Discuss the various ways in which Florence Nightingale’s model of care can be applied in current nursing practice. Identify the most important factor of Nightingale’s theory that you utilize in your c

Discuss the various ways in which Florence Nightingale’s model of care can be applied in current nursing practice. Identify the most important factor of Nightingale’s theory that you utilize in your current practice.

All discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.  Please be sure to cite your reference(s) in APA format, at the end of your posting. 

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Respond by providing additional thoughts about competing needs that may impact your colleagues’ selected issues, or additional ideas for applying policy to address the impacts described.      

Respond by providing additional thoughts about competing needs that may impact your colleagues’ selected issues, or additional ideas for applying policy to address the impacts described.

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Addressing the issue of workplace violence (WPV) is a significant concern for organizations. WPV of any form (verbal, physical, psychological) increases the chances that nurses will leave the profession permanently, resulting in nursing workforce retention challenges (Marshall  & Broome, 2017). Nurses must maintain environments that allow the profession to be virtuous, allowing for mutual respect, integrity, communication, caring, and benevolence (American Nurses Association (ANA), 2015). Workplace violence does not just include nurses or other healthcare professionals but also patients/ family members being uncivil.

As a new nurse, my preceptor was off the floor for a meeting. The charge nurse did not care for me, and she never had any problems showing it. With two open rooms and already taking care of a DKA patient and prepping another patient for surgery with low hemoglobin. The EMS radio called with a code blue and the eta was 5minutes. There were other rooms and nurses available to take the code, but she placed the patient in my room and offered no assistance, and within minutes of getting the code blue patient she placed yet another patient in the fourth room. 

Feeling overwhelmed and very upset; why would she deliberately try to sabotage a new nurse. My preceptor, nurse manager, and I confronted her and asked why she would intentionally risk patient safety and stack patients on one nurse. Her response was “No one told her to stay in the ED, who is she to try to change the way we do things here, I do not agree with having graduate nurses in the ED, she would be better off on one of the inpatient units.” 

Workforce resources are competing for needs maintaining and implementing policies to combat such behaviors. The consequences of this situation impacted my other three patients and delayed care; the whole situation created a negative attitude towards the rest of the nursing staff, and trusting anyone and asking for help when my preceptor was not available was out of the question. I felt like this situation needed to happen so that management could see the negative culture/attitudes within the department.

 With the looming nursing shortage, leadership may tolerate or entirely ignore WPV.  The charge nurse continued to bully other nurses, and the older nurses felt like, the newer nurses were coming in and changing their department. While professional standards appear specific to WPV, an atmosphere of support is essential to reducing the stigma and reoccurrence often associated with those who are victims of bullying. Standards of professional behavior must be developed and implemented with consistent use across all departments (Fink-Samnick,2015).

American Nurses Association. (2015). Code of ethics for nursing with interpretive statements. Silver Springs, MD: Author. Retrieved from: https://www.nursingworld.org/coe-view-only

Fink-Samnick, E. (2015). The New Age of Bullying and Violence in Health Care. Professional Case Management,20(4), 165-174. doi:10.1097/ncm.0000000000000099

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader. New York, NY: Springer Publishing Company.

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Assignment: Integrating Evidence-Based Practice Write a 1000-1500-word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Th

Assignment:

Integrating Evidence-Based Practice

Write a 1000-1500-word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with (2) sources (1 outside source and the textbook) using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Part 1:

Describe the eight steps to integrating evidence-based practice into the clinical environment. What barriers might you face in implementing a new practice to address your research topic (as identified in Module 1)? Describe strategies that could be used to increase success including overcoming barriers.

Part 2:

Describe six sources of internal evidence that could be used in providing data to demonstrate improvement in outcomes.

Learning Materials

Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health. ISBN: 978-1-4511-9094-6. Read Chapters 9,10, and 11.

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 APA Format 10 Pages (2750 Words) Deadline July 18, 2019 NO PLAGIARISM SAMPLE PAPER WILL BE PROVIDED Select a healthcare related research study .  Identify the sample population.  Analyze and critique

 APA Format

10 Pages (2750 Words)

Deadline July 18, 2019

NO PLAGIARISM

SAMPLE PAPER WILL BE PROVIDED

Select a healthcare related research study . 

Identify the sample population. 

Analyze and critique the study to identify if sampling method reflects ethical principles including consent, conditions of the participants, study approved by IRB. 

Minimum 12 pages excluding title and reference page. 

Introduction

Paragraph one is the introduction to the paper. It should begin with something that will grab the reader’s attention and provide a citation to support your opening sentence (Norwood, 2002). Next, support that opening sentence with discussion or explanation with one or multiple sentences which will make up the body of the introductory paragraph. The last sentence of the introduction should highlight areas to be covered in the paper. APA success requires knowledge of the format and skill in concise, clear written communication.

Research Study Overview

This section is where you provide a summary of the research study being critiqued? What were the goals of the research? What health care related issue was addressed? Is it a good/feasible study to apply in clinical practice? Was a practical study, from a financial aspect? Use as many paragraphs as needed to cover the content appropriately.

Ethical Issues in Research

Use this paragraph to provide feedback/history on ethical issues on research. 

Protection of Human Rights

What are the five human rights that must be protected during research/investigation? What do they stand for? How do they relate to this research study? Were any/all of the human rights protected in the duration of the research study in question? Use as many paragraphs as needed to cover the content appropriately.

Sampling Method

 What was the sampling method used, how did the researchers choose the subjects for participation? What other sampling methods could have worked better, provided better results? Does the sampling method used reflect ethical principles, was it a fair process? Is the population in question a vulnerable population, and if so were there special considerations taken? Use as many paragraphs as needed to cover the content appropriately.

Informed Consent

What is an informed consent? In regards to this research study, was it obtained, if appropriate? If a consent was part of the study, was it obtained properly? Did the participants assent? If participants unable to consent, were they not competent, did a caregiver consent? Were participants provided full/complete detailed information or was it a short version? What components did it include? Use as many paragraphs as needed to cover the content appropriately.

Ethical Scientific Integrity

What are the credentials of the researchers? Did the researchers fabricate data, publish errors/ publish correction? Is there evidence of plagiarism? Use as many paragraphs as needed to cover the content appropriately. 

IRB

This section is where you will discuss all the information available (or lack thereof) regarding the IRB. Was the research study approved by an institutional review board? If not, why not? Was a research proposal submitted for approval by an IRB? Use as many paragraphs as needed to cover the content appropriately 

HIPPA

What is HIPPA and how does it apply to a research study? Was the research conducted using database information, and if so, was the health information protected? How was it protected? Was any data de-identified? Were participants provided pseudonyms or assigned numbers? Use as many paragraphs as needed to cover the content appropriately.

Benefit to Risk Ratio

Discuss if a benefit to risk ratio was calculated and how? Did it provide am honest estimation? What is your opinion about the outcome of the study and the potential benefits? Can it have a positive impact on the individual, how about in the community? Use as many paragraphs as needed to cover the content appropriately. 

Conclusion

Most papers should end with a conclusion or summary, which consists a short description of the key points of the paper. It should be concise and contain little or no detail. No matter how much space is left on the page, the References are always on the next page.

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CriteriaPossible PointsEarned PointsIdentify one “holistic” assessment specific for your disorder44Identifies goals (SMART format) appropriate for a client with this disorder66Describes specific n

Criteria

Possible Points

Earned Points

Identify one “holistic” assessment specific for your disorder

4

4

Identifies goals (SMART format) appropriate for a client with this disorder

6

6

Describes specific nursing interventions

6

6

Two special considerations for clients with this disorder

2

2

 In 4-5 pages provide a description of Obsessive-Compulsive Disorder (OCD)

 what types of holistic assessments are appropriate, what goals, as well as nursing care interventions, special considerations, and appropriate treatment modalities for the psychobiological disorder selected

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View the Opioid Prescribing modules offered by CDC:  Options for reviewing the modules include:   View slides Listen to transcript, Read the transcript View the webcast (if compatible)I recommend t

View the Opioid Prescribing modules offered by CDC: 

Options for reviewing the modules include:  

  1. View slides
  2. Listen to transcript,
  3. Read the transcript
  4. View the webcast (if compatible)

I recommend that you view the slides while listening to the transcript (A&B).  You will have to advance the slides per your estimate of when the slide should change based on the presenter’s content.

For the paper,

  1. Summarize of the main concepts for each of the modules reviewed.
  2. Identify a conclusion or plan for opioid prescribing as an APRN.
  3. The paper is to be 1000-1200 words, excluding title page and references. Use APA format.

Expectations

  • Length: The paper is to be 1000-1200 words, excluding title page and references.
  • Format: APA Style

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Please carefully read all the instructions below and use the attached Prospectus Checklist and Template to complete this assignment in APA format with a minimum of 15 to 20 scholarly references less t

Please carefully read all the instructions below and use the attached Prospectus Checklist and Template to complete this assignment in APA format with a minimum of 15 to 20 scholarly references less than five years old.

The facility recently transitioned to a new and better electronic health record system and also purchased standardized care plans which are supposed to be more efficient, unfortunately, the compliance with using the standardized care plans by the inpatient nurses is only 40%. Also, the facility recently had a visit of the Joint Commission and received a negative mark for the nurses not adding care plans based on the patients’ primary problem (s) or diagnosis in the patients’ charts upon admission. 

Title: Educating Inpatient Nurses to use Standardized Care Plans (Based on this title, please formulate a PICO question which gear on educating the nurses to use the hospital standardized care plans)

Main Problem with the nurses in the Hospital.

(1)   There’s poor compliance with the nurses not adding the standardized care plans to the patient’s chart based on the patients’ diagnosis or primary problem(s) upon admission to the facility.

(2)    Nurses are not using the already built in standardized care plans in the electronic health record system of the hospital to include individualized standardized care plans to the patients’ chart based on the patients’ diagnosis or primary problem(s) upon the patients’ admission to the hospital.

(3)   The hospital recently had a visit of the Joint Commission and got penalized for the nurses not adding care plans to the patients’ chart based on the patient’s diagnosis or primary problem(s) to the already built-in individualized patient care plans in the hospital electronic health record system.

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

What are the benefits of adding and documenting on individualized standardize care plan in patient’s chart? 

               ___ Set of care plans are available and nurses do not have to develop a care plan

               ___ If nurse selects and adds care plan, it will automatically populate into patient’s chart

               ___ Patient’s educational tablet is dependent on nurses’ completion of adding care plan to the

patient’s chart.

               ___ Decreases nurses’ workflow time because preset care plan

               ___Nurses do not have to do any follow up teaching on care plan 

Revised PICO Question: Will an educational tool increase the inpatient nurses’ knowledge about the use of the hospital newly built-in standardized care plans system as compared to not using the standardized care plans?   (based on all the above, I came up with this question, but you can correct it or formulate a better one which gears towards educating the inpatient nurses to use the standardized care plans)

Problem: 

1) Poor compliance, just 40% of the hospital inpatient nurses are using the hospital newly built-in standardized care plans.

2) The Joint Commission (JHACO) penalized the hospital during a recent visit to the hospital because only a small percentage of the admitted patient had a care plan upon admission based on their diagnosis or primary problem(s).

3) The hospital recently transitioned to a new and better electronic health record system (EHRs) and some nurses are stating that they haven’t received enough education on how to use the standardized care plans on the hospital new EHRs.

Below is the Joint Commission Standard for Care Plans

Joint Commission Standard

  • The      medical record contains the following clinical information:

– The reason(s) for admission for care, treatment, and services

– The patient’s initial diagnosis, diagnostic impression(s), or condition(s)

– Any findings of assessments and reassessments 

– Any allergies to food

– Any allergies to medications

– Any conclusions or impressions drawn from the patient’s medical history

and physical examination

– Any diagnoses or conditions established during the patient’s course of

care, treatment, and services (including complications and hospital acquired

infections). 

– Any consultation reports

– Any observations relevant to care, treatment, and services

– The patient’s response to care, treatment, and services

– Any emergency care, treatment, and services provided to the patient

before his or her arrival

– Any progress notes

– All orders

– Any medications ordered or prescribed

– Any medications administered, including the strength, dose, route, date

and time of administration

– Any access site for medication, administration devices used, and rate of

administration

– Any adverse drug reactions

– Treatment goals, plan of care, and revisions to the plan of care 

– Results of diagnostic and therapeutic tests and procedures

– Any medications dispensed or prescribed on discharge

– Discharge diagnosis

– Discharge plan and discharge planning

  • The hospital plans the patient’s care      based on needs identified by the patient assessment, reassessment, and      results. The written plan of care is based on patient goals and time      frames required to meet goals. Patient care plan is based on established goals where      staff evaluate the patient progress Patient’s care plan is revised with      goals based on patient’s needs

POPULATION: Inpatient Nurses

INTERVENTION: (Will an educational tool?) Best method on educating inpatient nurses on identifying appropriate patient’s diagnosis or primary problem upon admission to select individualized care plan and document on the interventions / progress toward patient goals each shift in Epic EHRs. 

COMPARISON: Regular Care plan

OUTCOMEs: 

  • Patient      Outcome: 
    • Reduced       variability in patient care delivery. Accurate monitoring of progression       toward evidence-based care plan interventions and goals. 
    • Accurate       monitoring of patient education progression driven from correct diagnosis-based       care plan added on admission to       the patient’s chart.
      • Metrics: nursing documentation on education,        interventions, and care plan goals
  • Process      Outcome: 
    • Nurse       will increase correct application of evidence-based care plan based on       identification of correct diagnosis or primary problem upon admission       Increase documentation of evidence-based interventions and patient       progress toward care plan goals in EPIC each shift. . 
    • Increase       completion of education/learning assessment upon admission and each shift. 
      • Metrics’        compliance: correct application of care plan based on admitting        diagnosis, shift documentation of evidence-based interventions and care        plan goals, patient education/learning assessment documentation

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luise  Re: Topic 2 DQ 1  A clinical issue that is noticed is that some nurses lack the staff’s demands to efficiently and adequate deliver care to the patients and meet health care organization requir

luise  Re: Topic 2 DQ 1  A clinical issue that is noticed is that some nurses lack the staff’s demands to efficiently and adequate deliver care to the patients and meet health care organization requirements. According to Stanton, “Greater numbers of nurses at the bedside help increase patient satisfaction, improve quality of care, and increase nurse morale, satisfaction, and retention” (Martin, 2015). Health care organizations expect that all the necessary documentation and tasks be completed while continuously adding more to the nurses’ workload without providing the required resources staff impacts the patient’s safety and the delivery of care. According to Stanton, “Hospital nurse staffing is of major concern because of the effects it can have on patient safety, and quality of care” (Martin, 2015). Nurses require more resources and appropriate staffing ratios to meet the needs of the patients and health care organizations. When nurses do not have adequate staffing, patient care is compromised, which leads to unsafe practices. With that being said, nurses need the help of health care staff members to meet the needs of the patient effectively. “For example, increasing nurse staffing does not mean changing RN duties to include housekeeping and transport. It does not mean eliminating ancillary staff; it simply means increasing the number of nurses caring for patients is adequate for the patient acuity (Stanton, 2004)” (Martin, 2015).    Furthermore, nurses that work in an understaffed health care setting get burned out and resign from the organization due to the lack of resources and support. According to Garnett, “Not only have higher nurse-to-patient ratios been shown to increase nurse burnout, it can have serious effects on the health and well being of the nurse. An unrealistic workload may result in chronic fatigue, poor sleep patterns, absenteeism, and job dissatisfaction” (Martin, 2015).       References     Martin, C. J. (2015). The Effects of Nurse Staffing on Quality of Care. MEDSURG Nursing, 4–6. Retrieved from https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=113313811&site=eds-live&scope=site

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Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:Under the Christian narrative and Christian vision, what s

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

  1. Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
  2. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
  3. According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
  4. According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

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.

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Before starting with our week 1 discussion topic, please introduce yourself to the class, and carefully respond to the below questions: What is your name? Why do you want to be a nurse? What do you

Before starting with our week 1 discussion topic, please introduce yourself to the class, and carefully respond to the below questions:

  • What is your name?
  • Why do you want to be a nurse?
  • What do you hope to learn in this class?
  • What questions do you have on the course syllabus or the first live Instructors session?

Then discuss how poverty (i.e., “being poor”) and other social factors affect cumulative risk, susceptibility, resiliency, and vulnerability.

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