Written Assignments 1. Interview several people who have had surgica.pdf

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Written Assignments 1. Interview several people who have had surgical procedures performed and ask them what was positive and negative about the care they received. Use the responses you elicit to develop a master list of helpful nursing interventions. 2. Develop a nursing care plan for a patient with a colostomy that includes interventions to facilitate coping and acceptance by the patient and family of changes in body structure or function. Web Assignments 1. Research several surgical procedures on the Internet and describe the specific sensations that patients will be experiencing during the perioperative period. Develop a teaching plan for patients undergoing these types of surgery. 2. On the Internet, research and describe the following alternative methods of pain control: TENS and PCA. Summarize your findings in a brief report..

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Tasks for discussion week 9: 1. Critique problem and mission statements. Team A: Problem and mission statement: Correct procedure performed on patient by wrong doctor. The team identified the problem did not result in direct patient harm, but the process error had potential to cause direct patient harm. The mission statement included root cause analysis of the event with recommendations for improvement (monitor over 3-month period) and report findings with positive improvement at end of monitoring period. Team B: Problem and mission statement: Identified event as sentinel event. Noted full safety procedures in place over past five years. Mission to determine root causes of event and demonstrate successful plan for measurable improvement in three months or less. Each team’s problem statement provides the appropriate and concise evaluation of the event. Team B’s mission statement provides for a time frame that is shorter for resolution given the gravity of the sentinel event. 2. Analyze team processes, review process flow chart and cause effect diagram, data presented in two graphs and one table. The flow chart with the notes on the procedures/practices and policies and the survey with staff with the nurse – physician interaction sharply contrasts with the results of the two bar graphs indicating positive results with training and sign off on universal protocols. My take away from this is that being checked off on a process and going through the motions of a checkoff can be greatly influenced by the culture of the environment. 3. From the following selections which shaped the root cause discussions at both hospitals, teams selected the red highlighted statements as the two best root causes: a. Chairman of Surgery is clearly the biggest contributor to the problem, and is the single root cause, since he caused the near miss/sentinel event. b. The culture in our OR suite is not conducive to patient safety. c. The disruptive physician policy at our organization is ineffective in shaping physician behavior. It needs to be re-written. d. The Nursing/Physician relationships in our OR suites are compromised by poor communication skills, ineffective conflict resolution, and no sense of team. e. From CNO down through nurse managers, the nursing leadership at our organization is ineffective f. Educational offerings regarding the NPSGs, Universal Protocol, and Time-out procedures are clearly lacking, and the single most important root cause of these events. g. The turnaround time between cases is reaching crisis proportions and surgical volume is on a downward trend in both of these hospitals 4. Defend the teams’ position on the choice of these two; however, if you, as a case study team choose alternative root causes from this list given the data presented, defend that position. Reflecting with my statement in question #2: training in procedures and checkoffs on procedures does not guarantee the outcomes. The culture of safety is related to the abi ...

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Guidelines for completing Reflective Journal Reflective practice is a key component of College of Nurses of Ontario's Quality Assurance Program. Reflective practice is a conscious act in which individual examines their experiences, beliefs, values, behavior and knowledge and identifies areas for the change and improvement. It is a process that requires critical thinking and critical reflectivity. The college uses the acronym LEARN to guide the reflective practice process. Each reflection should be maximum 2 pages long and must contain 5 areas: Look back, Elaborate, Analyze, Revise and New perspective. 1. Look back at a recent meaningful and relevant practice event that you personally experienced within a last 2 weeks. 2. Elaborate and describe: - What happened during the event? - Who was involved? - How did you feel? - How do you think others felt? - What were the outcomes? - Select one professional standard from CNO professionals standards with 1 indicator that relates to the described event. 3. Analyze the outcomes: - Focus on a key issue in the identified event. - Compare and contrast the even with what you have learned. Analyze the event using scholarly nursing literature ( textbooks, CNO professional standards and best practice guidelines) to support your points. 4. Revise: - Revise your approach based on your review of the event and the selected literature and decide how, or if, you will change your approach. - Decide what worked well, how and why - Decide what would you change in your approach, how and why - This might involve asking others for ideas for dealing with similar situation next time or to identify a personal learning need. Guidelines for completing Reflective Journal DOCX 5. New Perspective - With your new learning, you may decide to try a new approach, leam more about the subject, develop a plan with defined strategies for the practice improvement, or decide that you handled the situation well. - Include recommendations for learning or actions in a similar situation. This may include anticipating or creating a situation in which you can then try out your new approach. Sample Weekly Reflection by Student Shdn't alhere to the basis primeiples of Infection. Prevention Centrol 1 have learned in the lab. 1 think the nurse was disappointcd with my practice as aell. 1 lase decided to improve ay Lnowledge application and tor analyre this evert. Analyzest Accending to Korier, et al. (2014) hand frygicne is " the single most effective infoctice jecvemtion and control measure one can implement" (p. 96e). Alcohod-hased hand nut (ABHR) kits microergatiems an the handb and is coesidcrod mote effoctive that soap and water in redocing hand contamination (Kevicr, et al. 2014). All bealheare prosensionals have lo andene so Four Moments of Hind Hygicne as per recoentnendatigens of Canadian Hospital Infection Centrol Associatioe (Kerice, ct al. 2014). The first noencet of Hand Ilygicne is cleaning hands befere initial ceetact with the cliems..

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Week 2: The Clinical Question 77 unread replies.2525 replies. Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews (Links to an external site.)Links to an external site. for the capstone project. · Choose a systematic review from the list of approved reviews based on your interests or your practice situation. · Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project. · Relate how you developed the question. · Describe the importance of this question to your clinical practice previously, currently, or in the future. · Describe what a research-practice gap is. · Collapse Subdiscussion Julie White Julie White SundayOct 29 at 9:39am Manage Discussion Entry Opening Post_Julie On a daily basis, healthcare providers are faced with an array of clinical decisions to be made in an efficient and timely manner. Translating evidence into best practices is one way to achieve this. Without current best evidence, practice is rapidly outdated, often to the detriment of the patient. Evidence based practice is the conscientious use of current best practice in making decisions about patient care (Sackett, Richardson, Rosenberg, & Hayes, 2000). It is important for health care professionals to ask questions about their current clinical practice. In this week’s threaded discussion you will ask that burning question that you ask in your daily care of your patients. You’ll need to focus on asking the right questions, narrowing the questions to one that is nurse driven and the need for change is evident. The question that you formulate will be the question for your Capstone Project. The process of reviewing scholarly articles for a change in practice is an important part of the development of any type of research project that can lead to a change in practice. As you are appraising the systematic review and other scholarly articles for your change project, think about areas of the article such as sample size, the population, type of study, discussion and limitations. Critiquing a research article will allow you to evaluate the scientific merit of the study and decide how the results may be useful in practice. ReplyReply to Comment · Collapse Subdiscussion Adele Allen Adele Allen SundayOct 29 at 12:58pm Manage Discussion Entry Hello Professor and Classmates, Nurses are called to rely on current research to guide evidence-based practice. The research on a topic can be vast and contradictory. Traditional reviews of the evidence are no longer appropriate. The information sifting called for with the wealth of information available is too great a task. The reviewer needs guidelines to ensure bias is minimized and th.

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Assignment 2 FAQs Question 1 I am eager to start my next piece of assessment, my understanding is we have to identify and explain our understanding of process and outcome data in delivery of safe, high quality care. The example I would like to use is the five moments of hand hygiene, with promotes infection control, my data would be the auditing process of the five moments and how this is acheived. The outcomes would be improved patient outcomes or adversely, death due to nosocomial infection or readmission. Am I on the right track or does the example have to be based on an a specific ILLNESS such as CA or pneumothorax for example using the Donabedian model of measuring health care such as treatment process, stages of treatment, appropriateness of treatment and outcomes such as death, adverse events etc.. And do we have to go into depth about what the illness. or is it just simply demonstrating our understanding of the processes and outcomes data for an illness? Thank you for your email. Yes you are on the right track as you are discussing safety and quality of nursing care NOT the process or outcome of a disease. And do we have to go into depth about what the illness. or is it just simply demonstrating our understanding of the processes and outcomes data for an illness? If you were discussing infection you would need to discuss the impact of the infection.For example, 1. What would be the impact on the client/patient? eg prolonging of illness, complications, longer hospital stay, financial costs, psychological costs, 2. What would be the impact on the health organisation/hospital? eg Inefficiency, increased length of patient stay, bed blocking, increased costs of hospitalisation, possible court claim 3. What would be the impact on the state? eg Decreased productivity of the individual if they remain hospitalised and are unable to work, increased costs if client/patient a pensioner Question 2 In regards to the second assessment piece, it says: "Use the scholarly literature to identify and explain the use of process and outcome data in the delivery of safe, quality nursing care in health institutions. The use 1 example of process and outcome data to demonstrate your understanding of their use in providing safe, high quality care in health institutions." Did you want us to use the 1 example for the whole paper in identifying and explaining the use of process and outcome data in the delivery of safe, quality nursing care in health institutions to demonstrate our understanding of it. Or did you want us to address both points separately as they are explaining what it is first, then explaining it again using the example we choose? Thank you for your email. How you go about addressing the question is up to you. What you have been asked to do is: 1. Explain the use of process and outcome data in the delivery of safe, quality nursing care in health institutions. 2. Demonstrate your understanding of these two phenomena by providing examples of ...

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8410 Application 1: Identification of a Practice Issue for the Evidence-Based Practice (EBP) Project Note: Have an APA Level 1 header for Each Area Noted below in Blue (a level 1 header is centered, bolded, using upper and lower case letters—see APA manual area 3.03) Grading Area Points Possible Points Earned Potential areas for earning points: Header: Summary of Practice Issue Summary of practice issue. (Note: The issue you select must be suitable for completing the entire EBP Project in 8410.) 2 Header: Exploration of Research Literature Exploration of the research literature on this issue. 3 High level of scholarship commensurate with doctoral level evident 1 Potential areas for losing points: Grammar, Spelling, and APA errors Up to 2 pt. deduction Went Over Page Limit (2 pages max) Up to 2 pt. deduction *Improper credit & citation issue 1-6 pt. deduction Late Submission (posted X.XX.20XX, due X.XX.20XX ) 20% deduction (1.2 pts) per day late (per syllabus) 6 Total Points possible ? Total Points Earned Running head: EBP Project 1 EBP Project 4 Evidence-based Practice Project: PIICOT Statement Student’s Name Institution Date Evidence-based Practice Project: PIICOT Statement Delayed patient transfers from the intensive care unit (ICU) is a significant practice problem that affects the quality and safety of healthcare delivery as well as the costs and efficiency of service delivery in a healthcare institution. It is nurses’ role to identify issues and develop strategies for quality improvement (Stillwell, Fineout-Overholt, Melnyk & Williamson, 2012). The following PIICOT Statements seeks to develop an intervention to reduce the rates of delayed transfers to enhance patient experiences and outcomes. PIICOT Statement In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients? P: Adult patients I: in extended intensive care within an urban acute care facility I: increased mobilization of the patients C: minimal mobilization of the patients O: early transfers of the patients from intensive care T: 6 months Salient Elements that Inform the Research Question The research question above has been developed based on observations in clinical practice of patients in intensive care, who overstay their admission in the ICU. Past research shows that delayed transfers of patients from the ICU to non-intensive care wards or the community settings have a negative effect on patient experiences and the patient outcomes. Some of the common negative effects of delayed patient transfers that have been identified by past researchers include an increased risk .

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Co-Chairs Laura S. Wood, RN, MSN, OCN, and Sumanta Kumar Pal, MD, and presenter Kathleen Burns, RN, MSN, AGACNP-BC, OCN, prepared useful Practice Aids pertaining to renal cell carcinoma for this CME/MOC/NCPD/ILNA activity titled “The New Therapeutic Era in Renal Cell Carcinoma: Essentials for Team-Based Patient Care.” For the full presentation, downloadable Practice Aids, complete CME/MOC/NCPD/ILNA information, and details on applying for credit, please visit us at https://bit.ly/30jWypm. CME/MOC/NCPD/ILNA credit will be available until May 16, 2022.

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