Month: June 2020

Welcome to WordPress. This is your first post. Edit or delete it, then start writing!

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

1. Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
2. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
5. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:       Exemplify professionalism in diverse health care settings.

1.3:       Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

3.4:       Demonstrate professional standards of practice.

Discussion A: Complete the initial discussion
Roslyn is complaining of severe pain. She is 6 years old and has been placed in public school for the first time. Now she is complaining of her legs hurting. She is so excited about being in school finally, but her parents report that she is not participating in play time, seems weaker, and is pale. She is diagnosed with sickle cell anemia, parents undergo genetic testing as well as all her siblings and it is found that she is the only child with the disease.
Provide nursing diagnosis and nursing interventions for this child. What is your priority nursing care?Group B: Complete the subsequent discussion
Once the crisis is over what education will you provide to Roslyn and her parents?
Discharge teaching should include?
Is it appropriate that Roslyn stay in school? What about activities?

Group B: complete the initial discussion
Charley is 10 months old. His parents brought him to the pediatrician because he was sleeping more than average, refusing to eat, and is not pulling himself up as other children.
He cries while in the ‘jumper’ and screams when they try to have him stand. After some time Charley’s pediatrician informs the parents that the diagnosis is ALL.
In your research, what have you learned regarding this cancer and the prognosis?
What are the treatment modalities recommended for this disease?Group A: Complete the subsequent discussion
Charley’s parents are devastated with the diagnosis and are grieving. Their pediatrician and oncologist are supportive but realistic and scheduling a meeting with hospice for education and grief counseling.
Describe grieving.
Provide palliative care to your patient. Provide support to his parents.

Please include in text citation and 3-4 references

Respond to group B only

Group A – Complete the initial response.

Intimate Partner Violence: A 30 y/o woman presents to the Emergency Department with a complaint of sexual assault by a co-worker in her office. She has no facial or body trauma, bruising or lacerations. She is withdrawn, crying and relates feeling very guilty about coming into the clinic but is afraid of getting pregnant. They had begun dating a week ago, but she never believed this man would become so aggressive.

How can you best help this woman?

What medical care should be provided?

What education will you provide to her?

Group B: responding to this discussion

Care for this patient does not conclude at the end of this ED visit.

What follow up care should be provided?

Who is best suited to provide care to this patient?

http://www.rainn.org/ this is a link to the web site.

Discussion: Group B – please complete this initial discussion.

You are working in a rural Family Planning Health clinic and a 16 y/o presents with complaints of vaginal pain, discharge, odor x 4 days. Pain is getting worse. Her mother relates she has a cognitive learning delay and has tried to talk to her about her consensual sexual behavior with multiple partners. She tells you she has “felt some ‘bumps’ down there.” She relates multiple sexual partners because she is now popular and it is part of the ‘game’ to stay popular with her new friends. Diagnosis: HPV with several condyloma lesions, a vaginal yeast infection, and chlamydia.

She is given a prescription for Chlamydia, and the vulvar lesions, told to follow up in 2 weeks.

How do you approach her and begin the conversation regarding safe sexual practices? What are your thoughts about this young lady? How do you feel about her game? How would you proceed to give her education?

Group A: respond to this discussion.

This client is a victim to sexual coercion. As the nurse what is your role and responsibility.

As the nurse what is your role and responsibility?

Can you direct her to a support system that would be on going to assist her?
What will happen to her if she begins to refuse to participate in this sexual behavior?

Include intext citation with 3-4 references

Respond to Group B only

1) **********minimum 5 full pages ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign

4) References not older than 5 years

Mandatory

5) Each answer must be identified according to the question number. Check the list of questions. Your answer should start objectively answering the question

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

______________________________________________________

You will hand in one formal paper about a nursing theory

 Theory of Comfort by Katharine Kolcaba 

Questions:

1) Introduction

a) Identification of theorist including a brief background of the theorist (accomplishments, career, accolades, research efforts)

2) Analysis of basic components/concepts and major relationships in the theory

a) Briefly discuss the theory’s core concepts

b) Use a secondary source that covers the selected nursing theory, you must have a minimum of 3 references from nursing literature (only one from a non-article source like a secondary source/text) to support your discussion in this section.

3)  Relevance

a)  Personal relevance if any of the authors described (connect the theorist to the theory)

b) Relevance to healthcare and the client discussed (connect the theory to healthcare today)

c) Application to research and/or practice provided (connect the theory to current research/practice)

d) Use at least two peer-reviewed/research articles that detail the nursing theory being applied in clinical

e) Practice/research, and summarize key findings of both articles including results and implications for future practice

4)  Summary: Include theory strengths and limitation in the summar

Consider the term, “analysis of variance” that has been discussed here.

1.  have you ever come across this term prior to this assignment ?
2. At this time, do you think you have a good understanding of what this term means?
3. Given your future career goals of becoming a nurse practitioner do you feel that knowing this term will be vital to you?

1) **********minimum 2 full pages ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign

4) References not older than 5 years

5) Each answer must be identified according to the question number. Check the list of questions. Your answer should start objectively answering the question

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

_______________________________________________________________

Page 1: Katharine Kolcaba’s Comfort Theory theory.

Basic concepts

4 metaparadigms

Theoretical proposal

Page 2: Jane Duffy’s Quality Caring Model

Basic concepts

4 metaparadigms

Theoretical proposal

Write a paper of 600-750 words on your proposed problem description for your EBP project. The paper should address the following:

1. Describe the background of the problem. Tell the story of the issue and why it deserves attention.
2. Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.
3. State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.
4. 5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.
5. Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project.
6. The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
7. Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.