Category: Nursing

This assignment provides students the opportunity to examine the contributing processes and procedures in identifying a health care quality indicator and come up with proposed strategies in improving specific related patient outcomes. Instructions:
Identify a QI Project of your choice to address the paper per rubric. Refer to NDNQI information on page 221 in the Yoder-Wise reading material provided for more information and understanding to complete this assignment. Using a three-page paper (excluding cover page and references) the student(s) will include everything mentioned below to complete this assignment.
Selection of the quality indicator and its relationship to at least one of the NPSG 2023 related to your area of practice from the link National Patient Safety Goals | The Joint Commission and specify the NPSG identifier with the related number; for example NPSG.02.03.01 Mechanism for gathering data to support the indicator both internal (clinical facility data/reports) and external (research articles, best practices, and practice guidelines). Implementation plan of the QI project describing the teaching strategy and anticipated facilitators and possible barriers. Method of evaluation of the success of the QI project and recommendations for future QI related to the selected quality indicator. Grading Rubric Your assignment will be graded according to the grading rubric.
Selection of the quality indicator and its relationship to at least one of the National Patient Safety Goals 2023 – 10%
Mechanism for gathering data to support the indicator both internal (clinical facility data/reports) and external (research articles, best practices and practice guidelines) – 25%
Implementation plan of the QI project describing the teaching strategy and anticipated facilitators and possible barriers – 40%
Method of evaluation of the success of the QI project and recommendations for future QI related to the selected quality indicator – 15%
Writing mechanics – 05%
APA – 05
Yoder Wise Book: will be available for the assigned writer.

Jay and Sue Kim, ages 29 and 26 years and married for 2 years, immigrated from South Korea and settled in Los Angeles. They have lived in a small one-bedroom apartment since their arrival. Both graduated from the same Korean university with baccalaureate degrees in English literature. They have one child, Joseph, age 1 year. When they arrived in the United States, Jay was unable to find a job because of his poor proficiency in English, despite his major in English literature. He eventually obtained a job with a moving company through a church friend. Sue is not working because of their son. Although the Kim’s did not attend a church before immigration, they are now regularly attending a Korean Protestant church in their neighborhood.
Sue is pregnant again, determined by a home pregnancy kit, with their second child and concerned about the medical costs. They did not use any contraceptives because she was breastfeeding. Because of financial limitations, Sue did not initially have prenatal care with her first pregnancy. However, she did keep up with the Korean traditional prenatal practice, tae-kyo. Eventually, she received help from her church and delivered a healthy son. She is not sure whether she can get financial help from her church again but is confident that her second child will be healthy if she follows the Korean traditional prenatal practices.
Jay is concerned about job security because he recently heard from colleagues that the moving company might soon go bankrupt. Although Jay has not been satisfied with his current job (he thinks that he is overqualified), this news is still a cause for concern. Moreover, Sue’s recent pregnancy has made Jay more stressed, and he has started drinking alcohol. Joseph cannot stand up by himself and still wants to be breastfed. Although Sue has tried to give foods such as oranges, apples, steamed rice, and milk (because she is now pregnant), Joseph refuses to eat them and cries for breastfeeding. Joseph’s weight is low-normal for same-age babies.
should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Describe the Korean cultural practice tae-kyo. Is this practice congruent with allopathic recommendations for prenatal care?
How do food choices among Koreans differ with pregnancy and postpartum?
Describe cultural attitudes toward drinking among Koreans.
Identify two or three culturally congruent strategies a healthcare provider might use to address Jay’s drinking

Discussion Question:
Knowledge, skills, and attitudes (KSAs) are identified in a model that reflects the expectations for initial practice of prelicensure nurses that have completed a professional nursing education program. Why are KSAs considered so important to nursing?
Discussion Rubric:
Students will be challenged online by weekly (weeks 1 – 4) with thought provoking responses of textbook questions and situations utilizing course content. Students must submit the response that contains at least 100 –150 word, referenced document using APA 7th edition format.

Instructions
Read the scenario provided. Consider what healthcare team members should be on the QI team and the steps of the QI process that should be used.
Write an initial post of 200–250 words using the discussion prompts. Then, respond to at least two of your peers’ posts.
ScenarioOver the past six months, patients in the intensive care unit have experienced increased central line infections. The nurse leader and manager suspect that the increase is related to more central lines inserted in the emergency department. As a result, a quality improvement (QI) team is being formed to identify the root causes of central line infections.
Discussion PromptsWhat tools would you use for the following situations?Tracking central line infections
Investigating possible causes of infection
Identifying areas of improvement
How should the QI team implement changes to improve the infection rate, and how will they know if the change is working?
Citation: Murray, E. (2022). Nursing leadership and management for patient safety and quality care. F.A. Davis Company.

Assignment 9.1: Dehydration Calculations
Daily Maintenance Fluid Requirements: Hockenberry Table 22-1
Daily Maintenance Fluid Requirements
Body Weight
Amount fluid per Day
1 to 10 kg
100 mL/kg
11 to 20 kg
1000 mL + 50 mL/kg for each kg > 10 kg
>20 kg
1500 mL + 20 mL/kg for each Kg > 20 kg
Calculate the mL/day and the IV rate (ml/hr)
Infant weights 6 kg
Toddler weighs 14 kg
Preschooler weighs 22 kg
School age child weighs 33 kg
Calculate IV fluid bolus for resuscitation: use NS or LR 10-20 mL/kg
Infant weighs 8 kg
Child weighs 20 kg
Practice questions: If order is for 400 mL over 15 minutes and the child weighs 20kg, how many mL/kg will the child receive?At what rate should the IV pump be set?
ORT (Oral Replacement Therapy for acute diarrhea)
Mild 5-6% give ORS 50 mL/kg within 4 hours
Moderate 7-9% give ORS 100 mL/kg within 4 hours
Severe ≥ 9% give Intravenous fluids (lactated Ringer solution), 40 ml/kg until pulse and state of consciousness return to normal; then 50-100 ml/kg or ORS
Calculate the replacement fluid needed for each child below:
15 kg child with moderate dehydration:Give _____ORS within next 4 hours
9 kg child with mild dehydration: Give ______ ORS within next 4 hoursThis 9 kg child has one diarrhea stool so add 10 mL/kg ORS within next hour.Additional volume to give_______mL ORS in next hour. Expected Urinary Output by Age
Expected urine output Infant: 2 mL/kg/hr
Child: 1 mL/kg/hr
Adolescent: 30 mL/hour or more
Calculate the expected urinary output for each child below:
A 5-year-old returns from PACU at noon. The child weighs 28 kg.The child is NPO with IV fluids running at 70mL/hr.The first void of 100 mL occurs at 1900.
What is the expected urine output for this child after 7 hours?
How many mL/kg/hr happened with this void?
Is this normal, above or below the expected urine output?
What nursing action, if any, should be taken?
Calculate the urine output for the shift: Use volume/weight/time formula
The urine output for a 12-hour shift 420 mL for a 10 kg toddler ________mL/kg/hr
The urine output for a 6-hour period 120 mL for a 15 kg preschooler ______ mL/kg/hr.
The urine output for a 5-hour period 1500 mL for a 35 kg child _______ mL/kg/hr.

Identify and describe bureaucracies and formal organizations and Describe deviance and social control from a sociological perspective.

This week’s graded topics relate to the following Course Outcomes (COs).
Course Outcomes
This assignment enables the student to meet the following course outcomes:
CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)
CO 4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)
CO 5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)
Due Date
During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week):
Posts in the discussion at least two times, and
Posts in the discussion on two different days
Total Points Possible: 50 points
Preparing the Discussion
Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:
Demonstrate understanding of concepts for the week
Integrate outside scholarly sources when required
Engage in meaningful dialogue with classmates and/or instructor
Express opinions clearly and logically, in a professional manner
Use the rubric on this page as you compose your answers.
Best Practices include:
Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.
Enter the discussion often during the week to read and learn from posts.
Select different classmates for your reply each week.
Discussion Questions
Application and implications for practice come from the interpretation of meaning from research findings. Communicating and using research evidence is an expectation of a BSN graduate.
Select and describe one of the Discussions or Conclusions from the required article from the Week 6 assignment that you found interesting and applicable to practice. Describe how you would apply the evidence to improve nursing practice. Explain your answer.
Discuss ways you would disseminate research-based evidence; how would you share with your peers? Include your thoughts on why it is important for you to be involved in communicating and applying nursing research evidence.
Grading
To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric. See Syllabus for Grading Rubric Definitions.

Discussion
Review global health data by country. It is reasonable to expect that developed countries would have better health outcomes than less developed countries; however, this is not always true. One just needs to look at maternal death rates to see that the US ranks higher in this category than many less developed countries. You will see the US did not make this list—does that surprise or concern you?
Global health data
Healthiest Countries 2023
Health and health systems ranking of countries worldwide in 2023, by health index score
Maternal health data
Maternal Mortality Rates in the United States, 2020
The Worsening U.S. Maternal Health Crisis in Three Graphs
There are many similar factors that exist in healthier countries, yet the results reflect differences in health quality. The World Population Review (WPR) site provides a ranking of the top 25 healthiest countries. The rankings were established based on 1) health risks (tobacco use, high blood pressure, obesity), 2) availability of clean water, 3) average life expectancy, 4) malnutrition, and 5) causes of death.
For this week’s discussion, select one pair of countries from the list below:
Spain/Denmark
Italy/Slovenia
Iceland/Germany
Japan/Portugal
Switzerland/Cyprus
Sweden/Ireland
Australia/United Kingdom
Singapore/South Korea
Norway/Cameroon
Israel/Netherlands
Luxembourg/Finland
France/Austria
Provide a brief summary of the findings from each country you reviewed including the healthcare structure, meaning how is healthcare financed and provided in each country. Where were there similarities between the two countries? Where were there differences? What findings stood out to you, and why? What findings from these countries could benefit the health of Americans?

Historical Background
Definition of Theory Concepts
Description of the Theory of Pain: A Balanced Between Analgesia and Side Effects
Application of the Theory
Use of the Theory in Practice

Weekly Essay/Writing Assignment Content
In at least 400 words answer the following questions:
1) How is the principle of justice, both in ethics and law, applied in clinical decision-making? 2) How do the Harm principle and the Best Interest principle differ? 3) The patient bill of rights specifies that the patient is entitled to the services of an interpreter if requested. How have you seen this operationalized in your institution? What are the risks? 3 apa scholarly citations No more than 5 years old