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Nursing

case: CC: Increased frequency and pain with urination HPI: T.S. is a 32-year-ol

case:
CC: Increased frequency and pain with urination
HPI:
T.S. is a 32-year-old woman who reports that for the past two days, she has dysuria, frequency, and urgency. Has not tried anything to help with the discomfort. Has had this symptom years ago. She is sexually active and has a new partner for the past 3 months.
Medical History:
None
Surgical History:
Tonsillectomy in 2001
Appendectomy in 2020
Review of Systems:
General: Denies weight change, positive for sleeping difficulty because e the flank pain. Feels warm.
Abdominal: Denies nausea and vomiting. No appetite
Objective
VSS T = 37.3°C, P = 102/min, RR = 16/min, and BP = 116/74 mm Hg.
Pelvic Exam:
mild tenderness to palpation in the suprapubic area
bimanual pelvic examination reveals a normal-sized uterus and adnexal
no adnexal tenderness.
No vaginal discharge is noted.
The cervix appears normal.
Diagnostics: Urinalysis, STI testing, Pap-smear
Assessment:
UTI
STI
Using evidence-based resources from your search, answer the following questions and support your answers using current evidence
Analyze the subjective portion of the note. List additional information that should be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or why not?
Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

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Nursing

This is a discussion board post, my topic is basal cell carcinoma. All of these

This is a discussion board post, my topic is basal cell carcinoma. All of these points need to be addressed.
-Post a picture of selected skin disorder.
-Discussion of the skin disorder, including the risk factors, transmission, signs and symptoms/characteristics/clinical manifestation.
-Discuss screening/diagnostics/treatment/management.
-Patient education.
-Role of Advanced Practice Nurse and Christian world view.

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Nursing

Assessment Descriiption The purpose of this assignment is to provide research ev

Assessment Descriiption
The purpose of this assignment is to provide research evidence in support of the PICOT you developed for your selected topic.
Conduct a search for 10 peer-reviewed, translational research articles published within the last 5 years that demonstrate support for your PICOT. You may include previous research articles from assignments completed in this course.
Use the “Literature Evaluation Table” provided to evaluate the articles and explain how the research supports your PICOT.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.

** PLEASE COMPLETE THE ATTACHED Literature EVAL TABLE
*****I HAVE ATTACHED MOST RECENT WORK RELATED TO MY PICOT QUESTION

Categories
Nursing

1) How does concept development contribute to nursing knowledge and why is it im

1) How does concept development contribute to nursing knowledge and why is it important?
2) Think of a nursing concept/phenomena in your practice (labor and delivery) that you think needs further development, and explain why you feel the concept needs further development. How (which method) would you use to develop it further? Explain why you would use the particular method.

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Nursing

please be sure to include very detailed speakers notes as this assignment is voi

please be sure to include very detailed speakers notes as this assignment is voice narrated in which I will add the voice and I will be reading the speakers notes
please include title slide and reference slide
8 slides for 1st hald and 3 for the other half
health care organization is Robert Wood Johnson Barnabas health
To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide narrated 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 descriiption 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.
Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
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 within the Critical Appraisal Tool Worksheet Template (1-3 slides)

Categories
Nursing

Assume you are a nurse manager on a unit where a new nursing documentation syste

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
To Prepare:
Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.
The Assignment: (2-3 pages not including the title and reference page)
In preparation of filling this role, develop a 2- to 3-page role descriiption for a graduate-level nurse to guide his/her participation on the implementation team. The role descriiption should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:
Planning and requirements definition
Analysis
Design of the new system
Implementation
Post-implementation support
Use APA format and include a title page and reference page.
Use the Safe Assign Drafts to check your match percentage before submitting your work.
WEEKLY RESOURCES
McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 191–204)
Chapter 12, “Electronic Security” (pp. 251–265)
Chapter 13, “Achieving Excellence by Managing Workflow and Initiating Quality Projects”
Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide Links to an external site.. Retrieved January 26, 2022, from https://digital.ahrq.gov/health-it-evaluation-toolkit
Agency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkit Links to an external site.. Retrieved January 26, 2022, from https://digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit
media resources
Louis, I. (2011, August 17). Systems development life cycle Links to an external site.(SDLC) [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8
Walden University, LLC. (Producer). (2018). Interoperability, Standards, and Security [Video file]. Baltimore, MD: Author.

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Nursing

Literature Review Assessment Descriiption The purpose of this assignment is to

Literature Review
Assessment Descriiption
The purpose of this assignment is to write a review of the literature of the following 10 research articles.
A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT to write a final paper detailing your evidence-based practice project proposal.
In a paper of 1,300 words select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:
1. Introduction – Describe the clinical issue or problem you are addressing. Present your PICOT statement.
2. Search methods – Describe your search strategy and the criteria that you used in choosing and searching for your articles.
3. Synthesis of the literature – For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide a rationale for how the article supports your PICOT.
4. Comparison of articles – Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).
5. Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.
6. Conclusion – Provide a summary statement of what you found in the literature.
7. Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing.
8. You are required to cite eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing
3.2: Analyze appropriate research from databases and other information sources to improve healthcare practices and processes.
PICOT STATEMENT: In adult diabetes/Obese African American women between ages 30 and 40 (P), does providing a new comprehensive weight and exercise intervention (I) when compared to using basic diabetic/obese education (C) lead to improved A1c (O) over the course of 6 months?
PROBLEM STATEMENT: Obesity prevalence rates among African American women ages 30 to 40 years often did not engage in healthy diet and exercise routines (ADA, 2022). While there is no cure for obesity, a combination of diet, exercise, and medication adherence improves the quality of life and reduces mortality (ADA, 2022; Joseph et al., 2019). Lifestyle changes are encouraged by effective education regarding diet, exercise, and information regarding the severity of potential complications.
1. Mehbodniya, A, Suresh Kumar, A., Rane, K. P., Bhatia, K. K., Singh, B. K.
Journal of Healthcare Engagement
https://doi.org/10.1155/2021/2116647
2. Marko-Holguin, M., Cordel, S. L., Van Voorhees, B. W., Fogel, J., Sykes, E., Fitzgibbon, M., & Glassgow, A. E. JMIR mHealth and uHealth
https://mhealth.jmir.org/2019/5/e11833/
3. Gavin, J. R., & Bailey, C. J. Diabetes Technology & Therapeutics
https://doi.org/10.1089/dia.2021.0211
4. Enyioha, C., Hall, M., Voisin, C., & Jonas, D.
Journal of Medical Internet Research – Public Health Surveillance
https://doi.org/10.2196/25890
5. Zhang, J. & Jemmott, J. B.Prevention Science
https://doi.org/10.1007/s11121-019-01006-4
6. Woods-Giscombe, C.L., Gaylord, S.A., Li, Y., Brintz, C.E., Bangdiwala, S.I., Buse, J.B., Mann, J.D., Lynch, C., Phillips, P., Smith, S. and Leniek, K.
Evidence-based Complementary and Alternative Medicine
https://www.hindawi.com/journals/ecam/2019/3962623/
7. Lynch, E.B., Mack, L., Avery, E., Wang, Y., Dawar, R., Richardson, D., Keim, K., Ventrelle, J., Appelhans, B.M., Tahsin, B. and Fogelfeld, L.
Journal of General Internal Medicine
https://doi.org/10.1007/s11606-019-04894-y
8. Newton Jr, R.L., Johnson, W.D., Larrivee, S., Hendrick, C., Harris, M., Johannsen, N.M., Swift, D.L., Hsia, D.S., & Church, T.S. Medicine and Science in Sports and Exercise
https://doi.org/10.1249/MSS.0000000000002149
9. Surkan, P. J., Mezzanotte, K. S., Sena, L. M., Chang, L. W., Gittelsohn, J., Trolle Lagerros, Y., … & Zachary, W. W. (2019). International journal of environmental research and public health, 16(15), 2715. https://doi.org/10.3390/ijerph16152715
10. Andreae, S. J., Andreae, L. J., Cherrington, A., Richman, J., & Safford, M. (2020). Contemporary Clinical Trials Communications, 20, 100653. https://doi.org/10.1016/j.conctc.2020.100653

Categories
Nursing

It is essential for nurses to understand Global Health Care, to improve health c

It is essential for nurses to understand Global Health Care, to improve health care outcomes and achieve equity for people worldwide. Nursing professionals need to be unbiassed and non-judgmental when providing care to all clients regardless of ethnicity and cultural backgrounds. Understanding Global Health issues is paramount to caring for clients. One of the benefits of conducting a systematic review is to produce evidence-based information that can be used to inform policy and practice from a global perspective. Utilizing data from the Centers for Disease Control (CDC), World Health Organization (WHO), and the United Nations (UN), prepare a two-three-page policy brief. The fourth page of the policy brief can be references. Utilize a PICOT format that is shown below to compose your brief. This will be a concise summary of the problem. Your target population for your policy brief is the Ministry of Health or other Government official who oversees the health care in your chosen country.
Policy Brief Outline
Title
To:
From:
Introduction-which is really a quick summary of all the following sections. It is included at the beginning of the policy brief for the reader who just wants a quick overview.
Nature and Magnitude of the Problem
Affected Population
Risk Factors
Economic & Social Consequences of this global healthcare problem: Explain how the World Health Organization (WHO) Social Determinants of Health impact access to healthcare with this specific healthcare problem.
Priority Action Steps
References

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Nursing

For this assessment, you will develop an 8-14 slide PowerPoint presentation with

For this assessment, you will develop an 8-14 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the safe medication administration improvement plan you developed in Assessment 2.
As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement (QI) measures of safety improvement interventions. Such in-services and training sessions should be presented in a creative and innovative manner to hold the audience’s attention and promote knowledge acquisition and skill application that changes practice for the better. The teaching sessions may include a presentation, audience participation via simulation or other interactive strategy, audiovisual media, and participant learning evaluation.
The use of in-services and/or training sessions has positive implications for nursing practice by increasing staff confidence when providing care to specific patient populations. It also allows for a safe and nonthreatening environment where staff nurses can practice their skills prior to a real patient event. Participation in learning sessions fosters a team approach, collaboration, patient safety, and greater patient satisfaction rates in the health care environment (Patel & Wright, 2018).
As you prepare to complete the assessment, consider the impact of in-service training on patient outcomes as well as practice outcomes for staff nurses. Be sure to support your thoughts on the effectiveness of educating and training staff to increase the quality of care provided to patients by examining the literature and established best practices.
You are encouraged to explore the AONE Nurse Executive Competencies Review activity before you develop the Improvement Plan In-Service Presentation. This activity will help you review your understanding of the AONE Nurse Executive Competencies—especially those related to competencies relevant to developing an effective training session and presentation. This is for your own practice and self-assessment, and demonstrates your engagement in the course.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Analyze the elements of a successful quality improvement initiative.
Explain the need and process to improve safety outcomes related to medication administration.
Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative on medication administration.
Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.
List clearly the purpose and goals of an in-service session focusing on safe medication administration for nurses.
Explain audience’s role in and importance of making the improvement plan focusing on medication administration successful.
Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
Slides are easy to read and error free. Detailed speaker notes are provided. Speaker notes are clear, organized, and professionally presented.
Organize content with clear purpose or goals and with relevant and evidence-based sources (published within 5 years).
Professional Context
As a baccalaureate-prepared nurse, you will often find yourself in a position to lead and educate other nurses. This colleague-to-colleague education can take many forms, from mentoring to informal explanations on best practices to formal in-service training. In-services are an effective way to train a large group. Preparing to run an in-service may be daunting, as the facilitator must develop his or her message around the topic while designing activities to help the target audience learn and practice. By improving understanding and competence around designing and delivering in-service training, a BSN practitioner can demonstrate leadership and prove him- or herself a valuable resource to others.
Scenario
For this assessment it is suggested you take one of two approaches:
Build on the work that you have done in your first two assessments and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to your safety improvement plan pertaining to medication administration, or
Locate a safety improvement plan through an external resource and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to the issues and improvement goals pertaining to medication administration safety.
Instructions
The final deliverable for this assessment will be a PowerPoint presentation with detailed presenter’s notes representing the material you would deliver at an in-service session to raise awareness of your chosen safety improvement initiative focusing on medication administration and to explain the need for it. Additionally, you must educate the audience as to their role and importance to the success of the initiative. This includes providing examples and practice opportunities to test out new ideas or practices related to the safety improvement initiative.
Be sure that your presentation addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
List the purpose and goals of an in-service session focusing on safe medication administration for nurses.
Explain the need for and process to improve safety outcomes related to medication administration.
Explain to the audience their role and importance of making the improvement plan focusing on medication administration successful.
Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative on medication administration.
Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement.
There are various ways to structure an in-service session; below is just one example:
Part 1: Agenda and Outcomes.
Explain to your audience what they are going to learn or do, and what they are expected to take away.
Part 2: Safety Improvement Plan.
Give an overview of the current problem focusing on medication administration, the proposed plan, and what the improvement plan is trying to address.
Explain why it is important for the organization to address the current situation.
Part 3: Audience’s Role and Importance.
Discuss how the staff audience will be expected to help implement and drive the improvement plan.
Explain why they are critical to the success of the improvement plan focusing on medication administration.
Describe how their work could benefit from embracing their role in the plan.
Part 4: New Process and Skills Practice.
Explain new processes or skills.
Develop an activity that allows the staff audience to practice and ask questions about these new processes and skills.
In the notes section of your PowerPoint, brainstorm potential responses to likely questions or concerns.
Part 5: Soliciting Feedback.
Describe how you would solicit feedback from the audience on the improvement plan and the in-service.
Explain how you might integrate this feedback for future improvements.
Remember to account for activity and discussion time.
Additional Requirements :
Presentation length: There is no required length; use just enough slides to address all the necessary elements. Remember to use short, concise bullet points on the slides and expand on your points in the presenter’s notes. If you use 2 or 3 slides to address each of the parts in the above example, your presentation would be at least 10 slides and no more than 15 slides (not including the title, conclusion, or references slides).
Speaker notes: Speaker notes (located under each slide) should reflect what you would actually say if you were delivering the presentation to an audience. This presentation does NOT require audio or a transcript. Another presenter would be able to use the presentation by following the speaker’s notes.
APA format: Use APA formatting for in-text citations. Include an APA-formatted reference slide at the end of your presentation.
Number of references: Cite a minimum of 5 sources of scholarly or professional evidence to support your assertions. Resources should be no more than 5 years old.
PLEASE READ INSTRUCTIONS CAREFULLY AND TAKE YOUR TIME TO MEET EVERY REQUIREMENT!

Categories
Nursing

Respond to the Case Study presented in Chapter 12 (p. 286) about direct-to-consu

Respond to the Case Study presented in Chapter 12 (p. 286) about direct-to-consumer advertising of prescription drugs.
What impact have you observed in the populations you serve in your nursing practice?
Comment on the ethics of this practice, in terms of autonomy, beneficence, non-maleficence, and justice.