Category: Nursing

The purpose of this assessment is to demonstrate your understanding of and ability to          analyze a root cause of medication errors in a health care setting. You will create a plan to    improve the safety of patients related to medication errors. Based on the results of your.       analysis,    using the literature and professional best practices as well as the existing.               resources at your chosen health care setting, provide a rationale for your plan.
Use the Root-Cause Analysis and Improvement Plan template to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.
Additionally, be sure that your plan addresses the following, which corresponds to the            grading criteria in the scoring guide. Please study the scoring guide carefully so you               understand what is needed for a distinguished score.
Analyze the root cause of medication errors in an organization.
Apply evidence-based and best-practice strategies to address medication errors.
Create a feasible, evidence-based safety improvement plan to address medication errors. 
Identify organizational resources that could be leveraged to improve your plan.
Communicate in writing that is clear, logical, and professional, with correct                 grammar and spelling, using current APA style.
Example Assessment: You may use the following example to give you an idea of what a        Proficient or higher rating on the scoring guide would look like but keep in mind that your      Assessment 2 will focus on medication errors

For this assignment, log-in to each social media platform for which you have an account. Review your profile and most recent activity including pictures and posts. If you do not have a social media account, access one of the following social media platforms in order to view the social media posts and activities of others: Facebook, Instagram, Twitter, YouTube, TikTok. Reflect on the information and content you and others post on a daily basis.
In 500-750 words, summarize your findings. Include the following in your summary:
Describe the posts, conversations, and images you evaluated.
Does the activity on social media appear to align with your personal values and the professional values of your discipline?
Would family, friends, and colleagues consider the posts, conversations, and images authentic and representative of who you are as unique individuals?
Does the activity on social media respect the human value and dignity of others as reflected in Christian values?
Discuss why nurses have a responsibility to uphold a standard of conduct consistent with professional values, regulatory requirements, and workplace policies in both personal and professional interactions. Include a discussion of how personal conduct can violate the Health Insurance Portability and Accountability Act (HIPAA) of 1996 or be considered unethical and unprofessional. Provide an example to support your answer.
Prepare this assignment according to the guidelines found in the APA Style Guide

Case Study #2
The patient is a 27-year-old man who has severe schizophrenic illness and type-I
diabetes. Before treatment in your secure treatment unit, he was treated
successively in different settings with good success. He had been brought to your
secure treatment unit after a near-fatal assault on a patient in another hospital.
His stay has been characterised by periods of relative health alternating with
periods of withdrawal and aggression, at which time he would become very
depressed. During these periods, he talks about hearing “voices” which he claims
were the reason he attacked others physically, including staff, in the past.
He also refuses to accept his insulin during periods of depression but agrees to
his schizophrenia medication; this is appropriately managing the illness, despite
the periods of withdrawal and aggression. The only treatment that helps him to
recover to some degree from his depressive episodes is electroconvulsive
therapy (ECT), even though he had once expressed his wish to not receive it
when he was capable. Although he has been found incapable of consenting to
treatment during depressive episodes, he refuses ECT each time it is presented,
and he has to be forcibly restrained while his insulin is administered.
The staff find it distressing to have to forcibly restrain the patient so often, and to
inject him with insulin against his will. They feel that restraining him
compromises their caring relationship with him. Also, they feel uncomfortable in
having to inject him with insulin, which he needs for his type-I diabetes, since he
is adamantly refusing. Unfortunately, this is the only way to keep him from
ketoacidosis until he recovers from his depression after a few weeks of ECT.
What are some of the ethical issues in this case?
• Which of the treatments (if not all) should/should not be administered?
• When capable, what did the patient refuse exactly? What did his refusal
mean?
• What documentation is available?
•Do prior expressed capable wishes apply only to somatic disease or do
they also apply to mental health conditions?
• Does the patient have the right to refuse psychiatric intervention in prior
expressed wishes from a mental health point of view? If so, what if he
becomes violent?
• Would this only apply to mental health patients with periods of stability?
What if the patient became permanently incapable?
• What alternatives are available to this patient (to the ECT) and were these
provided to him as options when capable and deciding?

1.2 Group Discussion: Health Screening
After reading chapters 4 – 6, choose on the age groups of women to summarize all screening, evaluation, and recommended services pertinent to the chosen age group.  Be sure to consider and reference current screening guidelines if applicable (i.e. USPSTF, ACOG, ACS, etc.).  Each group member should choose a different age group.  This is first come, first 
serve.  Check to see what your group members have posted before you post to make sure that you are not choosing an age group someone else has already covered.
Please write about women within the age bracket of 40-49.
This will be graded by using the Discussion Board Rubric.  Be sure to include 
current (within the past 5 years), peer-reviewed references to support your responses.  

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
A summary of the critical appraisal of the peer-reviewed articles you previously submitted
An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
Alternate Submission Method
You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media Uploader guide. This guide will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only “Screen” and “Audio” are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the “Posting Your Video in the Classroom Guide” found on the Kaltura Media Uploader page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.
By Day 7 of Week 10
Submit Part 4 of your Evidence-Based Project. Review the following submission instructions for the type of submission you choose.
submission information – Narrated PowerPOint
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK11Assgn_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.

Case 1
A 35-year-old, healthy White male is complaining of right-sided, low back pain for 1 day. The pain began suddenly after lifting a box weighting 35 lbs. at work. The pain radiates down the back of his leg to his right ankle. He has tried ibuprofen and ice without relief. His pain is an 8 out of 10 (with 0 being no pain and 10 being the worst pain). He denies bowel or bladder dysfunction, paresthesia, motor weakness, or fever.  
Past medical/surgical history: no major medical illnesses; no surgical history; no previous hospitalizations.
Social history: has smoked 1 pack of cigarettes a day for 15 years.
Medications: none.
Allergies: no known drug allergies.
Vital signs: temperature 98.7°F; pulse 90 beats per minute; respirations 18 per minute; blood pressure 126/78 mmHg; pulse oximeter 100%. 
Physical examination revealed a well-nourished adult male without any acute distress. Significant right paraspinal tenderness at L4–L5 was present with no midline tenderness. Straight leg raise was positive at 30° to the right lower extremity. Straight leg raise was negative to the left lower extremity. The remainder of musculoskeletal examination was unremarkable (e.g., deep tendon reflexes, strength, and sensation). Other systems examinations were unremarkable (e.g., heart, lungs, etc.). 
Answer the following questions based on the Case 1. 
What are your differential diagnoses? What are subjective and objective findings consistent with the various differentials for low back pain? 
Would you consider imaging for this patient? If so, what imaging would be recommended and why? 
What are the red flags of low back pain? 
What are treatment strategies for this patient? What education would be provided to the patient? 
When should you refer this patient to a specialist? 

During rounds Charles encounters a rare condition he has never personally seen, and only vaguely remembers hearing about in nursing school. He takes a few moments to prepare himself by searching the Internet. That evening, he researches even further to treat, administer, and assess the patient safely. He searches clinical databases online and his own school textbooks. Most of the information seems consistent, yet some factors vary. Charles wants to provide the highest quality in patient safety.
What should Charles do when he encounters information in two sources that is directly contradictory? Which resources are the most trusted? Which resources are the most accurate? What criteria should Charles use to identify credible resources to enhance his clinical practice?
Practice extracting data from a database at the National Cancer Institute State Cancer Profiles webpage. Compare and contrast data from at least 2 different states based on incidence by gender and race/ethnicity.
Visit the Agency for Healthcare Research and Quality webpage.
Choose one of the guidelines, describe how it was developed and summarize the practice recommendations.
How are these recommendations similar to or different from those contained in your textbook or those currently practiced in your clinical setting?
Choose a clinical topic and design a search strategy for searching an online database such as CINAHL or MEDLINE. Reflect on your search strategy; for example, what search terms did you initially use, what new terms did you discover as you searched, and how did you limit/refine your search?
Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

Create a 2-4 page resource that will describe databases that are relevant to EBP around one of the diagnoses found in the provided PDF supplement and could be used to help a new hire nurse better engage in EBP.
Introduction: Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, with a goal to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature, along with the expertise of the practicing nurse. The concern for quality care that flows from EBP generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. To gain the knowledge, you require a good understanding of how to search for scholarly resources, as well as identify which databases and websites are credible for the purposes of implementing evidence-based changes in practice.
Scenario:  You are supervising three nurses working on the medical-surgical floor of a local teaching hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is, CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies, procedures, and guidelines, and computers at nurse workstations that also have access to these resources. (For this scenario, use the Capella University Library to simulate the hospital’s online library.) You have given the nurses their patient assignments and you have all participated in shift report. A new nurse who just completed orientation and training a week ago approaches you and tells you that one of the assigned patients has a diagnosis he or she is very unfamiliar with. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research that can be utilized to provide the best care for this patient. Describe how you would communicate with this nurse to encourage him or her to research the diagnosis. Assume you will assist in the quest to locate evidence, then describe where you would go within the facility and what resources you would look for. These resources may include websites, journals, facility policies or guidelines, or any other sources of online information.
To select the diagnosis for the patient in this scenario, review the three diagnoses presented in the attached file resource and select one. You will use this same diagnosis to complete the next two assessments.
Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, journal article, et cetera). You are not actually completing a search and selecting evidence. Consider the following examples: a nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy database found on a website may not be the best source of information on caring for a patient with a rare chromosomal abnormality.
Instructions: The purpose of this assessment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical staff during the process of evidence location. As a baccalaureate-prepared nurse, you will not only use research for self-improvement in your clinical role, but you will also serve as a mentor to supervised nursing staff. Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research, as well as support them through the initial evidence location process. In doing so, nurses can gain access to evidence that can be analyzed and utilized to stay current on best practices. This allows them to provide safe, patient-centered care and improve patient outcomes.
For this assessment:
Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.
Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to the diagnosis in this scenario and describe to which of these you would direct a nurse colleague to search for evidence.
Describe where you might go in the work place to complete this research and how you would access the desired, relevant research within research databases or other online sources.
Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.
Describe communication strategies to encourage nurses to research the diagnosis/practice issue, as well as strategies to collaborate with the nurses to access resources.
Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis/health care issue within the context of a specific health care setting.
Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis/practice issue.
Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis/health care issue.
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis/practice issue, you should still be citing the literature and best practices to support your description of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the five sources of online information that you did.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like (attached)
Additional Requirements: Your assessment should meet the following requirements:
Length of submission: 2-4 pages (not including the title page or the reference page) description of communication, collaboration, and evidence location process, including a list of databases or other sources with description of why they are appropriate for clinical scenario diagnosis/health care issue (that is, something that would be useable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission.
Number of references: Cite a minimum of three sources of scholarly or professional evidence that supports your findings and considerations. Resources should be no more than five years old.
APA formatting: References and citations are formatted according to current APA style.
Competencies Measured: By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.
Explain why the sources selected should provide the best evidence for the chosen diagnosis/health care issue.
Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision within the context of a specific health care setting.
Describe the best places to complete research within the workplace environment and what types of resources one would want to access to find pertinent information for the diagnosis/health care issue.
Competency 4: Plan care based on the best available evidence.
Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a diagnosis/health care issue and three out of five should be specific to the diagnosis/health care issue.
Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
Describe communication strategies to encourage nurses to research a diagnosis/health care issue, as well as strategies to collaborate with the nurses to access resources.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Assessment Description
This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data by means of the four boxes approach to analyze the case will help you apply the four principles (beneficence, nonmaleficence, respect for autonomy, and justice).
Based on the reading of the “Case Study: Healing and Autonomy” and topic Resources, you will complete the “Applying the Four Principles: Case Study” document by including the following:
Part 1: Chart
This chart will formalize the application of the four boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.
Part 2: Evaluation
This part includes questions that evaluate how the four principles approach would be applied according to the Christian worldview.
Support your response using only Chapter 3 from the textbook Practicing Dignity: An Introduction to Christian Values and Decision-Making in Health Care and the Topic 3 Resource “Rising to ‘The Highest Morals’ -The Rich History of Nursing Ethics.”
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Thinking about the community in which you live, what is an issue that could be addressed at the local level (keep it simple)?
How would a local coalition address the issue?
Who would be the stakeholders, the beneficiaries?
Who would help fund the project?  What challenges might the coalition face?
How would you know if the coalition had reached its goals? (address all the points. do it as a pharagraph)