week 4 reply classmate-

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Nicole Fox

The main goal of having an EHR is to improve the quality and safety of patient care (Hebda et al. 2018). More hospitals are turning to EHRs because it's a smoother flow of care and recording without compromising patient privacy. Other benefits include: “improving the accuracy and completeness of patient health information; increasing the speed at which care is provided; enhancing the coordination of care; and increasing transparency of health information for patients and their families, flag potentially dangerous drug interactions, verify medications, and reduce the needs for risky tests and procedures (Hebda et al. 2018).” In this scenario, the patient's PHR is limited because tests were outsourced versus being conducted all at the same facility. This can make patients question their diagnosis especially if they don't have all the information available to them. PHRs allow patients to be involved in the healthcare, however for some it may not be entirely user friendly which can hinder their understanding of the medical care. Additionally, not all patients have the level of technology available to them, whether it be a smartphone, laptop, or tablet, and therefore have limited access to their records. It has definitely been a major step forward in the medical field, and there is always room for improvements. Patients also need to understand the risks of safeguarding their personal information and how to protect their records from being accessed by non approved personnel. Both systems do provide results in real time and therefore both patient and provider can access and discuss already performed tests as well as prepare for future testing, thus ensuring they are both in line with the same goals. To ensure PHR protection, the user creates their own login and password. They are then responsible for keeping both of those safe. 

I am glad that patients have access to a PHR. I think it's helps provide understanding to their care and allows them to research and identify questions concerning their medical treatments. We oftentimes find that patients can be a little too research happy and find the 1% side affect that they are afraid might happen to them, and can cause a pause in their treatment. I do enjoy being able to discuss with my patients their results and answer questions on a nursing level, but most of the questions are referenced towards the provider. In this case, I feel like the patient could be frustrated because they don't have access to all the information, but that doesn't mean it's not attainable, just a little more difficult and a little more time consuming to put it all together. 

References:

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

Kruse, C. S., Smith, B., Vanderlinden, H., & Nealand, A. (2017). Security Techniques for the Electronic Health Records. 
Journal of medical systems, 
41(8), 127. https://doi.org/10.1007/s10916-017-0778-4

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522514/
Links to an external site.

Week 3_METHODS USED IN QUANTITATIVE RESEARCH

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Please review the complete instructions

PHILOSOPHY DICCUSSION RESPONSE

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1.  Introduction 

2.   Doctor of Nursing Practice Philosophy and Social Justice Advocacy

Nursing Tuskegee Research Assignment

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please see attachment

WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

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March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

You will consider this adoption in the post. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

  • Review the Resources and reflect on the definition and goal of EBP.
  • Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
  • Explore the website to determine where and to what extent EBP is evident.

  • Write a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples. Reference 3 scholarly citations 

Recommendations for Life Stages

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A person’s nutrient needs may change for a variety of reasons, but the most influential is stage-of-life. In this discussion, you will examine two stages of life chosen from the following:

  • Infancy
  • Childhood
  • Adolescence
  • Adulthood
  • Older adulthood
  • Pregnancy and Lactation

For your initial post, address the following:

  1. Identify the two life stages of life you will discuss and list their names in the title of your initial post.
  2. Research and describe the current nutrient recommendations for the life stages you selected.
  3. Suggest foods that would be beneficial for each of the life stages you selected and explain why.

questions

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Original Work, No Plagiarism, Cite and Reference

Hugo is a graduate student working on a research study that is seeking to explore the efficacy of a new medicine for the prevention of chemotherapy-induced peripheral neuropathy.  As part of his duties, he is asked to make himself available during participant recruitment to clarify any questions that the recruitment personnel or the participants may have. On one of these occasions, a research nurse named Phoebe is obtaining informed consent from a young adult named Simon. 

The informed consent form includes information on the purpose of the study, a double-blinded, randomized intervention trial to test the efficacy of a medicine for the prevention of chemotherapy-induced peripheral neuropathy.  The form explains the risks and benefits of participation at length, including the anticipated side effects of the new medicine. 

The benefits are thought to outweigh the risks.  The participants in the treatment arm of the study may benefit from the medicine's hypothesized prevention of chemotherapy-induced peripheral neuropathy. Participants in both groups will receive close monitoring of neuropathy symptoms and evidence-based care while being in the study. Finally, the form explains that the information collected may help to lead to the discovery of an agent that may reduce chemotherapy-induced peripheral neuropathy, of which there are currently no none effective preventative treatments. 

As Phoebe is reviewing the informed consent form, Simon appears somewhat uncomfortable and apprehensive. Hugo thinks that his response may be related to the surroundings and/or situation. They are sitting in the exam room shortly after Simon learned of the treatment options for advanced stage colorectal cancer and the doctor left without answering all of his questions. Simon also has additional oncology appointments shortly after the consent discussion. 

Hugo is also struck by Simon's interaction with Phoebe. He nods and his occasional brief responses sound more like someone receiving a set of instructions than an indication of understanding.

During the time it takes to complete the informed consent form, which is quite lengthy, Hugo begins to wonder whether Simon truly understands the research study and his part in it.  Hugo also questions whether Simon understands what randomization is and how this technique will affect him as a research participant. Hugo is distracted from his thoughts by movement from across the room. Simon is ready to place his signature on the informed consent form. He seems to be eager to do so. The form states that study subjects have the right to refuse to participate and that they may withdraw at any time, but Hugo begins to question whether Simon truly has a choice in giving his consent. Do the benefits from this study, overwhelm any concerns he may feel regarding being in the study?

Hugo is unsure how to address his discomfort with the informed consent process that he has just witnessed and he begins to deliberate about what course of action he should take to address his concerns.

Discussion Questions:

1. How could the informed consent form or the process of obtaining informed consent be modified to address Hugo's concerns?

2. What types of questions or techniques could have Phoebe provided to assess Simon's understanding of the study?

3. How would you describe “randomization” to a prospective study participant?

4. How would you respond to a participant who says “can we skip the rest of this and sign the form” during the informed consent discussion?

 

week 6 587

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With the consolidation of hospitals, clinics, and healthcare providers across the United States, leadership is delivered in many forms.  The importance of understanding and mastering online leadership (often referred to as virtual or E-leadership) is imperative.

How would you establish relationships with your team on-ground and from a distance? How would you create presence in a virtual team? Provide examples.

Expectations

Initial Post:

  • Due: Thursday, 11:59 pm PT
  • Length: 150 – 250 Words

Peer Responses:

Nursing

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NR326 Mental Health Nursing

RUA: Scholarly Article Review Guidelines


Purpose

The student will review, summarize, and critique a scholarly article related to a mental health topic.

Course outcomes: This assignment enables the student to meet the following course outcomes.

(CO 4) Utilize critical thinking skills in clinical decision-making and implementation of the nursing process for psychiatric/mental health clients. (PO 4)

(CO 5) Utilize available resources to meet self-identified goals for personal, professional, and educational development appropriate to the mental health setting. (PO 5)

(CO 7) Examine moral, ethical, legal, and professional standards and principles as a basis for clinical decision-making. (PO 6)

(CO 9) Utilize research findings as a basis for the development of a group leadership experience. (PO 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points


Preparing the assignment

1) Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

a. Select a scholarly nursing or research article, published within the last five years, related to mental health nursing. The content of the article must relate to evidence-based practice.

· You may need to evaluate several articles to find one that is appropriate.

b. Ensure that no other member of your clinical group chooses the same article, then submit your choice for faculty approval.

c. The submitted assignment should be 2-3 pages in length, excluding the title and reference pages.

2) Include the following sections (detailed criteria listed below and in the Grading Rubric must match exactly).

a. Introduction (10 points/10%)

· Establishes purpose of the paper

· Captures attention of the reader

b. Article Summary (30 points/30%)

· Statistics to support significance of the topic to mental health care

· Key points of the article

· Key evidence presented

· Examples of how the evidence can be incorporated into your nursing practice

c. Article Critique (30 points/30%)

· Present strengths of the article

· Present weaknesses of the article

· Discuss if you would/would not recommend this article to a colleague

d. Conclusion (15 points/15%)

· Provides analysis or synthesis of information within the body of the text

· Supported by ides presented in the body of the paper

· Is clearly written

e. Article Selection and Approval (5 points/5%)

· Current (published in last 5 years)

· Relevant to mental health care

· Not used by another student within the clinical group

· Submitted and approved as directed by instructor

f. APA format and Writing Mechanics (10 points/10%)

NR326 Mental Health Nursing

RUA: Scholarly Article Review Guidelines

NR326 Mental Health Nursing

RUA: Scholarly Article Review Guidelines

NR326_RUA_Scholarly_Article_Review_V4b_FINAL_MAY21 2

· Correct use of standard English grammar and sentence structure

· No spelling or typographical errors

· Document includes title and reference pages

· Citations in the text and reference page

For writing assistance (APA, formatting, or grammar) visit the
APA Citation and Writing page in the online library.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module.



Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Section not present in paper

Introduction

(10 points/10%)

10 points

8 points

0 points

Required criteria

1. Establishes purpose of the paper

2. Captures attention of the reader

Includes 2 requirements for section.

Includes 1 requirement for section.

No requirements for this section presented.

Article Summary

(30 points/30%)

30 points

25 points

24 points

11 points

0 points

Required criteria

1. Statistics to support significance of the topic to mental health care

2. Key points of the article

3. Key evidence presented

4. Examples of how the evidence can be incorporated into your nursing practice

Includes 4 requirements for section.

Includes 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirement for section.

No requirements for this section presented.

Article Critique

(30 points/30%)

30 points

25 points

11 points

0 points

Required criteria

1. Present strengths of the article

2. Present weaknesses of the article

3. Discuss if you would/would not recommend this article to a colleague

Includes 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirement for section.

No requirements for this section presented.

Conclusion

(15 points/15%)

15 points

11 points

6 points

0 points

1. Provides analysis or synthesis of information within the body of the text

2. Supported by ides presented in the body of the paper

3. Is clearly written

Includes 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirement for section.

No requirements for this section presented.

Article Selection and Approval

(5 points/5%)

5 points

4 points

3 points

2 points

0 points

1. Current (published in last 5 years)

2. Relevant to mental health care

Includes 4

Includes 3

Includes 2

Includes 1

No requirements for

NR326 Mental Health Nursing

RUA: Scholarly Article Review Guidelines

NR326_RUA_Scholarly_Article_Review_V4b_FINAL_MAY21 4

3. Not used by another student within the clinical group

4. Submitted and approved as directed by instructor

requirements for section.

requirements for section.

requirements for section.

requirement for section.

this section presented.

APA Format and Writing Mechanics

(10 points/10%)

10 points

8 points

7 points

4 points

0 points

1. Correct use of standard English grammar and sentence structure

2. No spelling or typographical errors

3. Document includes title and reference pages

4. Citations in the text and reference page

Includes 4 requirements for section.

Includes 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirement for section.

No requirements for this section presented.

Total Points Possible = 100 points

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