Discussion: Review of Current Healthcare Issues

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If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.To Prepare:Review the Resources and select one current national healthcare issue/stressor to focus on.Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.By Day 3 of Week 1Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.requires citations of at least three current references.

 
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Discussion

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DiscussionNurse Leader and Manager DecisionsNurse leaders and managers and are responsible for making decisions in the healthcare setting.First PostDescribe how you will be involved with the decision-making process using the DECIDE model. Include an example from a clinical situation you experienced in the healthcare setting.Reply PostRespond to at least one of your peers about their example that illustrates their interpretation of DECIDE. Expand on your peer’s ideas.Note:“Expand on your peer’s ideas” needs more than 1 – 2 sentences for an acceptable reply.If you refer to a website or article, be sure to cite it in APA format. This prevents plagiarism and allows your fellow students to review the cites and increase the class knowledge base.Please make your initial post by midweek, and respond to at least one other student’s post by the end of the week. Please check the Course Calendar for specific due dates.

 
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Advance Nursing Research (Recruiting participants for your EBP Proposal)

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Recruiting Participants for Your EBP Proposal.For this assignment, write the Sample Section of your EBP Project Proposal (see attached EBP Project Proposal) in a Word document.Here is aWeek 8 Sample Section Example (Word)of what the sample section can look like.Sample Section GuidelinesThis section covers your planned recruitment and ethical considerations for your future participants. It should take up abouttwo to three pages. The purpose is to tell the reader what your recruitment plan is for the study. You should have subheadings throughout this section of the paper.In this section, write about the following:1. Sample: Cover the following points in no more than two paragraphs each:- How subjects will be recruited- What the inclusion criteria will be (for more expansion, you may add the exclusion criteria to show what was consciously eliminated)- The type of sample (random, purposive, convenience, etc.)- The proposed sample size and rationale for this choice- The selection method (random table of numbers, flip a coin, etc.— this depends on the type of study)Although this subsection should cover all these items, it may be written in a narrative style.2. Setting: Keeping in mind that this is a proposed setting, and it should not be recognizable for confidentiality and privacy reasons. It is a broad view of the setting. For example:The proposed setting for this study is a large teaching hospital in the northeast. The actual place where the study would be carried out is in the three medical–surgical units in this hospital. Each unit has a bed capacity of 25–30 beds with occupancy rates of 92% to 95%. The study will take place in a private conference room.Or, if a mailed questionnaire or survey is to be used:The proposed setting for data collection will be by mailing the questionnaire to the homes of the subjects. The researcher would be mailing the questionnaires from home with a return-addressed, stamped envelope.3. Informed Consent and Ethical Considerations: Institutional Review Board (IRB) approval will be obtained. The researcher will submit an application and proposal to the Regis College IRB first. After approval from Regis College, the institution where the study will take place usually requires IRB approval as well. The request or application may be one of three types:- Exempt from review: This is for studies with no intervention or may be just for a medical record review.- Expedited review: This is for minimal risk to subjects—physical or psychological.- Complete institutional review: This is for studies that may pose a risk to subjects.Please address means of protecting human subjects, such as the use of pseudonyms for qualitative studies and the use of numbers to identify subjects in quantitative studies. Data storage must be addressed. Make certain that identifying data (informed consent document) is maintained in a locked file separate from de-identified data (demographics, surveys, transcripts) that also will be maintained in a locked file in the researcher’s locked office.Free of Plagiarism (Turnitin Assignment)

 
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NOF leadership competency

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Review the NOF leadership competency and identify at least two examples of knowledge (K), attitudes (A), or skills (S) shared or demonstrated by the nurse leader you interviewed for your assignment this week.How has this competency enhanced leadership ability in this individual?

 
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Week 8 Discussion

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Case Study 1You see a 1-week-old Asian infant for a weight check. The infant is back to his birth weight and is breastfeeding for 10 minutes every 2 hours with one 3-hour stretch a day. He is alert, has bowel movements with each feeding, and wets 8–10 diapers a day. His blood type is A+ and his mother’s blood type is A+. Coombs’ testing at birth was negative. You note slight scleral and skin jaundice.Case Study 2Jimmy is a 3-year-old “picky” eater according to his mother. He refuses to eat anything but waffles for breakfast and macaroni and cheese or chicken nuggets for lunch and dinner. He will eat apples and bananas but refuses all vegetables except corn. After a normal physical examination, you obtained blood testing that revealed the hemoglobin is 11.4 mg/dl and his hematocrit is 30% (both obtained by venipuncture). The CBC revealed microcytic hypochromic RBCs.Case Study 3Melissa is a 13-year-old who presents to your office for a well-child check. Physical examination reveals a thin child who is short of stature. Breast Tanner stage is II and pubic hair development is Tanner I. Neurologic, skin, heart, lung, abdominal, and HEENT examinations are normal.To prepare:Review “Endocrine and Metabolic Disorders” and “Hematologic Disorders” in the Burns et al. text.Review and select one of the three provided case studies. Analyze the patient information.Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.Consider strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.By Day 3Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.Read a selection of your colleagues’ responses.

 
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Best Practice in Nursing

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Write at least 5-7 sentences about some of the Best Practices you have learned about in your Professional Nursing course during this quarter. How will these practices improve patient outcomes? You must use APA and have at least three references less than three years old to support your choices.

 
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Evidence-Based Project, Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

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Evidence-Based Project, Part 2: Advanced Levels of Clinical Inquiry and Systematic ReviewsThe Assignment (Evidence-Based Project)Part 2: Advanced Levels of Clinical Inquiry and Systematic ReviewsCreate a 6- to 7-slide PowerPoint presentation in which you do the following:· Identify and briefly describe your chosen clinical issue of interest.· Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.· Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.· Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.· Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.To Prepare:· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.· Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.· Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.· Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

 
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obstacles or barriers to implementing EBP in nursing

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What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.

 
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Week 8 summative assignment: critique of Research Article

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Instructions step by step is uploaded below.along with a total of 5 research articles ALREADY USED. HAVE TO BE A NEW RESEARCH ARTICLE(DETAILS OF REQUIRED ARTICLE ARE UPLOADED IN INSTRUCTIONS PDF)

 
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Concepts and Theories in Nursing 8

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This week, you will develop a PowerPoint presentation reviewing the theories from each module. Please select one theory from each module (1-8) and answer the following questions. You should have two slides per theory:Describe the theoryProvide 3 examples of how the theory applies to current practice (Obstetrics)Provide 3 positive patient outcomes resulting from utilizing the theoryExplain 3 benefits to nursing satisfaction when utilizing the theoryDescribe two barriers to using the theory in practice and at least one method for overcoming each barrier (support methods with sources)Support from literature clearly noted throughoutThe PowerPoint presentation should include at least two outside references and the textbook. The presentation should contain 2 to 4 slides per theory, for a total of 16 to 32 slides.Mod 1 – NightingaleModule 2- peplau, Henderson and oremModule 3- Johnson and OrlandoModule 4- King and RogersModule 5- Roy and NeumanModule 6- Leininger, Newman and WatsonModule 7- Parse, Erickson and SwainModule 8- Theories of 1980’s and 1990’s

 
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