In patients with urinary retention, what is the effect of self straight catheterizing compared to the use of indwelling catheter on increased urinary infections?

In patients with urinary retention, what is the effect of self straight catheterizing compared to the use of indwelling catheter on increased urinary infections?
For project picot question

” In patients with urinary retention, what is the effect of self straight catheterizing compared to the use of indwelling catheter on increased urinary infections?”

Please feel free to use your own wording, but you are attempting to compare two groups, one using self-straight cath., the other using indwelling caths. on the incidence (newly diagnosed rate) of UTIs!

Masters class APA format 3-5 pages long with 4 references 1 from waldenu library


 

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Tell me about a nurse leader or manager who influenced you. What were the qualities about this person that made him/her a great leader or manager?

Tell me about a nurse leader or manager who influenced you. What were the qualities about this person that made him/her a great leader or manager?

Order Description
have conducted an interview with a Nursing manager. I have attached that interview. Please utilize References Kouzes & Posner. (2012). J-B Leadership Challenge. 5th edition. Chapters 6 & 7 and any other references. This is a reflective paper. Thank you
RN to BSN program
NUR 4827 Leadership and Management in Professional Nursing
Nursing Leader Interview Assignment
Objective:
Conduct an interview of a highly respected community nursing leader from a variety of healthcare settings; hospital administration long term care administration clinical nurse specialists clinical educators and clinical supervisors/managers; nurse researchers community health leaders; nurse educators professors nurse politicians and lobbyists. The focus of the interview will be on topics such as leadership style and practices communication technique responsibilities vision for nursing and problems that nursing in general faces over the next 5 to 10 years.
Each student will be required to write a reflection on their interview experience.
These questions should be answered during your scheduled interview. Please be thorough in your write up of the answers. Please use a scholarly format.
This interview was conducted with Nancy Smith RN. BSN. Manager of PreOp Holding Post Anesthesia Care Unit and Pre Anesthesia Testing.
1. Please tell me about your role education and professional experience.
I obtained my BSN at UF in 1981. My career started at Shands Teaching Hospital in 1982 on a Med/Surg unit. My love for Oncology nursing then took me to St. Josephs in the Oncology Unit. Next was the Critical Care Program at TGH where upon completion I worked in ICU for 2 years. I then transferred to Moffitt in 1991 to work Oncology Critical Care and currently am Patient Care Manager of the PACU Pre-Op Holding and PAT units (since 2007).
2. How do you define leadership?
A strong component of leadership is focusing on employees strengths not only weaknesses. This correlates with retaining top notch nurses. Reward and Recognition plays a part and I helped develop a program at Moffitt (Honored Nurse Program) that fairly recognizes nurses on a point system. It has been successful and extrapolates the Nurse of the Year in 4 categories.
Good leadership leads to a caring work environment and delegation plays a big role. Delegation whether its for a patient safety initiative or tied into nurse satisfaction incentive makes the employees feel secure about their practice and their ownership of their unit. This in turn makes them feel comfortable with their leaders. I rely on the frontline nurses to help navigate the unit while abiding by institutional policies and ASPAN (American Society of PeriAnesthesia Nurses) Standards of Care and guidelines.
3. How do you Model the Way?
I believe I set a good example at Moffitt when I was at the bedside and currently as a leader. I have always been fair in all decision making and honest in my relations to others. I dont make hasty judgements without pulling in all concerned parties. I will defend patient safety and nurse integrity at all costs. I follow the rules but have compassion for others and know life is not black and white and you have to be able to bend at times for those in need. Understanding patient needs is key and I make patient and family rounds to explore their thoughts and suggestions.
I was selected as the first winner of Excellence in Nursing Management award in 2014. As surprised as I was I now reflect back and believe it was due to my continual dedication to Moffitt and its mission and my respectful attitude to all that gave me the honors.
I have been committed to Moffitt patients for 25 years and truly believe in the mission: To contribute to the prevention and cure of cancer. I am proud to work here and all of my Direct Reports and peers know its my passion.
4. How has assertiveness and/or conflict resolution played a part in your practice?
Assertiveness can have a negative connotation but as a patient advocate its necessary to insert this trait at times. I always treated my patients like they were family and feel like I represent my staff members in the same manner. When either is threatened by a disrespectful physician or an angry patient I deal with it professionally but assertively.
I am involved with many conflict resolution issues but promote peer to peer resolution. Staff attended conflict resolution classes and we have conducted role playing to encourage peer to peer resolutions. Everyone knows if and when this is not possible that I am available but only with all parties present. I take pride in the fact that most issues get resolved before they come to me as the group feels empowered to resolve things on their own.
5. What is your personal communication style?
Assertive communication is my style. I listen to others and ask questions to confirm what I have heard. Often times compromise is involved.
6. How do you inspire a vision?
I look into the future and try to plan for health care changes and advancements in technology. This requires utilizing resources and be open to new ideas.
7. How do you see yourself as a change agent in driving organizational outcomes?
I am involved with projects that will improve efficiencies and increase patient
satisfaction.
8. How do you challenge the process?
Contacting resources and collecting and presenting data usually gets someones attention that can help make change.
9. How do you enable others to act?
I have high expectations of professionalism and accountability and am proud of that.
10. Please discuss prioritizing and delegation as it applies to nurse-client situations.
If safety is breached (or potential was high) I act immediately and investigate all angles. I am hands on for patient/family complaints as well. I do empower the Clinical Leaders to take first action if they can stop an issue from escalating. I have excellent Clinical Leaders in all departments that can usually thwart a negative behavioral event.
11. Tell me about a nurse leader or manager who influenced you. What were the qualities about this person that made him/her a great leader or manager?
My ex-director was hard working and dedicated to improving quality. She was opinionated but was usually right! She was fearless in her pursuit of letting the nurse work to the top of their licensure.
12. How do you inspire the heart of your staff?
I hope I inspire the staff by showing I am a people person that cares about not only the
patient and family but them as well. I respect all employees no matter where they
work. I am always available and make rounds often so I feel like I connect with each
one.


 

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Reflect on the values of altruism, autonomy, human dignity, integrity, and social justice. Describe how your RN-BSN journey has impacted your views on these fundamental values.

Reflect on the values of altruism, autonomy, human dignity, integrity, and social justice. Describe how your RN-BSN journey has impacted your views on these fundamental values.

Create journal entries in ONE word document and keep a copy as you write these weekly journals X 6.Fully answer each journal topic and question completely. That means a minimal of 2-3 paragraphs, for each week’s journal entry. Please set the journal weeks up separately, but submit as one completed word document. There is no need for citations/references unless you use scholarly sources.Grading Rubric:Clear, focused, and compelling – holds the reader’s attention. Includes significant, intriguing details the “WOW!” factorIdeas are supported by specific examples relating course content with practice.When appropriate, rich use of figurative language and imagery to convey ideas.Overall, demonstrates depth of thought and rich use of language.(6) Journal reflections meeting the required topics of each week.Organization is logical, ideas are clear, and transitions are smooth. No typographical errors.Journal Wk. 1Reflect on your thoughts about how you have integrated the concepts of management and leadership that informed your role as a current or future nurse leader. How has it provided you with the opportunity to develop and enhance your role in multidisciplinary teams, and what have you gained from this experience?Journal Wk. 2Reflect on your thoughts about how you can inform the delivery of care through evaluation of credible evidence, including dissemination of research. What opportunities can you create for nurses to enhance participation in research and scholarship? Be sure to include what you gained from this experience.Journal Wk. 3Reflect on your thoughts about how you can design care for individuals, groups and communities based on evidence-based practice. What lessons have you learned from your courses that have created a change in the way you think and practice as a baccalaureate-prepared nurse?Journal Wk. 4Reflect on how can we work to make the profession of nursing more accountable to utilize critical thinking in our practice and what impact does this have on the overall healthcare environment?Journal Wk. 5Reflect on the values of altruism, autonomy, human dignity, integrity, and social justice. Describe how your RN-BSN journey has impacted your views on these fundamental values. Create a personal and professional philosophy as a Baccalaureate-prepared nurse, which incorporates these fundamental values. What are your goals to implement your new philosophy?Journal Wk. 6Describe your involvement in one or more nursing agencies. A nursing agency is a professional organization you may belong to and your role with the organization, if you do not belong to a professional organization you may discuss your role where you work. What is your role? How has your role impacted patient care? How do you incorporate nurse-sensitive outcomes to promote safe, high-quality care? What are your plans to expand your role to impact health and health policy?


 

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Explain how HIPAA Privacy and Security Rules benefit and support the integrity of the healthcare industry, patient, and physician. Instructions

Explain how HIPAA Privacy and Security Rules benefit and support the integrity of the healthcare industry, patient, and physician.
Instructions

Part I

For the first part of this Assignment, you will write an essay about HIPAA and the Patient Bill of Rights Act. Your essay should address the information and questions presented below. This essay must be a minimum of 200 words. Please include a title page and reference page.

The creation of privacy and security laws has been a huge step toward more efficient healthcare and faster reimbursements. Visit the United States Health and Human Services website(http://www.hhs.gov/) and research HIPAA Regulations & Standards as they apply to the medical records. Also, please see the information in your text.

● Question: Explain how HIPAA Privacy and Security Rules benefit and support the integrity of the healthcare industry, patient, and physician.

The Patient Bill of Rights act was created with 3 goals in mind; to assist patients in being more comfortable with health care delivery systems, to develop partnerships with patients and health care providers, and to stress important roles that patients play in staying healthy. Please see the information in your text for additional information.

● Question: Name 3 areas within the Patient Bill of Rights Act that you feel are important for health care providers/patients to abide by, and provide an explanation as to why you feel each area you selected is important.

Part II

Please read each scenario and select the appropriate policy within the Patient Bill of Rights Act that applies to each scenario. For each scenario, describe in a paragraph why that specific policy in the Patient Bill of Rights Act is critical for demonstrating integrity within the medical assisting profession.

Scenarios:

1. Donna Jackson’s physician, Dr. Jones is retiring and is recommending that Donna continue services with Dr. Smith who also works in the same office. Donna is not comfortable with Dr. Smith and would like the option to select her own physician.

2. Keith Davidson is in need of emergency services because of a life threatening condition. Keith is currently uninsured and would like to make payment arrangements at a later time.

3. Jingle Smith has just been diagnosed with a chronic condition. She is interested in knowing all of her treatment options to combat this diagnosis. Jingle would also like for husband to be a part of the treatment process.

4. During Lisa Smith’s visit with her primary care physician, he made derogatory and discriminating comments regarding her weight. Lisa is very uncomfortable with these remarks and wishes to file a complaint with administration.

5. Bianca White has just discovered that someone in her primary care physician office released her medical information without her consent. Bianca is not happy about this and wishes to file a complaint with the Office of General Inspector.

Policies within the Patient Bill of Rights Act

A. Confidentiality of Health Information Policy

B. Participation in Treatment Decisions Policy

C. Access to Emergency Services Policy

D. Choice of Providers and Plans Policy

E. Respect and Nondiscrimination Policy


 

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Explain the process of cancer, the effects on the human body, the various types, and the risk factors involved.

Explain the process of cancer, the effects on the human body, the various types, and the risk factors involved.
Cancer and Genetics

Introduction

In order for organisms to grow, repair, maintain, and reproduce, cells undergo cell division. Sometimes, cells uncontrollably divide, resulting in cancer. In the first part of the Cancer and Cell Division Lab, you will learn about normal cell division and will compare it to cell division that occurs in cancer cells. You will then visit a website to find out more information about cancer. You will learn why it occurs, why it kills, and new treatments that are being tested and used to treat cancer.

Objectives

Explain the process of cancer, the effects on the human body, the various types, and the risk factors involved.

Explain various treatments for cancer.

Explain the various stages of mitosis.

Materials

No extra materials will be required to complete this lab other than internet service.

Directions

Go to the following website: http://www.mhhe.com/biosci/genbio/virtual_labs/BL_23.html_

Follow the steps under the PROCEDURE section.

Type all answers directly on the data sheet.

Select Save As, and save this document using your last name and student ID as the file name.

Upload the data sheet as a .doc, .docx, or .rtf file when you are finished.

While viewing the video, answer the following questions. Total: 8 points

1.In which stage of cell division is the DNA copied? (4 points)

2.During which stage of mitosis do the chromosomes line up in the middle? (4 points)

After viewing the video, click on the Information tab in the bottom right corner. Answer the following questions. Total: 12 points

1.In which of the cancer types listed, are males not at risk of developing? (4 points)

Cigarette smoke is a major risk factor for which type of cancer listed? (4 points)

3 The risk for which type of cancer increases after the age of 55? (4 points)

Continue following the directions under the PROCEDURE section, and complete the following table. Total: 40 points

Interphase Prophase Metaphase Anaphase Telophase %of Cell Dividing %of Cells at rest
Normal Lungs
Cancerous Lungs
Normal Stomach
Cancerous Stomach
Normal Ovary
Cancerous Ovary

Continue following the directions under the PROCEDURES section and answer the following questions. Total: 12 points

1.Based on your data and observations, what are some of the differences between normal cells and cancer cells? (4 points)

2.Which type of cancer shows the most aggressive growth? Explain your answer. (4 points)

When studying cell division in tissue samples, scientists often calculate a mitotic index, which is the ratio of dividing cells to the total number of cells in the sample. Scientists often calculate the mitotic index to compare the growth rates of different types of tissue.

3.Which type of tissue would have a higher mitotic index, normal tissue or cancerous tissue? Explain. (4 points)

http://www.cancer.org

Click on Get Expert Information. Scroll down and click Cancer Basics. Read the sections Understanding Cancer, Cancer in the United States and Finding Cancer Information. After reading each of the Cancer Basics sections, go back to the Get Expert Information page and read about each major type of cancer: breast cancer, colon and rectal cancer, lung cancer, prostate cancer and skin cancer. Answer the questions below. Total: 28 points


 

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What is the target population associated with the selected health promotion program?

What is the target population associated with the selected health promotion program?

 

ASSIGNMENT 1
Health Promotion Program
Assume that you are working in a community health department. The department has some federal money that it wants to allocate to two health promotion programs from the following:

Decrease in deaths from cardiovascular disease
Decrease in deaths from breast cancer

Decrease in incidence of diabetes
Decrease in motor vehicle accidents
Decrease in osteoporosis and hip fractures among women
Decrease in obesity
Identify the health promotion programs that you would want to investigate and get them approved by your instructor.

Write a 3- to 4-page report in a Microsoft Word document, addressing the following questions:

Identify the risk factors associated with the selected health promotion programs.
What is the target population associated with the selected health promotion program? Consider the hypothetical target population, consisting of middle-aged women, male adolescent gang members, premature infants, etc., and describe the characteristics of each program.
What are the risk factors that you want to focus on in order to achieve the objective of the health promotion program?
What intervention would you recommend to be most appropriate to reduce exposure to these risk factors? You can choose at what level of intervention you want to implement each program (primary, secondary, tertiary health intervention).
What will be the process by which this intervention will achieve the goal of the program?
What will be the anticipated outcome of this intervention?
ASSIGNMENT 2
Importance of Vaccination

Mary’s one year old daughter is due to be given the Measles, Mumps, and Rubella (MMR) vaccine during her next visit to the doctor. Mary is upset and concerned because one of her friend’s sons became ill after a similar vaccination. She has also heard rumors that MMR vaccine causes rubella. Mary was also told that her daughter will need to be vaccinated before Mary returns to work.

Mary is not alone. Many parents face this issue. Therefore, it is important for Mary and all such parents to make decisions that are best for their children, based on facts and not emotions.

Place yourself in the role of a health care worker, submit to the discussion area your plan to validate the importance of vaccination by addressing the following questions:


 

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Describe how you met your learning goals for the obstetrics and gynecology clinical rotation course

Describe how you met your learning goals for the obstetrics and gynecology clinical rotation course and reflect upon the most interesting or complex case you have experienced in during this clinical rotation.

NURSING JOURNAL REFLECTION IN CLINICAL ROTATION OF OBSTETRIC AND GYNECOLOGY

Nursing journal reflection in clinical rotation of obstetric and gynecology

Description

Describe how you met your learning goals for the obstetrics and gynecology clinical rotation course and reflect upon the most interesting or complex case you have experienced in during this clinical rotation.

1)Thorough identification of the importance of the subject matter to the individual, clinical, and the profession. Supports this through personal experience and evidence-based information.

2)Provides a well written reflection that is clearly connected to the outcomes and clinical insight is evident in the writing.


 

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How should the board of directors and administration respond to Our Covenant Health Center’s changing patient population and the language assistance needs of the new patients seeking care there?

How should the board of directors and administration respond to Our Covenant Health Center’s changing patient population and the language assistance needs of the new patients seeking care there?
Part 1: Case Study Review (250-300 Words)

Review the case study on pages 126–127 of Ethics and Public Health: Model Curriculum.

After reading the case study, answer the following question in your initial post:

How should the board of directors and administration respond to Our Covenant Health Center’s changing patient population and the language assistance needs of the new patients seeking care there? Consider the issue from both the perspective of the original mission and the reality of the current demand.

Part 2: (250-300 Words)

As you have learned throughout the course, financial needs and challenges can have a huge impact on how and when clients access or reach out to healthcare services.

In your initial post, identify at least two resources in your local community (cash and/or services) that might assist your clients who are unable or struggle to pay for housing, medical treatment, food and clothing, electricity, and other living costs. Describe the resources available and how a client would apply for those funds or services.

Part 3: (250-300 Words)

As you are learning, the healthcare system is subject to social and political forces that impact its actions and form. Here is a chance to reflect on the change process and consider how changes to the system can impact individuals such as Jean from the final project case study.

Taking into consideration all you have learned in your textbook reading for this module, reflect on what force or entity has the greatest ability to influence (positively or negatively) change within the U.S. healthcare system, especially involving healthcare delivery and access. What evidence shows its influence? Why do you think this force or entity has so much power? For instance, discuss the role in society that vests it with power.


 

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The nursing union has begun bargaining and has demanded a 10 percent increase in salaries, a guarantee of no lay-offs, and an increase in pension benefits. The increase in pension benefits has a $1 million annual impact.

The nursing union has begun bargaining and has demanded a 10 percent increase in salaries, a guarantee of no lay-offs, and an increase in pension benefits. The increase in pension benefits has a $1 million annual impact.

FINANCIAL CRISIS HOMEWORK.

Case Study Analysis Discussion—Financial Crisis at SMH

Organizations can experience crises due to changes in economic conditions. In an economic downturn where individuals lose their jobs, many also lose their medical insurance coverage. With fewer employees on the payroll, states receive less revenue from taxes and thus have less money to pay for Medicaid and other services. This compounds the problem of healthcare funding. Hospitals lose out on high-margin procedures and, at the same time, see an increase in charity care in less profitable areas of the hospital.

This assignment requires you to analyze the SMH data and develop a strategic plan that can be used in the event of a financial crisis. For your discussion, you will consider the following two scenarios:

Scenario 1: The nursing union has begun bargaining and has demanded a 10 percent increase in salaries, a guarantee of no lay-offs, and an increase in pension benefits. The increase in pension benefits has a $1 million annual impact.
Scenario 2: Your community is suffering a significant decrease in employment. Employees are losing their health insurance. You anticipate a 10 percent decrease in patient revenue. However, your costs will not decrease to the same extent. You anticipate many of these individuals will continue to visit your emergency room (ER) and consume resources. The net impact is a significant increase in bad debt.
In your strategic plan, include the operating and capital requirements the organization would need in order to navigate the crisis.

Write a 3- to 5-page report in Word format. All written assignments and responses should follow APA rules for attributing sources.


 

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Analyze the costs of drug therapy to health care systems and society and explores practice guideline compliance and current issues in medical care.

Analyze the costs of drug therapy to health care systems and society and explores practice guideline compliance and current issues in medical care.

Readings
Arcangelo, V. P., & Peterson, A. M. (Eds.). (2013). Pharmacotherapeutics for advanced practice: A practical approach (3rd ed.). Ambler, PA: Lippincott Williams & Wilkins.
Chapter 1, “Issues for the Practitioner in Drug Therapy” (pp. 2–14)

This chapter introduces issues relating to drug therapy such as adverse drug events and medication adherence. It also explores drug safety, the practitioner’s role and responsibilities in prescribing, and prescription writing.
Chapter 59, “The Economics of Pharmacotherapeutics” (pp. 918–927)

This chapter analyzes the costs of drug therapy to health care systems and society and explores practice guideline compliance and current issues in medical care.
Chapter 60, “Integrative Approaches to Pharmacotherapy—A Look at Complex Cases” (pp. 928–939)

This chapter examines issues in individual patient cases. It explores concepts relating to evaluation, drug selection, patient education, and alternative treatment options.
Due to the importance of ethical and legal considerations in advanced practice nursing, several resources have been provided for your reference.
Crigger, N., & Holcomb, L. (2008). Improving nurse practitioner practice through rational prescribing. The Journal for Nurse Practitioners, 4(2), 120–125.

Philipsen, N. C., & Soeken, D. (2011). Preparing to blow the whistle: A survival guide for nurses. The Journal for Nurse Practitioners, 7(9), 740–746.

American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Nursing World. Retrieved from
https://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics-For-Nurses.html


 

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