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How has nursing practice evolved over time? Discuss the key leaders and historical events that have influenced the advancement of nursing, nursing education, and nursing roles that are now part of the contemporary nursing profession.
How has nursing practice evolved over time? Discuss the key leaders and historical events that have influenced the advancement of nursing, nursing education, and nursing roles that are now part of the contemporary nursing profession.
1) **********minimum 5 full pages ( not words)**************************** (cover or reference page not included)
2)¨**********APA norms ( All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences)
3)********** It will be verified by Turnitin and SafeAssign
4) **********References from the last 5 years
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INSTRUCTIONS (Required: these pages must be included in the references and cited in the text):
1. Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative. Pay close attention to the objectives, goals, and indicators.
2. Go to: https://www.cdc.gov/outbreaks/index.html and identify 3 community infectious outbreaks: AIDS, HIV and Hepatitis.
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1) Using your city (Miami) or county ( Miami dade) public health department or the CDC, choose 3 population or community based problems such as disease (AIDS, HIV and Hepatitis).
2) From the topics outlined in the website prepare an analysis discussing how these 3 conditions,
a) affect your community
b) how they were identified and a plan of action to contained them base on healthy people 2020.
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Must include the zip code of the city (Miami) or county (Miami dade) chosen
Research Editing Task
Duration: 15 hours
Task Description
If you have any questions feel free to ask me while you’re doing the editing. Ive sent to you the ‘assessment brief’ or the marking criteria so to speak. ignore the dates inside that as it is an old copy of the ‘assessment brief’ and has not been updated.
Please mention about air exchange in the operating theater and to maintain sterility during operation.
Some useful links:
1) https://books.google.com.sg/books?id=1sxmCwAAQBAJ&pg=PA443&dq=optimal+operating+room+temperature&hl=en&sa=X&ved=0ahUKEwiswuHyitbXAhULrI8KHUntCVkQ6AEINjAD#v=onepage&q=optimal%20operating%20room%20temperature&f=false,
2) http://apps.who.int/iris/bitstream/10665/44185/1/9789241598552_eng.pdf WHO Guidelines for Safe Surgery 2009 apps.who.int WHO Patient Safety | WHO Guidelines for Safe Surgery 2009 2 Confronted with worldwide evidence of substantial public health harm due to inadequate patient safety, the … Nurse’s Pocket Guide books.google.com.sg This quick-reference tool has what you need to select the appropriate diagnosis to plan your patients’ care effectively. The 14th Edition features all the latest nursing diagnoses and updated interventions.
Comment boxes are included in the ‘EPTTM My Essay’ file so please navigate the document as you check the right margin for comment balloons.
Benchmark – Professional Capstone and Practicum Reflective Journal
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences: New practice approaches Intraprofessional collaboration Health care delivery and clinical systems Ethical considerations in health care Population health concerns The role of technology in improving health care outcomes Health policy Leadership and economic models Health disparities
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
John is a 76-year-old man with a long history of stable angina and hypertension. He is prescribed nitroglycerin tablets as needed for chest pain and lisinopril for his hypertension. John has noticed that his chest pain is occurring with increasing frequency and less activity is required to initiate the symptoms; however, the pain subsides quickly with rest and one or two nitroglycerin tablets.
John is awakened from sleep with chest pain and shortness of breath. The pain is much more severe than his usual anginal pain and radiates to the jaw and the left arm. He experienced some nausea and became diaphoretic and pale. Upon admission to the local emergency department, he was noted to have significant ST-segment elevation on a 12-lead electrocardiogram (ECG).
Discussion Questions:
1. What diagnosis is consistent with John’s history and physical exam?
2. Please differentiate between a STEMI and Non-STEMI.
3. What are the pathophysiological findings specifying an MI?
4.What are the differences between angina, silent ischemia, and myocardial ischemia?
5.Provide a description of the three factors associated with Sudden Cardiac Death.
6.What are the possible complications post-MI might the NP be aware of when caring for John?
Respond to the post bellow offering additional/alternative ideas regarding opportunities and risks related to the observations shared.
Main Post
iPhone technology, secure texting, and telehealth
The hospital that I currently work for piloted the use of iPhones in addition to our work station on wheels (WoW). We can use this iPhone technology for charting simple nursing interventions, receive STAT orders and discharge orders, and communicate with our colleagues through texting. Our WoWs enable us to do “secure texting” to a physician, some physicians prefer the secure texting technology some don’t, but surely there are times that the answering service may fail to page them in a timely manner and the secure texting technology becomes very useful. As nurses, we can see through our WoWs as soon as the physician reads the text message, that way we know they are aware. This technology saves us some precious time we spend on the phone waiting on hold just to page a physician for orders, condition and/or results. Our hospital also offers telehealth services especially for those who are likely to be readmitted due to chronic diseases. We mostly see a telehealth order for a patient with cardiac issues.
Risks and benefits
The biggest threat that I believe healthcare technology is at risk for is privacy. According to Chaet, Clearfield, Sabin and Skimming (2017), privacy and confidentiality are just “as important in the context of telehealth and telemedicine as in hospital and office settings” (p. 1138). I surmise, organizations providing this type of technology in healthcare have an incredible security system in place. The secure texting technology, we are instructed not to use full names, instead, we use room numbers of the patients.
The biggest benefit of the use of telehealth and mobile devices for healthcare is accessibility. Use of the iPhone technology in our hospital is quick and easy to navigate, we can get in touch with virtually anybody logged in for that shift in the whole hospital. From a distance, telehealth helps those patients who are unable to manage their chronic illnesses very well.
Trends in healthcare technology
The most promising healthcare technology to me is virtual visits, mobile health, telehealth, and telemedicine technology. One can get in touch with a healthcare provider as long as one has a smartphone and internet access. It could provide access to so many more patients in need of healthcare that resides in rural areas or have no means to transport themselves to the physician’s office. It could save time and money for patients as we all know healthcare can get expensive very easily and very fast. According to Abuhaimidd, Meetoo and Rylance (2018), technology in healthcare with the use of mobile devices can “truly offer the potential to promote healthcare management and health behaviour change outside formal clinical settings” (p. 1176). This does not take away the significance of having a physical visit with a physician, those visits are intended for more complicated health issues, but I believe this technology has potential to truly help those with chronic illnesses to be able to manage their health on their own, make them accountable for their own wellbeing, patients can share data, interact with clinicians over a mobile device instead of having to go to the doctor’s office.
Telehealth rules
According to Mastrian and McGonigle (2017), nurses who participate in telehealth must be “licensed to practice in all of the states in which they provide telehealth services by directly interacting with patients” (p. 381). This can be challenging as states have different rules and regulations regarding licensure, continuing education requirements are different as well as fees and renewal process.
References
Abuhaimid, H. A., Meetoo, D., & Rylance, R. (2018). Health care in a technological world. British Journal of Nursing, 27(20). 1172-1177.
Barreto, E. A., Cohen, A. B., Donelan, K., Estrada, J. J., Michael, C., Schwamm, L. H., … Wozniak, J. (2019). Patient and clinician experiences with telehealth for patient follow-up care. American Journal of Managed Care, 25(1), 40-44.
Chaet, D., Clearfield, R., Sabin, J. E., & Skimming, K. (2017). Ethical practice in telehealth and telemedicine. Journal of General Internal Medicine, 32(10), 1136-1140.
Mastrian, K. G., & McGonigle, D. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Week Six – Correlations Exercises
Correlations are used to describe the strength and direction of a relationship between two variables. A correlation between two variables is known as a bivariate correlation. In this module the Pearson Product-Moment Correlation will be used when running a correlation matrix. The Pearson correlation coefficient ranges from a value of -1.0 to 1.0. A correlation coefficient is never above 1.0 or below -1.0. A perfect positive correlation is 1.0 and a perfect negative correlation is -1.0. The size of the coefficient determines the strength of the relationship and the sign (i.e., + or -) determines the direction of the relationship. The closer the value is to zero the weaker the relationship and the closer the value is to 1.0 or -1.0 the stronger the relationship. A correlation coefficient of zero indicates no relationship between the variables.
A scatterplot is used to depict the relationship between two variables. The general shape of the collection of points indicates whether the correlation is positive or negative. A positive relationship will have the data points group into a cluster from the lower left hand corner to the upper right hand corner of the graph. A negative relationship will be depicted by points clustering in the lower right hand corner to the upper left hand corner of the graph. When the two variables are not related the points on the scatterplot will be scattered in a random fashion.
Using Polit2SetB dataset, create a correlation matrix using the following variables: Number of visits to the doctor in the past 12 months (docvisit), body mass index (bmi), Physical Health component subscale (sf12phys) and Mental Health component subscale (sf12ment). Run means and descriptives for each variable as well as the correlation matrix.
Follow these steps using SPSS:
1.Click Analyze, then correlate, then bivariate.
2.Select each variable and move them into the box labeled “Variables.”
3.Be sure the Pearson and two-tailed box is checked.
4.Click on the options tab (upper right corner) and check “means and standard deviations.” The exclude cases pairwise should also be checked. Click continue.
5.Click OK
To run descriptives for docvisit, bmi, sf12phys and sf12ment do the following in SPSS:
1.Click Analyze then click Descriptives Statistics, then Descriptives.
2.Click the first continuous variable you wish to obtain descriptives for (docvisit) and then click on the arrow button and move it into the Variables box. Then click bmi and then click on the arrow button and move it into the Variables box. Then click sf12phys and then click on the arrow button and move it into the Variables box. Then click sf12ment and then click on the arrow button and move it into the Variables box.
3.Click the Options button in the upper right corner. Click mean and standard deviation.
4.Click continue and then click OK.
Assignment: Answer the following questions about the correlation matrix.
1.What is the strongest correlation in the matrix? (Provide correlation value and names of variables)
2.What is the weakest correlation in the matrix? (Provide correlation value and names of variables)
3.How many original correlations are present on the matrix?
4.What does the entry of 1.00 indicate on the diagonal of the matrix?
5.Indicate the strength and direction of the relationship between body mass index and physical health component subscale?
6.Which variable is most strongly correlated with body mass index? What is the correlational coefficient? What is the sample size for this relationship?
7.What is the mean and standard deviation for bmi and doctor visits?
Part II
Using Polit2SetB dataset, create a scatterplot using the following variables: x-axis = body mass index (bmi) and the y-axis = weight-pounds (weight).
Follow these steps in SPSS:
1.Click Graphs, then click on Legacy Dialogs, then click “Scatter/Dot”.
2.Click “Simple Scatter” and then click “Define.”
3.Click on weight-pounds and move it to the Y-axis box and then click on body mass index and move it to the x-axis box.
4.Click OK.
To run descriptives for bmi and weight do the following in SPSS:
5.Click Analyze then click Descriptives Statistics, then Descriptives.
6.Click the first continuous variable you wish to obtain descriptives for (body mass index) and then click on the arrow button and move it into the Variables box. Then click weight-pounds and then click on the arrow button and move it into the Variables box.
7.Click the Options button in the upper right corner. Click mean and standard deviation.
8.Click continue and then click OK.
Assignment:
1.What is the mean and standard deviation for weight and bmi?
2.Describe the strength and direction of the relationship between weight and bmi?
3.Describe the scatterplot? What information does it provide to a researcher?
References 3 references required
Required Media
Walden University. (n.d.). Correlations. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_correlations.html
Required Readings
Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.
Chapter 23, “Using Statistics to Examine Relationships”
Statistics and Data Analysis for Nursing Research
Chapter 4, “Bivariate Description: Crosstabulation, Risk Indexes, and Correlation” (pp. 59–61 and 68–78)
Chapter 9, “Correlation and Simple Regression” (pp. 197–209)
Describe a nurse problem encoutered in practice and use literature review to support the problem
Please, respond to the following discussion by using one reference from peer-reviewed Nursing Journal. not older than 5 years.
The concept of organizational structure is fundamental in all companies. Among other things, it defines the characteristics of the organization of the company and has the mission of establishing authority, hierarchy, organizational charts, and departments, among other things. All organizations must have an organizational structure according to the tasks or activities they intend to do, through an appropriate structure that allows them to set their functions, and areas with the intention of producing products or services through a correct order that facilitates the achievement of business objectives. All workers must be clear about their role in the system, and through this order, a series of protocols for action and control results are specified (Huber, 2010).
In order to follow an organizational structure, a leader or a manager is needed. Positive leadership is exercised by those who are capable of guiding the efforts of a work team towards achieving the objectives and goals of the organization (Karefoot, 2015). An organizational structure has a vision and mission a leader must follow in order to lead other employees in that direction. An organizational structure can shape a leader or manager into learning how to be confident, to promote dialogue within the employees and to become an innovator (Huber, 2010). A leader or manager also improve the skill of decision-making, the person becomes a motivator, the one that takes the initiative, and further improve the skills of listening and delegation. A leader must identify with the mission and vision of an organization because this one will shape the path of the employees, company and the method of achieving the goals (Karefoot, 2015).
LoudCloud will be used to document and follow the status of your practice immersion hours throughout this course. Students must be able to document a minimum of 100 practice hours in association with this course to fulfill the total required practice hours in the RN-to-BSN program. Please review the Practice Hours Portfolio Required Elements below, then review the Guidelines for Undergraduate Field Experiences resource for details on what may or may not qualify as practice hours.
Practice Hours Portfolio Required Elements
The Practice Hours Portfolio will include all of the following elements: Individual Success Plan signed off by course mentor. Comprehensive clinical log of hours applied to program learning outcomes. Student evaluations (final). Course mentor evaluations (final). Faculty approvals of the Individual Success Plan and documented practice immersion hours. (Student is responsible for obtaining approvals.)
Course mentor’s approval of the Individual Success Plan and documented practice immersion hours. (Student is responsible for obtaining approvals.)
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