Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes.

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Margaret Newman Theory

Discussion Question:
Newman pointed out that, “nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives” (Smith & Parker, 2015, p. 288). Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Based on your research, identify an organization that provides health promotion or health care services to your at-risk population, or that facilitates access to those services.Describe the services provided, and the impact on the population.

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Practicum Step 3 – Asset Based Assessment and Interview

Practicum Step 3: In this assignment, you will:
1. Complete an asset-based assessment using this template: NUR 370 Practicum Step 3 Asset Based Assessment Worksheet(1).docx ,l, (https://dcn.instructure.com/courses/40669/files/5410369/download?downloadird=1)

2. Based on your research, identify an organization that provides health promotion or health care services to your at-risk population, or that facilitates access to those services.Describe the services provided, and the impact on the population.

3. Arrange to interview someone at that organization in person or by phone.

4. Develop 6-8 interview questions related to the organization’s services and programs, including plans for the future.

5. Conduct the interview, and based on the comfort of the interviewee, either audiotape or write a transcript summary of the interview

6. Save and submit the assignment form and audio (or transcript) of your interview to the Week 8 Drop Box.

Cite any sources in APA format.
See the rubric 4• (https://dcninstructure.com/courses/86033/files/21264060/download?download_frd=1) for grading details.
https://dcn.instructure.com/courses/86033/assignments/1716294?module_item_id=3744927 1/1

Identify the community strengths and resources that currently exist. Complete the following chart. Be as specific to your community as possible.

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Week 7: Asset Based Assessment

For each of the areas that you explored in week3, identify the community strengths and resources that currently exist.

Part 1: Complete the following chart. Be as specific to your community as possible. Common sources of data include: Chamber of Commerce. community libraries, social service agencies, newspapers, agency personnel. In addition to these sources. you will interview someone who is actively engaged with the at-risk population you are in

 

Needs Assessment                                                    Community Strengths and Existing Resources

Environment/Livinc-arrangements                           —-

Access to transportation                                               —-

Financial considerations                                               —-

Cultural/language barriers                                            – – –

Public perception c t the group                                     —

Common health risks                                                      —-

Access to health and social serve                                  —–

 

Part 2: Provide information on the organization and person interviewed
Organization’s name: URL of the organization’s website
https://dcninstructure.com/courses/86033/assignments/1716294?module_item_id=3744927 111

Choose one policy or requirement for RTDP to be successful and explain the necessity and relevance to proper patient care using RTDP or a specific RTDP.

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RES 403: Module 1–Discussion

PM Respiratory therapist driven protocols (RTDP) allows proper assessment by a respiratory therapist to initiate or adjust treatments within a physician’s guideline. The thought plan behind a RTDP is to give more autonomy to the trained practitioner through a governing body of medical professionals. More times than not there are situations that involves patients with deteriorating ventilatory status in which medical services were delayed due to no protocol directing services. Cost effectiveness of therapies and time management can be alleviated with a working established protocol. An important aspect of the protocol is that major clinical changes will still be conducted through the physician but minor therapy adjustments can be made by the therapist. This simple but import aspect will also decrease the unnecessary need for calls to the physician for therapeutic changes. This makes it necessary for the physician to always be in the loop for any major changes in patient status that warrant intervention. As Respiratory therapists, we are trained to recognize abnormalities and how to alleviate exacerbations. A proper protocol is one that serves the purpose of a procedure that a task must follow and that is respiratory driven that shows effectiveness is supported by the AARC as a proper implemented RTDP.

Instructions:
Module 01 Discussion Forum:

Therapist Driven Protocols Policy The American Association for Respiratory Care (AARC) defines respiratory care protocols as initiation or modification of a patient care plan following a predetermined structured set of physician orders, instructions, or interventions in which the therapist is allowed to initiate, discontinue, refine, transition, or restart therapy as the patient’s medical condition dictates.
Most would agree that protocols provide a means to provide quality respiratory services; ensure that resources are consumed in only the provision of necessary care; minimize complications and cost associated with variability; bridge the relationship between physicians, nurses, and respiratory therapists; and reduce expenses for both the hospital and the patient.

In this discussion, from a personal perspective utilizing past experiences, as well as research, choose one policy or requirement for RTDP (respiratory therapist driven protocols) to be successful and explain the necessity and relevance to proper patient care using RTDP or a specific RTDP. Post your response to the scenario and then respond to the posts of at least 1 classmate. Be concise & thorough in your posts. Explain the “who, what, when, where and how” when applicable to your posts.

Your initial post should offer a full explanation r peers. Each post should be substantial, h, fully address the topic, and use nal language and tone, including your sive post to your peer – explain why you agree

How can nursing address and improve global healthcare needs?

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Global healthcare needs

How can nursing address and improve global healthcare needs?

Describe your professional background with personal history that is pertinent to you as a professional.  It should not include future goals.

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Personal Philosophy and Theoretical Concepts Draft

Your Name

South University

NSG5002 Advanced Theorical Perspective for Nursing

Week 2 Project

 

Personal Philosophy and Theoretical Concepts

2-3 sentences about your paper (introduce the paper in general).

Autobiography

Describe your professional background with personal history that is pertinent to you as a professional.  It should not include future goals. It should be about a page long.

The Four Metaparadigms

This is where you discuss what metaparadigms are (in general) and introduce the topics.  It needs to be about three to four sentences long.  Do not relate these to your theory.

Patient.

Here you write three to four sentences on what a patient is – according to your textbook or in general.  Do not make this part theory-specific.

Environment.

Here you write three to four sentences on what environment means – according to your textbook or in general.  Do not make this part theory-specific.

Nursing.

Here you write three to four sentences on what nursing means – according to your textbook or in general.  Do not make this part theory-specific.

Health.

Here you write three to four sentences on what health is – according to your textbook or in general.  Do not make this part theory-specific.

Two Practice-Specific Concepts

Three or four sentences to introduce your theory (including the concepts the theorist lists).  Then mention the two concepts you chose from the theory that are relevant to your practice.

 

Name of First Concept

Discuss the meaning of the first concept from other sources.  Then discuss how the theorist defines the concept.  Then a few sentences on how the concept applies to your clinical practice.

Name of Second Concept

Discuss the meaning of the second concept from other sources.  Then discuss how the theorist defines the concept.  Then a few sentences on how the concept applies to your clinical practice.

Conclusion

Three to four sentences to summarize your paper.

 

References

Bredow, T. S., Peterson, S.J. (2017). Middle range theories: Application to nursing research and practice (4th ed.). Wolters Kluwer.

Butts, J. B., & Rich, K. L. (2017). Philosophies and theories for advanced nursing practice (3rd ed.). Jones & Bartlett Learning.

Choi, E., & Moore, G. (2020). A case for cultural awareness. The Journal for Nurse Practitioners, 16(2), 163–164. https://doi-org.su.idm.oclc.org/10.1016/j.nurpra. 2019.11.012

Peterson, S. J., & Bredow, T. S. (2016). Middle range theories: Application to nursing research (4th ed.). Lippincott Williams & Wilkins.

 

 

 

 

Prepare a statement reflecting your goals and purpose for pursuing graduate study. Goals will be judged for clarity and congruity with graduate education, congruity with selected nursing role in the DNP and congruity with past and current work experience.

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Goal Statement

Prepare a statement reflecting your goals and purpose for pursuing graduate study. For admission purposes, goals will be judged for clarity and congruity with graduate education, congruity with selected nursing role in the DNP and congruity with past and current work experience. Limit to no more than 500 words. Include the following in your statement:

a. Relationship of your identified area of study, your career goals, and specific outcomes you want to accomplish from graduate study
b. Relationship between your career goals and past and current clinical experience including work experience or future plans to work in rural areas and/or with medically underserved populations.
c. Ideas for your Doctoral Applied Project in your planned area of clinical expertise.

What is the transmission and pathophysiology of TB? What are the clinical manifestations? After considering this scenario, what are the primary identified medical concerns for this patient?

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T B Case Study

Review the patients TB questionnaire.
Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guidelines (www.guideline.gov )). These articles and guidelines can be referenced, but not directly copied into the clinical case presentation. Cite a minimum of three resources.

Answer the following questions:
1. What is the transmission and pathophysiology of TB?
2. What are the clinical manifestations?
3. After considering this scenario, what are the primary identified medical concerns for this patient?
4. What are the primary psychosocial concerns?
5. What are the implications of the treatment regimen, as far as likelihood of compliance and outcomes? Search the Internet to research rates of patient compliance in treatment of TB, as well as drug resistant TB.
6. Identify the role of the community clinic in assisting patients, particularly undocumented patients, in covering the cost of TB treatment. What resources exist for TB treatment in community health centers around the United States? Compare the cost for treatment between, subsidized as it would be for a community health center, and unsubsidized.
7. What are the implications of TB for critical care and advanced practice nurses?

The use of medical terminology and appropriate graduate level writing is expected.

The T B questionnaire:

Maria is a 42-year-old single mother living in New York City with her three sons. She immigrated to New York from Peru two years ago. About six months after she arrived, she began developing night sweats and unexplained fevers. Most recently, she has developed a persistent, worsening cough. Her illegal status has made her hesitant to seek medical treatment, but a neighbor told her that the local community clinic would see her and would not check her residency status.

Screening at the clinic included a questionnaire that addressed some of the problems she was experiencing. The nurse explained to Maria that she might have TB. The physician treating Maria performed a complete physical exam and discussed her questionnaire responses with her, including her response that in Peru, she lived with her grandfather who she believes may have died from TB.

Physical exam findings showed abnormal lung sounds in Maria’s upper lobes bilaterally. The physician found cervical and axial lymphadenopathy. Maria was asked to leave sputum samples to be tested for mycobacterium tuberculosis. A PPD was placed with instructions for Maria to return in two days to have it read. When Maria returned two days later, the result showed a 10 mm raised, red reactive site. Maria was also screened for HIV at the time of initial exam because it is often found in patients with TB. In this case, she tested negative for HIV. Her sputum culture tested positive for M. tuberculosis.

The physician explained that given the findings on the chest x-ray and the clinical findings on exam, he believed that she had reactivation TB. The physician informed Maria that he planned to start her on a four-drug regimen of isoniazid, rifampin, pyrazinamide, and ethambutol (Myambutol) for two months. The physician then explained that a “continuation phase” would follow, which would consist of isoniazid and a rifamycin (rifampin, rifabutin [Mycobutin], or rifapentine [Priftin]) that is administered daily for four to seven months. He also informed her that he would start her treatment at the hospital, where she would stay for least two days because she was still considered contagious. Following the hospital stay, Maria would need to come to the clinic for observed medication administration and to assure compliance.

Two months passed and Maria continued about her day-to-day life including going to the clinic for her medication. She attempted to work full time and to take care of her three sons. She found that her night sweats had become a nightly occurrence, and her cough had become productive with blood along with intense coughing spells. Maria was compliant with the drug regimen but called the clinic because her symptoms were worsening. Maria was scheduled for a visit the very next day.

The follow up chest x-ray showed no improvement, and it was determined that Maria was exhibiting signs of multidrug-resistant TB. Because multidrug-resistant and extensively drug-resistant tuberculosis requires at least 18 to 24 months of therapy, depending on the patient’s response to treatment, the physician decided to extend her therapy to 18 months, beyond the 4 to 7 month time period he had projected. He also stopped the ethambutol and started moxifloxacin. Thoracic surgery for resection of lung lesions is often considered as adjunctive therapy, and this was discussed with Maria at the time of the exam.

Maria was devastated to learn about her multidrug resistant TB because she needed to work. Fortunately, the clinic was able to fund Maria’s drugs at a discounted rate. Nonetheless, the entire situation has put Maria under stress to the point that it is unclear how she will meet this challenge and adequately handle her health crisis.

Discuss why protection of the privacy of health information is important. Discuss the legislation governing protection of health information in Alberta OR your home province/territory.

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Appropriate use of Health Information

The introduction of the electronic health record and the use of other information and communication technologies have provided nurses and other healthcare professionals a more effective way of maintaining and communicating personal health information. However, this increased access to information at the point-of-care increases the nurse’s responsibility to maintain confidentiality of health information. There are several ways that a nurse using information technology may inadvertently breach confidentiality. What are the safeguards that need to be in place to support nurses in the appropriate use of health information? Accordingly, the purpose of this assignment is to support your critical thinking regarding the appropriate use and access to a person’s health information.

Scenario: Your manager, knowing that you are completing a course on nursing informatics asks that you share with her information on practices that support protection of patient information.

In this assignment, you will:

Discuss why protection of the privacy of health information is important.
Discuss the legislation governing protection of health information in Alberta OR your home province/territory.
Reflect on the practices in place regarding protection of health information in a healthcare setting in which you have experience (e.g., currently practice or have practiced previously in an employed or student capacity).
Make recommendations on actions that can be taken in the practice setting to strengthen the practices to support protection of health information.

Evaluation Criteria for Assignment 2

Articulate why privacy of health information is important (3 marks)
Describe the legal requirements set out in the legislation to protect privacy (3 marks)
Discuss practices established in your practice setting to protect privacy of health information (3 marks)
Articulate and provide rationale for 4 actions that can be taken by nurses to strengthen practices that support protection of health information (8 marks)
Provide evidence of application of course concepts from Units 4 to 7 and include references to sources (e.g., journal articles, web-based materials) beyond those offered in the course materials (3 marks)

Demonstrate scholarly format including:

  • 5-6 pages in length excluding title page and Reference list (1 mark)
  • Scholarly language and professional tone (2 marks)
  • Correct grammar, spelling and punctuation (2 marks)
  • Effective introduction and conclusion (2 marks)
  • Include accurate APA (7th edition) formatting including:
  • Title page, headings, and subheadings (1 mark)
  • Reference citations and reference list (2 marks)

Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.

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Use of technology to enhance quality and safety standards in nursing

Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.

Introduction
Before you begin to develop the assessment you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.

Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:

  • Patient monitoring devices.
  • Robotics.
  • Electronic medical records.
  • Data management resources.
  • Ready access to current science.
  • Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.

This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.

Preparation
To successfully complete this assessment, perform the following preparatory activities:

Select a SINGLE direct or indirect patient care technology that is relevant to your current practice or of interest to you. Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:
-Delivery robots.
-Electronic medication administration with barcoding.
-Electronic clinical documentation with clinical decision support.
-Patient sensor devices/wireless communication solutions.
-Real-time location systems.
-Remote patient monitoring.
-Artificial intelligence.

  • Telehealth.
  • Telestroke.
  • Tele-icu.
  • Tele-psychiatry.
  • Tele-genetics.

Workflow management systems.
Conduct a library search using the various electronic databases available through the Capella University Library.
Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.
Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.
Scan the search results related to your chosen technology.
Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.
Evaluate the impact of patient care technologies on desired outcomes.
Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

Notes
Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.
Your selections need to be current—within the last five years.
An Evidence-based Recommendation for Selected Technology Implementation

Prepare a 4–6 page paper in which you introduce your selected technology and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:

Introduction to the Selected Technology Topic
What is your rationale for selecting this particular technology topic? Why are you interested in this?
What research process did you employ?
Which databases did you use?
Which search terms did you use?
Note: In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.

Annotation Elements
For each resource, include the full reference followed by the annotation.
Explain the focus of the research or review article you chose.
Provide a summary overview of the publication.
According to this source, what is the impact of this technology on patient safety and quality of care?
According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.

Summary of Recommendation
How would you tie together the key learnings from each of the four publications you examined?
What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.
Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Assessment 3 Example [PDF].

Additional Requirements
Written communication: Ensure written communication is free of errors that detract from the overall message.
Length: 4–6-typed, double-spaced pages.
Number of resources: Cite a minimum of four peer-reviewed publications, not websites.
Font and font size: Use Times New Roman, 12 point.
APA: Follow APA style and formatting guidelines for all bibliographic entries. Refer to Evidence and APA as needed.

Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
Describe organizational factors influencing the selection of a technology in the health care setting.
Justify the implementation and use of a selected technology in a health care setting.

Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.

Follow APA style and formatting guidelines for all bibliographic entries.