Category: Nursing

  • Title: “Assessing a Persistent Dry Cough in a Patient with Multiple Comorbidities”

    It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.
    Scenario: A 56 year-old man with a history of hypertension, diabetes, environmental allergies, and colon polyps presents to the office with a complaint of persistent dry hacking cough that does not improve with over-the-counter treatment with antitussives and allergy medications. The man reports that he has had the cough for 3 months and is tired of the coughing spells he experiences. His medical history reveals that he started taking Lisinopril 6 months before this appointment, has taken an over-the-counter allergy medication for several years, had his last colon polyps removed 6 years ago, and his blood pressure today is 145/70. Other medications include metformin XR 500 mg daily, aspirin 81 mg once daily, and loratadine 10 mg daily. The physical exam is negative for any issues other than his mild neuropathy from long-term diabetes. The cough is noted to be dry and hacking as the patient has described. The man is not in acute distress.
    What questions would have been asked as part of the medical history?
    What would you assess for/what body systems would you assess as part of the physical exam?
    Are there any tests that should be completed before producing a diagnosis? Why or why not?
    Based on the medical history and physical exam, what is the likely diagnosis? Include your differentials. What is the treatment for this patient, including education? Any medications should include full prescribing information.
    Please be sure to validate your opinions and ideas with citations and references in APA format.

  • Title: Instructional Unit: Goals, Objectives, and Teaching Plans for Patient Education, Family Education, and Staff Development

    Course Project—Part 2
    Instructional Unit: Goals, Objectives, and the Teaching Plans
    submit your instructional unit, which should include three lesson plans: one focused on patient education, one on family education, and one on staff development. Remember, your plans should demonstrate a logical approach to teaching, communicate what is to be taught and how, and outline how objectives are to be evaluated. 
    Building on the work that you started in Week 2, for all three groups of learners:
    Write two broad instructional goals for the educational experience for each group.
    For each learner group, write at least one learning objective related to each of the domains of Bloom’s taxonomy:
    Cognitive
    Affective
    Psychomotor
    Describe the lesson content.
    Provide a sequence for teaching activities.
    Describe instructional methods.
    Indicate time allotted for each activity.
    Identify and describe the instructional resources (materials, tools, etc.) and technology to be used.
    Describe how the learning will be evaluated.

  • “Improving Quality Outcomes: The Role of Nursing-Sensitive Quality Indicators and Informatics” Introduction: Welcome to this training module on the role of informatics in monitoring nursing-sensitive quality indicators. As nurses, we have a critical role in providing “Improving Patient Care through Nursing-Sensitive Quality Indicators: An Audio Tutorial for Newly Hired Nurses” “Empowering Nurses to Utilize Patient Care Technologies for Improved Quality Outcomes: Guidelines for Enhancing Patient Safety, Satisfaction, and Reporting”

    Introduction:  The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop an 8–10 minute audio (or video) training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses’ role in supporting accurate reporting and high quality results
    Professional Context: The American Nursing Association (ANA) established the National Database of Nursing Quality Indicators (NDNQI®) in 1998 to track and report on quality indicators heavily influenced by nursing action.
    NDNQI® was established as a standardized approach to evaluating nursing performance in relation to patient outcomes. It provides a database and quality measurement program to track clinical performance and to compare nursing quality measures against other hospital data at the national, regional, and state levels. Nursing-sensitive quality indicators help establish evidence-based practice guidelines in the inpatient and outpatient settings to enhance quality care outcomes and initiate quality improvement educational programs, outreach, and protocol development.
    The quality indicators the NDNQI® monitors are organized into three categories: structure, process, and outcome. Theorist Avedis Donabedian first identified these categories. Donabedian’s theory of quality health care focused on the links between quality outcomes and the structures and processes of care (Grove et al., 2018).
    Nurses must be knowledgeable about the indicators their workplaces monitor. Some nurses deliver direct patient care that leads to a monitored outcome. Other nurses may be involved in data collection and analysis. In addition, monitoring organizations, including managed care entities, exist to gather data from individual organizations to analyze overall industry quality. All of these roles are important to advance quality and safety outcomes.
    Preparation: As you begin to prepare this assessment you are encouraged to complete the Conabedian Quality Assessment Framework activity. Quality health care delivery requires systematic action. Completion of this will help you succeed with the assessment as you consider how the triad of structure (such as the hospital, clinic, provider qualifications/organizational characteristics) and process (such as the delivery/coordination/education/protocols/practice style or standard of care) may be modified to achieve quality outcomes.
    This assessment requires you to prepare an 8–10 minute audio training tutorial (with optional video) for new nurses on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:
    Review the attached resource and select one nursing-sensitive quality indicator to use as the focus for this assessment.
    Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.
    Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data. You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview:
    What is your experience with collecting data and entering it into a database?
    What challenges have you experienced?
    How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?
    What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process?
    Instructions: For this assessment, first review the attached resource and select one nursing-sensitive quality indicator to use as the focus for this assessment.
    Next, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.
    The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.
    As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.
    You determine that you will cover the following topics in your audio tutorial script:
    Introduction: Nursing-Sensitive Quality Indicator
    What is the National Database of Nursing-Sensitive Quality Indicators?
    What are nursing-sensitive quality indicators?
    Which particular quality indicator did you select to address in your tutorial?
    Why is this quality indicator important to monitor?
    Be sure to address the impact of this indicator on the quality of care and patient safety.
    Why do new nurses need to be familiar with this particular quality indicator when providing patient care?
    Collection and Distribution of Quality Indicator Data
    According to your interview and other resources, how does your organization collect data on this quality indicator?
    How does the organization disseminate aggregate data?
    What role do nurses play in supporting accurate reporting and high-quality results?
    As an example, consider the importance of accurately entering data regarding nursing interventions.
    Additional Requirements: 
    Audio communication: Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
    Length: 8–10 minute audio recording. Use Kaltura to upload your recording to the courseroom, or provide a working link your instructor can access.
    Script: A separate document with the script or speaker’s notes is required. Important: Submissions that do not include the script or speaker’s notes will be returned as a non-performance.
    References: Cite a minimum of three scholarly and/or authoritative sources.
    APA: Submit, along with the recording, a separate reference page that follows APA style and formatting guidelines.
    Competencies Measured:  By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
    Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
    Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.
    Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
    Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.
    Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
    Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.
    Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
    Follow APA style and formatting guidelines for citations and references.

  • Creating a Professional APRN Resume for a Psychiatric Mental Health Nurse Practitioner Creating a Professional APRN Resume for a Psychiatric Mental Health Nurse Practitioner Name: [Your Name] Address: [Your Address] Phone: [Your Phone Number

    Instructions:
    Creating a Professional APRN Resume (use any registered nurse jobs. the jobs could be actual or fictious job you’ve held)
    Create a resume related to your desired area of expertise and advanced practice role.
    Follow professional guidelines in creating the resume
    Create the Resume based on being a Psychiatric Mental Health Nurse Practitioner. 
    Additional details:
    Attach a professional cover letter to resume
    Resume can be no longer than 3 pages including cover letter
    Resume is for an APRN seeking an APRN position
    Rubric

  • Title: Advancing Diversity, Equity, and Inclusion in Nursing Practice through Partnerships: A Strategic Approach Introduction The American Association of Colleges of Nursing (AACN) and the American Organization for Nursing Leadership (AONL) have both

    Review both of the resources included below with the links in additional materials:
    American Association of Colleges of Nursing provide a Position Statement for diversity, equity and inclusion within academic nursing.
    American Organization for Nursing Leaderships Guiding Principles on Diversity, Equity, Inclusion, and Belonging.
    Now that you have contemplated the above resources, conduct an in-depth survey of AONL’s Guiding Principle #3: Partnerships play a pivotal role in advancing our visions.
    Select one of the 9 topics (bulleted items) encompassed in Principle #3. Construct a discussion of specific strategies/actions that could be utilized to drive a change in nursing practice aimed at aligning your organization’s goals with your selected topic.
    Please be sure to validate your opinions and ideas with citations and references in APA format.

  • “Enhancing Research Practices through Peer Review: Reflection and Strategies for Improving Sampling and Analysis Approaches”

    Response needed for the peer post below:
    What did I learn from having to review another person’s paper?  
    Siau et al. (2022) study emphasizes the importance of peer review in academia, where external experts provide unbiased critique and advise on suitability for publication. Good peer reviewers possess expertise, timeliness, good communication, professionalism, empathy, thoroughness, intuition, and the ability to maximize a paper’s potential. Reviewing another person’s paper gave me insights into different research methodologies, approaches, and writing styles. It allowed me to see how others structure their research questions, methods, and analyses, which broadened my understanding of research practices. Additionally, providing feedback on areas of improvement helped me to critically evaluate research papers and identify strengths and weaknesses in research design and presentation (Marshall, 2020).
    How can I strengthen my approach through sampling and analysis approaches?
    To strengthen my approach through sampling and analysis approaches, I consider the following:
    Sampling: I can ensure that my sampling strategy is comprehensive and representative of the target population by employing various sampling methods, such as random sampling, stratified sampling, or convenience sampling. Spolarich (2023) study emphasizes the importance of accurate sampling in research design, including using different methods for sample selection and defining participant characteristics. It also reviews common sampling considerations and errors. Additionally, I can refine my inclusion criteria to ensure that the selected sample effectively addresses the research question and enhances the generalizability of the findings.
    Analysis: I can strengthen my analysis approach by integrating quantitative and qualitative methods to understand the research topic comprehensively. According to the Setia & Panda (2017) study, one of the critical areas in the methods section that cannot be emphasized enough is the sampling strategy and a formal sample size estimation. With a legitimate sample size, the conclusions based on the statistical analysis would be valid. Therefore, proper research analysis is crucial to the validity of the study’s conclusions. This may involve employing appropriate statistical techniques for quantitative data analysis and using rigorous 

  • Title: The Impact of Hand Washing on Hospital-Acquired Infections: A Case Study of Healthcare Workers and Patients Undergoing Invasive Surgical Procedures Introduction Hospital-acquired infections (HAIs) are a major concern for healthcare facilities worldwide.

    My PICO question is: “Does hand washing among healthcare workers
    reduce hospital-acquired infections compared to an alcohol-based
    solution?”
    Create a Research Report: 
    Summarize your research in a structured research report. Your paper should include an introduction, background of the case study, research questions, methodology, main research findings, implications for quality improvement, and concluding remarks. Use appropriate citation styles (APA) for referencing the sources used.
    Research Questions: 1.     Among
    patients who have undergone invasive surgical procedures, does hand washing
    among healthcare workers reduce hospital-acquired infections compared to an
    alcohol-based solution?
    2.     How
    can hand hygiene help prevent hospital-acquired infections?
    3.     How
    can healthcare providers improve hand hygiene?

  • “Utilizing Nursing Research in Hematology Oncology Outpatient Care: A Nurse’s Perspective” As a nurse working in a hematology oncology outpatient clinic, I have had the opportunity to witness the impact of nursing research on patient care firsthand.

    Describe your experience in the utilization of nursing research in your clinical practice as a nurse in a hematology oncology outpatient clinic. Submission Instructions:
    Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

  • “Exploring the Use and Evaluation of Nutritional Information: A Critique of a Current Academic Article” “Exploring Medical Research: Navigating PubMed and CINAHL Databases”

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7071223/
    Purpose 
    In this assignment, you will explore a topic of interest and complete a critique based on the guidelines below. Select a current article (less than ten years old) from an academic journal based on your interests related to this course’s content. The objective is to understand better how to utilize data and evaluate the source and quality of nutritional information for personal use and potentially from a professional perspective. 
    Task 
    Content Guidelines 
    The intention of this article critique is not to provide a summary of the material. The critique analyzes and evaluates the work with the goal of personal and professional application. Review the questions below before reading the article, keeping the questions in mind as you read and making notes to assist you in writing the critique.  
    It will be helpful to read pages 60-61 in your textbook regarding Evaluating Nutrition Information and consider them as you write the article critique. Address the elements below as appropriate to your article: 
    Identifying the purpose
    What is the thesis or focus of this article? 
    What is the author’s intent in writing this article? 
    What does this article seek to add that is new on this topic?  
    Who is the audience for this article? 
    Considering the source
    What do you know about the journal or site publishing this article? Is there an academic focus? Is it geared to a specific audience? 
    Who is/are the author(s)? What information indicates that they have expertise on the topic? What are their relevant credentials and affiliations? 
    Do the authors include academic references and cite them in the article? Include any impressions you have of these sources. 
    Considering methodology and content
    Write about the source of information the author(s) used for this article. Did the author(s) perform research, or did they look at a review of research done by others? If research was not conducted, what is the source of information on the topic (such as a literature review or the author’s expertise)? 
    What gaps or questions remain on this topic after reading this article? If the author is reporting on research they completed, what limitations does the author note that should be considered when interpreting the data (if any)? 
    Are there alternative ways to provide a counterargument to the author’s point? Does the author show awareness of alternative thinking related to the topic? 
    Relevance
    How does the author’s writing contribute to the nutritional topics in this wellness course? 
    Why did you select this topic? How might this information relate to you personally or professionally? What are your reactions and opinions regarding this article and the information presented?   
    Writing Expectations 
    Papers will be double-spaced and typed with a font size of 11 or 12. Write 2-3 pages (not including the title page or references). Include a title and reference page per your discipline’s format. Include at least three references. The references are the course text, the article you critique, and one other relevant source. Utilize and cite these references in your paper.
    All nursing and pre-nursing students must use APA format, providing a title and reference page. Review APA at APA StyleLinks to an external siteLinks to an external site. or use the APA Manual 7th edition.
    Students from other disciplines may use the appropriate format for that discipline. However, even though a title page is not required in MLA or other formats, it is a requirement by the instructor that a title page is provided. Review MLA at MLA Formatting and Style GuideLinks to an external site.Links to an external site.
    In your paper or the comment box of Canvas, state if you use APA, MLA, or another professional writing format.
    Submit a copy of your article or an electronic link to the article when you submit the assignment on Canvas.
    These websites help locate articles from professional journals: 
    PubMed (from the National Library of Medicine): PubMedLinks to an external site.Links to an external site. 
    CINAHL (from the UW-EC McIntyre Library): UW-ECLinks to an external site.Links to an external site. 

  • “Improving Patient Outcomes: A Comprehensive Review of Blood Warming Products”

    My company wants me to create a presentation on blood warming products there are 3 stages which aren’t completed; appraise the evidence from the 5 articles which there will be questions on the side to answer, assessing the evidence, and lastly dissemination. When you move on to the next step make sure to hit stage complete on the bottom of the page. Once all these stages are completed the website will create the PowerPoint presentation on its own.