Stage 2 mentor programme:Domain 7, evidence based practice : creat a resource which helps students to link evidence based theory with an aspect of practice they will commonly undertake in community/district nursing . Chosen practice is pressure ulcer

Project description
Domain 7, evidence based practice : A resouce which helps students to link evidence based theory with an aspect of practice they will commonly undertake in community/district nursing . I have chosen pressure ulcer prevention as my resource. 2000 words critical discussion focused on the chosen domain showing how evidence based practice is used in preventing pressures ulcers in community nursing . The practice area is community nursing this assignment is for a level 2 mentorship course for registered nurses.

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In 3-4 page paper describe how the course content (readings, discussions, assignments) have changed the way you view your own nursing practice. How will any changed views impact your practice? Based on this awareness, what is your action plan for moving.

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Case Study 1
Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm
RBC smear showed microcytic and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values were within normal limits.

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale

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 Managers cannot empower all employees, in this context, explain how MBO is effective.
 Using an example of your choice, show how a structured approach to decision making can ensure the optimum outcome for your chosen problem?
 Given that, over the next 10 years, Europe’s manufacturing framework will give way to a more service providing environment, discuss how, in your opinion, Fayol’s 14 principles of management will evolve, bearing in mind that technology is pushing us towards a working environment with less personal contact, less time spent in offices, reducing face to face communication, and more technological inter-action.
 In global economy, managers are often required to deal with a multicultural environment. Discuss how they can do so effectively using proper examples.
 The organizational structure of a company can have a strong impact on its success.
Discuss the previous statement also considering the connection between the structure and the environment it operates in.
 How much impact do managers actually have on an organization’s success or failure? Corroborate your answer with proper examples.
 Analyze and discuss the advantages and disadvantages, pros and cons, of group decision making. What aspects should be avoided in multi departmental decision making in order for them to be effective

 Analyze and discuss the advantages of strategic management and in particular its relationship with environmental change

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how does telehealth nursing demonstrate the DIKW model?”

Summarize the question “HOW DOES TELEHEALTH NURSING DEMONSTRATE THE DIKW MODEL?”   and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.
Identify the databases and search words you would use.
Relate how you would take the information gleaned and turn it into useable knowledge.
Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search.
The Data/Information/Knowledge/Wisdom Continuum
1.Summarize the Question and Relate Work through the Four Steps of the Data, Information, Knowledge, and Wisdom Continuum

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What is strategic management? What are some examples of business strategies in nursing or health care settings?

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National initiatives driven by the American Nurses Association have determined nursing-sensitive outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-sensitive indicators:

• Complications such as urinary tract infections, pressure ulcers, hospital acquired pneumonia, and DVT
• Patient falls
• Surgical patient complications, including infection, pulmonary failure, and metabolic derangement
• Length of patient hospital stay
• Restraint prevalence
• Incidence of failure to rescue, which could potentially result in increased morbidity or mortality
• Patient satisfaction
• Nurse satisfaction and staffing

Scenario:

Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.

A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, “Oh, that is not anything to worry about. It will go away as soon as he gets up.” The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.

The diet order for Mr. J was “regular, kosher, chopped meat.” The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, “regular, chopped meat.” The tray contained the remains of a chopped pork cutlet.

The nurse notified the supervisor, who said, “Just keep it quiet. It will be okay.” The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.

When the patient’s daughter visited later that night, she was not told of the incident.

The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient’s daughter, “I’m so sorry about the pork cutlet last night.” The daughter asked what had happened and was told that there had been “a mix up in the order.” The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, “Half a pork cutlet never killed anyone.”

The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.

The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town’s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city.

Task:

Analyze the scenario (suggested length of 2–3 pages) by doing the following:

A. Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

B. Analyze how hospital data on specific nursing-sensitive indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.

C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve the ethical issue in this scenario.

D. When you use sources, include all in-text citations and references in APA format.

Note: When bulleted points are present in the task prompt, the level of detail or support called for in the rubric refers to those bulleted points.

Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.

Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section

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Managers cannot empower all employees, in this context, explain how MBO is effective.
 Using an example of your choice, show how a structured approach to decision making can ensure the optimum outcome for your chosen problem?
 Given that, over the next 10 years, Europe’s manufacturing framework will give way to a more service providing environment, discuss how, in your opinion, Fayol’s 14 principles of management will evolve, bearing in mind that technology is pushing us towards a working environment with less personal contact, less time spent in offices, reducing face to face communication, and more technological inter-action.
 In global economy, managers are often required to deal with a multicultural environment. Discuss how they can do so effectively using proper examples.
 The organizational structure of a company can have a strong impact on its success.
Discuss the previous statement also considering the connection between the structure and the environment it operates in.
 How much impact do managers actually have on an organization’s success or failure? Corroborate your answer with proper examples.
 Analyze and discuss the advantages and disadvantages, pros and cons, of group decision making. What aspects should be avoided in multi departmental decision making in order for them to be effective

 Analyze and discuss the advantages of strategic management and in particular its relationship with environmental change

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Discuss current research that links patient safety outcomes to ADN and BSN nurses. Based on some real-life experiences, do you agree or disagree with this research?

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Healthcare and healthcare organizations are experiencing many frustrating and complex changes during healthcare reform in the US. Discuss the strategies used to empower a manager and guide him/her to be a transformational leader. What do you think the most important leadership characteristic(s) might be (there is no right or wrong answer). Support your discussion and opinions with facts, relevant examples from personal nursing practice,

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Summarize the question “HOW DOES TELEHEALTH NURSING DEMONSTRATE THE DIKW MODEL?” and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.
Identify the databases and search words you would use.
Relate how you would take the information gleaned and turn it into useable knowledge.
Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search.
The Data/Information/Knowledge/Wisdom Continuum
1.Summarize the Question and Relate Work through the Four Steps of the Data, Information, Knowledge, and Wisdom Continuum

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1. What is Health Literacy? How does it impact Nursing?

2. Go back to the web site you evaluated for the assignment in Week 2. Taking health literacy issues into consideration, how does this web site compare for an average individual seeking health knowledge? ( use cdc website)

3. List 3 types of hardware/devices consumers are using to access health related content other than using the traditional computer. Share one scholarly article that discusses or supports one of the devices you listed. Share why this is better than traditional computer access. Would you recommend your students or patients use this device to support their overall health, why?

4. As a nurse educator, develop an activity/exercise that involves the use of the device listed in question #3 above to assist individuals in better understanding how the device/technology can assist them to improve their overall health status. Be creative, think out of the box.

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1.Explain main personal values influencing nursing practice.
2. Discuss how personal philosophy of nursing addresses the 4 major component of nursing philosophy.
3. Describe how UHV school of nursing philosophy compares to personal philosophy of nursing

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Discuss the Pros and Cons of Mandatory Continuing Nursing Education

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A written reflection on one of your teaching sessions ( a ‘critical incident’ or a ‘significant event’ which demonstrate a structured review of the session, makes

brief reference to a relevant educational debate, knowledge and literature

Project description
The ‘critical incident’ or the the ‘significant event’ that you choose to focus on should be something that provokes strong feelings (either positive or negative) from

which you can extract in depth learning. In order to structure your reflection, you might want to consider the following questions.
1. What happened that most surprised you?
2. What patterns can you recognize in your experience?
3. What was the most fulfilling part of it? and the least fulfilling part of it? What does that suggest to you about values?
4. what happened that contradicted your prior beliefs? what happened that confirmed your prior beliefs?

5. how do you feel about the experience now compared with how you felt at the time.
6. what does the experience suggest to you about your strengths?
7. What does the experience suggest to you about your weakness and opportunities for development?
8. How else could you view that experience?
9. What did you learn from the experience about how you react?
10. What other options did you have at the time?
11. Is there anything about the experience that was familiar to you?
12. What might you do differently as a result of that experience and your reflection on it? what actions do your reflections lead you to?

The assignment needs to show theoretical underpinnings that frame your reflection and also situate it within the context of relevant educational debate, knowledge and

literature. finally you should draw out developmental points and future actions.

NB My role in my organization is a Practice Development Nurse and I lecture both nursing students and post registered nurses in clinical practice.

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How will you contribute to the mission of the Nursing Scholarship Program in providing care to
under served communities?

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Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale.

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This assignment is intended to facilitate student self-assessment and critical reflection integral to ongoing development of leadership, management, and entrepreneurship potential in professional clinical nursing roles. Inherent in this activity is: a willingness to engage in self reflection and analysis; the ability to objectively examine personal attributes, strengths, and weaknesses; gaining an awareness of resources available for the development of new leadership competencies; and a commitment to ongoing personal and professional development. The student will also evaluate his/her leadership style and potential for leadership in the clinical setting in preparation for transition from student to professional nurse.

The student should:
• Complete a leadership self-assessment tool.
• Utilize a minimum of 3 resources to complete this self-assessment including: his/her textbook, relevant articles, and current research.
• Evaluate possible strategies for facilitating ongoing personal and professional development including (but not limited to)
o Ongoing education; career goals
o Networking/Mentoring/Professional Relationships
o Important characteristics of first job (organizational structure/philosophy; climate/culture; care delivery models; etc.

Content for the paper: (use the following designated content areas as headings throughout to organize your paper)

1. Identify your preferred leadership style
2. Assess your potential for leadership using and describing leadership theory
3. Decision-making and problem-solving style
4. Assess your ability to set priorities
5. Assess your delegation skills
6. Assess your communication skills: assertiveness, written, verbal, non-verbal, technical.
7. Assess your conflict resolution style
8. Identify a minimum of two areas of strength and two areas that need improvement to enhance your nursing leadership
9. Provide a plan of action for each identified area needing improvement, and explain why you feel improvement in these areas is crucial for your new role.

Format and style for paper

1. Maximum of 6 pages in length for formal paper (not including: title page reference page or journal entries).
2. Mandatory format as designated by the Publication Manual of the American Psychological Association (APA) (6th ed.)

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What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?
1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

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1. A South African relevant paper presentation to medical and nursing staff of emergency department of a regional hospital on comprehensive current evidence-based practice regarding the unique role of the emergency department of a regional hospital in providing HIV testing, as a public service to society.
2. A South African relevant paper presentation in an academic hospital on comprehensive, current evidence-based practice concerning specific, life threatening, HIV related medical emergencies that present to the ED, with reference to presentation, diagnosis and resuscitation.
3. A South African relevant paper presentation to emergency department medical staff at a regional hospital on comprehensive, current evidence-based practice concerning specific, life threatening, HIV Anti-retroviral related medical emergencies that present to the ED, with reference to presentation, diagnosis and resuscitation.

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Use the image in “Discussion Question Resource: Chest X-Ray” to answer the following Critical Thinking Questions.
Examine the x-ray of a patient diagnosed with pneumonia due to infection with Mucor. Refer to the “Module 4 DQ Chest Xray” resource in order to complete the following questions.
Critical Thinking Questions
1. Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.
2. Examine the laboratory blood test results and arterial blood gases provided in “Discussion Question Resource: Laboratory Blood Test Results.” What laboratory values are considered abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic perspective.
3. What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and treatments you suggest.

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Look for a recent evidence base: nursing and psychosocial and behaviors.(journal article) summarize it and upload the article with the summary when finish. Article can not be more than 5 years old

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A written reflection on one of your teaching sessions ( a ‘critical incident’ or a ‘significant event’ which demonstrate a structured review of the session, makes

brief reference to a relevant educational debate, knowledge and literatu

Project description
The ‘critical incident’ or the the ‘significant event’ that you choose to focus on should be something that provokes strong feelings (either positive or negative) from

which you can extract in depth learning. In order to structure your reflection, you might want to consider the following questions.
1. What happened that most surprised you?
2. What patterns can you recognize in your experience?
3. What was the most fulfilling part of it? and the least fulfilling part of it? What does that suggest to you about values?
4. what happened that contradicted your prior beliefs? what happened that confirmed your prior beliefs?

5. how do you feel about the experience now compared with how you felt at the time.
6. what does the experience suggest to you about your strengths?
7. What does the experience suggest to you about your weakness and opportunities for development?
8. How else could you view that experience?
9. What did you learn from the experience about how you react?
10. What other options did you have at the time?
11. Is there anything about the experience that was familiar to you?
12. What might you do differently as a result of that experience and your reflection on it? what actions do your reflections lead you to?

The assignment needs to show theoretical underpinnings that frame your reflection and also situate it within the context of relevant educational debate, knowledge and

literature. finally you should draw out developmental points and future actions.

NB My role in my organisation is a Practice Development Nurse and I lecture both nursing students and post registered nurses in clinical practice.

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