well as in regard to their biological correlates.
• Humanistic qualities are highly valued complements to the biopsychosocial approach, which involves the application of the scientific method to diverse biological, psychological, and social phenomena as related to human health.
• While the biomedical approach takes the reductionistic view that all phenomena are best understood at the lowest level of natural systems (e.g., cellular or molecular), the biopsychosocial approach recognizes that different clinical scenarios may be most usefully understood scientifically at several levels of the natural systems continuum.
To apply the biopsychosocial approach to clinical practice, the clinician should:
• Recognize that relationships are central to providing health care
• Use self-awareness as a diagnostic and therapeutic tool
• Elicit the patient’s history in the context of life circumstances
• Decide which aspects of biological, psychological, and social domains are most important to understanding and promoting the patient’s health
• Provide multidimensional treatment
The Biopsychosocial Approach
REFERENCES
Engel GL: The need for a new medical model: a challenge for biomedicine. Science 1977;196:129-136.
Engel GL: The clinical application of the biopsychosocial model. Am J Psychiatry 1980;137:535-544.
Frankel RM, Quill TE, McDaniel SH (Eds.): The Biopsychosocial Approach: Past, Present, Future.University of Rochester Press, Rochester, NY, 2003.
Borrell-Carrió F, Suchman AL, Epstein RM: The biopsychosocial model 25 years later: principles, practice, and scientific inquiry. Ann Fam Med 2004;2:576-582.
Cohen J, Brown Clark S: John Romano and George Engel: Their Lives and Work.University of Rochester Press, Rochester, NY, and Boydell and Brewer Limited, Suffolk UK, 2010.
Conflicting Viewpoints Essay
Assignment 1.2: Conflicting Viewpoints Essay – Part II
Synthesizing and Writing
Due Week 4 and worth 100 points
When looking for information about a particular issue, how often do you try to resist biases toward your own point of view? This assignment asks you to engage in this aspect of critical thinking.
The assignment is divided into two (2) parts.
For Part I of the assignment (due Week 2), you read a book excerpt about critical thinking processes, reviewed the Procon.org Website in order to gather information, and engaged in prewriting to examine your thoughts.
* Remember that in the Week 2 Discussion, you examined the biases discussed in Chapter 2 of the webtext.
In Part II of the assignment (due Week 4), you will write a paper to synthesize your ideas.
Part II – Writing
Write at three to four (3-4) page paper in which you:
1. State your position on the topic you selected for Assignment 1.1.
2. Identify (3) three premises (reasons) from the Procon.org website that support your position and explain why you selected these specific reasons.
3. Explain your answers to the “believing” questions about the three (3) premises opposing your position from the Procon.org website.
4. Examine at least two (2) types of biases that you likely experienced as you evaluated the premises for and against your position.
5. Discuss the effects of your own enculturation or group identification that may have influenced your biases.
6. Discuss whether or not your thinking about the topic has changed after playing the “Believing Game,” even if your position on the issue has stayed the same.
The paper should follow guidelines for clear and organized writing:
- Include an introductory paragraph and concluding paragraph.
- Address main ideas in body paragraphs with a topic sentence and supporting sentences.
- Adhere to standard rules of English grammar, punctuation, mechanics, and spelling.
Your assignment must follow these formatting requirements:
- Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA Style format. Check with your professor for any additional instructions.
- Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
- Identify the informal fallacies, assumptions, and biases involved in manipulative appeals and abuses of language.
- Create written work utilizing the concepts of critical thinking.
- Use technology and information resources to research issues in critical thinking skills and informal logic.
Congressional Report review
Review the following report at:
https://kapextmediassl-a.akamaihd.net/healthSci/HA545/HA545_1703C/u5_as.pdf
Using this Congressional Report for members of Congress and your textbook, write a 5-page memorandum/paper on the topic of rulemaking.
You are a summer intern with Harry Smith, a Congressman from your home district. He has to advise his congressional committee on the impact of interest groups on legislation. Write the memorandum to explain the purpose and influence on rulemaking in the operation of the legislation. You should offer suggestions on the importance of the implementation phase of the legislation.
PLAGIARISM IS HIGHLY UNACCEPTABLE!
Should be in APA format