Discussion Question

1.  Provide a brief narrative introduction to your project topic or idea that covers the following points:

a.     The problem –Catheter Associated Urinary Track Infection (CAUTI)

b.     How the problem was identified—through chart review using REDCap survey.

c.      The proposed solution (innovative teaching strategy)—xxxxxxxxxxx

d.     The potential benefits to the organization that the proposed change will bring about—xxxxxxxxxx

2.  Post an initial draft of your five PICOT elements (see below for further requirements) and your PICOT question using the standard PICOT format. xxxxxxxxxxx

After posting a short narrative introduction to your proposed quality improvement idea, you will list an initial draft of each of your five PICOT elements:  

·    P: Identify/define the population   

oThis can be the population (learners) that is being asked to change a practice. 

oThis may be a population (learners) that is the focus of the change.  

oDo not use this element to state the problem.  

·    I: Intervention – This is the innovative educational intervention/teaching strategy you propose to address the problem and is intended to produce an improved outcome.  

·    C: Comparison – What is the current practice that is not producing the desired outcome? This could be “…” compared to no intervention…” 

·    O: Outcome – This is an objective measure that will be used to evaluate the effect of your intervention. There must be objective and measurable metrics as part of this statement.  

·    T: Time – How long will it take to have enough time and enough data to determine if your intervention produced the desired results? You should not exceed 8 weeks, as you will be implementing this quality improvement project in either NR621 or NR622. 

For example, let’ say that you are in a pharmacology didactic course for your practicum site and your mentor states that students are exhibiting low test scores. The class is currently being taught primarily by lecture. You and your mentor decide to implement a flipped classroom to see if the students understand the concepts better. Your PICOT question could look like this: 

In first year nursing students enrolled in a pharmacology course (P), will a flipped classroom (I) as compared to no intervention (C) improve students’ knowledge related to the identified concepts (O) in eight (8) weeks (T)? 

———–

Provide relevant evidence of two scholarly resources clearly stating how the evidence informed or changed professional or academic decisions.

One scholarly resource must be from a nursing peer-reviewed journal

You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team. Choose one of the quality models and explain how you would use it to address the causes or the adverse events.

You find that your staff is not aware of the budgeted staffing model for their nursing unit. How would you go about educating/informing your staff? What would the most important factors to address?

Identify two to three indications that meaningful use has improved care coordination. What were some of the priorities when meaningful use was developed

When reviewing the literature for your evaluation plan and different types of evidence for your project, what gaps in the findings did you encounter? How could these gaps influence other researchers?

Select an effective current health policy that focuses on or affects population health. What components of this policy make it effective? Conduct research on its history and the factors that influenced its development.

Discuss the role of the Institutional Review Board. Discuss ethical research considerations specific to population health. How are respect for the persons, potential benefits and burdens of the research, and justice kept in balance? Provide an example.

Using the GCU Library (notably the GCU Library: Nursing and Health Sciences Research Guide), find a database, journal, or other collection of resources that focuses on translational research. Select a population health problem or issue of interest from the available studies. What type of translational research is used for the study? Provide rationale as to why this is the best.

Open and clear communication is critical for the effective functioning of the interprofessional team and the delivery of safe patient care. Discuss the way communication technologies can enhance coordination of care by interprofessional teams. Be sure to discuss a specific communication technology in your response.

Discuss how emerging technologies (consumer, mobile and telehealth technologies) impact patient care and the storage of health information. What is one ethical or legal issue related to EHRs that can impact a registered nursing practice? According to HIPAA, protected health information (PHI), and the requirements for privacy and confidentiality, what is one measure you can implement in your practice to protect patient privacy and confidentiality? 

In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care in your response. Why are heuristic principles (human factors/usability/user centered design) important for efficient clinical information systems such as CPOE and CDSS?

Review the American Nursing Informatics Association (ANIA) website and discuss the resources that you found there. Discuss how the website might be used for networking in the nursing informatics profession.

Explain how health care policy affects health care organizations, patient care, and cost-effective quality care. What measures can the nurse leader take as an advocate for patient care and addressing health care cost?

Describe an organizational change model that can be used in a dynamic health care environment. Based on this model, how is organizational change is managed? What role do stakeholders play during organizational change?

Consider the evolution of the U.S. health care system. Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse. Project what major evolving trends in the health care delivery system will affect nursing practice and how advanced registered nurses will influence the direction of health care.

Research health care legislation that is being considered in your state. What impact might this legislation have on your future practice? What impact does it have on the collective practice of nurses in your state? How do you envision yourself potentially becoming involved in political advocacy for the profession in your future practice?

My state is Texas

What are some of the major ethical issues in conducting research that impacts the advanced registered nurse? Discuss the role of the advanced registered nurse in advocating for patient safety and rights in conducting research.

Imagine the following scenario: You are taking the evidence-based practice course and one of your classmates shares an EBP project draft with you. You notice that some of the research has not been cited correctly or even at all. When you approach your classmate, the response is that “no one will notice, and it is not a big deal anyway.” What are your next steps in speaking with your classmate? Consider how this could reflect on the credibility and integrity of the individuals involved, the university, and the profession.

Select one theory discussed during Topics 4 and 5. Describe how this theory applies to your future role in advanced nursing practice (individuals, families, communities, and special populations)? Why or why not? Use examples from your current practice to illustrate differences or similarities.

these are the two theories previously discussed:

Two comparable theories are Imogene King’s Goal Attainment Theory and Callista Roy’s Adaptation Model

Write a scholarly post (minimum 500 words) discussing the change process. 

What barriers did your project face. How did you address the barriers. 

* use references ( two peer reviewed)

Additional Materials:

1. 1) https://youtu.be/o9ulQvQdBQY

What are your thoughts on evidence base nursing ( use the literature to support your thoughts and ideas)

1. discuss your PICOT problem.

2. What is the culture like for supporting EBP at your facility.

What tangible products are you going to do ( survey, teaching tools, PowerPoint for leadership or your colleagues). 

Additional Materials: 

1. 1) https://youtu.be/PJhnN7sjPBg
2. 2) https://youtu.be/tqQ94s-3dCc
3.  

Create a 7- 10 slide voice over power point/ or an  adobe presentation  on  any health initiative that you feel is important to patient’s health. Be clear and concise to convince your colleagues that your initiative is important (there are endless initiatives too). As a reminder- You cannot use previous work from another course .

Examples:

NIH discusses Mental Health Across the Lifespan initiative. This initiative seeks to raise awareness about issues affecting women and their families throughout the lifespan, including mental disorders such as postpartum depression, and issues that can impact mental health, including bullying and aging. This initiative has two goals:

• Educate and raise awareness about bullying, postpartum depression, and successful aging through targeted outreach efforts in undeserved communities.
• Reinforce the importance of recognizing the signs of mental illnesses, and of seeking help and treatment from health care providers.

Other examples: Alzheimer’s disease, spiritual wellness, racial disparities, emergency preparedness, strokes, vaccines, and suicide prevention.     

 Use of scholarly references should be on your end slide.  Support your statements (includes opinions), use proper APA and respond to one colleague’s post. 

Use of course readings and viewings to support your points is required. Outside sources support are encouraged.

E-portfolio-  Once graded and edited, this power point post can be added to your Wix Portfolio under Outcome 6. Please write a quick introduction for it when you add it there.

Summarize your leadership practicum in relation to the seven distinct characteristics outlined in the textbook. How will you change your behavior based on this new understanding of servant leadership? What strategies did you learn that, if implemented, would allow you to actualize the servant leadership principles in a leadership role?

Together, complete the Simplifying Sentences worksheet: Group Activity 4 Worksheet

Simplifying Sentences Activity

Instructions: After watching the “simplifying sentences” videos, work with your group to make the following paragraphs more concise, while still maintaining the original meaning. Post your thoughts and responses on the discussion board. Be sure to explain what you changed in each paragraph and what simplifying strategies you used to make those changes.

Paragraph 1Students should visit a Writing Coach because they are helpful. A Writing Coach is a

person who offers free appoint-based writing help at Labouré College. Students often visit the Writing Coach for help with grammar; however they really need help with thesis statements or paragraph structure. It’s important to understand why students have positive or negative experiences so the Writing Coach supervisors can train the coaches better and offer a more effective service. Researchers in Writing Center studies argue that students can earn higher grades on their papers if they attend several coaching sessions with a Writing Coach. Also, a lot of students at Labouré who visit the Writing Coach find it beneficial.

Paragraph 2

One reason that puppies should not be allowed in college classrooms is that some students may have severe allergies. In a passage from the New York Times called “Why puppies are bad” by John Q. Terrible, it states that, “Puppies should not be allowed in college classrooms.” Another quote, by Dr. Markus von Horrible, also says that,” 35% of students suffer from dog-related allergies.” However, on page 348 of the book Puppies Are People, Too, by Francine Fabulous, a sociologist, she states that, “98% of students surveyed reported that puppies in the classroom help them focus better and feel more confident in their coursework.” Thus, puppies should be banned from entering college classrooms.

HUM 3010 Faber

Paragraph 3In this paragraph, I will argue that hot dogs are the best meal for all humans who have

ever lived and should therefore be the national food of the United States of America. What is a hot dog? It’s meat on a bun, aka the best thing you could ever possibly eat in your life. Like, have one at a baseball game and just see how American you feel. You’ll basically turn into a bald eagle. According to a very smart and very dependable source, Frank Ballpark, “Americans consume 8 million hot dogs per year, making them the number one consumer of the food in theworld” (Ballpark 2019). Because hot dogs are so popular in the U.S., I definitely think that congress should pass a law that states that hot dogs are the national food of the United States of America.

Additional Materials:

1)https://web.microsoftstream.com/embed/video/059bc859-f6d5-4e5d-b098-2bc5e55d6c31?autoplay=false&showinfo=true&forceServerAuth=true

1. 2) https://web.microsoftstream.com/embed/video/788c9093-e292-4c42-811e-b4ef467b6ac2?autoplay=false&showinfo=true&forceServerAuth=true

1. 3) https://web.microsoftstream.com/embed/video/476b2a02-bde5-43a2-bcf6-c09fccd69546?autoplay=false&showinfo=true&forceServerAuth=true

Robot and Frank

A)  https://labourecollege001-my.sharepoint.com/personal/liz_faber_laboure_edu/_layouts/15/onedrive.aspx?id=%2Fpersonal%2Fliz%5Ffaber%5Flaboure%5Fedu%2FDocuments%2FFA20%20HUM%203010%2FRobot%20And%20Frank%2D2%2Em4v&parent=%2Fpersonal%2Fliz%5Ffaber%5Flaboure%5Fedu%2FDocuments%2FFA20%20HUM%203010&originalPath=aHR0cHM6Ly9sYWJvdXJlY29sbGVnZTAwMS1teS5zaGFyZXBvaW50LmNvbS86djovZy9wZXJzb25hbC9saXpfZmFiZXJfbGFib3VyZV9lZHUvRVM2QmVXUUwzaHREbkpnV0xVdUtVM29CTnhhMnVkT3ZEdHBrZmEyTlEtaFJiZz9ydGltZT1Gc29MTjdPRDJVZw

Module 4 Key Terminology: Robots & Cyborgs & Androids, Oh My! 

Robot: any machine controlled by a computer

There are three types of robots: non-humanoid, humanoid, and android

Non-humanoid Robots: robots that are not shaped like humans.

For example, many factories use robotic machinery to automate production.

Humanoid Robots: robots that are shaped like humans

For example, ASIMO is a humanoid robot with human-like body parts such as a head, arms, and legs.

Android: a humanoid robot that’s designed to look just like a human. 

For example, Erica is a real android that’s designed to look just like a human woman. She’s so realistic that she’ll be starring in a Hollywood movie at some point in the next year. 

Caregiver Robots: humanoid or nohumanoid robots used to provide care to patients

Examples of real caregiver robots: 

Paro the Therapeutic Seal

***

Artificial Intelligence: Any machine or software that effectively mimics human intelligence, including thought patterns, speech, a decision-making. Essentially, a robot is hardware (body/machinery), while AI is software (mind/program).

Robots and androids may or may not be artificially intelligent, so it’s important not to conflate the terms. In science fiction, AI is often depicted as sentient or having consciousness like humans. AI in reality is not sentient but does a good job of mimicking human speech or movement.

Alexa is not sentient because she has no consciousness or sense of self like humans do, but the software used for Amazon Alexa is artificial intelligent speech processing.  An Echo is literally a microphone you keep in your house, which Amazon listens to. When you give Alexa a command, the software processes what you said and responds in kind, but it also collects information on your requests. The software stores your past requests to try to guess what else you might want and get you to buy new things. This is why you sometimes talk about a new product and then receive ads for that product later that day. To stop this from happening, make sure you set your phone to disallow microphone use by applications. It’s also best just not to have an Echo or other “smart” home device. 

Cyborg: A person whose body has been augmented or enhanced with technology.

Foe example, Neil Harbisson has a device implanted in his head that allows him to hear color. We’ll talk more about him in a later module.

Together, use the discussion forum to answer the following questions: What are some of the main differences between the article by Judith Schneider Ronald and the article by Siobhan O’Connor & Tom Andrews? Be sure to consider format, tone, subheadings, and type of study. What was challenging or easy about reading these two articles? Which did you find more enjoyable and accessible as a reader? Why? Work together to come up with a unified set of answers.

Additional Materials:

Nursing School Videos

As you watch the videos below, note down the similarities and differences between nursing schools of the 1940s and Laboure College of today. Pay particular attention to how technology has changed, but also note down things you notice about changes in the students, requirements, entrance process, classrooms, etc.

Nursing School in 1940

a) https://youtu.be/Mj9EfoxO9rM

b) https://youtu.be/Nqb9sY1PP-c

Reading Scientific Articles

a) https://youtu.be/Fm6pdg3uAPA

1. 1) You are working at a computer in the school library. You finish your work, save it to the desktop, submit it to Brightspace, and leave. Another student in your class comes along, finds your file and turns it in as her own. Are you responsible for academic dishonesty?
2.  
3. 2) You ask your instructor whether she would be willing to read a draft of an essay that is due in a week. Your essay contains paraphrases of secondary sources that you used in your essay but you have not included any in-text citations or written the references list yet. You figure this is okay, since this is a draft of the essay and not the final copy you plan to turn in for a grade. Is this considered academic dishonesty?
4.  
5. 3) You have to write a literature review for your Evidence-Based Nursing Practice course that includes at least 10 relevant articles from medical journals. You locate all 10 sources, but it’s taking a really long time to read and understand all of them, and the review is due in a week. You decide to thoroughly read half the articles, then just skim the abstract and citations for the other half. Some of the details you write about the articles are vague orincorrect, but your professor doesn’t notice, and you earn a B+ on the assignment. Have you acted with academic integrity in this situation?
6.  
7. 4) You ask a friend, who is a good writer, to look over your paper. She is happy to help and finds many awkward phrases and ambiguous assertions, which she re-writes for you. She even develops a few new arguments to help support your thesis. You are happy because she was able to express clearly and persuasively what you had been trying to say all along. Is this academic dishonesty?
8.  
9. 5) You notice that a paper assignment in your class is just like one you wrote for another class. You change the cover sheet and a few sentences in the introduction and turn it in. This is okay because it is your own work, right?
10.  
11. 6) You are working on your first Position Post for this course. The instructions specific that you should not do any research, so you ask your supervisor at the hospital for the information you need and include what she said. You are pretty sure you only have to cite written sources, so you do not mention in the paper where your information came from.Is this academic dishonesty?

Please write a 500 word post that addresses your thoughts on a liberal education. 

How will you apply a liberal education to your practice. 

Please use two scholarly sources and respond to one colleague. 

Please use correct APA & formatting 

Materials Video:

1. 1) https://youtu.be/0WnLA6bSmwA

Tell us what you know about evidenced based practice (EBP). References included please in APA format. Tell us how you have been able to use EBP in your work.

Lastly, in what area of nursing do you think your PICOT question will be?  Think about a mentor choice (BSN with 3 years of experience or MSN or PhD or DNP) after reading the mentor booklet and 45 hours required to fulfill in the next course EBP II Application [Note: NOT theoretical]. Consider an educator or manger or nurse practitioner because they can guide you through the research process

Materials:

1) PICOT Questions Video- What is a PICOT question?

PICOT is an acronym to help nurses remember the essential points required in research. Patient, population, problem    Intervention (new)   Comparison (current)

A “T” may be added to PICO standing  for Time. We only have 6-7 week semester so your do “do-able” question will be short and simple without requiring an Investigational Review Board ( IRB) approval.  Perhaps an educational resource or survey of nurses’ perceptions in your work place related to a topic that you would like to see an evidence based practice change occur.  Examples are: a patient population of low volume but high risk that you wish you had material on to better prepare yourself for patient care,   or nurses’ perception of knowledge and confidence after an educational offering, or  nurses’ perception of preparedness  or ability to cope in the the pandemic. This information gives you data for a graph or pie chart for your PowerPoint poster template.  There are sample student  posters and educational projects  in a module for you to see.  Nurses disseminate research information in nursing conferences through posters.

 PICOT question examples Video (4.05)

1. 2) https://youtu.be/gkwOLC90e9E

The method of teaching and learning for this Nur3660 EBP I course will include:

• Robust online Discussion

Board participation

• Completing assigned reading 
• Review of posted articles
• Finding supportive research peer-reviewed articles
• YouTube videos and online tutorials
• Writing assignments 
• Gaming
• Appraisal of research reports
•  

Writing assignments: Writing serves two purposes in promoting critical thinking. First, good writing requires clear thinking. To write well, individuals must have their thoughts well organized.

Discussion forum: Participants are able not only to solve a problem alone but also to see how others would solve it. Feedback from other course mates encourages the development of interpersonal skills and self-awareness. Sharing perceptions with others allows readers to evaluate their feedback as well as their own perceptions more objectively.  The experiences of your classmates are remarkable and insightful.

PICOT Question: You will propose a PICOT question for use in EBP II APPLICATION that you can actually achieve in 7 weeks’ time. This will help you to complete your work in EBP II in a timely manner.  Dr. JoAnne Foley and I will jointly approve this submission. You will also choose a mentor for EBP II to help you with your PICOT question, gathering data, interpreting it, and making a poster in the PowerPoint poster template. You are looking for a gap in nursing knowledge that you can address so it needs to be in the area you work and on a topic that you choose and are passionate about. Samples of other students’ work is on a separate tab at the end.  This is an actual application in 7 weeks’ time.  So, it will be necessary to choose wisely. Meaning something related to your work and not requiring an IRB approval.  Examples include: a survey of nurses’ perceptions or an educational resource for other nurses on a low volume high importance disease encountered in your area. We will have a recorded zoom meeting to answer your questions and help guide you in the right direction.  This will insure your successful completion of your PICOT.  Learning by applying is much more fun and meaningful.  This is how new nursing knowledge is formulated to become Evidence Based Practice. Thank you.

1. 3)  https://youtu.be/Yulkoq2qHx0

Interesting question this week! Credibility is defined as: “the quality of being believable or worthy of trust” (“Credibility”, n.d., para 1). We have addressed trust in many other weeks. We are now adding the concept of being believable. I think the concept of being believable to being authentic. It is interesting; most people can see through non-authenticity. We have seen this when actions do not match words. We see this when body language is not consistent with eye mannerisms. We see this when questions are asked of leaders, but answers are vague and nondescript.

Followers need to be able to trust leaders. In the Servant Leadership paradigm, followers come first.

Let’s put our leadership hat on – sometimes leaders are prevented from telling full truths. They may have knowledge that is proprietary and confidential. How can a leader establish authenticity with these rules?

There are many leadership styles and theories available for use. Dr. Hersey developed the Situational Leadership model in the 1960’s. This model provides a framework for a leader to use with followers dependent upon:

• The amount of guidance and direction (task behavior) a leader gives
• The amount of socioemotional support (relationship behavior) a leader provides
• The readiness level that followers exhibit in performing a specific task, function, or objective (Center for Leadership Studies, n.d.).

An example would include development of a new nurse as opposed to a nurse with vast experience. The leader would need a more hands on, authoritative approach in times of crisis versus an experienced nurse who could be better supported by a transformational leader. Leaders in a code need to be authoritative as opposed to a patient who needs wound care.

All leaders need to be flexible in their approach with employees; styles should be based upon employee needs.

Thoughts? How have you seen your leaders adapt styles to employees and situations?

How do servant leaders, as compared with leaders using the transformational model of leadership, manage organization dynamics and lead change to ensure that the continued success of the stakeholders will be served? Is servant leadership or transformational leadership the best approach to these tasks? Why?

Describe a time in your professional life when you felt used and manipulated. What were the circumstances? Did you feel valued by the leader? Based on the textbook, explain how the issue of purpose, in the servant leadership paradigm, could have yielded a more beneficial outcome for the leader and yourself.

n your main post, you will first choose ONE of the following questions based on the Module 4 texts: 

1) What do Cejas’s and Bullock’s experiences show us about disability and healthcare providers? 

2) Based on Hernandez’s discussion with Wong, why is the ADA not a comprehensive solution for disabled people in the US? 

3) How do ableism and racism intersect in Deerinwater’s experiences, and what does this mean for healthcare? 

Use APA style reference(s).  Create a concept map detailing problem with a neonate with NAS and family, OR a pregnant woman, or an Older Adult with Chronic Pain. Follow concept map grading rubric. Please type to look professional.  Reference required.

 Factors that need to be considered are Pathophysiology of Opioids and Naloxone use for reversal of suspected overdose or to decrease the pleasure effects of opioids during treatment; and 3 Nursing Diagnoses, Risk Factors, Clinical Manifestations of opioid of potential or actual misuse or exposure, at least 3 Nursing Interventions, indicated Patient/Family Education, Medications for treatment or rescue, Non-medical treatment options, and  monitoring for potential and/or real complications. 

1. 1) https://youtu.be/S3UWVw_xdqw
2. 2) https://youtu.be/5VBHfsBSnt8
3. 3) https://youtu.be/UZA8_PtmF8k
4. 4)https://youtu.be/yr-kLlwNexs
5. 5) https://youtu.be/a262xL9_VPI
6. 6) https://youtu.be/LXmMQ_sA9QY
7. 7)https://youtu.be/VkI59skjn88
8. 8)https://youtu.be/a262xL9_VPI
9. 9) https://youtu.be/vW-PiqL1MHI
10. 10) https://youtu.be/7IFLrd8zudo
11. 11) https://youtu.be/eF_mPzwKMfM
12. 12) https://youtu.be/boRfvXpxdNU
13. 13) https://youtu.be/lvC8no6hmV8

Sources should not be later than 5 years

Thoughts? What happens when purpose for employees differs from purpose for organizations?

Module 3/Week 3. Design a discussion question based on a specific concern voiced by a disabled person in either McKinney et al or Andrews et al AND either Barbarin’s article or Lee’s video. Phrase your question however you like, but be aware that it should at least partly lead to discussion of how common societal attitudes have contributed to this concern. Make sure you identify the concerns clearly so that in our next module, a classmate can answer your question effectively. Your question should be clear, specific, and purposeful. It should not have a simple yes/no, true/false answer, nor should it ask what the reading/viewing material says about the topic.

How do you embrace leadership as a conscious choice using authority in a Servant Leadership paradigm?

Must post first.  Minimum of400 word count. Explain some Legal and Ethical Issues in Treating Opioid Misuse. Four-hundred-word count minimum for initial post. Follow the grading rubric for discussion boards on the downloadable syllabus, please. Use APA style references for support.

1. 1) https://youtu.be/S3UWVw_xdqw
2. 2) https://youtu.be/5VBHfsBSnt8
3. 3) https://youtu.be/UZA8_PtmF8k
4. 4) https://youtu.be/yr-kLlwNexs
5. 5) https://youtu.be/a262xL9_VPI
6. 6) https://youtu.be/LXmMQ_sA9QY
7. 7) https://youtu.be/VkI59skjn88
8. 8) https://youtu.be/a262xL9_VPI
9. 9) https://youtu.be/vW-PiqL1MHI
10. 10) https://youtu.be/7IFLrd8zudo
11. 11) https://youtu.be/eF_mPzwKMfM
12. 12) https://youtu.be/boRfvXpxdNU
13. 13) https://youtu.be/lvC8no6hmV8
14.  

In Module 1/Week 1, we’ll read notes and an article on social approaches to disability. We will also view 5 short videos. As part of your Module 1 coursework, compose a new thread in this forum that considers the following: Based on the notes and article, how does the social approach to disability differ from the way disability is typically treated by society? How do the problems in the second and third videos reflect the traditional approach, and how might a social approach help to mitigate some of these problems? Finally, how do the experiences related in the first, fourth, and fifth videos embody the social approach, based on your current understanding? 

1. 1) https://youtu.be/0e24rfTZ2CQ
2. 2) https://youtu.be/VgbPFV0i3vA
3. 3) https://youtu.be/KKyzZVpWezw
4. 4) https://youtu.be/OI6MtltE8v4
5. 5) https://youtu.be/B5EEXON-As4

Sources no later than 5 years

Concept Map Rubric for Opioid Misuse/Exposure in Adult

 Factors that need to be considered are Pathophysiology of Opioids and Naloxone use for reversal of suspected overdose or to decrease the pleasure effects of opioids during treatment; and 3 Nursing Diagnoses, Risk Factors, Clinical Manifestations of opioid of potential or actual misuse or exposure, at least 3 Nursing Interventions, indicated Patient/Family Education, Medications for treatment or rescue, Non-medical treatment options, and  monitoring for potential and/or real complications. Please type to look professional.  May use any style concept map or bulleted information. Follow grading rubric (left column). Reference required!

Must post first. Minimum 400 word count.  What is the pathophysiology of opioid addiction? Why is it so difficult to overcome the opioid addiction? What do opioids do to your brain? What is withdrawal? What is opioid tolerance?Explain in detail the use of naloxone (narcan) for reversal of respiratory distress thought to be overdose related and describe the Safety issues with use of personal protective equipment for healthcare professionals/first responders. How does one obtain naloxone (narcan)? What are the side effects? How is it administered? How long is the duration of effect or length of action?  May it be administered more than once? What happens when it is administered? What results do you expect to see?

What problems or pitfalls do you see, if any? What insurance changes have happened to combat overdose deaths? Follow the grading rubric for discussion boards, please.  Use APA style for citations and references for literature support of current knowledge and practice.

Additional Materials: 

1) https://youtu.be/t2tKyjj7u5Y

1. 2) https://youtu.be/iP1al4zDFvs
2. 3) https://youtu.be/VldsyyybBRw
3. 4) https://youtu.be/m7fGPGj2kaY
4. 5) https://youtu.be/NDVV_M__CSI
5. 6) https://youtu.be/tGdUFMrCRh4
6. 7) https://youtu.be/dBF0ovVWPYc
7. 8) https://youtu.be/DhS9M2ni2yE
8. 9) https://youtu.be/wsN0ijLnK2k
9.  

Handouts

What Are the Key Differences between Naltrexone and Naloxone (Narcan)?

Because the two drugs have similar names, naltrexone and naloxone are commonly confused. Both of these medications are opiate antagonist drugs, meaning that they prevent or block opiate drugs from reaching the brain at a cellular level. Opiate drugs include numerous prescription medications that are primarily used to control moderate to severe pain as well as several illicit drugs. All opiate drugs are either processed from the opium in the Asian poppy plant or synthetically produced chemical substances that are similar to substances found in opium. This is a large class of drugs and consists of prescription medications like morphine, Vicodin (acetaminophen and hydrocodone), OxyContin (oxycodone), codeine, etc., as well as illicit drugs like heroin.

The information in this article comes from the books Lippincott’s Illustrated Review: Pharmacology, Neuropathology of Drug Addictions and Substance Misuse Volume 1 and Principles of Addiction Medicine as well as from the websites of the Substance Abuse and Mental Health Services Administration and the National Institute on Drug Abuse. Uses of Naloxone and Naltrexone

Sources no later than 5 years

What is the difference between leadership and management? Should all nurses be considered leaders? What characteristics of nurses make them leaders? How do your responses compare or contrast with the view of power according to servant leadership? Support your response with evidence from the textbook or study materials.

Assignment 1: What is Health?Essay Topic: What is Health? Define health for yourself and your patients. Consider how you

view health and any significant experience you may have had related to health.

References: Read these sources to stimulate your thoughts on health. Below are the sources that you will use to write your essay. They are properly formatted for use on your reference page.

Murdaugh, C., Parsons, M.A., & Pender, N., (2019). Toward a definition of health (Chapter 1) Health Promotion in Nursing practice. (8th ed.). Pearson.

Centers for Disease Control and Prevention (CDC) (n.d.). Health Related Quality of Life (HRQOL). U.S. Department of Health and Human Services. https://www.cdc.gov/hrqol/wellbeing.htm

Assignment Instructions: This assignment has two steps

1. Reflect on your own experience of health and post your ideas to the discussion board onBlackboard. Read at least two other student’s ideas.
2. Write a short essay on your definition of health following the directions below.

Paper Instructions: Support: To support your ideas, use evidence from both the CDC and your textbook.

 In Text Citations: Cite sources using correct APA formatting within the body of your paper.

 Title page: Include a title page that includes all the required information and is formatted correctly in APA 7.

 Reference Page: Include a reference page with the given sources, which is formatted correctly in APA 7

 Length: The paper should be 1-2 full pages (not including the title or reference pages).

 Submit your APA formatted paper to the Blackboard link before class on week 2 and have a copy of your paper available for discussion in our class Zoom meeting.

Please Define Cultural Competence and Choose 4 strategies you would use according to the 

      CLAS standards to care for a non-English-speaking Patient.  Culturally LinguisticallyAppropriate Services (CLAS) standards

B.  Please Choose Your Top 10 Leadership Qualities and Why you chose them. Both call for a post and a polite, robust reply please.

Additional materials:

1) https://youtu.be/IAOPad3Vhy8

1. 2) https://youtu.be/E_oUSZBgRDM
2. 3) https://youtu.be/yezLn0-hx7k
3. 4) https://youtu.be/dOZLf-RYvHk

* 2 Reference articles please. No later than 5 years 

A new test can screen someone with a family history for a particular type of aggressive cancer through genetic testing. Those that inherit this genetic marker, or ‘cancer gene’, from one or both of their parents will have a much greater risk of getting this cancer. Would you want this genetic screening? Why or why not?

Added March 10: I just saw a report on NBC news that there’s now a home kit to test for BRCA1 (a mutation in BRCA1 us responsible for about 10% of certain subtypes of breast cancer)and 2 other genetic markers. While the report had some misinformation, the point was that this home kit tests for 3 markers out of possibly 1000 markers. What are your thoughts on this kit? (you may want to use info from the sensitivity  or YouTube in your response)

Ms. M is 42 years old and has had rheumatoid arthritis for six years. At baseline, her fingers are stiff and show slight ulnar deviation. She has come to see you as she is currently experiencing an exacerbation, and her wrists are red and swollen. She finds it to be painful when something such as clothing touches the skin over her wrists. Her elbows and knees are also stiff and painful, especially after she has been resting. She is feeling extremely tired and depressed and has not been eating well.

Answer questions below in this format:

1. 1-Describe the pathophysiologic process that leads to the appearance and the pain occurring at her wrists. Is this an acute or chronic process? Could it be both?
2. 2-Describe the pathophysiology contributing to the stiff, deformed fingers. What terms can be used to describe this?
3. 3-Explain why some activity relieves the pain and stiffness of rheumatoid arthritis and why the pain tends to be worse with immobility. Is this true for other inflammatory or musculoskeletal conditions?
4. 4-Describe several factors contributing to Ms. M’s systemic symptoms. Is this an acute or chronic process?
5. 5-Explain how each of the following medications interact with the pathophysiology of rheumatoid arthritis and help return Ms. M to a more homeostatic state.
6. 6-If we didn’t already know that Ms. M had rheumatoid arthritis, what other conditions would be on the differential for this patient? Think about what other conditions can present with erythematous, painful, swollen joints. Identify two such conditions and describe the most common signs and symptoms.
7. What are some possible long-term effects of chronic inflammation in conditions such as rheumatoid arthritis and other inflammatory conditions

Attend a nurse organization meeting (not collective bargaining) or a staff meeting at work to detail leadership styles in a short 3-page paper. Follow grading rubric.

2021 Fall II Nur 4226 Leadership and Management in Healthcare Paper

Nurse Organization Meeting or Staff Meeting that you Attended. Discussion of Leadership Styles in your Paper-follow the grading rubric.

Nurse organization meeting summary on leadership role.

1.  What NURSE organization or staff or committee meeting did you attend? How often is it held? What did you learn?

2.  Use of relevant examples, materials for the class, case scenario, or real-life examples etc. to address the topic

3.  What leadership style(s) did you observe?

4.  What N4226 course outcome(s) from the syllabus does your meeting address? How are they addressed?

5. Address this topic in relation to its implication for nursing leadership, quality and safety in healthcare.

6.  Detail the Role and Function of the nurse leader in relation to the meeting.  Did this change or reinforce your view of these meetings as examples of leadership?

7.  Summary of meeting.

APA format and appropriate citation and references.

NB:  to answer question 2, you can used  real-life examples etc. to address the topic

1. 3 sources no later than 5 years.

Additional materials:

COURSE OBJECTIVES/OUTCOMES: Upon completion of the course, students will be afforded the opportunity to:

1. Analyze the various types of healthcare organizational structures. II

2. Discuss healthcare economics and financial management of healthcare services. V

3. Discuss current issues affecting the American healthcare systems. III

4. Evaluate leadership theories and concepts to improve staff satisfaction and to promote the

            delivery of quality and safe patient care. II, III, IX

5. Analyze ethical decisions faced by nurse leaders and the healthcare team. V, VI, VIII

6. Critically evaluate policies and issues for maintaining safe nursing practice and operating a

            safe healthcare environment. II, V

7. Examine the impact of healthcare errors from the perspective of nurses, consumers and      

legislators. I, II

8. Describe methods of quality improvement for healthcare systems and outline a quality    

           improvement plan within a healthcare environment. II

9. Evaluate a budget proposal in relation to quality improvement initiative. II, V

Prior to developing your training exercise, you must analyze your organization to identify room for potential growth. What obstacles or barriers did you come across that made this difficult? How did you determine where growth was needed?

References need to be peer reviewed

Assess these three statements, then respond to the discussion topic:

“Lung cancer care accounts for 20% of Medicare’s total expenditures for cancer.”1

“Roughly $87.8 billion was spent in 2014 in the U.S. on cancer-related health care.”2

“Approximately $13 billion was spent on Lung Cancer care in the U.S. in 2014.”3

Topic for discussion:

Using these statistics, lung cancer costs account for 15-20% of all cancer costs. Most cases of lung cancer are avoidable, since cigarette smoking is the #1 cause of lung cancer.

Do you think it’s fair that the government (Medicare) and private insurance companies must pay for the care and treatment for patients with lung cancer caused by smoking?

What about the amount of government and privately-funded research dollars allotted to lung cancer that could be spent on research for other types of cancer that people get through no fault of their own?

Write a response that offers your opinion to the above questions as well as a possible solution to the disproportionate cost burden. Also mention some ways the costs are passed on to almost everyone in the country.

1. Yabroff KR, Lamont EB, Mariotto A, et al. Cost of care for elderly cancer patients in the United States. Journal of the National Cancer Institute. 2008;100:630–41
2. Agency for Health Care Research and Quality. Total Expenses and Percent Distribution Selected Conditions by Source of Payment: United States, 2014. https://www.acscan.org/sites/default/files/Costs%20of%20Cancer%20-%20Final%20Web.pdf
3. American Cancer Society Cancer Action Network; The Costs of Cancer. From https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3191884/

Cancer is a disease that affects nearly everyone. Share a story on how it has affected you personally, and, if you have witnessed the medical care of someone you know that has cancer, discuss two ways that the role of a nurse is/was critical to the patient. If you have not witnessed the medical care, think of at least two ways the role of a nurse would be critical.

In your response to other students, as a nurse, how would you counsel (or, how have you counseled) the family members of a loved one suffering or dying of cancer?

1. 2 sources no later than 5 years

1. Describe TeamSTEPPS and the impact it has on skills, especially communication.

2. The Centers for Medicare & Medicaid Services (CMS) formed its no-pay policy based on the growing work of the National Quality Forum (NQF) of “never events.” In other words, CMS will no longer pay for certain conditions that result from what might be termed poor practice or events that should never have occurred while a patient was under the care of a healthcare professional.

3.  Discuss examples of “never events” and their impact in the workplace.

4. The Institute for Healthcare Improvement (IHI) is dedicated to rapidly improving care through a variety of mechanisms including rapid cycle change projects. The common core of most projects is patient safety. Leaders must be able to create a culture that encourages adherence to standards for patient safety. Lewin’s change theory talks about 3 steps: unfreezing, changing, & refreezing as a method of introducing a new change and helping others to try it and then making it part of the daily routine. Example: Wanting to lose weight is not enough. You need to eat less calories and exercise more, as well as sticking to this routine over time until it becomes a habit, to be successful.

• Identify a situation in which you as a leader would revise or change practice to enhance safety.
•  
• How would you introduce this change to your staff using the diffusion theory?
•  
• What strategies would you use for enlisting “early adopters” of  this change theory to see your view?
•  

These links will help you answer the questions above:

1) https://youtu.be/Ugf7t8vDBNc

2)https://youtu.be/K4kI9_ntt-U

3) https://youtu.be/hPfRKu05bkQ

4)https://youtu.be/xB-YhBbtfXE

5)https://youtu.be/Cxh-yeRlBFw

6)https://youtu.be/8AXhDPKHUTw

7)https://youtu.be/ETp3RdSVqiU

1. 3 sources no later than 5 years

Consider the position for which you are interviewing candidates and post one of your interview questions, including the job title. Discuss why you developed this question and what response you would expect a potential candidate to provide.

References need to be peer-reviewed.

Conduct research on the Society for Human Resource Management (SHRM). What is its role and purpose as it relates to assistance it can give to human resource personnel members to help them effectively and efficiently complete their tasks and duties?

URL: http://www.shrm.org/

Identify at least two stakeholder agency reporting sources. How do these external reporting groups contribute to or hinder CQI?

Describe at least two limitations to both primary and secondary data and how understanding those limitations can improve your future CQI work.

View posted videos on underserved populations, rural health care and correctional health services and post a 250 word summary of the main points of the three videos.  This is worth 2 points which will be added to your test grade.

Please see these video link for this paper:

1. 1)  https://youtu.be/glC2-I8stBY
2. 2)  https://youtu.be/BZana7i_zq0?list=PLut0JzzDaxsD_N7VYEHzr-bRbVxqO98yn
3. 3)  https://youtu.be/BfMqlJAaCjg

In this unit, we spent a lot of time talking about the Civil Rights Movement. Pick one of the events that I discussed in the Civil Rights Movement lecture and discuss why you feel it was one of the most important moments in the movement and how it resulted in future change. 

Please watch these lessons for this assignment: 

1)  https://youtu.be/zylpwPV7Qk4

1. 2)  https://youtu.be/bTAci-E4s-4

1. 3)  https://youtu.be/pLMroQHCgR8
2.  
3. 4)  https://youtu.be/w7jImsXQK38

Additional Material to read:

1) Black lives Matter

1. 2) Black Feminism
2. 3) Abolitionist Movements

1. 2 sources no later than 5 years

Find an article (newspaper, magazine, online news source) about a current event that relates to social change or a social movement.

Then, post a link to that article in the discussion forum and (minimum 200 words) that summarizes why the article is an important contribution to our class.

Important: please don’t choose to talk about: 1)Homosexual relationships, 2)Police brutality 3) Social Movements and Social Change. I had assignment on them already.

Sources no later than 5 years

You are the nurse leader on an obstetrics unit. You have been tasked to utilize a Six Sigma approach for standardizing the discharge process. Where do you start?

Focus on writing a scholarly post on: 

1. A  Health promotion topic in greater detail. Discuss how your health promotion topic is influenced by developmental variations such as age. 

For example healthy people 2030, addressing tobacco consumption, childhood obesity, stroke awareness – there are many . You can see the connection between childhood obesity as a developmental variation as it occurs in childhood.  When you look at smoking what group or groups of people does this affect?  Can you see the connection between mental health and smoking? & also older generation of adults smoke? why  would this occur?  I think about how the older generation of adults did not know all the bad consequences of smoking. Young adults/ children’ today get education to prevent them from smoking. My children’s in middle school had to take a health education course where they learned about smoking and drugs. 

2. Address how you will apply the broad learning outcomes / course learning outcomes in your practice. ( These were listed in discussion post one and on your syllabus) . 

Additional Materials:

Broad Learning outcomes 

• Think critically and solve problems within the [scientific, humanities, social science, theological] domain;
• Cooperate with others, which requires understanding and tolerance of racial, ethnic, religious, and cultural differences; and managing conflicts and disagreements with civility;
• Communicate their ideas clearly, coherently, and persuasively both orally and in writing; use intrapersonal communication to facilitate problem-solving and self-reflection; and listen and share ideas respectfully across cultures;
• Act, including: empowerment through the development of personal agency skills: civic engagement; finding answers to questions through mastery of information resources; and being lifelong learners; and
• Value, including: personal/social responsibility; self-worth; ethics/morality; personal happiness; and empathy.
•  

Learning outcomes:

1. Review and perform a comprehensive health assessment to include cultural, psychological and spiritual implications.
2. Evaluate evidence based practice to guide health assessment and health education.
3. Discuss health promotion, disease prevention as it applies to the individual.
4. 2 sources no later than 5 years.

WINDSHIELD SURVEY Paper (2 – 2.5 pages max) must be in APA format – Title page and reference page are not included in the page count. (this means that if your paper is 2 pages long, you will actually submit a total of 4 pages including the title and reference pages.Conduct a Windshield Survey of the community you have selected. 

Choose a town or zip code for the area to assess. It can be the community you live in, as you may gain new knowledge about your community that you did not previously have. 

Using the windshield survey tool, you are to go around your chosen community and collect information by answering the questions on the survey tool.

In addition, you must also interview two members of the community.  Of the two interviewees, one must be in a leadership role in the community (i.e – a teacher, a school principal, a police officer, a religious leader) while the other interviewee can be someone who lives in the community. Gather information on the members’ history and experiences with the community. Find out what the strengths and weaknesses of the community are from the members’ perspectives and include this information in your paper.

Please choose an area of Boston City to do the paper.

1. 2 sources no later than 5years

Choose either Lewis Hine, Jacob Riis, or the Triangle Shirtwaist Factory Fire and tell me why either that person or that event was an agent of change? How did that person or event have an effect on society, influence social change or start a social or reform movement? How did Lewis Hine’s photos of child laborers, Jacob Riis’s photos of immigrants, or the photos in the video about the Triangle Shirtwaist Factory Fire have an impact on you?

Please watch these videos on YouTube: Economic inequalities and social movements 2) The city as protest-Redlining and Gentrification 3) The Labor Movement 4) Immigration 

Additional video

5) Through the eyes of a child immigrant (Erik Gomez)  6) These photos ended child labor in the US ( Behind Lewis Hine’s 

1. 2 sources no later than 5 years

For this journal entry, I want you to answer the following questions. Remember that each question is worth 10 points each for a total of 50 points. Each answer to each question should be a minimum of 100 words. Journal entries will only be read by me.

1.) Choose an example from the YouTube playlist on filmmakers as agents of change. In a few sentences, tell me why you picked the filmmaker and film trailer that you did and why it had an impact on you.

2.) Choose an example from the YouTube playlist on music as protest. In a few sentences, tell me why you picked the song that you did and why it had an impact on you.

3.) Choose an example from the YouTube playlist on art and advertising as protest. In a few sentences, tell me why you picked the art or advertisement that you did and why it had an impact on you.

4.) Choose an example from our lecture on digital culture. In a few sentences, tell me why you picked the example that you did and why it had an impact on you.

5.) Choose an example from our lecture on written texts and storytelling. In a few sentences, tell me why you picked the example that you did and why it had an impact on you.

Your unit data reflects an upward trend in blood administration errors. Is this likely an individual failure or a system failure? Which theory or model would you use to address it?

Two nurses make a medication error: One causes an adverse event with a patient and the other does not. Should the nurses be disciplined, and, if so, should they be disciplined the same way? Why or why not? How would this be addressed in a just culture?

Some consider the integration of evidence-based practice a “cookbook” approach. Do you agree or disagree? Explain. Support your position with one or two examples and one or two references.

Find an article (newspaper, magazine, online news source) about a current event that relates to social change or a social movement.

Then, post a link to that article in the discussion forum and (minimum 300 words) that summarizes why the article is an important contribution to our class.

1. 1) The class called : Agents of Social Change
2.  
3. 2 sources no later than 5 years

What are some of the key differences for a staffing model in a skilled nursing facility as compared to a medical-surgical unit in the hospital?

What are the similarities and differences between an ACO and a managed care organization (MCO)? Describe a personal or professional situation in which you encountered either an ACO or MCO.

You are a nurse on a floor with only elderly patients. Every day, each patient tells you about how much pain they are in and asks you to help them. They want you to inject them with something to end their lives. If the patients die, the beds on that floor would be freed up for other patients. The hospital is at 100 percent capacity. There is no other hospital for 30 miles. Other patients may be not receiving care due to a lack of free beds. What is the moral thing to do here? Why is that the moral thing to do? What would an utilitarian say is the moral thing to do? Why would they say that? Compare and contrast the utilitarian approach with that of an ethical egoist or social contact theorist.

• 1) discussion should consist of a minimum of 500 words (not including any quotes or citations from literature)
•  
• 2)Discussion posts should include one to three “discussion questions” designed to generate dialogue and to provoke critique, analysis, and reflection on the specific themes of the readings
•  

1. 2 sources no later than 5 years

Identify two to three indications that meaningful use has improved care coordination. What were some of the priorities when meaningful use was developed?