HIV screening
Find a nursing journal article in the Keiser Library related to HIV screenings and present it for us as a reply. You might also look for some interesting information from the Murdaugh et al. (2019) text to share!
Find a nursing journal article in the Keiser Library related to HIV screenings and present it for us as a reply. You might also look for some interesting information from the Murdaugh et al. (2019) text to share!
I want to start by saying I love the word cadre in this week’s discussion post! If we consider its definition as a group of people specially trained for a particular purpose or profession it works, OR if we assume it to be a group of activists or other revolutionary organization it works! Both fit in the role of the DNP as we consider their role in health care.
Melnyk et. al (2012), states that EBP gives nurses a voice, supports nurses as individuals and as a collective, and encourages patient advocacy with the intent to assure quality care. The research, EBP, and QI processes that give nurses this voice is driven by terminal degree Registered nurses such as the DNP. The DNP can lead not only by example but by shared advocacy. Whether it be a grassroots campaign to speak with local and state representatives to advocate for nursing or patient initiatives, or by being involved in a task force, activity, or key committees in health systems, our collective accomplishments speak much louder than individual ones.
The DNP cohort can lead the charge to translate evidence into practice by applying quality improvement strategies, heading interprofessional teams, mastering health information technologies, and championing patient-centered care through existing EBP principles (Melnyk, et.al, 2012)
The DNP cohort can lead clinical innovation by using the theories we reviewed in Scientific Underpinnings to inform and change EBP assuring quality patient-centered care. The DNP cadre can also advocate for legislative changes, curriculum changes, and lead research teams looking to address a knowledge gap. It will be important for the DNP army to be mindful of the interworking of the microsystems, mesosystems, and macrosystems in the organization they are trying to innovate.
Successful change is difficult, and many change initiatives ultimately fail. Patient care is too important to not overcome those barriers to effective change. As a DNP, my first step prior to implementing the change would be to review my organization’s structure and culture to identify challenges I will be facing regarding staff motivation for change. It will important that I recognize my own hesitations or transferences, and deal with those prior to addressing the team. I believe educated employees are empowered employees, so assuring they understand the evidence behind the change movement, and how it will impact the team’s daily tasks will be crucial. Elisabeth Kubler-Ross taught us many years ago that change is not a linear process, but a curved one where the team goes through shock, fear, acceptance, and commitment. Throughout the informed process, I will need to be consistent and transparent as I lead and coach the change to completion. I will need to ensure adequate communication that is clear, concise, and not overwhelming to staff. Once the change is implemented, it will be important I give and take feedback on the process and debrief the team. If the team can witness my dedication and passion to EBP and patient-centered care, they will be more trusting with future initiatives I bring forth.
REFERENCE
Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Kaplan, L. (2012). The state of evidence-based practice in US nurses: Critical implications for nurse leaders and educators. Journal of Nursing Administration, 42(9), 410–417. https://doi.org/10.1097/NNA.0b013e3182664e0
I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS
https://www.youtube.com/watch?v=iZHJjf9oYZk&feature=youtu.be
HA3300D – Healthcare Policy and Ethics
Discussion 05: Ethical Development
Imagine you’re the CEO of a major hospital system that’s recently come into a large endowment from a recently deceased philanthropist. The conditions on the endowment are that the hospital must use it for the ethical development of its staff members. You decide to use the money to create a professional development seminar that “fills the gaps” you see in your staff’s ethics education.
.What ethical issues or topics will your seminar address? Write 3 – 5 sentences describing it and the ethical questions at stake.
.Why is this the most important issue or topic to address? How will this “fill the gaps” in your staff’s training?
Your initial post should be 8 – 10 sentences in length and include an APA-style references list.
You may wish to get ideas for your presentation from these websites:
.National Center for Ethics in Health Care
.“Five Top Ethical Issues in Healthcare”
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mr. M., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.
Case Scenario
Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.
Objective Data
Laboratory Results
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to 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.
The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.
Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:
You are required to cite to a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to 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.
When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.
In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.
To Prepare:
Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.
This also comes with two posts that will each need a reply and at least two references all in APA 7 format. the rubric is attached below please meet the standards.
Discussion 1 TY
Health Policy: COVID Research Act of 2020
MAIN QUESTION POST- Health policy is essential in nursing. According to Liao (2019), “policies reflect public opinion as well as evidence-based data” (p.90). The health policy I want to discuss is the COVID Research Act of 2020 or also known as the Computing Opportunities to Vanquish Infectious Diseases Research Act of 2020 (“H.R.6599 – 116th Congress (2019-2020): COVID research Act of 2020,” 2020). This policy is to help address the issue of infectious diseases and how to prepare for them. COVID-19 has taken a toll on the health and economy throughout the world. This policy would create a group to be responsible for dealing with pandemics. A group to prepare for pandemic outbreaks and to help create strategies to address challenges during a health crisis is essential (“H.R.6599 – 116th Congress (2019-2020): COVID research Act of 2020,” 2020). Using evidence-based research will allow this policy to help prepare for upcoming pandemics.
I believe there is no better time in society to address this policy than now. The research done by healthcare professionals can help policymakers understand essential information (Hebda, 2019). APRNs and research groups can work together to help address and improve health policies. With COVID-19 being a significant concern, this supports why this policy needs addressed. Evidence-based research is required to help create a plan of action for the current and emerging pandemics. By creating a group dedicated to this policy will help the overall health of the population. For example, there is a need for a vaccine for COVID-19. With this policy in place, they could have predicted COVID-19 and been preparing a vaccine. Research on the spread and severity could have begun before the COVID-19 pandemic and helped decrease worldwide exposure rates. There is strong evidence to support the COVID Research Act of 2020 based on the worldwide pandemic status. Throughout history, pandemics have taken a toll on the health of the country. For example, the Influenza pandemic has led to annual flu shots starting in October (the peak season). The COVID Research Act of 2020 health policy would benefit healthcare now and in the future.
References
Hebda. T.. (2019). The impact of EHRs, big data, and evidence-informed practice. In J. A. Milstead, & N. M. Short (Eds.), Health policy and politics: A nurse’s guide (6th ed., pp 133-150). Burlington, MA: Jones & Bartlett Learning
H.R.6599 – 116th Congress (2019-2020): COVID research Act of 2020. (2020, April 23). Congress.gov | Library of Congress. https://www.congress.gov/bill/116th-congress/house-bill/6599?q=%7B%22search%22%3A%5B%22health+policy%22%5D%7D&s=3&r=86
Liao, C. (2019). Public policy design. In J. A. Milstead, & N. M. Short (Eds.), Health policy and politics: A nurse’s guide (6th ed., pp 87-99). Burlington, MA: Jones & Bartlett Learning
Discussion 2 ML
Week 7 Discussion Post
I found and reviewed the Sexual Assault Victims Protection Act of 2019 on the congress.gov. The summary includes,
“This bill requires the Department of Health and Human Services (HHS) to conduct a series of activities relating to sexual assault evidence and treatment. Among other things, HHS must establish a task force to improve forensic evidence collection related to sexual assault, maintain a website with resources and best practices related to the treatment of individuals for sexual assault, and host an annual meeting to address gaps in health care relating to sexual assault. In addition, the Centers for Medicare & Medicaid Services must require Medicare-participating hospitals, in their community call plans relating to on-call coverage, to specifically delineate coverage responsibilities with respect to screening and treatment related to sexual assault.”( Congress,2020).
As a nurse in the emergency room I find that this proposed health policy would be beneficial in the way healthcare teams are required to treat possible sexually assault victims. I know that my hospital in the past did not have any specially trained individuals to conduct the assessment and collection of forensics in these cases. With this being the case, nurses were not comfortable at doing this and things could get missed or mishandle with patient. Policy and procedures have changed for much improvement in this practice that now we have SANE nurses who conduct all assessments and collection of forensics. “Sexual Assault Nurse Examiners (SANE) are registered nurses who have completed specialized education and clinical preparation in the medical forensic care of the patient who has experienced sexual assault or abuse. “(International Association of Forensic Nurses,2014-2020). I believe that there is evidence based on the need for the policy and changes in the health care practice from personal experience. For example, I had a pediatric patient in ER that mother brought in with possible sexual abuse. I do not feel properly trained to conduct this investigation on this child and would not want to say or do the wrong thing during such a sensitive time. At that point I call the SANE nurse on call that comes in and does everything needed for that patient. Even the provider does not go see the patient before the SANE nurse arrives and collection all information and data. Having policies in place for facilities to provide access to specialty trained nurse will provide better patient care and less traumatic care.
References
Congress.gov. (2020). H.R.4758 – Sexual Assault Victims Protection Act of 2019. Retrieved on October 11, 2020 from https://www.congress.gov/bill/116th-congress/house-bill/4758/all-info?r=5&s=7
International Association of Forensic Nurses. (2014-2020). Sexual Assault Nurse Examiners. Retrieved on October 11, 2020 from https://www.forensicnurses.org/page/aboutSANE
zero plagiarism
five references
please follow the information below
Part 1: Progress NoteUsing the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:
Note: Be sure to exclude any information that should not be found in a discoverable progress note.
Part 2: Privileged NoteBased on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.In your progress note, address the following:
chronic decease
Produce a written document defining the injury and setting in the geographical area of their choice
Geographical area: (South Asia)
Injury of Interest: Fire, heat, and hot substances
Direction
Discuss how this injury varies by age and sex.
No plagiarism
Use APA format
1 cite sources (internet)
1 1/2 page
Textbook : Global Health 101
4th Edition
Author: Richard Skolnik
Publisher: Jones and Bartlett Learning
Year: 2019
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