NUR 435 – Week 3 Discussion: Managing Change

tep 1 Consider a change in practice that took place at your workplace.

Step 2 Answer the Prompts:

·         What was the involvement of team members in the change process? Did “rank and file” members of the team participate on the team planning for change?

·         What steps were taken to prepare for change?

·         How were the goals and outcomes communicated to team members? Was the communication clear or could it have been improved?

·         What was the outcome of the change?

·         In your opinion, what elements are required in order to have a culture that is open to change?

Course project proposal poster

please see the attached files for the detailed poster template required to be complete with answers based on your proposal you have done or a new one.

EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES

EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. 

· Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.

· Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

· Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

· The full citation of each peer-reviewed article in APA format.

· A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

· A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

· A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

· A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Journal

 Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next class

Characteristics of Prokaryotic and Eukaryotic Cells: Discussion

Initial Post Instructions

First, let’s differentiate all the detailed vocabulary about all these cells we learned this week. When looking under microscope what structural differences would you see between two types of cells.

Now choose ONE cellular component (e.g. a part of a cell) that is found only in bacteria. Discuss what its role is.

-OR-

Choose ONE cellular component that is only found in eukaryotes. Discuss what its role is.

For your second post, comment on a peer’s post. If they chose a prokaryotic cellular structure, please share whether or not you think that structure would be a good target for antibiotics and why?

If your peer chose an eukaryotic cellular target, I want you to think about evolution and the endosymbiotic theory. The endosymbiotic theory states that mitochondria and chloroplasts were initially free living organisms that entered larger cells through endocytosis, but were not digested. What is the evidence, and are you convinced? Why or why not?

Discussion questions

1. Because the patient’s reported hallucinations are not persecutory, as a clinician, what medications would you start with?

2. What treatments (pharmacological and non-pharmacological) are most effective for patients with extensive trauma history?

3. What symptoms could be co-occurring in relation to PTSD vs schizophrenia for this patient?  

Response

  

Respond by making recommendations for how they might strengthen the leadership behaviors profiled in their StrengthsFinder assessment, or by commenting on lessons to be learned from the results that can be applied to personal leadership philosophies and behaviors.

2 scholarly references

According to Clifton Strengths results, the top 5 Signature Theme report presents.

Consistency –I are keenly aware of the need to treat people the same, no matter what.

Achiever –Achiever describes a constant need for achievement. By the end of the day, I must achieve something tangible in order to feel good about myself.

Significance- I want to be very significant in the eyes of other people. I want to be heard and be part or be useful. You want to stand out.

Restorative – I love to solve problems. I enjoy the challenge of analyzing the symptoms, identifying what is wrong,

Woo- stands for winning others over. I enjoy the challenge of meeting new people and getting them to like me.

                                                                                   Core values

     The two core values I would like to improve on or strengthen are accountability and healthy competition. I am responsible for my own action, so I must make the right decision or do what is right. To me healthy competition is helping my family and friends, colleagues strive to the best and professional outcome.

                                                                                    strengths

   Also, I would like to improve my strength on good communication skills and to learn and acquire more knowledge and skills to help me become a professional Nurse. It will help me to build a better relationship with other people.

                                                                                  Characteristics

    Based on Clifton strength result, the two essential quality I would like to improve is emotional intelligence by helping people to think and act. Emotional intelligent is the ability to build relationships with others and understand their feelings or emotions.  Encouraging myself and others will also help to reach goals. 

                                                            Reference

Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert

           clinician to influential leader (3rd ed.). New York, NY: Springer.

Rath, T. (2007). StrengthsFinder 2.0. Gallup Press.

Nursing

please read carefully and follow all the instructions details. thank you

discussion post principles of communication

View the TEDTalk “Why I live in Mortal Dread of Public Speaking”Links to an external site. by Megan Washington (TEDx, 2014). Then, view the Sources of Communication Apprehension presentation (adapted from Engleberg & Wynn, 2015). In light of the TEDTalk, the presentation, and your own experiences respond to the following questions:

  • What strikes you as most interesting about Ms. Washington’s talk?
  • Do you relate in any way to her talk or to the Sources of Communication Apprehension presentation?
  • If you had to pick one or two sources of communication apprehension that you feel relate to you, which ones would they be and how do you manage them?

Be sure to respond to your peers as well. As a note, aim for full credit and connect to a scholarly source beyond the TED Talk to show how the discussion ties to your studies in the course. For this post, an integration of a scholarly course should go beyond a mention of the apprehensions from the text above. 

References 

Engleberg, I. N. & Wynn, D. R. (2015). Think communication. Boston, MA: Pearson 

TEDx. (2014). Megan Washington: Why I live in mortal dread of public speaking. http://www.ted.com/talks/megan_washington_why_i_live_in_mortal_dread_of_public_speaking 

Case Study

 

A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.

  • What other assessment findings should you anticipate?
  • Why does this patient probably have bradycardia?
  • Does this dysrhythmia need treatment? Why or why not? What intervention would you implement first?
  • What is the drug treatment and dosage of choice for symptomatic bradycardia? How does this drug increase heart rate?

Please use complete sentences to answer the questions. Ensure that you are using correct grammar. In additions, support your answers by using your textbooks, scholarly journals, and credible Internet sources. All citations must be in APA format.