Describe what you thought about the situation (e.g. its cause, potential resolutions, patterns you noticed).  Describe any similar situations you have encountered in practice before. Describe any similarities and differences you observed when compared with the current situation. 

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Reflective Journal Assignment

Instructions: Choose a specific situation from clinical for your journal assignment. The situation can be a specific physiological patient problem, such as an elevation in temperature, respiratory difficulty, or electrolyte imbalance; or a situation involving a patient’s family. The situation can be a description of your role in interdisciplinary problem solving or an ethical issue you encountered.  Although there are many ways of organizing your thinking about patient care and professional nursing practice, Tanner’s (2006) Clinical Judgment Model provides the framework for the questions in this journal assignment.

Introduction/Background: Describe a nursing situation you encountered during clinical. Describe your relationship to the patient at the time you noticed the situation (e.g., previous contact with patient and/or family, the quality of your relationship). Consider experiences you have had that helped you provide nursing care in the situation. Describe your formal knowledge (e.g. physiology, psychology, communication skills), previous nursing experiences with a similar problem, and/or personal experiences that helped guide you as you worked with the patient.

Noticing: What did you notice about the situation initially?  Describe what you noticed as you spent more time with the patient and/or family.

Interpreting: Describe what you thought about the situation (e.g. its cause, potential resolutions, patterns you noticed).  Describe any similar situations you have encountered in practice before. Describe any similarities and differences you observed when compared with the current situation.  What other information (e.g. assessment data, evidence) did you decide you needed as you considered the situation? How did you obtain this information? What help with the problem did you get from your preceptor? Your conclusion: What did your observations and data interpretation lead you to believe? How did they support your response to the situation? Include pertinent pathophysiology and/or psychopathology.

Responding:  After considering the situation, what was your goal for the patient, family and/or staff? What was your nursing response, or what interventions did you do? List all actions that you took. Describe stresses you experienced as you responded to the patient or others involved in the situation.

Reflection-in-Action and Clinical Learning:  What happened? How did the patient, family, and/or staff respond? What did you do next? What went well? Describe three ways your nursing care skills expanded during this experience. Name three things you might do differently if you encounter this kind of situation again. What additional knowledge, information, and skills do you need when encountering this kind of similar situation in the future? Describe any changes in your values or feelings as a result of this experience.

Adapted from Nielsen, A. et al. (2007). Guide for Reflection Using the Clinical Judgment Model. Journal of Nursing Education, Vol.46, No.11

Turn in one of the SOAP notes with attached evidence-based article summary. Explain how this either reinforces what they did in clinical or how it might change the care or plan of care that was provided.

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lansoprazole for gerd

Students are required to turn in one of the SOAP notes with attached evidence-based article summary. The article should be assessed for evidence and quality level with the Johns Hopkins Nursing Evidence-Based Practice. The important information should be synthesized and the student should explain how this either reinforces what they did in clinical or how it might change the care or plan of care that was provided. The SOAP note, a copy of the article, the checklist and your assessment of the article should be handed in together. Use the checklist from the site below to assess the quality of the evidence presented in the article.

NOTE: the article or guideline should be recent (preferably within the past 2 years and not more than 5 years old.

Original Research Article or Meta-analysis Appraisal Tool:

For Non-Research Article Evidence Based Practice Appraisal Tool

Analyze the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization. Apply evidence-based and best-practice strategies to address the safety issue or sentinel event pertaining to medication administration.

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Medication administration in a health care setting

As patient safety concerns continue to be addressed in the health care settings, nurses can play an active role in implementing safety improvement measures and plans. Often root-cause analyses are conducted and safety improvement plans are created to address sentinel or adverse events such as medication errors, patient falls, wrong-site surgery events, and hospital-acquired infections. Performing a root-cause analysis offers a systematic approach for identifying causes of problems, including process and system-check failures. Once the causes of failures have been determined, a safety improvement plan can be developed to prevent recurrences. The baccalaureate nurse’s role as a leader is to create safety improvement plans as well as disseminate vital information to staff nurses and other health care professionals to protect patients and improve outcomes.

As you prepare for this assessment, it would be an excellent choice to complete the Quality and Safety Improvement Plan Knowledge Base activity and to review the various assessment resources, all of which will help you build your knowledge of key concepts and terms related to quality and safety improvement. The terms and concepts will be helpful as you prepare your Root-Cause Analysis and Safety Improvement Plan. Activities are not graded and demonstrate course engagement.

Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Analyze the elements of a successful quality improvement initiative.
Apply evidence-based and best-practice strategies to address a safety issue or sentinel event pertaining to medication administration. ;
Create a viable, evidence-based safety improvement plan for safe medication administration.

Competency 2: Analyze factors that lead to patient safety risks.
Analyze the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization.

Competency 3: Identify organizational interventions to promote patient safety.
Identify existing organizational resources that could be leveraged to improve a safety improvement plan for safe medication administration.

Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

Professional Context
Nursing practice is governed by health care policies and procedures as well as state and national regulations developed to prevent problems. It is critical for nurses to participate in gathering and analyzing data to determine causes of patient safety issues, in solving problems, and in implementing quality improvements.

Scenario
For this assessment, you may choose from the following options as the subject of a root-cause analysis and safety improvement plan:

The specific safety concern identified in your previous assessment pertaining to medication administration safety concerns.
The readings, case studies, or a personal experience in which a sentinel event occurred surrounding an issue or concern with medication administration.

Instructions
The purpose of this assessment is to demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting. You will create a plan to improve the safety of patients related to the concern of medication administration safety based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting to provide a rationale for your plan.

Use the Root-Cause Analysis and Improvement Plan [DOCX] template to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Study the scoring guide carefully so you understand what is needed for a distinguished score.

Analyze the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization.
Apply evidence-based and best-practice strategies to address the safety issue or sentinel event pertaining to medication administration.
Create a feasible, evidence-based safety improvement plan for safe medication administration.
Identify organizational resources that could be leveraged to improve your plan for safe medication administration.

Identify your chosen core nursing topic and give your reason for choosing to it. Identify the peer review journal article/primary research paper you have chosen and signpost the reader to the summary placed within the appendix. Provide a clear plan of the essay by outlining its structure and content.

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Emotional Intelligence in Nursing

Follow assignment brief. This is an unsuccessful paper for the following reasons ( highlighted in yellow in the assignment brief as part of the “Transferable Skills Criteria”):

1. Number of words not respected

2. Introduction (You must clearly identify your chosen core nursing topic and give your reason for choosing to it/ identify the peer review journal article/primary research paper you have chosen and signpost the reader to the summary placed within the appendix/ provide a clear plan of the essay by outlining its structure and content.

3. Body of essay (Reflect on your learning about this topic and consider how you will use this to inform your future practice).

4. Use same reference just add 1 textbook

* Title/blank. No need to amend.

Critically evaluate and apply a range of theories and frameworks related to leadership, management, change management and team working supported by relevant literature. Synthesize key management and leadership principles in relation to accountability within nursing and inter-professional practice underpinned by appropriate literature.

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Leading and Managing Across Health and Social Care

Assessment Title:

Assessment Specification

In this essay you are required to synthesize the leadership and management knowledge and experience gained whilst participating in the teamwork work project during the module.

Part One (40%) 1500 Word Essay

In the first part of the essay, you are required to critically reflect upon your personal leadership and management experience during the teamwork project.

You will need to

  • Select an appropriate model of reflection and use this to structure your critical discussion
  • Demonstrate self-awareness and recognize how your own values, principles and assumptions may affect your leadership and management practices.
  • Synthesize what you have learnt and explore how this will apply to your future practice as a registered nurse.
  • Support your reflection with critical evaluation of relevant underpinning theory / literature.

In the second part of the essay, you need to critically evaluate what you have learnt about leadership and management across health and social care services.  You will need to focus on ONE area of the project and may choose from either:

  • Leading and managing a multidisciplinary team in the ward setting

OR

  • Service user and carer involvement in the planning and development of innovative healthcare practice.

You will need to

  • Critically evaluate and apply a range of theories and frameworks related to leadership, management, change management and team working supported by relevant literature.
  • Synthesize key management and leadership principles in relation to accountability within nursing and inter-professional practice underpinned by appropriate literature.
  • Demonstrate that you have a critical understanding of both political and economic perspectives within today’s healthcare system

Find a peer-reviewed article related to BSN professionalism. Apply findings to your own professional practice.

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BSN Professionalism

Find a peer-reviewed article related to BSN professionalism. Apply findings to your own professional practice.

Why was this study conducted? What ethical precautions were taken in the study? What further ethical implications should be considered if you were going to repeat this study and what theoretical/ conceptual frameworks guided this study.

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Nursing research

Select a nursing research article from the literature that is no more than 5 years old. Be sure the content is of interest to your area of nursing! Post your article on the Discussion Forum and identify (1) Why this study was conducted; (2) what ethical precautions were taken in the study; (3) what further ethical implications should be considered if you were going to repeat this study; and (4) what theoretical/ conceptual frameworks guided this study.

Outline and justify the contribution of genetics in disease aetiology and the role of screening. Elaborate discursively the concept of stress explaining experiences of ill health, behaviour and personality social and physical disease effects.

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To critically assess an article

  • Appraise scientific evidence to explain and acute and long term disease progression in relation to body tissues and systems, morbidity and mortality progression in relation to morbidity  and mortality.

 

  • Outline and justify the contribution of genetics in disease aetiology and the role of screening.

 

  • Elaborate discursively the concept of stress explaining experiences of ill health, behaviour and personality social and physical disease effects.

Using the Chen format as shown and discussed in the Oppel text, draw an entity-relationship (E-R) diagram for two of the entities, name the identifier for the selected entitiies, and attach the drawing to your discussion post.

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Wk 2 DB

Project Entities and Relationships

As you further consider the information problems and design of the database from your week 1 discussion

Name two-to-five entities (also known as entity classes in your text) that will be part of your database.

Explain why you have chosen these entities.

Using the Chen format as shown and discussed in the Oppel text, draw an entity-relationship (E-R) diagram for two of the entities, name the identifier for the selected entitiies, and attach the drawing to your discussion post. Remember, an entity-relationship requires at least one other entity. Use a software program or Microsoft Word symbols to depict your diagram aspects

Write an essay describing the difference between hypothermia and hyperthermia and the impact to the patient? Discuss patient education for client and family in order to avoid extreme temperature variations?

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Hypothermia and Hyperthermia

Write an essay describing the difference between hypothermia and hyperthermia and the impact to the patient? Discuss patient education for client and family in order to avoid extreme temperature variations?