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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NurseReview.Org - Test Taking Strategies For Nursing Students
http://NurseReview.Org for more slides and animations
You will write two pages (not including your title page) expressin.docx
You will write two pages (not including your title page) expressing your current worldview in regard to the subject of Administration of Justice Organizations. This paper’s content will include how the presentation in the Module/Week 1 Reading & Study folder influences your worldview.
Marita Schifalacqua, RN, MSN, NEA-BC, FAAN,
Chris Costello, MEng, MBA, and Wendy Denman, RNC, BBM, BSN, MSN
Roadmap for Planned Change, Part 2
Bar-Coded Medication Administration
hange—savored by some and feared by many.
How do you as nurse leaders use your
knowledge and insight to move forward and transfer
your vision for quality and safety into reality? What do
you need to do to get key stakeholders on the bus and,
in some cases, even drive the bus? The roadmap for
planned change allows for an infrastructure of thought
brought to increase the likelihood for successful
change. Successful change is important to our patients
and to us as providers of that care.
This article, the second of a two-part series,
focuses on the application of change theory and the
elements of project management most critical to
successfully implementing a bar-coded medication
administration (BCMA) program. Examples will be
from one hospital’s experience, Saint Francis Medical
Center in Grand Island, Nebraska, to a health
system’s (Catholic Health Initiatives, Denver, Colorado)
approach to planning for 30 hospitals.
The definition of the BCMA program includes a
consistent, integrated information technology strategy,
with a focus on point-of-care BCMA to ensure that the
right person receives the right medication, in the right
dosage, via the right route, at the right time (five
rights). The bar code on medication is scanned before
administration to patients.
C
April 200932 Nurse Leader
Nurse Leader 33www.nurseleader.com
APPLICATION OF CHANGE THEORY AND
PROJECT MANAGEMENT
The first article discusses concepts and tools of both change
leadership and project management that lend support in plan-
ning and managing large- or small-scale change. Change lead-
ership is a common methodology of theory and tools that,
when used routinely, are central to integrating a change man-
agement model with the people side of change.
Project management is an application of knowledge, skills,
tools, and techniques customized to the initiative.The project
management elements discussed in the first article that are
most critical to successfully implementing planned change are
project charter, project budget and budget management, proj-
ect plan and schedule management, project staff organization,
project communications management, and project risk and
issue management.
CURRENT STATE ANALYSIS
Changing a process as complex as BCMA can and will
impact a variety of stakeholders. It is important to review
the process of medication administration from the time the
medication enters the facility through the time that the med-
ication is billed to the patient. Employ.
Recommended
NurseReview.Org - Test Taking Strategies For Nursing Students
http://NurseReview.Org for more slides and animations
You will write two pages (not including your title page) expressin.docx
You will write two pages (not including your title page) expressing your current worldview in regard to the subject of Administration of Justice Organizations. This paper’s content will include how the presentation in the Module/Week 1 Reading & Study folder influences your worldview.
Marita Schifalacqua, RN, MSN, NEA-BC, FAAN,
Chris Costello, MEng, MBA, and Wendy Denman, RNC, BBM, BSN, MSN
Roadmap for Planned Change, Part 2
Bar-Coded Medication Administration
hange—savored by some and feared by many.
How do you as nurse leaders use your
knowledge and insight to move forward and transfer
your vision for quality and safety into reality? What do
you need to do to get key stakeholders on the bus and,
in some cases, even drive the bus? The roadmap for
planned change allows for an infrastructure of thought
brought to increase the likelihood for successful
change. Successful change is important to our patients
and to us as providers of that care.
This article, the second of a two-part series,
focuses on the application of change theory and the
elements of project management most critical to
successfully implementing a bar-coded medication
administration (BCMA) program. Examples will be
from one hospital’s experience, Saint Francis Medical
Center in Grand Island, Nebraska, to a health
system’s (Catholic Health Initiatives, Denver, Colorado)
approach to planning for 30 hospitals.
The definition of the BCMA program includes a
consistent, integrated information technology strategy,
with a focus on point-of-care BCMA to ensure that the
right person receives the right medication, in the right
dosage, via the right route, at the right time (five
rights). The bar code on medication is scanned before
administration to patients.
C
April 200932 Nurse Leader
Nurse Leader 33www.nurseleader.com
APPLICATION OF CHANGE THEORY AND
PROJECT MANAGEMENT
The first article discusses concepts and tools of both change
leadership and project management that lend support in plan-
ning and managing large- or small-scale change. Change lead-
ership is a common methodology of theory and tools that,
when used routinely, are central to integrating a change man-
agement model with the people side of change.
Project management is an application of knowledge, skills,
tools, and techniques customized to the initiative.The project
management elements discussed in the first article that are
most critical to successfully implementing planned change are
project charter, project budget and budget management, proj-
ect plan and schedule management, project staff organization,
project communications management, and project risk and
issue management.
CURRENT STATE ANALYSIS
Changing a process as complex as BCMA can and will
impact a variety of stakeholders. It is important to review
the process of medication administration from the time the
medication enters the facility through the time that the med-
ication is billed to the patient. Employ.
Topic reflection initial post describe how you achieved each
Topic reflection initial post describe how you achieved each
Internship powerpoint
This presentation provides an inside look at my experience at Excel Rehab and Sports.
Tasks for discussion week 91. Critique problem and mission stat.docx
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 ...
Extubation Readiness PIN presentation
Evidence-Based Practice presentation presented at the Pacific Institute for Nursing (PIN) conference
Guidelines for completing Reflective Journal Reflective practice is a.pdf
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..
Week 2 The Clinical Question77 unread replies.2525 replies..docx
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.
Assignment 2 FAQsQuestion 1I am eager to start my next piece o.docx
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 ...
8410 Application 1 Identification of a Practice Issue for the Evide.docx
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 .
The New Therapeutic Era in Renal Cell Carcinoma: Essentials for Team-Based Pa...
The New Therapeutic Era in Renal Cell Carcinoma: Essentials for Team-Based Pa...PVI, PeerView Institute for Medical Education
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.
222278557 motion-study-2
homework help,online homework help,online tutors,online tutoring,research paper help,do my homework,
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You observe that company A has just paid its most recent dividend D0.pdf
You observe that company A has just paid its most recent dividend D0 = $0.46, and the
companys shares are selling in the market for P0 = $35.00 today. It is expected that the price of
the share will increase to P1 = $38.00 and that the dividend at the end of the year will be D1 =
$0.50. What is the stocks total expected return for the coming year?.
You notice that, in western society, there is an association of hype.pdf
You notice that, in western society, there is an association of hypertension, type 2 diabetes, and
obesity. You suspect that these are linked to each other, because they are also associated with
small birth weight. In your grant application to the NIH, you propose a mechanism for the
hypertension, and you propose experiments to test this hypothesis..
More Related Content
Similar to Written Assignments 1. Interview several people who have had surgica.pdf
Topic reflection initial post describe how you achieved each
Topic reflection initial post describe how you achieved each
Internship powerpoint
This presentation provides an inside look at my experience at Excel Rehab and Sports.
Tasks for discussion week 91. Critique problem and mission stat.docx
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 ...
Extubation Readiness PIN presentation
Evidence-Based Practice presentation presented at the Pacific Institute for Nursing (PIN) conference
Guidelines for completing Reflective Journal Reflective practice is a.pdf
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..
Week 2 The Clinical Question77 unread replies.2525 replies..docx
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.
Assignment 2 FAQsQuestion 1I am eager to start my next piece o.docx
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 ...
8410 Application 1 Identification of a Practice Issue for the Evide.docx
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 .
The New Therapeutic Era in Renal Cell Carcinoma: Essentials for Team-Based Pa...
The New Therapeutic Era in Renal Cell Carcinoma: Essentials for Team-Based Pa...PVI, PeerView Institute for Medical Education
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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operator (keyword) is used, the data must be stored in a dictionary. 3. When errors are detected,
the parser must describe the error, including the line of the code where it occurs. 4. When
arithmetic expressions are used, the parser will implement the corresponding arithmetic
operations. For simplicity purposes, the blockchain only will store arithmetic expressions and
strings.
import ply.lex as lex
import ply.yacc as yacc
tokens = (
'ID',
'BLOCK',
'VAR',
'ADD',
'PRINT',
'VIEW',
'RUN',
'MINE',
'EXPORT',
'STRING',
'INT',
'LONG',
'FLOAT',
'LIST',
'TUPLE',
'DICT',
'NUMBER',
'ASSIGN',
'TYPEASSIGN',
'SEPARATOR',
'LPAREN',
'RPAREN',
'NE',
'LT',
'GT',
'LE',
'GE',
'PLUS',
'MINUS',
'STAR',
'SLASH',
'PCT',
'COMMENT',
'WHITESPACE'
)
t_ASSIGN = r'\='
t_TYPEASSIGN = r'\:'
t_SEPARATOR = r'\,'
t_LPAREN = r'\('
t_RPAREN = r'\)'
t_NE = r'\!='
t_LT = r'\<'
t_GT = r'\>'
t_LE = r'\<='
t_GE = r'\>='
t_PLUS = r'\+'
t_MINUS = r'\-'
t_STAR = r'\*'
t_SLASH = r'\/'
t_PCT = r'\%'
t_ignore_COMMENT = r'\#.'
t_ignore_WHITESPACE = r'\s+'
keywords = {
'BLOCK': 'KEYWORD',
'VAR': 'KEYWORD',
'ADD': 'KEYWORD',
'PRINT': 'KEYWORD',
'VIEW': 'KEYWORD',
'RUN': 'KEYWORD',
'MINE': 'KEYWORD',
'EXPORT': 'KEYWORD',
'STR':'KEYWORD',
'INT': 'KEYWORD',
'LONG': 'KEYWORD',
'FLOAT': 'KEYWORD',
'LIST': 'KEYWORD',
'TUPLE': 'KEYWORD',
'DICT':'KEYWORD',
}
tokens1 = ['ID',
'BLOCK','VAR','ADD','PRINT','VIEW','RUN','MINE','EXPORT','STRING','LONG','FLOAT','L
IST','TUPLE','DICT','NUMBER','ASSIGN','TYPEASSIGN','SEPARATOR','LPAREN','RPARE
N','NE','LT','GT','LE','GE','PLUS','MINUS','STAR','SLASH', 'PCT',
'COMMENT','WHITESPACE']\
+ list(keywords.values())
# dictionary to store values
values = {}
def t_KEYWORD(t):
r'DEF | VAR | INT | IF | ELSE'
t.type = keywords.get(t.value, 'KEYWORD')
return t
def t_ID(t):
r'[a-zA-Z_][a-zA-Z_0-9]*'
t.type = keywords.get(t.value, 'ID')
return t
def t_NUM(t):
r'[0-9]+'
t.type = keywords.get(t.value, 'INT')
return t
def t_COMMENT(t):
r'//.'
t.type = keywords.get(t.value, 'COMMENT')
pass
def t_newline(t):
r'\n+'
t.lexer.lineno += len(t.value)
def t_error(t):
print("Illegal character '%s'" % t.value[0])
t.lexer.skip(1)
def p_block(p):
"""
block : BLOCK ID ASSIGN LPAREN attributes RPAREN
| ADD ID ASSIGN LPAREN new_atts RPAREN
| PRINT I.
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First
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Activity
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d. worstFit
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f. nextFit
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Overview on Edible Vaccine: Pros & Cons with Mechanism
This ppt include the description of the edible vaccine i.e. a new concept over the traditional vaccine administered by injection.
The Roman Empire A Historical Colossus.pdf
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Synthetic Fiber Construction in lab .pptx
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
678020731-Sumas-y-Restas-Para-Colorear.pdf
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Biological Screening of Herbal Drugs in detailed.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
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Thesis Statement for students diagnonsed withADHD.ppt
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Unit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdf
1.4 modern child centered education - mahatma gandhi-2.pptx
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Overview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with Mechanism
Written Assignments 1. Interview several people who have had surgica.pdf
- 1. 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.