Category: Nursing

Please answer the Question Prompt: How has the Covid Pandemic made your nursing evidence based practice keep up with the times?
I attached 2 articles to help better understand the reasoning/rationale of how and why Nursing practices can change after the Covid Pandemic.

Assessment 4 Instructions: Analyzing a Current Health Care Problem or Issue
PRINT
Write a 4-6 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.IntroductionIn your health care career, you will be confronted with many problems that demand a solution. By using research skills, you can learn what others are doing and saying about similar problems. Then, you can analyze the problem and the people and systems it affects. You can also examine potential solutions and their ramifications. This assessment allows you to practice this approach with a real-world problem.InstructionsNote: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas media piece) and provide details about it.Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in Assessment 2.
Identify possible causes for the problem or issue.
Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it.Identify at least three scholarly or academic peer-reviewed journal articles about the topic.You may find the How Do I Find Peer-Reviewed Articles? library guide helpful in locating appropriate references.
You may use articles you found while working on Assessment 2 or you may search the Capella library for other articles.
You may find the applicable Undergraduate Library Research Guide helpful in your search.
Review the Think Critically About Source Quality to help you complete the following:Assess the credibility of the information sources.
Assess the relevance of the information sources.
Analyze the health care problem or issue.Describe the setting or context for the problem or issue.
Describe why the problem or issue is important to you.
Identify groups of people affected by the problem or issue.
Provide examples that support your analysis of the problem or issue.
Discuss potential solutions for the health care problem or issue.Describe what would be required to implement a solution.
Describe potential consequences of ignoring the problem or issue.
Provide the pros and cons for one of the solutions you are proposing.
Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented.Describe what would be necessary to implement the proposed solution.
Explain the ethical principles that need to be considered (Beneficence, Nonmaleficence, Autonomy, and Justice) if the potential solution was implemented.
Provide examples from the literature to support the points you are making.
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:Assessment 4 Example [PDF].
Additional RequirementsYour assessment should also meet the following requirements:Length: 4–6 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.
Organize your paper using the following structure and headings:Title page. A separate page.
Introduction. A brief one-paragraph statement about the purpose of the paper.
Elements of the problem/issue. Identify the elements of the problem or issue or question.
Analysis. Analyze, define, and frame the problem or issue.
Considering options. Consider solutions, responses, or answers.
Solution. Choose a solution, response, or answer.
Ethical implications. Ethical implications of implementing the solution.
Implementation. Implementation of the potential solution.
Conclusion. One paragraph.
Competencies Measured:By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.
Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.Analyze a health care problem or issue by describing the context, explaining why it is important and identifying populations affected by it.
Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.
Competency 3: Apply ethical principles and academic standards to the study of health care.Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented
Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Write following APA style for in-text citations, quotes, and references.
SCORING GUIDE

Instructions
Review the following tables in Chapter 10 of the ebook Introduction to Evidence-Based Practice: A Practical Guide for Nursing. 10-3
10-4
10-5
Select one research article of interest through the LIRN library and critically appraise the article. You can access the LIRN Library in the Canvas navigation bar. Next, write a 200–250-word initial post addressing the discussion prompts. Then, respond to at least two of your peers’ posts in a substantive manner. Discussion PromptsProvide a summary of the topic of the article, including if it is qualitative or quantitative.
Identify the priority questions you would use to determine the quality of the article.
Identify the type of study design that was used for your research article.
Do you believe the results are dependable, credible, and transferable? Why or why not?
Due
Initial post due Wednesday by 11:59 p.m.
Responses to two classmates’ posts due Saturday by 11:59 p.m.
This schedule ensures that you have adequate time to prepare initial responses, read through the posts and supply meaningful reactions that extend the conversation.
Submission and Assessment Guidelines
Post to the Discussion Board in Canvas. For help on how to submit discussion posts, review How do I reply to a discussion as a student?
Respond to at least two (2) of your peers’ posts in a substantive manner.
Remember that a substantive post should provide a reason for your beliefs. In other words, why do you feel the way you feel? Your opinion is acceptable, but you must have a solid rationale for it. You will need to respond critically and persuasively.
Responses that include comments like, “I agree” or “Good point” are not accepted as required responses.
Review the Discussion Board Rubric for grading criteria. For instructions on how to view the rubric for this assignment, review How do I view the rubric for my graded discussion?
This discussion is worth 50 points.

Develop a scholarly paper that addresses the following criteria:
1. Identify an area of clinical interest.
2. Locate a minimum of one peer-reviewed journal article (no older than 5 years) related to your clinical topic of interest. Do not use a meta-analysis or systematic review.
3. Critique the journal article, fully answering the questions in the table below.
4. The scholarly paper should be in narrative format, 4 to 5 pages excluding the title and reference page.
5. Include an introductory paragraph, purpose statement, and a conclusion.
6. Include level 1 and 2 headings to organize the paper.
7. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I, we,
you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used.
8. Include a minimum of one professional peer-reviewed scholarly journal references to support the paper and a second
benchmark peer reviewed source (may be textbook or other journal article) and be less than five (5) years old.
9. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations)
10. Format the critique paper using the IMRaD format with level 1 and level 2 headings as designated in the grid below:
Introduction to the paper with purpose statement.
The source to use for the paper:
QUALITATIVE:
Galica, J., Giroux, J., Francis, J.A., & Maheu, C. (2020). Coping with fear of cancer recurrence among ovarian cancer survivors living in small urban and rural settings: A qualitative descriptive study.European Journal of Oncology Nursing, 44, 1-7 DOI: 10.1016/j.ejon.2019.101705

For this Discussion, your instructor will assign you a case number.
Case 2
CasesR.T. is a 35-year-old female patient who was seen in the clinic because she has been trying to get pregnant for about 7 months but she has not been successful.
Only positive gynecologic history for R.T. has been three episodes of pelvic inflammatory disease in the last five years.
Questions for the caseDiscuss a diagnostic plan for R.T. and the rationale.
Discuss your presumptive diagnoses and ICD 10 number.
Develop the management plan (pharmacological and nonpharmacological).
Name some of the complications of PID.
Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:
Answer the specific question on the table above.
An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
Name the different family developmental stages and give examples of each one.
Describe family structure and function and the relationship with health care.

Submission Instructions:
Your instructor will assign you your case number and you will post on the case number you have been assigned.
You will reply to the other two case studies (One of each).
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Write an analysis, 4-5 pages in length, of the gap between current and desired performance, with respect to the provision of safe, high-quality patient care.
Conducting the Analysis
Identify a systemic problem in your organization, practice setting, or area of interest that contributes to adverse quality and safety outcomes.
Propose specific practice changes that will improve quality and safety outcomes and bridge the gap between current and desired performance.
Prioritize proposed practice changes.
Determine how proposed practice changes will foster a culture of quality and safety.
Determine how a particular organizational culture or hierarchy might affect quality and safety outcomes.
Justify necessary changes with respect to functions, processes, or behaviors, specific to your organization.
Evaluating the current culture of an organization.
Performing an outcomes gap analysis.
Determining what changes are needed to bridge the gap.
Examining current thinking on this topic contained in the literature.
What does your organization measure, related to quality and safety, and why?
Are there certain aspects of your organization’s culture and processes that support or hinder quality and safety?
Is the organization meeting outcome measurement benchmarks?
If not, how might you address those gaps in performance? What system could be developed to support a change to close a particular gap?

ANSWER
Analysis of the Gap Between Current and Desired Performance, with Respect to the Provision of Safe, High-Quality Patient Care
Systemic Problem:

One systemic problem that contributes to adverse quality and safety outcomes is the fragmentation of healthcare delivery. Patients often receive care from multiple providers across different settings, which can make it difficult to coordinate care and ensure that all of their needs are being met. This fragmentation can lead to errors, omissions, and delays in care.

Proposed Practice Changes:

To improve quality and safety outcomes and bridge the gap between current and desired performance, organizations can implement a number of practice changes, including:

Improving care coordination: This can be done by using electronic health records (EHRs) to share patient information between providers, establishing patient-centered medical homes (PCMHs), and developing care coordination programs for patients with complex needs.
Implementing evidence-based practices: Organizations should regularly review their practices to ensure that they are based on the latest scientific evidence. This can be done by using clinical decision support systems (CDSSs), conducting quality improvement initiatives, and providing training to staff on evidence-based practices.
Promoting patient safety culture: Organizations should create a culture where patients and staff are empowered to speak up about safety concerns. This can be done by providing training on safety culture, developing reporting systems for safety incidents, and conducting regular safety audits.
Prioritization of Practice Changes:

The prioritization of practice changes should be based on the following factors:

Impact on patient safety and quality of care: Changes that have the greatest impact on patient safety and quality of care should be prioritized.
Feasibility: Changes that are feasible to implement and sustain should be prioritized.
Alignment with organizational goals and priorities: Changes that are aligned with the organization’s overall goals and priorities should be prioritized.
Fostering a Culture of Quality and Safety:

The following strategies can be used to foster a culture of quality and safety:

Empower patients and staff to speak up about safety concerns: Patients and staff should feel empowered to speak up about safety concerns without fear of retaliation. This can be done by creating a culture of trust and respect, and by providing training on safety culture.
Encourage reporting of safety incidents: Organizations should encourage reporting of safety incidents so that they can be investigated and learned from. This can be done by developing a confidential reporting system and by providing feedback to reporters.
Learn from safety incidents: Organizations should investigate safety incidents to identify root causes and develop corrective actions. This can be done by conducting root cause analysis (RCA) and by implementing safety improvement plans (SIPs).
Impact of Organizational Culture and Hierarchy on Quality and Safety Outcomes:

Organizational culture and hierarchy can have a significant impact on quality and safety outcomes. A culture of blame and punishment can discourage staff from reporting safety incidents and from speaking up about safety concerns. A hierarchical structure can make it difficult for staff to communicate with each other and to challenge the status quo.

Organizations can create a culture that supports quality and safety by:

Promoting a culture of trust and respect: Organizations should promote a culture where employees feel comfortable speaking up about safety concerns without fear of retaliation.
Empowering employees to make decisions: Organizations should empower employees to make decisions about how to improve patient care and safety.
Breaking down silos: Organizations should break down silos between departments and levels of hierarchy to facilitate communication and collaboration.
Justification of Necessary Changes:

The following are some justifications for the necessary changes:

To improve patient safety and quality of care: The proposed changes are designed to improve patient safety and quality of care by reducing errors, omissions, and delays in care.
To reduce costs: The proposed changes can lead to cost savings by reducing the number of medical errors and adverse events.
To improve the patient experience: The proposed changes can lead to an improved patient experience by providing patients with more coordinated and patient-centered care.
Conclusion:

The proposed practice changes can help organizations to bridge the gap between current and desired performance with respect to the provision of safe, high-quality patient care. By implementing these changes, organizations can create a culture that supports quality and safety, and improve the patient experience.

Conduct & write up a City Walkability Assessment of your community.
First, browse these websites:5 Reasons America Needs Walkable Neighborhoods (strongtowns.org); Ten environmental benefits of walkable places | CNU and Why Walk? The Benefits of Walkable Neighborhoods – Sightline Institute (These are a few examples) Then, go to the Walk Score website at Find Apartments for Rent and Rentals – Get Your Walk Score and determine the walkability of your town. Keep in mind that some of the data they have used may be outdated which you can highlight in your paper.
In a maximum 2-page paper discuss the health implications for residents of your community based on the walkability score (include this with your Direct Practice log that week). Search the internet for ways you can make your community more walkable. (For example, check out:How to Make Cities More Walkable | Kittelson & Associates, Inc. Use proper APA format. The title page and reference page do not count toward the page limit. In addition to your internet sources, use the text and/or one (1) current (within the last 5 years), peer-reviewed journal article to support your strategies.

This discussion will focus on NP billing and reimbursement including Medicare, Medicaid, and 3rd party payers. Students are expected to address the specifics of each assigned topic.
Can nurse practitioners bill for their services?
What are the differences in physician and APRN billing?
What is “incident to” billing? – Fully explain

A 34-y.o. female presents with the complaint of a sudden excruciating pain in her back and points to her flank area on the right side. She rates the pain as 10 on a scale of 1 to 10, with 10 being the worst. She also complains of nausea with the pain. She states that she has never had anything like this before, and the pain is subsiding a little now.
What additional questions should you ask the patient and why?
What should be included in the physical examination at this visit?
What are the possible differential diagnoses at this time?
What tests should you order and why?
How should this patient be managed?
post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Use this Medication Card Template for the following medications:
Alendronate, 10 mg, PO, Calcium Carbonate 600 mg PO BID, Albuterol Nebulizer, Leuofloxicin IV Daily, Prednisone PO, Piperacilin IV.