Category: Nursing

Topic: Executive Summary to Administration
Create a hypothetical data set of 10 patients in an Excel spreadsheet that demonstrates the results of an informatics initiative. Write a 1-2 page executive summary explaining the spreadsheet and the results of the initiative.
INTRODUCTIONNursing Informatics can provide health care organization executives with critical information to aid them in prioritizing organizational initiatives and measuring organizational results. Nowhere is this more important than in the realm of ethics and regulation. Once gathered, it is imperative data be accurately interpreted and efficiently communicated to key stakeholders for use in on-going decision making.
OVERVIEWThere can be tremendous legal ramifications if regulatory and legal requirements are not met. Demonstrate the science of informatics in an executive summary to administration highlighting the importance of ethics and regulation.
Identify a specific organizational health care outcome that benefits from the use of informatics and supports the strategic plan of an organization, keeping in compliance with ethics and regulations. This assessment has two parts:
Part 1—Spreadsheet
Create a HIPAA compliant spreadsheet (you can find, create, or use data from your practice setting) of the initiative.This is a basic Excel spreadsheet for one identified patient population issue using the requirements described below.
Part 2—Executive Summary
Develop a 1–2 page narrative in the form of an executive summary to explain the spreadsheet. As you prepare the content for your summary, consider the following:Your target audience. Keep in mind that the goal of this summary is to ensure that stakeholders have accurate and concise data, information, and plans.
The importance of creating a HIPAA compliant spreadsheet.
How selected theory or conceptual models were used to effect the change.
How standards of practice were used to effect the change.
An explanation of the trending of data and how this helped the organization understand the current health care outcome.Define baseline data, how often you measured data for data trending, and why this was important for the organization to understand related to safe practice.
The use of regulatory information supporting informatics as science to produce safe practice.
Review the Executive Summary to Administration scoring guide prior to submission to ensure you address all required grading criteria
Example Assessment: You may use the assessment examples, linked in the Assessment Examples resource study, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
ADDITIONAL REQUIREMENTSPart 1—Spreadsheet:
A basic Excel spreadsheet using:10 hypothetical de-identified patients.
Trending data for each of 2 quantitative data criteria.
2 Excel formulas (addition, multiplication, et cetera).
Part 2—Executive Summary:
Title page: Include a running head your name, course, date, and faculty name.
Reference: Include 5–7 scholarly sources. Additional references may be used.
Written communication: Written communication is free of errors that detract from the overall message.
APA formatting: Resources and citations are formatted according to current APA style and formatting. Use a running head, title on the first line of the first page of text, a brief introduction, a minimum of Level 1 headings used for each section of the paper, and a conclusion.
Length of paper: 1–2 typed, double-spaced pages.
Font and font size: Times New Roman, 12 point.

Discuss the values, attitudes, knowledge and skills that will contribute to your success in an APN role and how you can break from your peer relationships in order to form new ones. Identify which of the MSN essential(s) this assignment meets.
Transitioning from the role of RN to APN will bring many challenges. There are skills and knowledge that this nurse has now that will assist with the adjustment phase. Some of the values this nurse currently demonstrates in the workplace when caring for individuals are respect for others, providing dignity, and showing compassion. This nurse displays a caring attitude and feelings of responsibility for the wellbeing of the patients in their care. Knowledge of disease processes and medications allow for this nurse to provide quality care in the RN role. These are all tools to take along during the transition to APN. In the advanced role, the practitioner has the obligation to manage the health of the patient in a more direct manner. As the task of deciding how to manage care becomes the new normal for this nurse, the attitude of caring and responsibility will positively affect the care the patient receives by ensuring all aspects of needs are met. This includes investigating deficits in the home environment, medication, or therapy knowledge, and then going beyond the RN role to order the needed images, labs, or procedures, or consult with interdisciplinarians to help meet those needs. Respecting the patient and their wishes is intertwined in both roles, but as the APN, the obligation to provide informed consent and counsel on disease processes and medications will take precedence as this will become the APN’s responsibility to provide the patient with as much information as possible to make a well-informed decision.
This nurse has been an RN for several years. The values, knowledge, and beliefs this nurse has about healthcare is directly related to her nursing role. Transitioning to an advanced practitioner will bring challenges in the transition phase of RN to APN. Having a good foundation of nursing knowledge and skill is key and will assist with growing professional relationships with advanced practice professionals by displaying competence. To form new relationships in the APN role, Kerr and Macaskill (2020) state having mentoring and group networking with other distinguished advanced professionals will ease the transition. The APN in training will need mentors and preceptors throughout the process of school and beyond to give feedback and support while learning the role (Kerr & Macaskill, 2020). As this nurse progresses through her training, the relationships with peers of today will transition into friendships. By socializing with a group of advanced practitioners, this nurse will begin to pick up new ways of thinking and new behaviors that will prepare her for her new role (Joel, 2022). This nurse plans to join national, state, and local nurse practitioners’ groups, such as the American Association of Nurse Practitioners, to network and form relationships while training for the role.
This assignment describes all the MSN essentials as the advanced role encompasses all 10 domains to provide the highest quality care for the public. The essentials this nurse believes are the most important, personally, are described below.
Person-centered care is the foundation for the values, attitudes, and knowledge for this nurse. Person-centered care is described as meeting the needs of the person, family, and community (American Association of Colleges of Nursing, 2023). To do this, the APN uses their foundational knowledge of nursing and expands upon it to meet the needs of others through utilizing clinical data, researching the needs not met, counseling, ordering and/or prescribing (Smith et al., 2022). Person-centered care is why all healthcare professionals do what they do. The role of APN exists to help bridge the gap between the RN role and advanced clinical competency to provide the individual and their families and communities with holistic care.
Knowledge for nursing practice is intertwined with person-centered care. Using skills developed in the RN role, such as screening, interpreting, and making nursing diagnoses for fall and pressure wound risk, goes beyond simple interventions in the APN role. The advanced professional must use clinical judgement, interpret research data, labs, or diagnostic imaging to adequately make a sound assessment (Mortimore et al., 2021). The APN uses her knowledge and experience as an RN and combines it with her advanced training to complete the circle of holistic health services. The advanced nurse may also involve other disciplinarians for consultation if needed and will be discussed below. Self-sufficiency and independence in making decisions about care is what separates the APN from the RN and is why the APN must have foundational knowledge and expertise in the role and hold themselves responsible for any decision made (Mortimore et al., 2022).
Interprofessional partnerships are necessary for providing quality care safely and competently. Forming positive relationships with other healthcare providers builds confidence with those clinicians in the APN’s ability to provide care and increases belief in oneself to provide that care (Smith et al., 2022). The APN my be consulted or be the consultee during an interprofessional relationship and the 10 domains of MSN essentials will become an integral part of clinical decision-making. It is imperative this APN in training begin building relationships with other providers now. During the training phase and beyond, this nurse will have the confidence in the clinical assessments they make through consulting and learning from others, and those providers learn to have confidence in the training APN as they teach and watch the nurse grow into her professional role. Eventually, the APN should be progressing towards proficiency and expertise in their role and will one day be a resource for their specialized discipline for other professionals to consult (Smith et al., 2022).
The hope of this APN in training is to utilize the core competencies of the advanced practitioner, learn from other advanced practitioners and providers, and network with these providers to become a competent, trustworthy, and safe practitioner.
Resources
American Association of Colleges of Nursing (2023, January). The essentials: Essentials domains. https://www.aacnnursing.org/Essentials/DomainsLinks to an external site.
Joel, L. A. (5th Ed.). (2022). Advanced practice nursing: Essentials for role development. F. A. Davis.
Kerr, L. & Macaskill, A. (2020). The journey from nurse to advanced nurse practitioner: Applying concepts of role transitioning. British Journal of Nursing, 29(10), 561-565. https://doi.org/10.12968/bjon.2020.29.10.561Links to an external site.
Mortimore, G., Reynolds, J., Forman, D., Brannigan, C., & Mitchell, K. (2021). From expert to advanced clinical practitioner and beyond. British Journal of Nursing, 30(11), 656–659. https://doi.org/10.12968/bjon.2021.30.11.656Links to an external site.
Smith, T. D., Vezina, M. L., Samost, M. E., & Reilly, K. (2022). Advanced practice nursing: Essentials for role development (L. A. Joel, 5th Ed.). F. A. Davis.

Outline
1. Cells definition
a. Different type of cells, purpose and cells multiplication .
b. How does a cancer cells differ from a healthy cells
c.solids cancer cell different from other cancerous cells.
d. Why blood supply increases in presence/around of cancer cells

Using your selected article answer the following questions:
What is the complete citation for your article?
Where did you find the article? (If online, provide the URL where the full text can be found.)
Does the research article describe a quantitative study or a qualitative study?
What type of research is the study (quantitative—descriptive, correlational, quasi-experimental, or experimental; qualitative-phenomenological, grounded theory, ethnography, or historical)?
What is the problem statement?
What is the purpose?
Article citation
Mireille N.M. van Poppel, Peter Damm, Elisabeth R. Mathiesen, Lene Ringholm, Cuilin Zhang, Gernot Desoye; Is the Biphasic Effect of Diabetes and Obesity on Fetal Growth a Risk Factor for Childhood Obesity?. Diabetes Care 1 June 2023; 46 (6): 1124–1131. https://doi.org/10.2337/dc22-2409

1) Why did you choose nursing? (2-3 paragraphs)
2) What do you believe the core of nursing is and should be? Correlate historical, ethical, and political factors influencing professional nursing practice. (2-3 paragraphs) must answer all 3 factors.
3)What do you believe about patients? (1 paragraph)
4) What do you believe about the patient’s family and significant others? (1 paragraph)
5) What do you believe about your fellow health care providers? (1 paragraph)
6) What do you believe about your own health? (1 paragraph)
7) What do you want to be doing in 2 years? (1 paragraph) 5 years? (1 paragraph) 10 years? (1 paragraph)
8) What strengths do you have that will support your achievement of your professional goals? (1 paragraph)
9) What limitations will you need to overcome to achieve your professional goals? (1 paragraph)

Respond to the following discussion question:
It is important for nurses to develop and/or enhance critical thinking and clinical reasoning skills within their practice.
Define critical thinking and identify the characteristics of a critical thinker and how these are relevant to nursing practice.
You will need to include one research/scholarly reference from within the past 5 years with an in-text citation in all of your posts/replies: initial, peer and instructor.

Case StudyMrs. Smith is an 88-year-old female who lives alone in her home. She walks with a walker. Last night, Mrs. Smith needed to go to the bathroom. She got out of her bed and walked to the bathroom without using her walker. In the morning her daughter came to the house to check on her. She found her mom on the bathroom floor. She called the ambulance and her mom was taken to the emergency room. In the emergency room, the patient states, “She lost her balance in the bathroom when she was washing her hands and fell to the floor.” According to the daughter, her mom has lost her balance many times but never fell. She doesn’t always use her walker in the house. Her daughter also states, “She needs help getting dressed, taking a shower, and making her meals.” Mrs. Smith states her pain is an 8 out of 10 on a numeric scale of 0 to 10. She also states the pain is constant, worse with movement, and radiates down her leg. Her legs feel weak. The nurse performs an assessment on the patient. She is unable to stand in and apply weight to her legs. The patient is weak in the upper extremities and lower extremities. She is unable to lift her legs off the bed. She is unable to turn from on her side without assistance. She is unable to pull her body up in the bed.
Write a posting of at least 500 words including the following:
A list of the subjective and objective data, clustered by similarities
An explanation of the significance of the data An analysis of the data—Why is the data significant according to Maslow’s Hierarchy of Needs?
Three nursing diagnoses for this patientProblem-focused nursing diagnosis has three components:Problem
Etiology
Symptoms
Reasons you choose each nursing diagnosis
Three outcomes for each nursing diagnosis—outcomes must be specific, measurable, attainable, realistic, and timed
Nursing actions for each nursing diagnosisThink about the patient holistically. This should be a fairly comprehensive list.
Include all necessary interventions related to each nursing diagnosis, must be measurable and specific.
Provide rationales for each intervention.
Ask two questions for your peers to respond to related to this case.
Remember to include APA citations for your information where appropriate.

1. Read about the HRSA Data website and what it does
here: https://datawarehouse.hrsa.gov/about/abouthdw.aspx
2. Explore the rest of the tabs on the site.
3. Watch the “How-To Video: Find a Health Center Locator Tool” tutorial found at the
following link: https://data.hrsa.gov/how-to-videos
4. Explore some data by selecting Clark County, Nevada using the Data by Geography
tool here: https://data.hrsa.gov/hdw/tools/DataByGeography.as…
5. Next use the HRSA Fact Sheets tool located here: https://data.hrsa.gov/data/fact-
sheetsto look up HRSA’s activities in HHS regions, states, counties, and
congressional districts and compare the data to the Clark County, Nevada data you
found using your geography results. Analyze the data included in the fact sheets.
Consider the data sets found in the fact sheets. How does Nevada compare
nationwide when it comes to the data sets? What about Clark County?
6. Complete a new search using the Data for Geography tool for your state (Florida)
and county (Miami Dade). Compare the results of your query to your Clark County,
Nevada search.
7. Identify HRSA program resources for HIV/AIDS in your state (Florida) and county
(Miami Dade). What are they? How many clinics are funded by HRSA?
Write a two-page paper reflecting on the data you collected and analyzed. How will this
data warehouse be useful to you as a professional nurse? Your paper should be at least
two pages in length, in APA format, typed in Times New Roman with 12-point font, and
double-spaced with 1” margins. References no older than 5 years.

Expectations
Length: A minimum of 180 words, not including references
Citations: At least one high-level scholarly reference in APA from within the last 5 years
Differential diagnosis is a process that helps to deduce from patient symptoms the root causation for proper treatment. In doing this it can help to analyze and diagnose particular diseases from other similar clinical disease presentations. This process is started by obtaining a detailed medical history as well as integrating how the patient presents in clinic and the provider assessment. Symptoms of disease may present similarly but using differential diagnosis process helps the provider to deliver the most educated information and diagnosis for the patient. This is important to ensure proper treatment and procedure is followed. The patient’s information like their gender, age, medical history, and family medical history are taken into account. Further information may be requested such as imaging, radiology, laboratory tests, and diagnostic tests may help to obtain further information to narrow down the diagnosis. There are risks involved such as unnecessary testing and financial burden, misdiagnosis, as well as delayed diagnosis due to delayed data from testing. Benefits from this are early diagnosis which can lead to preventative care and treatment to help stop disease progression early. This can decrease overall medical costs as well as improved patient outcomes. Differential diagnosis is very important for the provider to be utilizing properly to provide the best quality of care to guide future clinical decisions such as medication prescriptions, treatments provided, as well as educational information provided to the patient. An example of this could be a patient presenting with chest pain. It’s important to see if the pain is radiating to the right shoulder indicating a heart attack, chest pain could be a result from a panic attack, pulmonary issues, another indication could be heartburn. All present with “chest pain” but treatments drastically differ. In some cases it is difficult to differentiate by imaging alone, all history and findings should be considered to make the final diagnosis. Testing is a great value in early screening, differential diagnosis, and disease severity assessment (Dai et al., 2020). Using proper differential diagnosis will help to guide our care to result in the best result and interest of the patient. Delivering patient focused care is incredibly important and needs to be the focal point of our future care.
Reference
Dai, W. C., Zhang, H. W., Yu, J., Xu, H. J., Chen, H., Luo, S. P., … & Lin, F. (2020). CT imaging and differential diagnosis of COVID-19. Canadian Association of Radiologists Journal, 71(2), 195-200.

Week 7 Presentation of Community Teaching Project
Due Sunday by 11:59pm Points 140 Submitting a text entry box
Utilize the epidemiologic process to identify a community health need or problem. Plan, implement, and evaluate a group health teaching project to meet the identified need.
Assignment Instructions:
Select a topic and get instructor approval to move forward with it.
Select your target community group that you will focus on educating. It should consist of approximately 10 individuals. A minimum of two different teaching sessions should be presented to the same group at least one week apart.
Once your topic is approved and a teaching group is chosen, you will create a teaching plan, hold your teaching sessions, and then evaluate the implementation.
The final product you submit will be a presentation that details the entire process: your chosen topic, the teaching style you used, and an evaluation of your actual teaching. (See categories below for details to include.)
Prepare a 15- to 20-slide presentation that is a minimum of 20 minutes in duration. You should have APA formatted in-text citations within your slides for any outside sources used and your final slide should be a reference slide that lists all resources used for the assignment.
Videos can be recorded using any software or tool, but all videos are required to be uploaded to My Panopto Videos for assignment submission.
You can also use the Panopto Desktop Recording tool to create your video.
Click hereLinks to an external site. for detailed Panopto instructions.
Items to Include in Presentation:
Provide a comprehensive statement of the problem using the epidemiological process including the distribution, determinants, and deterrents.
Incorporate at least four current literature review findings as a theoretical base for your project/paper.
Describe community resources available to meet the need of the specific community in this problem area. Summarize the resources available and describe their effectiveness for the community.
Describe your selected group. Identify and summarize the learner needs of your selected group. What are the needs? Why does this group need to be educated on your chosen topic?
Identify and describe developmental and teaching/learning theory/theories used and why they are appropriate to the learners you targeted.
Describe in behavioral terms your specific planning process for your project and overall teaching goal for your participants.
Evaluate your teaching experience. Reflect on the following questions. What went well? What did not? What would you change if you were teaching this topic to a similar group at a later date and why?
Due: Sunday, 11:59 p.m. (Pacific time)
Points Possible: 140
Rubric
NURS_495L-B_DE – NURS 495L-B Week 7 Community Teaching Project and Presentation
NURS_495L-B_DE – NURS 495L-B Week 7 Community Teaching Project and Presentation
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeTopic/Introduction
28 to >22.12 pts
Meets Expectations
Provides a comprehensive statement of the problem using the epidemiological process including the distribution, determinants, and deterrents. Describes the selected group, and identifies and summarizes the learner needs of the selected group, including why this group needs to be educated on the chosen topic.
22.12 to >19.32 pts
Approaching Expectations
Provides a statement of the problem using the epidemiological process, but lacks detail. Describes the selected group, and identifies and summarizes the learner needs of the selected group, including why this group needs to be educated on the chosen topic.
19.32 to >16.52 pts
Falls Below Expectations
Provides a statement of the problem using the epidemiological process, but lacks details. Describes the selected group, and why this group was chosen, but lacks a clear summary of all identified learner needs for the selected group.
16.52 to >0 pts
Does Not Meet Expectations
The comprehensive statement of the problem is unclear and incomplete. There is no clear picture of the group or their needs.
28 pts
This criterion is linked to a Learning OutcomeCritical Analysis
56 to >44.24 pts
Meets Expectations
Describes the community resources available to meet the need of the specific community in this problem area. Summarizes the resources available and describes their effectiveness for the community. Identifies and describes developmental and teaching/learning theory/theories used and why they are appropriate to the learners targeted. Describes in behavioral terms the specific planning process for the project and overall teaching goal for the participants. Incorporates at least four current literature review findings as a theoretical base for the project/paper.
44.24 to >38.64 pts
Approaching Expectations
Describes the community resources available, but full analysis of all required elements may be lacking the required detail (e.g., community resources may all be listed, but effectiveness of each is lacking full detail; learning theories might be fully identified, but appropriateness for the specific group may be lacking in detail). Fewer than four current literature review findings are included.
38.64 to >33.04 pts
Falls Below Expectations
Describes the community resources available, but full analysis of all required elements may be lacking the required detail (e.g., community resources may all be listed, but effectiveness of each is lacking full detail; learning theories might be fully identified, but appropriateness for the specific group may be lacking in detail), but more than one required element in a section may be missing. Only two current literature review findings are included.
33.04 to >0 pts
Does Not Meet Expectations
Analysis is lacking. Paper includes a list of required topics, but no further reasoning or support is included. Only one or two current literature review findings are included.
56 pts
This criterion is linked to a Learning OutcomeConclusion
28 to >22.12 pts
Meets Expectations
Evaluates the teaching experience. Reflects on the following questions: What went well? What did not go well? What would you change if you were teaching this topic to a similar group at a later date and why?
22.12 to >19.32 pts
Approaching Expectations
Evaluates the teaching experience. Reflects on the following questions: What went well? What did not go well? Student does not describe a change or different way to teach a similar group based on this experience.
19.32 to >16.52 pts
Falls Below Expectations
Evaluates the teaching experience. Only reflects on one of the following questions: What went well? What did not go well? Student does not describe a change or different way to teach a similar group based on this experience.
16.52 to >0 pts
Does Not Meet Expectations
Reflection is brief and does not answer all of the questions posed.
28 pts
This criterion is linked to a Learning OutcomeMechanics
7 to >5.53 pts
Meets Expectations
Writing is clear, concise, formal, and organized. Slides are mostly error free. Information from sources is paraphrased appropriately and accurately referenced and cited in APA style. A title slide, clear introduction and conclusion, and reference slide are included. The number of references required by the assignment is presented. In-text APA citations are used in the presentation.
5.53 to >4.83 pts
Approaching Expectations
Writing is generally clear and organized but is not concise or formal in language. Multiple errors exist in spelling and grammar with minor interference with readability or comprehension. Most information from sources is paraphrased, referenced, and cited correctly in APA style. A title slide, clear introduction and conclusion, and reference slide are included. The number of references required by the assignment is presented. In-text APA citations are used in the presentation.
4.83 to >4.13 pts
Falls Below Expectations
Writing is generally unclear and unorganized. There are several spelling and grammar errors. Information from sources is missing or improperly cited.
4.13 to >0 pts
Does Not Meet Expectations
Errors in spelling and grammar detract from readability and comprehension, AND/OR writing includes slang or is inappropriate for academic discourse. APA style is not present.
7 pts
This criterion is linked to a Learning OutcomePresentation
21 to >16.59 pts
Meets Expectations
Presentation is 15–20 slides and a minimum of 20 minutes in duration. Presentation is either full audio/video with integrated PowerPoint or includes speaker notes or a video of student presenting the actual lessons with a separate reflective video using the media tools. Quality is clear and audible. Good language skills and pronunciation is used; information is well communicated. Still images of the lessons are included if actual video is not.
16.59 to >14.49 pts
Approaching Expectations
Presentation is either full audio/video with integrated PowerPoint or includes speaker notes or a video of the student presenting the content and a separate reflective video using the media tools. Quality is clear and audible. Good language skills and pronunciation are used; information is well communicated. Still images of the lessons are included if actual video is not. Presentation may have a slight audio or visual technical issue or might not quite meet the required length.
14.49 to >12.39 pts
Falls Below Expectations
Presentation is full video, but lacks audio completely and speaker notes are incomplete. Presentation does not meet the required length.
12.39 to >0 pts
Does Not Meet Expectations
Completely lacks audio or speaker notes and does not meet the required length.
21 pts
Total Points: 140