Nursing

Assess : Health Care Agency
Assess : Health Care Agency
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.
In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center
Question 2
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the time frame needed to implement the change process.
Formulate a PICOT statement. (CHILDWOOD OBESITY). The PICOT statement will provide a framework for your capstone project.
In a paper of 750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Prepare this assignment according to the guidelines found in the APA Style.
NO PLAGIARISM PLEASE. CHECK FOR PLAGIARISM BEFORE GIVING THE ANSWER BACK.
SIX REFERENCES PLEASE. USE THE PREVIOUS WEEK TO ANSWER

Assessment 1 Instructions: Applying Ethical Theory
Assignment: Medical Ethics Dilemma
Assignment: Medical Ethics Dilemma
Applying Ethical Theory
What additional information might clarify your understanding of the situation?
Some of the additional information, in this case, may be ethical questions that may help the medical practitioners to make a better decision. For instance, it is good to check the directive in her file chart to see if it contains relevant information. It is also good to clarify her mental health history from the family. Her medical history would be more insightful and it would make her treatment easier. The son should say if he has more information about her apart from the notarized directive. It is also good to check the hospital database to find out whether there is more information to help in this case. Given that her son came with a directive it is possible that she was taking an overdose with alcohol so that she could commit suicide. All the same, there is no evidence for this. Contacting her primary care provider can be effective as he or she would provide more information about her.
How would each of the three approaches to ethical theory respond to this case?
The ethical approaches that can be used in this case are consequentialist, virtue ethics and deontological. Deontologist looks at the wrongness or rightness of making a choice. Consequentialism focuses on the consequences of a person’s actions. The virtue ethics looks at the person’s characters.
As earlier stated, deontological is that which puts its focus on rightness and wrongness. In this scenario, this is applicable to the matter of treating JoEllen given that her condition has worsened. One can be in a dilemma in this case since she has given directions not to be placed on a life machine yet that is what is required to save her life. As a healthcare provider, one cannot be sure of the right thing to do. However, the best thing to do is to save her life. On the other hand, it is good to think of her statement. One may assume that she did that probably due to an influence of alcohol. It is possible that the health directive was signed when she was of sound mind.
Consequentialism focuses on the consequences of a person’s actions which helps a person to make a decision. As such, this would be applicable to what followed after she took an overdose. By the time she was saying that she is not supposed to be here, she was not of sound mind (Gallagher, & Haworth, 2015). Taking the drug while drunk could have altered her decision. One cannot be sure by the statement “Not supposed to be here…” it could mean a hospital or else to be alive.
Virtue ethics shows the character of someone. One may look at her character by the choices she had made. It is possible that she took the overdose for suicidal purpose or because of the influence of alcohol. The virtue ethics here may apply to the healthcare practitioner. There is a need to make the right decision by applying medical ethics. Morally, the nurse can be able to provide the life support so to try and see if they can save her life. However, given that there was a notarized advance directive, this may not be legally acceptable especially if anything happens to her. The nurse may assume it is an attempted suicide and tries to save her life but the directives prevent her to do so.
What are the advantages and disadvantages of each approach?
Deontological has some advantages and disadvantages as well. One advantage is that it allows one to have moral breathing room. Another advantage is that one will have the intuitive knowledge of wrong or right. It helps people to do away with some immoral actions. It allows people to be objective as they can act in any way so long as it is not prohibited (Holyoak, & Powell, 2016). However, some of its disadvantages are that it may conflict with moral duties. There is also a reduction of morality to some extent of avoiding bad actions.
One of the advantages of consequentialism is that there is equal opportunity for people to share their happiness thus making decisions more objective. It also provides a rule where people are able to base the ethical decisions (Quong, 2018). One disadvantage is that the physicians are forced to predict the consequences. Another disadvantage is that it excludes the minority. It is also possible that people get subjected to moral laws they are not in agreement with.
One advantage of virtue ethics is that it helps people to feel motivated such that they work on morality. Individuals are also able to map their moral reasoning. The main focus is building oneself into better individuals rather than focusing on theory. Some of the disadvantages are that they change with time thus lacking a definitive definition (Van Hooft, 2014). It does not give clear direction on what to be done on moral dilemmas. It as well has no concerns about right or wrong actions.
What is the right thing to do? Justify your position with clear reasoning.
The right thing to do here is to follow the directives as given not to place her on the life support. This can be supported by the theories we have discussed. we have seen that our morals shows us what is right and wrong and therefore to make a decision one must consider the laws, consequences and health directives. JoEllen only stated a few words and no one clearly understands what she meant. In this case, the best thing to do is to follow the notarized directive that was brought by her son. It is possible that her son was bringing this since they knew that she was not sober at the time and this could help the doctors to make the right decision.
References
Gallagher, T., & Haworth, R. (2015). Professional and ethical issues. Handbook of Professional and Ethical Practice for Psychologists, Counsellors and Psychotherapists, 108.
Holyoak, K. J., & Powell, D. (2016). Deontological coherence: A framework for commonsense moral reasoning. Psychological Bulletin, 142(11), 1179.
Quong, J. (2018). Consequentialism, Deontology, Contractualism, and Equality. The Oxford Handbook of Distributive Justice, 306.
Van Hooft, S. (2014). Understanding virtue ethics. Routledge.
Compose 2–3 pages in which you respond to a medical ethics dilemma.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies:
· Competency 1: Explain the nature of ethical issues.
1. Explain the ethical issue in the scenario.
. Competency 2: Critically examine the contributions of key thinkers from the history of ethics.
2. Apply the three traditional theories of normative ethics to the situation.
. Competency 3: Engage in ethical debate.
3. Describe the advantages and disadvantages of the three theories as they relate to this situation.
. Competency 4: Develop a position on a contemporary ethical issue.
4. Apply ethical theory to justify your ethical position on this issue.
. Competency 5: Communicate effectively in the context of personal and professional moral discourse.
5. Communicate in a manner that is scholarly, professional, and consistent with expectations for members of professional communities.
Context
Context
Ethics is about doing what is right. Traditional normative theories express this goal in one of three ways:
. Virtue Ethics
6. Seek personal excellence by cultivating virtuous habits.
6. Aristotle: Achieve self-sufficiency through moderation.
. Deontological Ethics
7. Do your duty by following the rules.
7. Kant: Act as any rational agent is bound by universal law.
. Consequentialist Ethics
8. Try to make the world a better place by producing good outcomes.
8. Mill: Generate more pleasure and less pain for everyone.
Applying ethical theories to everyday life is not easy, as we consider virtues, duties, and results:
. Virtue Ethics
9. Strengths: Respect for people, moral education, continuing progress.
9. Problems: No direct advice for specific situations, excuse for self-serving.
. Deontological Ethics
10. Strengths: Simple application of rules, avoid personal responsibility.
10. Problems: Rigidly strict, conflicting rules, sometimes bad consequences.
. Consequentialist Ethics
11. Strengths: Flexibility in circumstances, outcomes publicly discernible.
11. Problems: Hard to predict results accurately, especially over the long run.
Using all three is fine, but we need to think through how they cohere or diverge.
·
Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.
As you think about applying ethical theory, consider addressing one of the following questions:
. Which of the three approaches to ethical theory makes the most sense, and why?
. When might Aristotle, Kant, and Mill disagree about how to handle a specific case?
. What theoretical approach are you most likely to employ in particular situations?
·
Resources
Suggested Resources
The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.
Three Approaches
. Fieser, J. (n.d.). . Internet Encyclopedia of Philosophy. Retrieved from http://www.iep.utm.edu/ethics/
1. Pages 1–15.
. Hinman, L. M. (2016). . Ethics Updates?. Retrieved from http://ethicsupdates.net/theories/index.shtml
2. Pages 1–2
Virtue Ethics
. Taylor, C. C. W. (2006). . Oxford, UK: Oxford University Press.
. Kemerling, G. (2011). . The Philosophy Pages. Available from http://www.philosophypages.com/hy/2s.htm
4. Pages 1–3.
. Kraut, R. (2014, April 21). . The Stanford Encyclopedia of Philosophy. Retrieved from http://plato.stanford.edu/entries/aristotle-ethics/
1/27/2020 Assessment 1 Instructions: Applying Ethical Theory – … Course Navigation ? Tutorials Elliott Crozat Log Out Support ? FACULTY Jamie Holub Roslyn Ellis 16 ? COACH Assessment 1 Instructions: Applying Ethical Theory Compose a 2-3 page paper in which you respond to a simulated medical ethics dilemma by applying the three normative theories of ethics. Introduction The field of ethics is highly personalized; each individual has his or her own view of actions that are morally and ethically sound. Rather than relying solely on personal experiences and emotions to govern ethical views, however, individuals often use ethical theories as a foundation. Ethical theories are useful in a variety of ways: To help people think through issues that arise in their everyday life. To make decisions, particularly those involving moral and ethical challenges. To justify decisions to others. To recognize types of arguments that other individuals use. You will learn about three traditions of normative ethics: Virtue ethics. Deontological ethics. Consequentialist ethics. These three traditions have contributed to our understanding about ethics through the works of key thinkers in history. Understanding these ethical theories will help you support your positions on ethical issues you encounter. In this assessment, you will apply ethical theory to a scenario that will be provided for you. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies through the following scoring guide criteria: Competency 1: Explain the nature of ethical issues. Explain the ethical issue in a scenario. Competency 2: Critically examine the contributions of key thinkers from the history of ethics. Apply the three traditional theories of normative ethics to a situation. Competency 3: Engage in ethical debate. Describe the advantages and disadvantages of each of three approaches to ethical theory as they relate to a specific situation. Competency 4: Develop a position on a contemporary ethical issue. Apply ethical theory to justify an ethical position on an issue. Competency 5: Communicate effectively in the context of personal and professional moral discourse. Communicate in a manner that is scholarly, professional, and consistent with expectations for members of professional communities. https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_232950_1&content_id=_8388566_1 1/2 1/27/2020 Assessment 1 Instructions: Applying Ethical Theory – … Overview You have now studied the three approaches to ethical theory (deontological, consequentialist, and virtue theory) as exemplified in the work of Immanuel Kant, John Stuart Mill, and Aristotle. Your assessment is to write an essay applying these three approaches to the following practical case: You are called to consult in the critical care unit of your local hospital. The hospital admits JoEllen, 53, after she takes an overdose of prescription medications with alcohol. On admission, she says, “Not supposed to be here . . . ” and soon becomes uncommunicative. As her condition deteriorates rapidly, her son arrives with a notarized advance directive in which JoEllen specifically asks not to be placed on life support. What should you recommend to the attending health professionals? Instructions As you write your essay, consider how you would achieve the following: Explain the ethical issue in this scenario. Apply the three traditional theories of normative ethics to this situation. Describe the advantages and disadvantages of the three theories as they relate to this situation. Apply ethical theory to justify your stance on the right thing to do in this situation. Your instructor may provide video feedback on your work, as well as complete the official scoring guide for the assessment. Additional Requirements Written communication: Ensure written communication is free of errors that detract from the overall message. APA formatting: Format resources and citations according to current APA style guidelines. Number of resources: Use your judgment to ensure your topic is thoroughly researched. There is no minimum number of resources required. Length of paper: Submit 2–3 typed, double-spaced pages. Font and font size: Use Arial, 12-point font. SCORING GUIDE Use the scoring guide to understand how your assessment will be evaluated. VIEW SCORING GUIDE ? https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_232950_1&content_id=_8388566_1 2/2 1/27/2020 Applying Ethical Theory Scoring Guide Applying Ethical Theory Scoring Guide CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED Explain the ethical issue in a scenario. Does not explain the ethical issue in the scenario. Describes the ethical issue in the scenario. Explains the ethical Analyzes the ethical issue the issue the scenario. scenario. Apply the three traditional theories of normative ethics to a situation. Does not apply the three traditional theories of normative ethics to the situation. Applies traditional theories of normative ethics to the situation, with errors or omissions. Applies the three traditional theories of normative ethics to the situation. Analyzes the advantages and disadvantages of the three theories as they relate to the situation. Describe the advantages and disadvantages of each of three approaches to ethical theory as they relate to a specific situation. Does not describe the advantages and disadvantages of each approach to ethical theory. Describes advantages or disadvantages of each approach to ethical theory as they relate to a specific situation, but not both. Describes the advantages and disadvantages of each approach to ethical theory as they relate to a specific situation. Analyzes the advantages and disadvantages of each approach to ethical theory as they relate to a specific situation. Apply ethical theory Does not apply to justify an ethical ethical theory to position on an issue. justify your ethical position on this issue. Identifies an Applies ethical ethical position on theory to justify an this issue. ethical position on this issue. Justifies an ethical position on this issue, supported clearly by ethical theory. Communicate in manner that is scholarly, professional, and consistent with expectations for professional communities. Communicates inconsistently in a manner of scholarly and professional expectations for members of professional communities. Communicates in a manner that is scholarly, professional, and consistent with expectations for members of professional communities, with written communication that is free of errors that detract from the overall message. Does not communicate in a manner that is scholarly, professional, or consistent with expectations for members of professional communities. Communicates in a manner that is scholarly, professional, and consistent with expectations for members of professional communities. https://courserooma.capella.edu/bbcswebdav/institution/PHI-FPX/PHI-FPX2000/190400/Scoring_Guides/a01_scoring_guide.html 1/1
Applying Ethical Theory Scoring Guide
https://courserooma.capella.edu/bbcswebdav/institution/PHI-FPX/PHI-FPX2000/190400/Scoring_Guides/a01_scoring_guide.html 1/1
Applying Ethical Theory Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Explain the ethical
issue in a scenario.
Does not explain
the ethical issue in
the scenario.
Describes the
ethical issue in
the scenario.
Explains the ethical
issue the scenario.
Analyzes the ethical issue the
scenario.
Apply the three
traditional theories
of normative ethics
to a situation.
Does not apply the
three traditional
theories of
normative ethics to
the situation.
Applies traditional
theories of
normative ethics
to the situation,
with errors or
omissions.
Applies the three
traditional theories
of normative ethics
to the situation.
Analyzes the advantages and
disadvantages of the three
theories as they relate to the
situation.
Describe the
advantages and
disadvantages of
each of three
approaches to
ethical theory as
they relate to a
specific situation.
Does not describe
the advantages and
disadvantages of
each approach to
ethical theory.
Describes
advantages or
disadvantages of
each approach to
ethical theory as
they relate to a
specific situation,
but not both.
Describes the
advantages and
disadvantages of
each approach to
ethical theory as
they relate to a
specific situation.
Analyzes the advantages and
disadvantages of each approach
to ethical theory as they relate to
a specific situation.
Apply ethical theory
to justify an ethical
position on an issue.
Does not apply
ethical theory to
justify your ethical
position on this
issue.
Identifies an
ethical position on
this issue.
Applies ethical
theory to justify an
ethical position on
this issue.
Justifies an ethical position on
this issue, supported clearly by
ethical theory.
Communicate in
manner that is
scholarly,
professional, and
consistent with
expectations for
professional
communities.
Does not
communicate in a
manner that is
scholarly,
professional, or
consistent with
expectations for
members of
professional
communities.
Communicates
inconsistently in a
manner of
scholarly and
professional
expectations for
members of
professional
communities.
Communicates in a
manner that is
schol

Treatment Of Psychiatric Emergencies
Treatment Of Psychiatric Emergencies
In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.
To Prepare:
Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
Select a healthcare program within your practice and consider the design and implementation of this program.
Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
Review the User Guide for Uploading Media in your Blackboard Classroom by accessing the Kaltura Media Uploader on the Left Navigation Bar in preparation to record your narrated video or audio for this Assignment.
The Assignment: (2–3 pages)
In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions:
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
Who is your target population?
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
Psychiatric emergencies like extreme psychomotor agitation or suicidality frequently occur in non-psychiatric settings like general hospitals, emergency rooms, or doctors’ offices, causing stress for everyone concerned.
They could be life-threatening and should be addressed right away.
As an assistance to their prompt and effective management, we address the primary presenting symptoms, differential diagnoses, and treatment choices for the main forms of mental emergencies in this article.
Selective literature review was used as a method.
Conclusions and findings
The few controlled studies and sparse accurate data that are now available do not adequately record the occurrence of mental emergencies in non-psychiatric settings, such as general hospitals and doctors’ offices, and their treatment.
Existing research implies that mental emergency diagnosis and treatment should be improved.
Aside from requiring necessary medical skills, the treatment of such instances entails tremendous expectations on the physician’s attitude and behaviour.
Establishing a strong, trustworthy connection with the patient, as well as the capacity to gently and methodically “talk down” anxious patients, are critical components of successful treatment.
A prompt and unambiguous treatment selection, which includes examination of the available options for effective medication, usually resolves acute symptoms quickly.
Mental disease is often, but not always, the cause of psychiatric emergency.
They necessitate immediate action to preserve the patient and others from death or other dire effects (1).
Immediate treatment aimed at the acute manifestations is required, both to ease the patient’s subjective symptoms and to prevent potentially harmful conduct.
Visit the Learning Objectives page.
The following are the learning objectives for readers of this article:
to get a general understanding of the various sorts of psychiatric emergencies;
to understand and be able to apply the legal framework (in Germany) for preventing harm to the patient and others;
to learn how to differentiate between different types of mental emergencies and how to treat them effectively.
There are little accurate statistics on the frequency of mental emergencies in general and family practice, in general hospital emergency rooms, or among patients handled by emergency medical teams.
The prevalence rate of mental emergencies has been found to range from 10% to 60% in various research (2).
This large range of results could be due to a number of methodological flaws.
Given the current realities in medical care, as well as the public’s overall antipathy to mental problems of any kind, it’s not surprising that psychiatric emergencies are rarely treated in specialized psychiatric facilities.
Mentally ill people who don’t want to be stigmatized frequently go to general hospitals’ emergency departments, which are usually easy to find and open 24 hours a day.
Prevalence
In non-psychiatric institutions such as general hospitals and general medical practices, the prevalence rate of mental emergencies has been reported to range from 10% to 60%.
According to a retrospective study conducted at Hannover Medical School (Medizinische Hochschule Hannover, MHH), mental patients presented to the emergency room at a rate of 12.9 percent in 2002. (3).
Psychiatric emergencies accounted for 12 percent to 25% of all emergency cases seen by emergency medical services (4, 5).
In 10% of cases, general practitioners and family physicians, the most widely regarded providers of primary care, saw psychiatric emergencies.
Regardless, there are few credible data on this topic from German-speaking countries, and disparities in health-care systems between countries may restrict the generalizability of findings from one country to the next (6, 7).
As a result of the foregoing, all physicians require a basic understanding of the diagnostic and therapeutic procedures to be followed in mental emergencies.
A number of studies have indicated that up to 60% of mental problems presenting to medical attention in mostly non-psychiatric facilities and hospitals are not effectively diagnosed or treated (2, 8).
Acute excitement with psychomotor agitation and self-destructive or suicidal behavior are the two basic forms of psychiatric emergency.
The purpose of this article is to present the diagnostic and differential diagnostic features of these entities, as well as treatment options.
The algorithms in Figures 1 and 22 are meant to aid in diagnostic and therapeutic decision-making, but they are not required to be followed to the letter in every situation.
Because there is a scarcity of high-quality research in emergency psychiatry, the algorithms and treatment suggestions presented here should be taken as expert guidance rather than absolute truth.
They are based on the authors’ clinical experience and relate to contemporary psychiatric emergency management at the University of Bochum’s Psychiatry Department (Germany).
Every physician, on the other hand, should be conversant with the fundamentals of psychiatric emergency management, which are discussed in the next section.

Evolving Practice Of Nursing
Evolving Practice Of Nursing
Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
A minimum of three scholarly references are required for this assignment.
What Are the Nursing Profession’s Origins?
Nursing as a profession began in the mid-nineteenth century.
Florence Nightingale, a well-educated British woman, is credited as the creator of modern nursing by historians.
By becoming a nurse, Nightingale defied social expectations — even her affluent parents.
The thought of women breastfeeding strangers was frowned upon at the time.
However, Nightingale saw nursing as a unique potential for women.
She felt that by combining their education and scientific expertise, they would be able to improve patient care while also achieving personal autonomy.
The British government solicited Nightingale’s assistance at a military hospital in Turkey during the Crimean War in 1854.
The fatality rate of British soldiers dropped drastically within weeks of her small team’s arrival.
The public was impressed by Nightingale’s achievements, and she eventually persuaded the Western world of the dignity and worth of educated nurses.
Florence Nightingale, who defied social standards and argued the necessity of educated nurses, is credited with founding modern nursing.
A decade later, during the American Civil War, the evolution of the nursing profession quickened.
Women, often mistresses or wives of soldiers, began following the troops when war erupted in the North and South.
They were primarily responsible for the care of sick troops.
The most common infections were pneumonia, typhoid, diarrhea/dysentery, and malaria.
Mary Ann Bickerdyke was a renowned nursing volunteer.
Despite the fact that she was not married to a soldier, she accompanied Union Gen. William T. Sherman’s army.
Bickerdyke took care of 2,000 men on her own after the 1863 Battle of Lookout Mountain in Tennessee.
During the Civil War, soldiers were plagued by illness.
The North and South set up makeshift hospitals to care for the tens of thousands of people who were afflicted.
Capt. Sally Tompkins and Phoebe Levy Pember, who served for the South, oversaw small teams of nurses who administered treatment.
The volunteer nurses, many of whom were female slaves, collectively saved a large number of lives.
As a result, Americans have a much higher regard for nursing.
The nursing profession would flourish swiftly as a result of newfound public support and undeniable contributions to health care.
Women who volunteered to care for wounded soldiers during the Civil War had a profound impact on popular view of nursing.
What has changed in the field of nursing over the years?
Various training programs have been established at colleges and universities over time.
What Has Changed in Nursing Over Time?
Formalized education is a significant change in the evolution of the nursing profession.
Hospitals were the first to offer training programs in the late 1800s.
In exchange for providing patient care, student nurses got clinical training.
Nurses assisted hospitals in making significant gains in safety and quality, as well as humanizing medical care, throughout this time of training.
Patient requirements got more complicated in the second half of the twentieth century, and hospitals needed experienced nurses to manage them.
As a result, hospital-based education is being phased out in favor of college and university-based training programs.
By 1960, there were more than 170 college nursing programs across the US.
The state’s first nationally approved nursing program was established at Texas Woman’s University in 1950, making it one of the state’s oldest.
Nursing education is now available at the undergraduate, graduate, and postgraduate levels in 871 schools around the United States.
The state’s first nationally approved nursing program was established at Texas Woman’s University in 1950, making it one of the state’s oldest.
Nurse education is always evolving to meet the requirements of patients, and the importance of a well-rounded education has never been higher.
The Institute of Medicine (IOM) issued a firm recommendation in 2010.
By 2020, at least 80% of registered nurses should have a bachelor’s degree to address increasingly complex patient circumstances.
The IOM also recommended that the number of doctorate-prepared nurses be doubled.
The American Association of Colleges of Nursing (AACN) has imposed this criterion as well, stating that all registered nurses must have a bachelor’s degree or equivalent in nursing.
Colleges and colleges have responded by expanding the capacity of four-year nursing programs in response to these demands.
In registered nurse to baccalaureate degree programs, enrolment has increased by 80% since 2010.
There is also a stronger focus on academic advancement.
The American Association of Colleges of Nursing (AACN) is urging nurses to continue their education beyond entry-level programs and into graduate and postgraduate studies.
Nurses can meet the nation’s demand for advanced practice registered nurses by doing so.

Discussion: NR 544 Data Collection and Risk Management
Saleema had total hip replacement in March 2015. One week later, the stitches started to bleed. She was concerned and went to the doctor’s office and was told it was a superficial hematoma. The bleeding continued on for three weeks and involved two doctor’s appointments and one trip to the emergency room. She was sent home each time with a diagnosis of a superficial hematoma.
Finally, Saleema’s visiting nurse saw her on a home care visit and called an ambulance, concerned about the amount of blood loss. Upon further investigation at the ER, a terrible infection was discovered that had spread into the bone. Saleema went in for emergency surgery and a PICC line was placed in order to administer the medication vancomycin. On this medication, she developed Steven’s Johnson’s syndrome, which was not diagnosed right away as the skin peeled off her hands. She ultimately went into acute renal failure and had to go back to the hospital. Two days post-admission, she developed C-diff and several vancomycin-resistant infections. She died in the hospital, two months after the original surgery. The cause of death was determined to be septicemia. Saleema lost her life over what was supposed to be a routine hip replacement.
Discussion: NR 544 Data Collection and Risk Management
As a future risk management nurse, please discuss the following points and questions.
Discuss your interview plan with Saleema’s family to collect data around her incident.
Which method of interview do you prefer to use, and why?
The goal of the interview is to provide accurate answers to questions of interest. Please provide two relevant questions and discuss which measurement levels you would use with your question. Explain your choices.
Scientific data collections may face a range of risk factors that could hinder, constrain, or limit current or future data use. Identifying such risk factors to data use is a key step in preventing or minimizing data loss. This paper presents an analysis of data risk factors that scientific data collections may face, and a data risk assessment matrix to support data risk assessments to help ameliorate those risks. The goals of this work are to inform and enable effective data risk assessment by: a) individuals and organizations who manage data collections, and b) individuals and organizations who want to help to reduce the risks associated with data preservation and stewardship. The data risk assessment framework presented in this paper provides a platform from which risk assessments can begin, and a reference point for discussions of data stewardship resource allocations and priorities.

NRS 434 Topic 1 Shadow Health: Digital Clinical Experience Orientation
Shadow Health: Digital Clinical Experience Orientation
Within the Shadow Health platform, complete the Digital Clinical Experience Orientation. Upon completion, submit the lab pass through the assignment dropbox.
You are not required to submit this assignment to LopesWrite.
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS:
Experience Overview
Student Performance Index Score: 2.0 of 2.0 (100.0%)
Time
19 minutes spent interacting with patient
10 minutes spent in post-exam activities
29 minutes total spent in assignment
Examination
No interview questions were asked
1 empathetic statement made
1 educational statement made
13 tool and tests conducted
Documentation
No documentation was written
Transcript
Started: Dec 06, 2019 | Total Time:19 min
hello, my name is Chinwe, and I am here to interview and examine you.
Greet
12/06/19 9:59 AM MST
Hey.
Treating high cholesterol helps lower your risk of stroke.
Educate
12/06/19 10:01 AM MST
Thanks for telling me.
It sounds like that was a challenging time for you.
Empathize
12/06/19 10:03 AM MST
Thanks.
Examined right eye.
Exam Action
12/06/19 10:06 AM MST
Examined left eye.
Exam Action
12/06/19 10:06 AM MST
Percussed posterior left upper chest wall
Exam Action
12/06/19 10:08 AM MST
Percussed posterior right upper chest wall
Exam Action
12/06/19 10:08 AM MST
Percussed posterior left middle chest wall
Exam Action
12/06/19 10:08 AM MST
Percussed posterior right middle chest wall
Exam Action
12/06/19 10:08 AM MST
Percussed posterior left lower chest wall
Exam Action
12/06/19 10:08 AM MST
Percussed posterior left lower chest wall
Exam Action
12/06/19 10:08 AM MST
Percussed posterior left lower chest wall
Exam Action
12/06/19 10:08 AM MST
Percussed posterior right lower chest wall
Exam Action
12/06/19 10:08 AM MST
Percussed posterior right lower chest wall
Exam Action
12/06/19 10:08 AM MST
Percussed posterior right lower chest wall
Exam Action
12/06/19 10:08 AM MST
CompletedOrientation
Objective Data Collection: 2 of 2 (100%)
Correct
Partially correct
Incorrect
Missed
Inspected pupils
1 of 1 point
Observations With Penlight (1/1 point)
No visible abnormal findings (PERRL)
Unequal
Irregular
Miosis
Mydriasis
Non-reactive to light
Percussed chest wall
1 of 1 point
Observations (1/2 point)
All areas resonant
Some areas dull, some resonant
Location (1/2 point)
No areas of dullness
Dullness, anterior right upper lobe
Dullness, anterior right lower lobe
Dullness, anterior left upper lobe
Dullness, anterior left lower lobe
Dullness, posterior right upper lobe
Dullness, posterior right lower lobe
Dullness, posterior left upper lobe
Dullness, posterior left lower lobe
Hallway Interaction Activity Time: 2 min
Diana
Your Preceptor
Hi there! How would you like to improve your interprofessional communication skills within the DCE?
This is you.
Ask open-ended questions
Multiple Choice Question Activity Time: 1 min
Select the right answer from the available choices.
Correct:We are here to support you as you develop your clinical reasoning and therapeutic communication skills. If at any time you have questions or concerns, please contact us! There is a direct link to our Help Desk in the upper right hand corner of your screen.
Wrong Answer
Right Answer (Correct Response)
Wrong Answer
Wrong Answer
Open Text Question Activity Time: 4 min
Please describe what you look forward to most in your upcoming activities within the DCE.
Student Response: Learn how to properly interview and examine a patient.
Model Note: There are many opportunities to learn and practice your clinical skills within the DCE, and we hope you are looking forward to all of them!
Reflection Prompt Activity Time: 3 min
How do you think the DCE can help you improve your clinical reasoning skills?
Student Response: By equipping me with the knowledge and skills to perform proper health interviews and assessments.
Description:
View the GCU Library tutorial.
Optional: Breastfeeding
Description:
For additional information, the following is recommended:
“Breastfeeding,” located on the National Women’s Health Information Center website. Familiarize yourself with the reasons why breastfeeding is important and the resources that are available for patients.
Optional: Family History Resources
Description:
For additional information, the following is recommended:
“Family History Resources,” located on the Centers for Disease Control and Prevention (CDC) website.
Optional: Never Shake a Baby Educational Video
Description:
For additional information, the following is recommended:
“Never Shake a Baby Educational Video,” by warrenman4u (2008), located on the YouTube website. In particular, familiarize yourself with prevention of abuse.
Optional: 14 Diseases You Almost Forgot About Thanks to Vaccines
Description:
For additional information, the following is recommended:
Health Literacy Basics for Health Professionals
Description:
Watch “Health Literacy Basics for Health Professionals,” by VHC Primary Care (2014), located on the YouTube website.
A Comprehensive Newborn Examination: Part I. General, Head and Neck, Cardiopulmonary
Description:
Read “A Comprehensive Newborn Examination: Part I. General, Head and Neck, Cardiopulmonary,” by Lewis, from
American Family Physician (2014).
A Comprehensive Newborn Examination: Part II. Skin, Trunk, Extremities, Neurologic
Description:
Read “A Comprehensive Newborn Examination: Part II. Skin, Trunk, Extremities, Neurologic,” by Lewis, from
American Family Physician (2014).
Loom
Description:
Utilize Loom to complete the topic assignment. Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.
.

The Musculoskeletal System And Pain
The Musculoskeletal System And Pain
CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
CO3 Utilize effective communication when performing a health assessment. (PO 3)
Fred is an 83-year-old male who is being admitted to the medical-surgical unit status post fall. He is alert and oriented and reports that while visiting a local casino with his wife Margaret earlier this evening, he tripped over a curb and fell landing on his right side. After receiving morphine in the emergency room prior to transfer to your unit, Fred is rating his pain at 6/10. He has multiple bruises from his jawbone to his knee as well as a slight rotation of his right leg.
Past medical history includes: myocardial infarction (MI) x 2, peripheral vascular disease (PVD) with bilateral iliac stents, non-insulin-dependent diabetes mellitus (NIDDM), sleep apnea, and degenerative joint disease.
Medications include: aspirin, Plavix, Lopressor, Lisinopril, and Metformin.
After reviewing the above scenario please answer the following questions.
Based on the information provided, how will you prioritize your care, what assessments will you include and in what order? Please provide rationale for your response.
Considering this patient’s age, injury, past medical history, and list of current medications, what, if any, concerns do you have related to his potential need for surgery?
Should surgery to repair his right femur be required; what type of clearance and pre-op orders would you anticipate receiving related to his diet, meds, lab work, and so on?
STOPPED IN HIS TRACKS
CLASS: I am certain that most of you have encountered a patient like Fred. They are vibrant and engaged elderly people who suffer a fall and sustain what can be life threatening injuries. His situation is complicated by his age (the condition of his vital organs and musculoskeletal system), his previous medical history and his current medication regimen. Be sure to consider each of these complications as you create your plan for his nursing care.
References:
Chamberlain College of Nursing (2019) NR305 RN Health Assessment.Week 7 lesson Downers Grove, IL Online Publication

NR 702 DNP Project & Practicum I
Week 8 Discussion
Planning to Submit to IRB
Reflect on the IRB process by answering the following questions:
Will you need to gain IRB approval from your organization?
What is the schedule for the organization’s IRB meetings?
What is the process you will need to go through to gain the organizations approval?
What barriers could you face as you progress through the IRB process?

POLI 330 Quiz Week 4 2018
(TCO 3) Who generally belongs to interest groups?
A multiplicity of people
Primarily the middle class
Almost exclusively the well educated
Suburbanites and urbanites
Question 2
0 / 3 pts
(TCO 3) Why did the 2010 healthcare reform bill contain no provision for public insurance options?
The insurance industry blocked the Democrats’ efforts for a public option.
The people had no desire for a public option.
Democrats were not interested in a public option.
Farmers, heavily invested in the insurance industry, blocked them
Question 3
3 / 3 pts
(TCO 3) Bureaucracies have become big and powerful, developing _____ of their own.
candidates
interests
political parties
media outlets
Question 4
3 / 3 pts
(TCO 3) Some interest groups maintain a low profile by promoting their objectives without _____ them.
lobbying for
fully funding
advertising
openly debating
Question 5
3 / 3 pts
(TCO 3) Which of the following is a function of political parties?
Parties limit voters’ choices by narrowing the playing field.
Parties function as an input device, allowing citizens to get their needs heard.
Parties decide the issues for televised political debates.
Parties nominate candidates, thereby increasing voter efficacy.
Question 6
3 / 3 pts
(TCO 3) Why does proportional representation (PR) allow and even encourage parties to split?
PR systems assign parliamentary seats in proportion to the percentage of votes in that district.
PR systems designate representation on a flat regional basis.
PR systems allow only a simple plurality to win.
Voters in PR systems tend to be less loyal to their parties.
POLI 330 Quiz Week 4 2018
Question 7
3 / 3 pts
(TCO 3) Which of the following is an advantage to having less powerful, less centralized parties?
Fluid and flexible parties may be better able to process demands from a wider range of citizens.
Multiple party platforms possess greater persuasive abilities over the general public.
Parties can form a stronger organizational identity based around a single, cohesive ideology.
Third parties can effectively shoot for power grabs at legislative seats.
Question 8
3 / 3 pts
(TCO 3) What do you think might be a side effect of or a cause of nations with very high voter turnout having that level of turnout?
They may have a kind of political fever in which partisan politics has become too intense.
They likely play host to elections in which indistinct personalities and a relatively unified electorate bring out more voters.
They probably don’t offer automatic voter registration.
They usually have mandatory voting.
Question 9
3 / 3 pts
(TCO 3) What was the relationship between African American voting rates and Barack Obama’s run for president?
African American voting rates rose to those of white voters as African American income and education levels rose.
African American voting rates unexpectedly remained far below those of white voters as African American income and education levels remained steady.
African American voting rates rose to those of Hispanic voters as African American income and education levels rose.
African American voting rates fell unexpectedly below those of white voters despite African American income and education levels rising.
Question 10
3 / 3 pts
(TCO 3) Why might factory workers in small towns feel a different sense of the stakes elections hold than executives and professionals?
Factory workers in small towns may perceive a great deal of difference between candidates, noticing considerable change from one administration to another, and executives and professionals feel generally less involved but still perceive a direct correlation between who wins and their personal fortunes.
Factory workers in small towns may perceive little difference between candidates, noticing little change from one administration to another, and although executives and professionals share this sense of noticing little change from one administration to another, they still perceive a direct correlation between who wins and their personal fortunes.
Factory workers in small towns may perceive little difference between candidates, noticing little change from one administration to another, and executives and professionals feel involved and perceive a direct correlation between who wins and their personal fortunes.
Executives and professionals may perceive little difference between candidates, noticing little change from one administration to another, and factory workers in small towns feel involved and perceive a direct correlation between who wins and their personal incomes.

Teenage Pregnancy
Course Project—Health Promotion Program Plan to Address Health Issue
In Week 1, you selected and analyzed a health issue and described the population most affected by it, using the PRECEDE-PROCEED health promotion program planning model. In Week 2, you learned how to conduct a needs assessment and how the results of the needs assessments are used in health promotion program planning and design. In Week 3, you analyzed the predisposing, reinforcing, and enabling behavioral risk factors for your selected health issue, using the PRECEDE-PROCEED health promotion program planning model. In Week 4, you selected and evaluated the strategies of two social marketing campaigns.
This week you will address your selected health issue based on the individual project components you have completed throughout this course. Compile the relevant ideas from the papers developed from Week 1 through Week 4 to create a complete health promotion program plan. Write a 15 to 20 page, double-spaced, research paper. Use the eight (8) phases of PRECEDE-PROCEED health promotion planning model, to create a health promotion plan for your selected health issue.
Please include the following in your paper:
Write a 1 to 2-page executive summary about the health promotion program plan. The executive summary should be written keeping a lay audience in mind.
Create one or more graphic organizers for the planning model, following the framework of the PRECEDE-PROCEED model.
Please remember to also:
Identify a working group for implementation of your selected strategies (Phase 4)
Explain how strategies would be adopted, implemented, and maintained in the community (Phase 5)
Write an introduction, a summary, and include a separate title page and a page for references.
Be sure to use a minimum of five scholarly references and support your statements with appropriate examples.
People’s health is the focus of health promotion and disease prevention programs.
Individuals and communities are encouraged to choose healthy behaviors and make changes that minimize the likelihood of developing chronic diseases and other morbidities through health promotion programs.
The World Health Organization defines health promotion as follows:
“allows individuals to gain more control over their own health.”
It encompasses a wide range of social and environmental interventions aimed at improving and protecting people’s health and quality of life by addressing and avoiding the core causes of illness, rather than only treating and curing symptoms.”
Disease prevention varies from health promotion in that it focuses on targeted efforts to prevent the onset and progression of chronic diseases and other morbidities.
Wellness is linked to disease prevention and health promotion.
Wellness is defined as an individual’s attitudes and active decisions that lead to positive health habits and outcomes.
Social determinants of health, which influence modifiable risk behaviors, are frequently addressed in health promotion and disease prevention programs.
The economic, social, cultural, and political conditions in which people are born, grow, and live are all social determinants of health.
Tobacco use, poor dietary habits, and a lack of physical activity are examples of modifiable risk behaviors that contribute to the development of chronic disease.
The following are examples of typical activities for health promotion, disease prevention, and wellness programs:
Raising public awareness about healthy practices through communication.
Public service announcements, health fairs, mass media campaigns, and newsletters are all examples of communication tactics.
Education: Increasing knowledge to empower behavior change and actions.
Courses, trainings, and support groups are examples of health education strategies.
Teenage Pregnancy
Policy, Systems, and Environment: Making systematic adjustments to encourage, make available, and enable healthy choices through improved laws, rules, and regulations (policy), functional organizational components (systems), and the economic, social, or physical environment.
Module 2 contains models for health promotion and illness prevention programs.