Category: Nursing

Please review the Successful Outcome Using TeamSTEPPS TechniquesLinks to an external site. (Video)

What have you learned from Module 4 TeamSTEPPS Corner, and what Leading Teams technique will you utilize in your future as a master’s-prepared nurse?
After reviewing the Successful Outcome Using TeamSTEPPS Techniques video, share an experience where you were concerned about a client or unit situation and how, as a team, it was addressed.
In your situation, did you experience positive outcomes? Can you think of a situation in which outcomes were not positive as a result in a breakdown in the team process?

Instructor’s feedback/recommendation
A quantitative examination process will measure stipulated learning objectives and the qualitative aspect of this study will have sample population that may not be statistically representative but only to generate data to be used to answer your research question.
Discuss the appropriateness of project design, sampling, sample size, data collection, procedures (including measurement & instruments), power analysis, data analysis, limitations, and rigor. Include any statistical techniques appropriate for the research question and the method used for analysis of the procedures, limitations, and generalizations.
The methodology for this project could be Mixed methods. an approach that would support quantitative and qualitative data collection within your project.
The DNP project should answer the PICOT question using evidence-based practice initiatives to improve patient outcomes in a specific healthcare context.
Methods:
The project will design and implement a pilot study of in-house education sessions on facilitating the understanding of nonadherence to treatment regimens among teenagers with Type 1 diabetes.

Mrs. T. is a 62-year-old woman who immigrated from Taiwan with her husband to rejoin their son who moved to the United States for a job eight years ago. Mrs. T. had a difficult time adjusting to life in a new country but was very happy to be reunited with her son and his wife, who are expecting a baby. Mrs. T. only speaks Mandarin and she moved to a neighborhood with a high concentration of Chinese speaking immigrants, which was helpful in acclimating.
About six months after moving, Mr. T. unexpectedly passed away. Her son’s job transferred him to a city two hours away and very soon after, he and his wife had their baby. Mrs. T. loves the new baby very much, but she feels they have no room in their new life for her. She doesn’t want to move from the neighborhood where she can speak her native language, and she is feeling very sad and alone.
Mrs. T. says she doesn’t feel like doing much of anything and says nothing brings her happiness anymore. She hasn’t been sleeping well and says she spends most of the day in bed watching Chinese television. She is not eating much and has lost about 10 lbs.
Her son rearranged the furniture in her home to improve the feng shui. He would like her to see an acupuncturist and a Chinese herbal medicine specialist in her neighborhood to restore balance to her body.
For your initial post, use the biopsychosocial formulation grid system to formulate your diagnosis and develop a comprehensive treatment plan for the case scenario.

Please respond to discussion below using APA Current 7th edition and 2-3 references within the past 4 years or less. Must be At least 150 words and respond to BOTH case studies. Case Study 1 Urinary function:
Case Study of Mr. J.R.
The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented names of the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury.
Mr. J.R.’s physician thinks that he has developed an acute kidney injury (AKI). The types of AKI vary from
prerenal, intrinsic, and postrenal. Decrease blood flow to the kidney results in prerenal, and when there is damage
to the kidney themselves this is called intrinsic. Postrenal is caused by obstruction of the urinary tract (Kashani et
al., 2019). In this case, the patient’s symptoms of nausea, vomiting, diarrhea, and fever suggest Mr. J.R. may have
developed the intrinsic type. The above symptoms can occur when there is, suggestion or inflammation going on
with the kidneys. It was indicated that the patient has a history of eating burritos from fast food restaurants and
the timing of his symptoms following this meal indicate a possible food-borne illness as the cause of his intrinsic
AKI.
Create a list of risk factors the patient might have and explain why.
Many factors could have contributed to MR. J.R.’s development of AKI, and may include advanced age, which can
lead to a decline in kidney function, a history of kidney disease, diabetes, hypertension, which can both lead to
damage of the blood vessels in the kidneys. Certain medications such as non-steroidal, anti-inflammatory drugs
(NSAIDs) and antibiotics can be toxic to the kidneys. Additionally, the patient’s history of nausea, vomiting, and
diarrhea suggest that he might have a gastrointestinal infection, which can cause dehydration and electrolyte
imbalances, both of which can lead to AKI. Besides this patient food poisoning may have been a contributing factor
to his AKI.
Unfortunately, the damage to J.R.’s kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved.
At this point, the worst thing that can happen to Mr. J.R. is his kidney condition turns into a chronic kidney disease
(CKD), and starts affecting his hematologic system, where coagulopathy occurs. This is a disorder of the blood
clotting system that can occur as a result of CKD (Kashani et al., 2019). This may result in a decrease in the
production of clotting factors by the liver, as well as an increase in the level of clotting inhibitors, both of which can
lead to an increased risk of bleeding. Another thing that can proceed is anemia, a condition characterizes by a
decrease in the number of red blood cells or the amount of hemoglobin in the blood. In the effect of CKD, the
kidneys play a crucial role in the production of erythropoietin, a hormone that stimulates the production of red
blood cells (Kashani et al., 2019). Damage kidneys produce less erythropoietin leading to anemia. Additionally, CKD
can cause inflammation, and lead to the destruction of red blood cells. Both coagulopathy and anemia are caused
by the pathophysiologic mechanism involved in CKD such as inflammation, damage to the blood vessels, and
decreased production of clotting factors and erythropoietin. It is imperative that constant watching and managing
of this complication accessorize in order to prevent further destruction of the patient’s condition. Case study # 2 Reproductive Function:
Case study Ms. P.C.
According to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge, what is the most probable diagnosis for Ms. P.C.? Support your answer and explain why you get to that diagnosis.
When there is an overgrowth of certain types of bacteria in the vagina, this is termed bacteria vaginosis (BV),
which is caused by an imbalance in the normal vaginal flora, leading to an overgrowth of certain types of bacteria
such as Gardnerella vaginalis, Mycoplasma hominis, and Mobiluncus species (Marnach et al., 2022). BV is often seen
in women that are sexually active and are using no methods of contraception such as condoms. This is because BV
is associated with sexual activity and hormonal changes associated with the menstrual cycle and pregnancy can also
increase the risk of BV. BV is considered a sexually transmitted disease and can occur in women who have never
had any prior sexual encounter, and hormonal changes associated with the menstrual cycle and pregnancy can also
increase the risk of BV. The symptoms of BV include heavy, malodorous vaginal discharge, lower abdominal pain,
nausea, and emesis. The discharge may be thick, greenish-yellow in color, and have a strong, unpleasant odor
(Brown & Drexler, 2020). Other recognized symptoms of BV include discomfort during intercourse, itching, and
burning. Complications can arise if BV is left untreated for example pelvic inflammatory disease, preterm birth, and
an increased risk of acquiring sexually transmitted infections. PID is an infection of the female reproductive organs
that can cause severe pain, fever, and abnormal vaginal discharge. Preterm birth can occur before 37 weeks of
pregnancy and can cause serious health problems for the newborn child. On the positive side, BV can be treated
with antibiotics such as metronidazole and clindamycin. These antibiotics are usually administered orally or as a
vaginal cream. When on these medications patients are advised to abstain from any sexual activity and avoid
scented products such as soaps and douches. Based on the vaginal discharge described and the microscopic examination of the sample could you suggest which would be the microorganism involved?
Gardnerella vaginalis gram-negative anaerobic rod-shaped bacterium commonly associated with vaginosis.
Gardnerella is an inhabitant of the vagina and is often found in low concentrations in the healthy vagina. This
overgrowth of G. vaginalis is caused by a disruption in the normal vaginal flora and a change in the vaginal ph. The
normal vaginal pH is acidic, between 3.8 and 4.5, which keeps the vaginal environment hostile to harmful bacteria
and promotes the growth of beneficial bacteria such as lactobacilli (Brown & Drexler, 2020). When G vaginalis is
present, it produces enzymes that degrade glycogen and convert it into lactic acid and causing the pH to rise. This
change in pH allows other bacteria such as Atopobium vaginae, Mycoplasma hominis, and Mobiluncus species to
thrive and this leads to BV. This bacterial overgrowth causes an imbalance in the normal vaginal flora and leads to a
change in the vaginal discharge. The discharge may be thick, greenish-yellow in color, and have a strong, unpleasant
odor. G. vaginalis is one of the most common causes of BV, but it is not the only one (Marnach et al., 2022). There
are other types of bacteria that have been linked to BV and they are Atopobium vaginae, Mycoplasma hominis, and
Mobiluncus species. It is important to know that BV can cause a combination of factors such as hormonal changes,
sexual activity, and other lifestyle factors such as smoking and the use of certain products such as douches and
scented soaps.
Name the criteria you would use to recommend hospitalization for this patient?
Individuals with severe abdominal pain, nausea, vomiting, fever, and dehydration as a response to oral
medications are subject to hospitalization. When the patient is pregnant and there is a concern for pelvic
inflammatory disease (PID) or other underlying medical conditions that might put her at risk for complications,
hospitalization would be recommended as well (Marnach et al., 2022). In these cases, patients are given antibiotics
and fluids to help clear the infection and prevent complications. Consequently, a patient PID will be counseled and
educated on how to prevent future infection or reinfection and maintain good hygiene.

Identify the professional code of ethics for your professional specialty or a specialty that you are interested in, describe the decision criteria, and analyze each theory using examples and the Ethical Theory Matrix Template.

PreparationThe feedback you received on your care setting environmental analysis has been positive. Consequently, you have been asked to select one of the potential improvement projects you noted in your analysis and create a full, 5–10-year strategic plan to achieve the desired quality and safety improvement outcomes. You will develop your strategic plan, using either an AI approach (addressing the design stage), or by building on your SWOT analysis and applying a strategic planning model of your choice.
How you structure your plan should be based on whether you are taking an appreciative inquiry approach or using a specific strategic planning model. Regardless of the approach you choose, the requester of the plan has asked that you address the key points outlined below in the strategic plan requirements. In addition, your plan should be 5–8 pages in length.Strategic planning models aid in setting goals, establishing time frames, and forging a path toward achieving those goals. Consider the strategic planning models you are familiar with:
Which model would you choose to create goals and outcomes that could address the area of concern you identified in your Assessment 1 SWOT analysis?
Why is this model the best choice among alternatives?
How does goal setting through appreciative inquiry provocative propositions differ from goal setting in the strategic planning model you selected?
Additional RequirementsNote: The requirements outlined below correspond to the grading criteria in the scoring guide, so 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.
Writing, Supporting Evidence, and APA StyleWrite clearly, with professionalism and respect for stakeholders and colleagues.
Integrate relevant sources of evidence to support your assertions.Cite at least 3–5 sources of scholarly or professional evidence.
Format your document using APA style. Use the APA Style Paper Tutorial [DOCX]. Be sure to include:A title page and reference page. An abstract is not required.
A running head on all pages.
Appropriate section headings.
Properly formatted citations and references.
Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your analysis.
Strategic PlanDevelop strategic goal statements and outcomes that reflect specific quality and safety improvements for your care setting. You should have at least one short-term goal (just-in-time to one year) and one long-term goal (five years or longer).Determine realistic timelines for achieving your goals.
Explain how your short-term goals support your long-term goals.
Note: For plans based on an AI approach, the goal statements and outcomes are provocative propositions that may be refinements of the positive, yet attainable, goals that you proposed during the dream phase of your inquiry. For plans based on a SWOT analysis, the goal statements and outcomes are specific, measurable, and applicable to the area of concern in your analysis for which you proposed pursuing improvements.
Justify the relevance of your proposed strategic goals and outcomes in relation to the mission, vision, and values of your care setting.
Analyze the extent to which your strategic goals and outcomes, and your approach to achieving them, address:The ethical environment.
The cultural environment.
The use of technology.
Applicable health care policies, laws, and regulations.
Explain, in general, how you will use relevant leadership and health care theories to help achieve your proposed strategic goals and outcomes.Consider whether different theories are more applicable to the short-term or long-term goals of your strategic plan.
Evaluate the leadership qualities and skills that are most important to successfully implementing your proposed plan and sustaining strategic direction.Identify those leadership qualities and skills that are essential to achieving your goals and outcomes and sustaining strategic direction
Identify those leadership qualities and skills that will have the greatest effect on the success of your plan
.Strategic Planning Scoring Guide
CRITERIANON-PERFORMANCEBASICPROFICIENTDISTINGUISHED
Develop strategic goal statements and outcomes that support the achievement of specific quality and safety improvements for a care setting.Does not develop goal statements and outcomes.Develops goal statements and outcomes, but they are not strategic, are not realistic, or they do not support the achievement of specific quality and safety improvements for a care setting.Develops strategic goal statements and outcomes that support the achievement of specific quality and safety improvements for a care setting.Develops strategic goal statements and outcomes that support the achievement of specific quality and safety improvements for a care setting, and impartially considers potential barriers.
Justify the relevance of proposed strategic goals and outcomes in relation to the mission, vision, and values of a care setting.Does not justify proposed strategic goals and outcomes in relation to the mission, vision, and values of a care setting.Attempted justification of the proposed strategic goals and outcomes lacks relevance to the mission, vision, or values of a care setting.Justifies the relevance of proposed strategic goals and outcomes in relation to the mission, vision, and values of a care setting.Justifies the relevance of proposed strategic goals and outcomes in relation to the mission, vision, and values of a care setting, and identifies areas of uncertainty or knowledge gaps.
Analyze the extent to which strategic goals and outcomes address the use of technology and the ethical, cultural, and regulatory environments.Does not analyze the extent to which strategic goals and outcomes address the use of technology and the ethical, cultural, and regulatory environments.Attempts to analyze the extent to which strategic goals and outcomes address the use of technology and the ethical, cultural, and regulatory environments, but misses one or more of the aspects listed.Analyzes the extent to which strategic goals and outcomes address the use of technology and the ethical, cultural, and regulatory environments.Analyzes the extent to which strategic goals and outcomes address the use of technology and the ethical, cultural, and regulatory environments. Impartially considers the limitations of the goals and outcomes.
Explain how relevant leadership and health care theories will be used to help achieve proposed strategic goals and objectives.Does not explain how relevant leadership and health care theories will be used to help achieve proposed strategic goals and objectives.Explains how leadership and health care theories will be used to help achieve proposed strategic goals and objectives, but the cited theories do not appear to be relevant or are not clearly connected to the goals and objectives.Explains how relevant leadership and health care theories will be used to help achieve proposed strategic goals and objectives.Explains how relevant leadership and health care theories will be used to help achieve proposed strategic goals and objectives, and identifies gaps, limitations, or mismatches in theories.
Evaluate the leadership qualities and skills that will be most important to successfully implementing a strategic plan and sustaining strategic direction.Does not evaluate the leadership qualities and skills that will be most important to successfully implementing a strategic plan and sustaining strategic direction.Evaluates leadership qualities and skills that are not key to successfully implementing a strategic plan and sustaining strategic direction or that are not clearly related to specific aspects of the plan.Evaluates the leadership qualities and skills that will be most important to successfully implementing a strategic plan and sustaining strategic direction.Evaluates the leadership qualities and skills that will be most important to successfully implementing a strategic plan and sustaining strategic direction, and identifies assumptions underlying the evaluation.
Communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues.Does not communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues.Communication is not consistently clear and professional; errors in grammar or mechanics distract from the message, or communication lacks respect for stakeholders or colleagues.Communicates analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues.Communicates analyses clearly, logically, and persuasively, demonstrating professionalism and respect for stakeholders and colleagues. Grammar and mechanics are virtually error-free.
Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.Does not integrate relevant and credible sources of evidence to support assertions; does not correctly format citations and references using APA style.Sources lack relevance or credibility, are poorly integrated, or are incorrectly formatted.Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Citations are error-free.

This week you will identify educational learning objectives for your target community/population of Accomack County. In the Google Doc you created in Case Study 1.1: The Accomack County Challenge, add a new section titled Learning Objectives that answers the following question.
What are at least two educational learning objectives/outcomes for your population?
Be sure to write your objectives using verbs from Bloom’s taxonomy.

For this assessment you will create an 8-12 slide PowerPoint presentation for one or more stakeholder or leadership groups to generate interest and buy-in for the plan proposal you developed for the third assessment.
As a current or future nurse leader, you may be called upon to present to stakeholders and leadership about projects that you have been involved in or wish to implement. The ability to communicate a plan—and potential implications of not pursuing such a plan—to stakeholders effectively can be critically important in creating awareness and buy-in, as well as building your personal and professional brand in your organization. It is equally important that you know how to create compelling presentations for others’ delivery and ensure that they convey the same content you would deliver if you were the presenter.
You are encouraged to complete the Evidence-Based Practice: Basics and Guidelines activity before you develop the presentation. This activity consists of six questions that will create the opportunity to check your understanding of the fundamentals of evidence-based practice as well as ways to identify EBP in practice. The information gained from completing this formative will help promote success in the Stakeholder Presentation and demonstrate courseroom engagement—it requires just a few minutes of your time and is not graded.
Demonstration of ProficiencyCompetency 1: Explain strategies for managing human and financial resources to promote organizational health. Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.