Patho 1 Wednesday

Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors. Outline steps for prevention or health promotion for the patient and family.

Due Date: Wednesday 4

Nursing 19966969

  

· Use EBP articles no more than 5 years old. 

· Make sure you put your name at the top and include your article citation in 7th ed. APA format of your assignment – see exemplar. 

· Do not give research terms on your assignment i.e. this is a cross-sectional study or has validity unless you’re ready to explain how this will help you solve your problem. These terms are used so that you know if an article is valid and reliable. OK, so now that you found this, your job is to find out how this project will help you solve your problem. 

o The paper is set up to determine the strength, weaknesses, opportunities, and threats of the project itself. 

o By answering these questions, you will help guide and collaborate with your peers with constructive feedback on how to solve your problem collectively as a team.

§ Strength – Example: Did they have the support of the peers, manager, CEO. Did this project improve patient satisfaction, quality, efficiency? Usually found in the literature review and results.

§ Weakness – Example: This is the opposite. Why was this plan weak: Not enough education, no support, not enough money because of the expense? Usually found in the problem of the literature review, results, and limitations.

§ Opportunity – Example: If there wasn’t enough education, is this an opportunity? A better survey or tool? Usually found in results or limitations and future implications.

§ Threat – Example: Increased infection, possible death, etc. Usually found in the literature review. 

o It is your job to know your article and have the ability to articulate what your article is about with your peers and with your instructor. 

o During the virtual class, you may be asked to elaborate on your article. So know your article! 

· Please note that the exemplar provided received maximum points. 

2 Coments Each One 150 Words Citation And Reference 19950043

DQ1

It is significantly erroneous to believe that project implementation is simply a matter of organization and theory—that is, working the right processes and tasks, writing a perfect change document, having good leadership mechanisms in place, as well as having a perfect understanding of all the relevant change theories, including Lewin’s three stage theory, Lippit’s seven-step theory, B. F. Skinner’s and Pavlov’s operant and classical conditioning. Successful project implementation goes beyond these activities, and must include stakeholder support and involvement.

It is therefore pertinent to consider internal stakeholders, such as the nursing staff, supervisors, nurse managers, and other entities within the health care setting and the external stakeholders, which include health care regulators, competitors, health care consumers, and other entities outside the setting. According to Panorama Consulting Group (2020), doing a stakeholder analysis is very key for change implementation efforts for four reasons: to understand stakeholder needs and perspectives; to detect change resistance and increase commitment; to determine the best approach for stakeholder engagement; and to determine the appropriate messaging tactics that generate positive influence.

In view of the above, ensuring stakeholder support is important for the success of my change proposal because it ensure commitment and support for the change project. In a situation where most stakeholders in the setting where the change project will be implemented are in support and are fully involved, the chances are high that implementation will be successful. One important way to secure the support of both my internal and external stakeholders will include the organization of interactive forums in which the change project and its benefits will be discussed.

                                                                                     Reference

Panorama Consulting Group (2020). The role of a stakeholder analysis in change management. Available from: https://www.panorama-consulting.com/stakeholder-analysis-in-change-management/

Joseph, M. (2019). Importance of stakeholder support in implementation of evidence-based practice project in nursing. The Nursing Ace. Available from: https://thenursingace.com/importance-of-stakeholder-support-in-implementation-of-evidence-based-practice-project-in-nursing/#:~:text=Their%20support%20is%20necessary%20because,project%20in%20in%20interactive%20forums.

DQ2

Stakeholders are important in performance of an organization way of operating, by investing interest in medical decisions, and evidence-based practice. This can in include nurse, doctors, patients, payers, and policy-makers. Policy-makers create population-level metrics that inform their economic policies. Important questions they ask are eligibility to receive care, services provided, how services will be paid for, accessibility, other health care concerns to plan for. They set context in how the health care system will operate. Policies created are made to maximize patient health within the country’s financial and resources available. Patients receive care, and are the beneficiary customers of payers, who want to access health information from their smart phone or computer. Providers deliver care within policy framework. They are independent businesses that manage their own operations and finances. Payers are the financial element, who enroll patients as beneficiaries. They report to policy-makers about financial sustainability of the care program they have. 

For my change project, it is important to have the support of my fellow nurses, director, and possibly doctors. Evidence-based practice on why medication intervention for dementia related behavior are not effective, but instead adversely affects the patient is important to provide. I personally have noticed doctors like to prescribe many anti psychotics to patients with behavioral symptoms, which tend to sedate them and leads to decreased quality of life. I remember talking to the doctor about holding the patients second dose of quetiapine for the evening because I noticed he gets more confused and gets out of bed without calling for help. That evening I was able to communicate with the patient more effectively, and he seemed more relaxed with less confusion. It is important to have my fellow nurses to be on board with trying non-pharmacological interventions, instead of quickly asking for medications or restraining individuals.

Pressbooks. (n.d.). 3. Introducing the key stakeholders: Patients, providers, payors, and plicymakers (the four p’s). Retrieved from https://jln1.pressbooks.com/chapter/3-introducing-the-key-stakeholders-patients-providers-payors-and-policymakers-the-four-ps/

Benchmark Professional Capstone And Practicum Reflective Journal 19915061

  Benchmark – Professional Capstone and Practicum Reflective Journal 

            

Students maintained and  submitted weekly reflective narratives throughout the course to explore  the personal knowledge and skills gained throughout this course. This  assignment combines those entries into one course-long reflective  journal that integrates leadership and inquiry into current practice as  it applies to the Professional Capstone and Practicum course.

This  final submission should also outline what students have discovered  about their professional practice, personal strengths and weaknesses  that surfaced during the process, additional resources and abilities  that could be introduced to a given situation to influence optimal  outcomes, and, finally, how the student met the competencies aligned to  this course.

The final journal should address a variable  combination of the following, while incorporating your specific clinical  practice experiences: New practice approaches Interprofessional collaboration Health care delivery and clinical systems Ethical considerations in health care Practices of culturally sensitive care Ensuring the integrity of human dignity in the care of all patients Population health concerns The role of technology in improving health care outcomes Health policy Leadership and economic models Health disparities

While  APA style is not required for the body of this assignment, solid  academic writing is expected, and in-text citations and references  should be presented using APA documentation guidelines, which can be  found in the APA Style Guide, located in the Student Success Center.

This  assignment uses a rubric. Please review the rubric prior to beginning  the assignment to become familiar with the expectations for successful  completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

2.3:     Understand and value the processes of critical thinking, ethical reasoning, and decision making.

4.1:     Utilize patient care technology and information management systems.

4.3:     Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

5.3:     Provide culturally sensitive care.

5.4:     Preserve the integrity and human dignity in the care of all patients.

Discussion Designing Quantitative Research 19965579

In the context of research design, two types of validity, which speak to the quality of different features of the research process, are considered: internal validity and external validity. Assuming that the findings of a research study are internally valid—i.e., the researcher has used controls to determine that the outcome is indeed due to manipulation of the independent variable or the treatment—external validity refers to the extent to which the findings can be generalized from the sample to the population or to other settings and groups. Reliability refers to the replicability of the findings.

For this Discussion, you will consider threats to internal and external validity in quantitative research and the strategies used to mitigate these threats. You will also consider the ethical implications of designing quantitative research.

Post

1- an explanation of a threat to internal validity and a threat to external validity in quantitative research. Next, explain a strategy to mitigate each of these threats. 

2-Then, identify a potential ethical issue in quantitative research and explain how it might influence design decisions.

3- Finally, explain what it means for a research topic to be amenable to scientific study using a quantitative approach.

SOURCES

Babbie, E. (2017) Basics of social research (7th ed.). Boston, MA: Cengage Learning. Chapter 3, “The Ethics and Politics of Social Research”Be sure to support your Main Issue Post and Response Post with reference to the week’s Learning Resources and other scholarly evidence in APA Style.

Burkholder, G. J., Cox, K. A., Crawford, L. M., & Hitchcock, J. H.  (Eds.). (2020). Research designs and methods: An applied guide for the scholar-practitioner. Thousand Oaks, CA: Sage. Chapter 12, “Quality Considerations” Chapter 13, “Ethical Considerations”

Nursing 19942731

 Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria. 

Std

Investigate how school health is delivered within your local school system. You can look at one specific school, or an entire school district. Do the schools in your area have a school health nurse assigned? If not, how are health care needs within the school district managed? What are ways in your area schools in which health promotion and management of existing health problems are addressed?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Learning Materials Clark, M. J. (2015). Population and community health nursing (6th ed.). Boston, MA: Pearson Chapter 22  CDC- Sexually Transmitted Diseases

Psychotherapy 19942543

As a psychiatric nurse practitioner, before you can recommend potential pharmacotherapeutics to address a patient’s condition or disorder, you must understand the basic function and structure of the neuron and central nervous system. For this Assignment, you will review and apply your understanding of neuroanatomy by addressing a set of short-answer prompts.

To Prepare:

· Review the Learning Resources for this week in preparation to complete this Assignment.

· Reflect on the basic function and structure of the neuron in relation to the central nervous system.

· Reflect on the inter-connectedness between neurons and the central nervous system, including the pathway and distribution of electrical impulses.

· Reflect on how neurons communicate with each other and review the concept of neuroplasticity.

To complete:

Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

1. In 4 or 5 sentences, describe the anatomy of the basic unit of the nervous system, the neuron. Include each part of the neuron and a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse. Be specific and provide examples.

2. Answer the following (listing is acceptable for these questions):

o What are the major components that make up the subcortical structures?

o Which component plays a role in learning, memory, and addiction?

o What are the two key neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control?

3. In 3 or 4 sentences, explain how glia cells function in the central nervous system. Be specific and provide examples.

4. The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occurs? Be specific.

5. In 3–5 sentences, explain the concept of “neuroplasticity.” Be specific and provide examples.

Class3reflectwk4

Minimum of 250 words with at least one peer review reference in 7th edition apa style

 Integrate ethical decision-making principles that promote a culture of care. 

 THIS IS A DOCTORATE DEGREE IN NURSING PROGRAM 

Health System 19493301

 

Review both resources provided below in addition to the assigned readings for this week and reflect on 2 key differences between the UK and US Health systems. What are key opportunities related to advocacy and politics interventions that can be taken by advanced practice nurses to improve our current health system?

Please refer to the resources identified below for details regarding UK Health System.

1. US and UK Health System Comparison- https://www.youtube.com/watch?v=R4Y0TKiwNgo 

2. Peterson-Kaiser Health System Tracker- https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries  

3. Summary of the American Health Care Act.pdf 

 all discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years. Students must respond  to 1 different post on a separate day.  Response posts must be minimum 100 words each.