discussion 3 553

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Therapeutic communication is important to ensure patients are part of treatment planning. Provide discussion (250-350 words) of the following:

  1. How would you evaluate a patient’s ability to understand your instruction and their current knowledge base about their problem? What characteristics of the patient would be helpful?
  2. How would you be certain that the patient understands your medication instruction?
  3. What methods of therapeutic communication would be useful in advanced practice?

instructions: length of 1 page to 1/2 is long enough. APA style. Has to have 3 references.

assessment-3-4040

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Assessment 3-4040

Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

INSTRUCTIONS- Write a 4–6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.

INTRODUCTIONS- This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.

PREPARATION- Before you begin to develop the assessment, you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.

To successfully complete this assessment, perform the following preparatory activities:

· Select a SINGLE direct or indirect patient care technology that is relevant to your current practice or of interest to you. 
Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. 
Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:

· Delivery robots.

· Electronic medication administration with barcoding.

· Electronic clinical documentation with clinical decision support.

· Patient sensor devices/wireless communication solutions.

· Real-time location systems.

· Remote patient monitoring.

· Artificial intelligence.

· Telehealth.

· Telestroke.

· Tele-icu.

· Tele-psychiatry.

· Tele-genetics.

· Workflow management systems.

· Conduct a library search using the various electronic databases available through the Capella University Library.

· Consult the 

BSN Program Library Research Guide
 for help in identifying scholarly and/or authoritative sources.

· Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.

· Scan the search results related to your chosen technology.

· Select 
four peer-reviewed publications focused on your selected topic that are the most interesting to you.

· Evaluate the impact of patient care technologies on desired outcomes.

· Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

· Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

Notes

· Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.

· Your selections need to be current—within the last five years.

An Evidence-based Recommendation for Selected Technology Implementation

Prepare a 4–6 page paper in which you introduce your selected technology and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:

· Introduction to the Selected Technology Topic

· What is your rationale for selecting this particular technology topic? Why are you interested in this?

· What research process did you employ?

· Which databases did you use?

· Which search terms did you use?

· Note: In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.

· Annotation Elements

· For each resource, include the full reference followed by the annotation.

· Explain the focus of the research or review article you chose.

· Provide a summary overview of the publication.

· According to this source, what is the impact of this technology on patient safety and quality of care?

· According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?

· Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.

· Summary of Recommendation

· How would you tie together the key learnings from each of the four publications you examined?

· What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.

· How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.

· Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

·
Assessment 3 Example [PDF].

· Additional Requirements-
Written communication: Ensure written communication is free of errors that detract from the overall message.

·
Length: 4–6-typed, double-spaced pages.

·
Number of resources: Cite a 
minimum of four peer-reviewed publications, not websites.

·
Font and font size: Use Times New Roman, 12 point.

·
APA: Follow APA style and formatting guidelines for all bibliographic entries
. Refer to 

Evidence and APA
 as needed.

Context- Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:

· Patient monitoring devices.

· Robotics.

· Electronic medical records.

· Data management resources.

· Ready access to current science.

Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.

Competencies Measured- By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 3: Evaluate the impact of patient care technologies on desired outcomes.

· Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

· Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

· Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.

· Describe organizational factors influencing the selection of a technology in the health care setting.

· Justify the implementation and use of a selected technology in a health care setting.

· Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

· Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.

· Follow APA style and formatting guidelines for all bibliographic entries.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.


View Scoring Guide

Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing Scoring Guide

CRITERIA

NON-PERFORMANCE

BASIC

PROFICIENT

DISTINGUISHED

Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

Describe organizational factors influencing the selection of a technology in the health care setting.

Justify the implementation and use of a selected technology in a health care setting.

Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.

Follow APA style and formatting guidelines for all bibliographic entries.

Discussion

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Nurses are well positioned for reforming health care in ways that promote a healthier public and reduce healthcare cost. Discuss the role nurse plays in COVID vaccination mandate, telemedicine, and prescription drug pricing as advocates in the healthcare system.

The discussion must address the topic.

Rationale must be provided

May use examples from your nursing practice

150 words minimum (excluding the reference)

Minimum of two references in APA format within the last five years published

discussion

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Post + 2 replies 

In this module, you begin laying the foundation for your academic and professional success. Your efforts begin with a vision that includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone.

Walden University and the College of Nursing also have a vision and mission, which include helping you to make your own vision a reality. Members of your new academic community, such as faculty, support teams, and fellow students, can also be helpful. Current practitioners and other member of the professional community can also help you to clarify your vision.

This Module’s Discussion asks you to consider how the Walden mission and vision as well as the College of Nursing’s mission and vision apply to your professional and academic goals. You will also begin to identify individuals and teams who can help you along the way as you begin designing the “blueprint”—your Academic Success and Professional Development Plan—that will guide you toward your own vision for academic and professional success. Finally, you will explain the importance of networking and how it can help you achieve your professional and academic goals.

Replies week 9 MSN 5300

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Please replies with 200 words each one

1. In the present discussion, I analyzed a quantitative research that can result in conclusions that can influence the nursing field to improve clinical practice and patient outcomes.
    The nursing research article I chose is named “The Proportion of Medication Error Reporting and Associated Factors among Nurses: A Cross-sectional Study”. I chose this research, as handling, preparing, and providing medications is one of the most important tasks that Nurses have in everyday practice. Medication error consequences can vary from zero consequences at all to causing death to a patient. Many research studies state that about 5% of the medication errors have fatal consequences,  but about 50% of the total cases are preventable, so it is crucial to analyze and understand which are the main errors happening, which factors are influencing those errors to happen, which are the most common consequences, and lastly, it is also important to determine what’s the reporting rate, why are many medication error cases not being reported, which factors are influencing the fact of not reporting and what can be done to enhance the nursing personnel to report medication errors to help to analyze the problematic and, in consequence, to improve quality healthcare and patient outcomes. This quantitative study was developed in several countries, counting with a total universe of 597 professional nurses, who were interviewed by answering questionnaires, including variables related with factors that have been described as the most common medication errors, establishing a comparison with a previous pilot study. Although quantitative data results can vary from a hospital or from a country to another, this research concluded that the medication error report proportion was of 57.4%. Among the factors that influenced reporting medication errors, the research concluded some data that replicate in a similar way compared to studies from other countries. Factors as female professionals, married and experienced nurses resulted in the professionals that mostly report medication errors. In addition, the article shows a consistent percentage of 69.8% as the percentage of professional nurses that consider that medication errors should be reported. However, the article also points that the factors that lead in non reporting medication errors were mainly seen in female nurses who had fear of the reaction of other nurses, supervisor or even their manager.
     In conclusion the research article recommends that the health authorities should identify and address the medication errors and enhance the nursing professionals to report these cases to improve patient safety and outcomes. In addition, it is encouraged that the health care facilities should create a more supportive and trustable environment to the professionals to decrease their fear to report. In consequence, this would allow the Nurses to report the cases with the goal of improving patients safety and improve patients outcomes. 

2. In a captivating qualitative research study, nursing students were evaluated for their holistic nursing clinical experiences in medical-surgical clinics. Holistic care is not a new concept in nursing. In fact, many nursing educational institutes have successfully incorporated holistic care into their curriculum. Holistic care involves a multifaceted approach in patient-centered care by considering the physiological, psychological, psychosocial dimensions of an individual’s overall health. These several factors must be balanced within the body in order to achieve optimal health conditions and prevent disease. The nurse’s role in holistic medicine is to formulate care plan interventions that address the various dimensions of holistic care that is tailored to the patient’s needs (Kaya et. al, 2022). 

      The researchers gathered 20 nursing students to undergo three semi-structured focus group interviews that encouraged participants to share their clinical experiences during their time in nursing school. After the answers to the open-ended questions were collected, a thematic analysis of identifying themes and subthemes were laid out into a coding tree. The research data demonstrated several themes and subthemes related to the participants’ experience of holistic nursing clinical practices. Many participants conveyed a lack of knowledge about holistic care and effective communication with patients (Kaya et. al, 2022). Several student nurses admitted to maintaining focus on well-being and upholding an emotional barrier with patients, specifically those with terminal illnesses. This lack of knowledge and emotional disconnect can impede the delivery of holistic care. In addition, the research findings also noted the effects experienced by nurses especially when caring for patients in the stages of illness. Nurses often bear the burden of their patients, which can impact their own wellbeing (Kaya et. al, 2022). While it might be challenging for them to discuss with their families the difficulties they encounter while providing care, stress management and therapeutic communication is a skill that is honed after repetitive practice in similar circumstances. The nursing students believed that holistic care involved a team-based approach including healthcare professionals from various disciplines to deliver effective care. It was determined that although there is constant communication and sharing of information among healthcare providers, it can impede the assessment of patients from a holistic perspective (Kaya et. al, 2022). 

      The holistic care framework guides nurses to look at patients beyond just their physical health, but also include their psychosocial, cultural, and spiritual needs. Addressing and treating  these aspects can significantly impact the quality of care delivered and may even prevent recurrent hospitalizations. There were several obstacles to providing holistic care such as an emphasis on physical wellbeing, a lack of role model nurses, inadequate knowledge, limited understanding of teamwork across disciplines, and a shortage of nursing staff and difficulties related to the curriculum (Kaya et. al, 2022). These challenges hindered the assessment of patients by restricting the amount of time that should be dedicated to personalized care. The implications of these research findings provides insight into the concept of care that is a core philosophy of nursing. Future research can consider these findings to develop courses that emphasize on holistic care and provide appropriate interventions. As a result, this can enhance the learning experiences of nursing students and evolve learning habits of newer nursing generations to deliver high-quality care. 

case study

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 Case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed.  

reply- week 6

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Hospitals have noises that are buzzing day and night. Emergency Rooms, ICU’s and monitored patient floors to mention a few, have high rates of noise saturation. The most common attribution to the noise is alarms. Alarms are designed to alert staff of a change or potential change in patient status (Hebda et al., 2019). Often, the alarm going off is false or has no patient threat. This is due to parameters not being set, patches not sticking, or positioning of a sensor. This can cause alarm fatigue, “The desensitization of a clinician to an alarm stimulus that results from sensory overload causing the response of an alarm to be delayed or missed” (West et al., 2014).

The result of alarm fatigue can lead to harmful patient situations. For example, if a nurse on a busy med-surg floor has several patients on beds with alarms, patients with IV pumps infusing and on telemetry monitoring, the alarm noise from all the devices could cause the nurse to tone out some of the sounds. If one of her patient’s bed alarms continues to go off repeatedly and every time she enters the patient’s room, finds the patient in bed, she determines the sensor is set to sensitive for the patient. But if the sensor is not reset, and the alarm continues to go off, the nurse may start to ignore the alarm. The last time the alarm sounds, the patient does get out of bed and falls, injuring his hip. This can turn into a legal issue as the safety measure was in place to protect the patient from harm, but due to a failure to change the bed setting, and the nurse’s desensitization of the alarm, the patient had a poor outcome. There is an ethical responsibility for the nurse to assess the injured patient, report the fall to appropriate change according to hospital policy and discuss the incident with the patient or family members. According to Kadivar et al., (2017), that despite measures put into place in the health care setting, there are still numerous threats posed to patient safety.

Evidence suggests that alarm fatigue is a patient safety and quality concern. As health care delivery becomes more digitalized, it is increasingly important to develop a safety culture to address alarm fatigue. The research suggests establishing safe alarm management and response processes. The use of multilevel sharing practices and prevention strategies is also a way to collaborate with multidisciplinary teams on strategies for reduction in alarm fatigue (Winter et al., 2021). By decreasing the number of false alarms with use of proper management, nurses can better care for patients needs without disruptions. Thus, reduce potential missed or ignored alarms resulting in poor patient outcomes.

 

References:

Kadivar, M., ManooKian, A., Asgharican., & Zarvani, A. (2017). Ethical and legal aspects of patient's safety: A clinical case report.
Journal of Medical Ethics and History of Medicine,
10, 15.

 

Winters, B., Slota, J., & Bilimoria, K. (2021). Safety Culture as a Patient Safety Practice for Alarm Fatigue.
Journal of the American Medical Association,
326(12), 1207-1208.

https://doi.org/chamberlainuniversity.idm.oclc.org/10.1001/jama.2021.8316


Links to an external site.

 

Hebda, T., Hunter, K., & Czar, P. (2018). Handbook of Informatics for Nurses & Healthcare Professionals (6th ed.). Pearson Learning Solutions.

https://ambassadored.vitalsource.com/books/9781323903148


Links to an external site.

 

West, P., Abbott, P., & Probst, P. (2014). Alarm fatigue: A concept analysis.
Online Journal of Nursing Informatics,
18(2), 1.


Reply

Assigment .Apa seven . All instructions attached.

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rt 2 Writing Assignment Week 7

Top of Form

Bottom of Form

Health Promotion Proposal, Part 2 Content

1.

Top of Form

Health Promotion Proposal, Part 2

This is a continuation of the health promotion program proposal, part one, which you submitted previously. 

Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.

 

Directions 

You have already completed the steps 1-4. 
Do not resubmit part 1. Make sure you revise this initial submission according to your instructor’s comments. 

To assist in maintaining harmony between Part I and 2 here you have a reminder of the previous paper outline:

· 1. Describe the health problem. Using data and statistics support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measurable. 

· 2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified. 

· 3. Provide a review of literature from scholarly journals of evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, you will write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search. 

· 4. Select an appropriate health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide rationale for your selection which includes discussion of the concepts of the selected model 

 

For this assignment develop criteria 5-8 as detailed below: 

You will submit just this section 5-8 as essay. Please do not resubmit Part 1. 

Use a presentation page. Start the body of content with topic 5.

· 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. 

· Be certain to include a timeline. (2 to 4 paragraphs- you may use bullets if appropriate). 

· 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. 
The SMART goal statement should be no more than one sentence (1 paragraph). 

· 7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 

· 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 

· Finish the paper with a conclusion paragraph (1 paragraph) without typing the word “conclusion” before the paragraph. 

Paper Requirements 

Your assignment should be up to 3-5 pages (excluding title page and references). 

Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. 

Finish the essay with a your reference page.

Please review the Grading Rubric for this Assignment.

 

Bottom of Form

RAC part 2, 15 questions

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Your assigned article for critique is

Avsar, P., Budri, A., Patton, D., Walsh, S., & Moore, Z. (2022).  Developing algorithm based on activity and mobility for pressure ulcer  risk among older adult residents: Implications for evidence‐based  practice. Worldviews on Evidence-Based Nursing, 19, 112–120. https://doi.org/10.1111/wvn.12545

This is article

 

  If you haven’t already, print the RAC  #2 questions and the article.  Open your book to chapter 9, 10, or 11  and place it on your left, put the RAC 2 questions in the middle of your  desk, and put the article on your right. 

  • You’ll need your book for the questions that specifically refer to Grove and Gray 2019 in the question stem and  to look up key words in the question stem that you don’t remember from  your reading, like sampling method, power analysis, and acceptance rate.
  • The content for the article-specific RAC questions this week will be  found in the Methods, Results, and Discussion sections of the article.
  • This is a book Understanding nursing research  Grove, S., & Gray, J. (2019). Understanding nursing research (7th ed). Elsevier. 

Article Summary 1

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  1. What is the research question?
  2. What research method is being used?
  3. How are the subjects chosen (explain the parameters & how many)
  4. What are the results of the study?
  5. What are the recommendations?
  6. What is your opinion?