Name and describe how you would use the other 2 Components essential for Evidence-based Clinical decision making and describe what changes you might institute on this unit.

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question needed answered:

You are a NP in a leadership role on an Inpatient Adult/Gero psychiatric unit. In the past 4 months you have noticed a pattern of elderly female patients falling and injuring themselves in the middle of the night. Using the 3 major components of Evidence Based Practice (Melnyk & Fineout-Overholt, 2011, page 4 figure 1.1) Discuss the following in relation to your decision to make a practice change on the Unit:

Identify the best type of evidence to use to solve this patient care issue
Name the level of the evidence,
Briefly discuss Why you would use that particular type of Research Evidence.
Name and describe how you would use the other 2 Components essential for Evidence-based Clinical decision making and describe what changes you might institute on this unit.
example of how the answer should look:

I am a PMHNP in a leadership role on an inpatient adult/gero psychiatric unit. In the past four months I have noticed a pattern of elderly female patients falling and injuring themselves in the middle of the night. This is unacceptable. My goal is to improve the falls rate on the unit and to accomplish this I will utilize evidenced based practice (EBP). Evidenced based practice is a problem-solving approach to the delivery of health care that integrates the best evidence from well-designed studies and patient care data, and combines it with patient preferences and values and nurse expertise (Melnyk et al., 2010). Evidenced based practice is aimed at hardwiring current knowledge into common care decisions to improve care processes and patient outcomes and holds great promise for producing the intended health outcome (Stevens, 2013).

The first step in integrating the best evidence and the patient data is to search for the best evidence (Fineout-Overholt et al., 2010). The search for evidence to inform clinical practice is tremendously streamlined when questions are asked in PICOT format. Inquiries in this format take into account the patient population of interest (P), intervention or area of interest (I), comparison intervention or group (C), outcome (O), and time (T). Once articles are selected for review, they must be rapidly appraised to determine which are most relevant, valid, reliable, and applicable to the clinical question. Rapid critical appraisal uses three important questions to evaluate a study’s worth: 1) are the results of the study valid (level of evidence), 2) what are the results and are they important (how well was the study conducted), and 3) will the results help me care for my patients (how useful it is to practice)?

 

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Administration of ophthalmological medications requires some explanation. What are the important points that you would review with a patient when teaching how to instill ophthalmic drops and when teaching how to instill ointment?

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Administration of ophthalmological medications requires some explanation. What are the important points that you would review with a patient when teaching how to instill ophthalmic drops and when teaching how to instill ointment?

Select one of the two questions from the discussion questions listed below.

Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ posts. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.

Discussion Question 1

SJ is a sixteen-month-old boy who is brought to the clinic with a one-day history of tugging at his right ear and crying and a two-day history of decreased appetite, decreased playfulness, and difficulty sleeping. His mother has documented a fever, so she has been giving him 5 mL of ibuprofen every twelve hours. He was diagnosed with acute otitis media (AOM) at the age of four months; he has had the same diagnosis three times since. On physical exam, his vital signs are normal with the exception of a temperature of 102°F. His weight is 10 kg. Both tympanic membranes (TMs) are erythematous, with the right one more than the left one. The right TM is bulging with limited mobility, copious cerumen, and purulent fluid behind the TM. The left TM appears normal. The right TM landmarks are difficult to visualize. Answer the following questions:

Of the information provided, what data support the diagnosis of AOM and what would be inconclusive?
How would you distinguish AOM and otitis media with effusion (OME)?
What treatment would you suggest?
What types of cautions or instructions would you provide to his mother?
Discussion Question 2

Administration of ophthalmological medications requires some explanation. What are the important points that you would review with a patient when teaching how to instill ophthalmic drops and when teaching how to instill ointment? What are the differences you would need to consider if the patient was a child or if the patient is a geriatric patient? Search the literature to see whether you are able to locate any guidelines to support this teaching.

 

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HOW CAN ONE PROTECT AGAINST VIRUS OUTBREAKS IN AN ORGANIZATION?The focus of the reseach paper is Host Intrusion Detection Systems (HIDS) or AntiVirus Systems. Computer Virus creates major headaches for most organizations, as this list of 10 worst PC virus outbreaks shows.

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HOW CAN ONE PROTECT AGAINST VIRUS OUTBREAKS IN AN ORGANIZATION?The focus of the reseach paper is Host Intrusion Detection Systems (HIDS) or AntiVirus Systems. Computer Virus creates major headaches for most organizations, as this list of 10 worst PC virus outbreaks shows.

The focus of the reseach paper is Host Intrusion Detection Systems (HIDS) or AntiVirus Systems. Computer Virus creates major headaches for most organizations, as this list of 10 worst PC virus outbreaks shows. These viruses combined have caused damages into the billions of US Dollars. How can one protect against virus outbreaks in an organization? What are the common causes of this problems? How would use address this troublesome trend? Use your textbook, internet, and other publications to research this topic. The rubric for this assignment can be viewed when clicking on the assignment itself.

Paper Requirements:

APA Format
Number of Pages: Minimum of 3 Pages not including Cover, Table of Contents and References.
Safe – Assignment comparison will be done

 

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Describe developmental changes associated with aging which put this patient at risk for injury Identify three (3) interventions that would help this patient achieve the outcome Include your rationale for each intervention.

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Describe developmental changes associated with aging which put this patient at risk for injury
Identify three (3) interventions that would help this patient achieve the outcome
Include your rationale for each intervention.

An 84-year-old male, who fell at home is admitted to the hospital with complaints of confusion, weakness, unsteady gait, and fatigue. His laboratory results confirm he has a urinary tract infection. A nursing plan of care has been developed using the NANDA-I label Risk for Injury. The outcome is: The patient will not be injured during the hospital stay.

Initial Discussion Post:

Describe developmental changes associated with aging which put this patient at risk for injury
Identify three (3) interventions that would help this patient achieve the outcome
Include your rationale for each intervention.
How would you evaluate whether the outcome has been met?
Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

 

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Why do you think the board chose Mr. Josephson over Mr. Larson for the CEO position? ( 1 page 275 words ) 2. What challenges did Mr. Josephson face when he arrived at Centuria? How did he deal with them? ( 1 page 275 words )

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Why do you think the board chose Mr. Josephson over Mr. Larson for the CEO position?
( 1 page 275 words )
2. What challenges did Mr. Josephson face when he arrived at Centuria? How did he deal with them? ( 1 page 275 words )

3. Contrast the changes Mr. Josephson made at Centuria with those made by Mr. Roberts. Please be as specific .as you can. What aspects of the organization did the TUL Program affect, for example? How? What other aspects, ( 1 page 275 words )
if any, did Mr. Josephson address, and how?
4. How, if at all, have the cultural changes at Centuria prepared the organization for success in an environment with a high concentration of managed care? What obstacles remain? What challenges does Mr. Josephson face in overcoming them?( 1 page 275 words )
Centuria Health System

When I arrived at Centuria, the prevailing emotions among midlevel managers and senior VPs alike ranged
from fear to panic. In an organization unused to major change, people feared that I would come in and begin
“swinging the ax.” Moreover, Centuria was very protective of its fledgling new culture. The organization had
worked hard to change, and people were concerned that I would not understand or embrace the new culture and
the values.
The speaker was David Josephson, recently appointed CEO of Centuria Health System. He continued:
Over a period of three months, I interviewed 100 people—physicians, board members, community leaders,
managers—asking them for their opinions of Centuria’s strengths, weaknesses, and future direction. The interview
process gave me an opportunity not only to establish a personal connection with representative members
of all constituencies of the hospital community, but to begin to plant the seeds of a vision and a direction
for the hospital.
Now, some two years later, Mr. Josephson was assessing the changes he had made at Centuria,
and wondering if he had prepared the organization adequately for the challenges it was facing in a
managed care environment.
BACKGROUND
Centuria Health System, located in Northern California, was founded as Centuria Hospital during
California’s gold-rush days, by the wife of a successful prospector. The hospital grew steadily
over the years to its current size of 500+ beds, and was a regional teaching hospital. In addition,
during the past two years, Centuria had expanded its activities in response to the intense competition
and high penetration of managed care in the Northern California region. This expansion included
the development of an IPA-type HMO (called “Physician’s Health Plan, or PHP), a regional
cancer center, a regional pediatric center, an ambulatory services center, and an outpatient rehabilitation
center. Three years ago, in recognition of its increasingly diverse activities, it changed its
name to Centuria Health System.
Centuria had a staff of 570 physicians and 2,800 employees, and treated some 120,000 people
each year, serving an eight-county population of nearly one million. Prior to the major changes of
the past couple of years, it had been thought of, by members of the staff, Board, and town alike, as
“a sleeping giant.” Located in a mid-sized city, it had always been the major hospital, more than
twice the size of the next largest hospital in town, and had never known significant competition. The
cost-plus reimbursement environment that prevailed from 1965 to 1984 contributed to the sleepinggiant
image. During that era, there were no external pressures to contain costs or streamline operations.
Centuria’s employees were loyal—when you took a job at Centuria, you became part of “the
Centuria family,” and had every intention of staying on for the rest of your working days. The
prime example of Centuria longevity was Mr. Josephson’s predecessor, Christopher Roberts, who
had been at the hospital for 32 years, until he retired.
HBSP Product Number TCG143
THE CRIMSON PRESS CURRICULUM CENTER

 

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Factors Influencing Nurses’ Attitudes Towards Healthcare Information Technology.Create an educational or training tool(trifold brochure) for new nursing hires that describes the nurse’s role in the use of informatics and technology.

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Factors Influencing Nurses’ Attitudes Towards Healthcare Information Technology.Create an educational or training tool(trifold brochure) for new nursing hires that describes the nurse’s role in the use of informatics and technology.

Review Ch. 11 of Handbook of Informatics for Nurses & Healthcare Professionals.

Read “Factors Influencing Nurses’ Attitudes Towards Healthcare Information Technology.”

Create an educational or training tool(trifold brochure) for new nursing hires that describes the nurse’s role in the use of informatics and technology.

Incorporate at least one theory (nursing theory, informatics theory, change theory, or other supporting theory) that relates to informatics in nursing.

Ensure that the educational tool:

defines nursing informatics,

describes the nurse’s role and responsibilities in quality data management,

explains why comfort with technology and informatics is important in patient care and administration, and

identifies ways for the new nurse to become more comfortable with health care technology.

Include a minimum of three peer-reviewed resources, and develop an APA-formatted reference page.

 

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Please please be careful to use a correct reference to the relevant information. All of the references must be updated no less than 2010.I will attach the marking guideline as well as I will attach some references may help in the background part.

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Please please be careful to use a correct reference to the relevant information. All of the references must be updated no less than 2010.I will attach the marking guideline as well as I will attach some references may help in the background part.

You dont need to use a master of English language; it is enough to be in an intermediate language.
I will attach the marking guideline as well as I will attach some references may help in the background part.
The proposal aims to explore the ethical issues among emergency nurses during a disaster event
a systematic review research question devise a plan to answer it and develop a protocol for the review and meta-analysis/meta-synthesis. A systematic review protocol
is a complete outline of the process of undertaking the review and plan for the analysis of the review data. The proposal should include the following:
Proposal title: Make this short descriptive and no more than 10-12 words; the title should explain succinctly what the project is about.
Abstract: This must be no longer than 250 words; word count will be strictly enforced. It should include a statement of the problem the aims and methods and the
significance of the proposed study.
Review question objectives PICO (500 words): clearly identify the research problem to be investigated and state the review question and list the objectives of the
review. Identify the PICO/PICo. Explain the significance of your study.
On this proposal please following headings;
* the research problem=..
*the review question= What are the ethical issues raised during a disaster event among emergency nurses?
* the objectives=..
*PICo = as the following
P= Emergency nurses
I= ethical issues
Co= disaster event
*the significant of the study= ..
Background (~1500 words): Describe the background that relating to the topic of the study (i.e. the rationale or impetus for the study) and how the results might be
used. Describe the clinical condition population interventions comparisons phenomenon and outcomes (as appropriate) with appropriate references. Provide a critical
justification for the review.
Review design: Discuss the specific type of systematic review being undertaken and justify why this particular approach is being undertaken
Eligibility or Inclusion criteria: Detail the planned inclusion criteria including population or participants interventions or the phenomenon comparators outcomes
timing setting or context and language as appropriate to your systematic review design.
These should be supported by references used to define and justify these elements where appropriate. In addition the types of studies for inclusion should be
explained. Specific exclusion criteria should be described and justified.
Search Strategy: The search strategy should be detailed including the steps data bases and search terms. The search strategy should represent a plan for a robust and
exhaustive search of all the available evidence regarding to the question. A draft of the specific terms to be used for at least one data base including planned
limits such that it could be repeated should be included.
Evidence Appraisal: the methods and process related to the selection and appraisal should be described. The plan for documentation of this process should be
explained. Planned tools used should be critiqued appended and referenced.
Analysis: Describe using methodology-specific references how you intend to extract and analyse the data collected. Additionally if you propose to use software
clearly identify which software will be used and why.
Rigour: Describe and justify the processes that will utilise to improve rigour and reduce bias in your review. Provide references to support your processes and
justification.
Ethical considerations: Discuss how you will apply ethical principles in your review.
Dissemination of findings: Outline how you propose to share your findings with others. (such as published in disaster journal or ethics journal. Addition present
finding to whom care such as emergency nurses.
Timeline: Provide a Gantt chart detailing the steps in this review and time frame related to this undertaking. Provide a reference list using APA 6th edition format
for all literature cited in the assignment.
You can take some information from the following paragraph that can help in some parts of the proposal;
The inclusion criteria should include all articles focusing on the nursing perspectives particularly for the terms used in PICo. For instance any nurses have
experience in a disaster event either clinically practice or administrative practice. The articles must be written in English language as a primary source either
qualitative or quantitative research that focuse on the human species. The author is very interested to find updated studies however the date will not be limited in
order to get multiple and broad aspects that associated with the ethical issues raised in disaster. As well as no geographic limit will be used during the search
process in order to include the worldwide perspective of the ethical issues during the disaster event. Also the age gender and experience of the disaster nurses who
have participated in the studies will not be considered.
However any articles discuss the adult care during a disaster will be including while any articles discuss a paediatric care will be excluding. Furthermore any
published articles not written in English or other published documents rather than the primary articles will be excluding. Also any study not fit with the principle
of keywords will be excluding. Full access will help the author to find the precise information but any article with a limited access will be excluding. Besides
there is an exception for the articles that contained a unique information will be purchased by the author. Ultimately peer review articles opinions and reports will
be excluding as well as any articles will participate any of the health care providers rather than nurses who involve in the disaster such as; physians.

 

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Identify a nursing informatics role that is of particular interest to you.Just as the Internet and other technological innovations have radically changed the world, the constant evolution of informatics continues to transform nursing and health care.

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Identify a nursing informatics role that is of particular interest to you.Just as the Internet and other technological innovations have radically changed the world, the constant evolution of informatics continues to transform nursing and health care.

The Roles of Nurse Informaticists

The Roles of Nurse Informaticists
Just as the Internet and other technological innovations have radically changed the world, the constant evolution of informatics continues to transform nursing and health care. The nurse is at the forefront of this transformation, serving as a knowledgeable leader in system development, implementation, and management. As new technologies become integrated into health care settings, the nurse informaticist areas will continue to become more critical.
For this Discussion, you examine the informatics areas that have evolved to facilitate this transformation. You consider different functional areas and responsibilities that nurse informaticists may fulfill and how they contribute to technological progress throughout the health care field.
Note: There are many different terms used to refer to “nurse informaticist,” including informatics nurse, nurse informatician, and informatics specialist. In this specialization, the term “nurse informaticist” is applied, adhering to the American Association of Colleges of Nursing (AACN) terminology.
To prepare:
Review this week’s media presentation, The Role of Nurse Informaticists, reflecting on the impact that informaticists have on health care settings.
Using the American Medical Informatics Association web resource in this week’s Learning Resources, investigate the various working groups associated with nursing informatics.
Identify a nursing informatics role that is of particular interest to you. Conduct further research to find out how this specific role might contribute to patient safety, quality of care, nurse efficiency, the implementation of new informatics initiatives, and/or electronic health records.
By Day 3
Post a description of a nursing informatics role that that is of interest to you and why. In your posting, explain how the nurse informaticist in this role impacts one or more of the following: patient safety, quality of care, nurse efficiency, the implementation of new informatics initiatives, and/or electronic health records. Justify your reasoning by citing authentic examples and references to the research literature.
Read a selection of your colleagues’ responses.

 

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Examine and assess employee rights to health and safety in the workplace.Based in New Jersey, PharmaCARE maintains a large manufacturing facility in the African nation of Colberia, where the company has found several “healers” eager to freely share information about indigenous cures

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Examine and assess employee rights to health and safety in the workplace.Based in New Jersey, PharmaCARE maintains a large manufacturing facility in the African nation of Colberia, where the company has found several “healers” eager to freely share information about indigenous cures

Field: Business & Finance
Assignment 3: Ethics and Corporate Responsibility in the Workplace and the World
Due Week 7 and worth 250 points

PharmaCARE (We CARE about YOUR health®) is one of the world’s most successful pharmaceutical companies, enjoying a reputation as a caring, ethical and well-run company that produces high-quality products that save millions of lives and enhance the quality of life for millions of others (Note: PharmaCARE is a hypothetical company that you will to compare to a real company as noted in the assignment criteria below). The company offers free and discounted drugs to low-income consumers, has a foundation that sponsors healthcare educational programs and scholarships, and its CEO serves on the PhRMA board. PharmaCARE recently launched a new initiative, We CARE about YOUR world®, pledging its commitment to the environment through recycling, packaging changes and other green initiatives, despite the fact that the company’s lobbying efforts and PAC have successfully defeated environmental laws and regulations, including extension of the Superfund tax, which was created by Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA).

Based in New Jersey, PharmaCARE maintains a large manufacturing facility in the African nation of Colberia, where the company has found several “healers” eager to freely share information about indigenous cures and an abundance of Colberians willing to work for $1.00 a day, harvesting plants by walking five (5) miles into and out of the jungle carrying baskets that, when full, weigh up to fifty (50) pounds. Due to the low standard of living in Colberia, much of the population lives in primitive huts with no electricity or running water. PharmaCARE’s executives, however, live in a luxury compound, complete with a swimming pool, tennis courts, and a golf course. PharmaCARE’s extensive activities in Colberia have destroyed habitat and endangered native species.

In preparation for this assignment, use the Internet or Strayer Library to research companies that have recently experienced negative consequences as a result of the company’s corporate activities. Compare the facts and consequences surrounding the companies you have researched to PharmaCare to support your response(s) to the criteria below.

Write a six to eight (6-8) page paper in which you:

Describe the key characteristics of a stakeholder and determine all the stakeholders within the PharmaCARE scenario.
Analyze the human rights issues presented by PharmaCARE’s treatment of the Colberia’s indigenous population versus that of its executives. Recommend at least three (3) changes PharmaCARE can make to be more ethical going forward.
Assess PharmaCARE’s environmental initiative against the backdrop of its anti-environmental lobbying efforts and Colberian activities. Support the position.
Decide whether or not PharmaCARE’s actions with respect to the indigenous people of Colberia would be ethical in accordance with each of the following ethical theories:
Utilitarianism
Deontology
Virtue ethics
Ethics of care
Your own moral / ethical compass

 

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Discuss at least 3 assumptions and variant cultural characteristics of The Purnell Model for Cultural Competence. Give at least 1 example.

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Discuss at least 3 assumptions and variant cultural characteristics of The Purnell Model for Cultural Competence. Give at least 1 example.

Read the chapter 2 of the class textbook and review the attached Power Point presentation. Once done answer the following questions;

1. In your own words and using the appropriated evidence based references discuss The Purnell Model for Cultural Competence.

2. Discuss at least 3 assumptions and variant cultural characteristics of The Purnell Model for Cultural Competence. Give at least 1 example.

As stated in the syllabus, assignment must be presented in an APA format using the required Arial 12 font. A minimum of 2 evidence-based references, to sustained your point of view and a minimum of 500 words are required (excluding the first and last page).

 

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