View the How to Overcome our Biases? Walk Boldly Toward Them video. Write an original post (at least 250 words or more) on your thoughts, feelings and similar experiences. Use at least one reference to support your ideas.

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Module 1 – Unconscious Bias

Our biases can be dangerous, even deadly — as we’ve seen in the cases of Michael Brown in Ferguson, Missouri, and Eric Garner, in Staten Island, New York. Diversity advocate Vernā Myers looks closely at some of the subconscious attitudes we hold toward out-groups.

Instructions:

  1. View the How to Overcome our Biases? Walk Boldly Toward Them video. https://www.ted.com/talks/verna_myers_how_to_overc…
  2. Take the Implicit Association Test (IAT). https://implicit.harvard.edu/implicit/takeatest.ht…
  3. Post your reaction to the IAT results. Do you agree or disagree? Why? Why not?
  4. Write an original post (at least 250 words or more) on your thoughts, feelings and similar experiences. Use at least one reference to support your ideas.
  5. Respond to one of your classmate’s posting with meaningful answers. (I will send you 1 clasmate work after submiting my part, I will need a 100 words reply)
  6. To see the grading rubric, click on the 3-dot menu 3-dot menu on the top-right side of screen.

Create a poster presentation to communicate an implementation plan to bridge the gap between the evidence you will research and clinical practice.

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Implementing Evidence-Based Practice

Create a poster presentation to communicate an implementation plan to bridge the gap between the evidence you will research and clinical practice. You will then record audio of no more than five minutes presenting your poster.

  • Background on the clinical problem.
  • PICOT question.
  • Stakeholders that will be impacted.
  • Action plan for implementation.
  • Potential barriers to project implementation.
  • Baseline data that will be needed to evaluate outcomes.
  • Search strategy and databases used.
  • Summary of the evidence with a critical appraisal of its quality.
  • Develop a PICOT question for a chosen clinical problem.
    • Include a graphic that is relevant to the clinical problem.
    • Provide a background on the clinical problem identified.
  • Outline an action plan to implement the evidence-based project that includes:
    • The recommended practice change.
    • Proposed timeline for implementation.
    • The tools or resources that will be needed to support the project.
  • Identify the stakeholders, opportunities for innovation, and potential barriers to the practice change needed for project implementation.
    • Who are the stakeholders that will be impacted?
    • What are areas of the project that present opportunities for innovation?
    • What are the potential barriers, such as a lack of knowledge, time, skill level, motivation, or resources that could impact project implementation?
  • Propose outcome criteria to evaluate the evidence-based practice project and how they will be measured.
    • How will outcomes be measured?
    • How do your outcomes align with the Quadruple Aim?
      • How will your outcome measures inform evidence-based practice, guidelines, or policies?
  • Evaluate the evidence that supports the need for practice change.
    • In the notes section of your poster presentation:
      • Describe your search strategy and databases that were used.
      • Summarize your findings with a critical appraisal of the quality and relevance of your resources.
  • Convey purpose of the poster presentation, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
  • Integrates relevant and credible sources of evidence to support assertions, using current APA style.
  • Set up and tested your microphone and headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear or high quality when captured by the microphone.
  • Practice using the equipment to ensure the audio quality is sufficient.
  • Consult Using Kalturafor guidance on how to record your presentation and upload it in the courseroom.
  • Microsoft PowerPoint also allows you to record your narration with your slides. If you choose this option, simply submit your presentation to the appropriate area of the courseroom. Your narration will be included with your stories.
  • Remember to practice delivering and recording your presentation multiple times to ensure effective delivery.
  • Font and font size: Appropriate size and weight for a presentation, generally 24–28 points for headings; no smaller than 18 points for bullet-point text. Use a suitable professional typeface, such as Times or Arial, throughout the presentation.
  • Length of presentation: No more than five minutes.
  • Number of references: Cite a minimum of 3–5 sources of current scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work.
  • APA formatting: Resources and citations are formatted according to current APA style.
  • Competency 1: Apply evidence-based practice to plan patient-centered care.
    • Outline an action plan to implement the evidence-based practice project that includes the recommendations for practice change, a timeline, and tools or resources needed.
    • Propose outcome criteria for evaluating the evidence-based practice project and how the outcomes will be measured.
  • Competency 2: Apply evidence-based practice to design interventions to improve population health.
    • Identify the stakeholders, opportunities for innovation, and potential barriers to the practice change needed for project implementation.
  • Competency 3: Evaluate the value, relevance, and ethics of available evidence upon which clinical decisions are made.
    • Develop a PICOT question for a chosen clinical problem.
    • Evaluate the value and relevance of the evidence that supports the need for a practice change.
  • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
    • Convey purpose of the poster presentation in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
    • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Choose a disease (any disease) and FABRICATE a patient with all signs/ symptoms and lab results.

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FABRICATE a case-study

Signature Assignment: Choose a disease (any disease) and FABRICATE a patient with all signs/ symptoms and lab results. You are going to FABRICATE a case-study and answer all the questions listed. My advice is to be descriptive and the more you write, the better your paper will be. Your Signature Assignment should be 4-8 pages NOT including title page and reference page. Please use a MINIMUM of 4 REFERENCES (two of the four should be scholarly journals) to support your paper. I am posting a Sample Signature Assignment below for your reference. Please follow the Structural Format of the sample paper.In order to write a case study paper, you must carefully address a number of sections in a specific order with specific information contained in each. The guideline below outlines each of those sections.

You will be graded on how well you complete each of the above sections. You will also be graded on your use of APA Style and on your application of nursing journals into the treatments and interventions. For integrating nursing journals, remember the following:

Make sure to integrate citations into all of your paper

Support all claims of what the disease is, why it occurs and how to treat it with references to the literature on this disease

Always use citations for information that you learned from a book or article; if you do not cite it, you are telling your reader that YOU discovered that information (how to treat the disease, etc.)

Section Information to Include
Introduction (patient and problem)
  • Explain who the patient is (Age, gender, etc.)
  • Explain what the problem is (What were they diagnosed with, or what happened?)
  • Introduce your main argument (What should you as a nurse focus on or do?)
Pathophysiology
  • Explain the disease (What are the symptoms? What causes it?)
History
  • Explain what health problems the patient has (Have they been diagnosed with other diseases?)
  • Detail any and all previous treatments (Have they had any prior surgeries or are they on medication?)
Nursing Physical Assessment
  • List all the patient’s health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.)
Related Treatments
  • Explain what treatments the patient is receiving because of their disease
Nursing Diagnosis & Patient Goal
  • Explain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?)
  • Explain what your goal is for helping the patient recover (What do you want to change for the patient?)
Nursing Interventions
  • Explain how you will accomplish your nursing goals, and support this with citations (Reference the literature)
Evaluation
  • Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?)
Recommendations
  • Explain what the patient or nurse should do in the future to continue recovery/improvement

Conduct a literature search on your approved nursing practice problem. Find two translational research articles, one quantitative article, and one qualitative article. Using the “Translational Research Graphic Organizer,” present your proposed topic and, in the tables provided, compare one translational study to the quantitative study, and one translational study to the qualitative study.

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Main assignment wk 1

The purpose of this assignment is to conduct a comparison on different research designs to better understand their designs and application. Understanding the different types of research design is important so that nurses can effectively apply evidence-based research into practice to address issues and offer better patient care.

You will utilize your approved nursing practice problem to complete the evidence-based practice project proposal assignments for this course and NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

Review feedback from your instructor on your “Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem,” submitted in Topic 1. If your original proposed nursing problem was outside the scope of nursing practice or not conducive to an evidence-based practice project proposal, work with your instructor to identify a new topic prior to beginning this assignment. If your proposed topic requires revision, complete this prior to beginning this assignment.

Conduct a literature search on your approved nursing practice problem. Find two translational research articles, one quantitative article, and one qualitative article. Using the “Translational Research Graphic Organizer,” present your proposed topic and, in the tables provided, compare one translational study to the quantitative study, and one translational study to the qualitative study.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Choose one provision from the ANA Code of Ethics. How is ethical behavior an integral part of being a nurse leader? How does one communicate the characteristics of a role model with this provision? Do ethics influence the leadership style of the nurse leader? Explain your rationale.

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Nursing Question

Choose one provision from the ANA Code of Ethics. How is ethical behavior an integral part of being a nurse leader? How does one communicate the characteristics of a role model with this provision? Do ethics influence the leadership style of the nurse leader? Explain your rationale.

Provision 1 of the ANA Code of Ethics states that compassion and respect for the inherent dignity, worth, and distinctive qualities of every individual are practiced by nurses (ANA, n.d.). Trust, respect, and professionalism is fostered in the workplace when leaders integrate ethical behavior in their practice. Nurse leaders are expected to uphold ethical standards like honesty, integrity, and respect for the rights and dignity of others. Ethical leadership is characterized by a commitment to social justice, transparency, and responsible stewardship of resources (Williams, 2022). By practicing ethical behaviors, nurse leaders can inspire and motivate others to act ethically and responsibly. Effective communication of the characteristics of being a role model is done by using clear and simple language, providing examples of positive behavior, and using stories or scenarios to illustrate these characteristics. Through its ability too engage audiences and maintain their interest, storytelling has the potential to create a shared understanding among people about a situation, a topic, or a problem and help audiences form deep connections (Sundin et al., 2018).

Nurse leaders that exhibit the transformational style prioritize ethics in their decision-making. They emphasize ethical considerations, teamwork and collaboration, that leads to positive work environments. According to Moon & Jung (2018), ethical leadership styles lead to improved organizational outcomes like job satisfaction, retention, and improved patient safety. It is crucial for leaders to uphold ethical principles and standards of their practice and model the behaviors to influence and inspire others to do the same.

American Nurses Association. (n.d.). Nurses Code of Ethics. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/

Moon, K.-K., & Jung, C. (2018). Management representativeness, ethical leadership, and employee job satisfaction in the U.S. Federal Government. Public Personnel Management, 47(3), 265–286. https://doi.org/10.1177/0091026018767480

Sundin, A., Andersson, K. & Watt, R. Rethinking communication: integrating storytelling for increased stakeholder engagement in environmental evidence synthesis. Environ Evid7, 6 (2018). https://doi.org/10.1186/s13750-018-0116-4

Williams, A. (2022). What is Ethical Leadership: How to be an Ethical Leader. https://bvop.org/journal/ethical-leadership/

Identify recent events or developments presented in the news or social media and analyze them to make connections to course material.

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Contemporary Issues Journal II Instructions

The content of this class is closely related to many contemporary issues or current events in the real world. For this assignment, you will need to identify recent events or developments presented in the news or social media and analyze them to make connections to course material.

Your 3 journal entries should include the following:

  • Date of the Entry
  • Date of the news article, event or social media post (should be current or within the last 6 months)
  • Title of the news article, event or social media Post and an active link
  • Brief summary of the article, issue, event or post in your own words (approx. 1 paragraph)
  • Brief discussion on how the issue relates to course-related ideas or concepts (approx. 1 paragraph)
  • Include references in APA 7TH edition

Why is the patient in the hospital: (Provide brief statement which led to the patient’s admission to hospital/facility i.e., need rehab post CVA)?

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Weekly Nursing Process Worksheet
Instructions: Each clinical day each student will develop a nursing process outline for one patient of their choice. This portion of your clinical day is of the utmost importance. It provides you with key teaching-learning opportunities for your clinical practice and focuses on your ability to demonstrate patient care management with specific disease states through the AAPIE: Assess Analyze Plan Implement Evaluate. In this manner, what is the major purpose for using Tanner’s model of clinical Judgement? involves recognizing that an issue exists (patient problem), analyzing information about issues (clinical data about a patient), evaluating information (reviewing assumptions & evidence), and making conclusions.

These are quick notes and what should be assessed and what should be done throughout the shift. Expect to hone the skills of communication by focusing on the essentials of the care that was provided in handoff report and be able to “give report” utilizing the AAPIE format. These will be discussed in clinical and in post conferences with the faculty. Upload to CANVAS After the conference.
DIRECTIONS
What needs to be done today.                                                                 Completed              Not Completed           Comments
Assess the patient.     YES    
Know the admitting diagnosis and hold status YES    
Read the most recent physician and nursing notes. YES    
Have the chart in hand or electronic chart open and be ready to report

●         allergies

●         medication times scheduled

●         fluids,

●         stat lab test results and   pre-op or procedures (if pertinent)

 YES    
IDENTIFICATION DATA:
 

Patient Initials: G.J. Patient Age: 74 Gender    F    M     Allergies      NKA, NKDA       Isolation: N/A

  Other: __________ 

SITUATION 
I am reporting about:  A 74 year old male patient Patient initial: G.J Room #201A
The problem and situation I am reporting about is:
Problem: Patient has pain due to a fall, subtle hazy and nodular opacities of the bilateral lungs are notes which present infection (pneumonia),

 
Situation:

 
If this is a serious problem, identify what the code status is. Code/DNR    Full Code
IDENTIFYING DATA
Why is the patient in the hospital: (Provide brief statement which led to the patient’s admission to hospital/facility i.e., need rehab post CVA)?

74 year old male was admitted into the hospital on April 20th of a chief complaint of a fall. As per the patient he got up to go to the bathroom, and on his way back he fell. He says he tripped on his own feet. The family reported that the patient had been in bed for 3 days. The patient denied any chest pain, shortness of breath, fevers, chills, palpitations or abdominal pain. He denied any prodrome prior to fall. Patient had a cardiac cath about 10 years ago which was negative for significant CAD.

 

Admitting DX: Patient is admitted for Non-ST Elevation MI (NSTEMI) and type 2 MI (supply/demand) . Surgery: N/A
 
BACKGROUND
●        Briefly state why the patient is in the hospital give a synopsis of the treatment to date.
●        What is the admission plan?
●        Give the vital signs, pain level, oximetry, and how much oxygen is being given. (If none state none)

Blood pressure (128/81 mmHg), Heart rate (97 bpm), Temperature (97.7 F or 36.5 C), Respiration rate (15 breaths/min), O2 saturation (98%)
●        Relate the complaint given by the patient e.g., pain and anxiety level.

Patient verbalizes pain of 0/10 on pain scale and is feeling “fine”
●        Relate the physical assessment pertinent to the problem, especially any changes.

 
●       Pay special attention to mental status, skin temperature and emotional state of the patient

Patient has good eye contact, responsive, well-nourished, normal speech, appears comfortable, warm to the touch
PERTINENT HISTORY: (include pertinent history)
 

DM/GI/GERD/GU/ HTN/ CVA/ CKD/CAD/PVD/COPD/Smoker/ETOH/Drug Abuse/Dementia/ DVT/ SAH

Hypertension, Hyperlipidemia, Heart Failure, Myocardial Infarction, Dementia, COPD,

 

 Psych: HAPPY          Living Situation: Patient lives in nursing care at CVS SNF
ASSESSMENT:
Give your conclusions about the present situation. Words like “might be” or “could be.”are helpful. A diagnosis is not necessary. (i.e., Patient’s tongue swelling might be from side effects from ACE drugs)

 
If the situation is unclear at least try to indicate what body system might be involved.
State how severe the problem seems to be. (Patient is having a severe chest pain from ischemia to cardiac vessels)

 
If appropriate, state the problem could be life threatening such as medication adverse effects.

(Pt is experiencing Red Man Syndrome from a severe reaction to Vancomycin infused too rapidly)

 
ANALYSIS OF ASSESSMENT: use the template on the next page
ANALYSIS OF ASSESSMENT:

 

​List three (3) teaching points the nurse can provide a client with cholelithiasis on dietary choices for symptom management. ​Describe the goals and interventions of palliative care and provide one example of a client who might benefit from a referral to palliative care services.

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Remedaitons

  1. Send a detailed summary (2-3 sentences each) of 6 concepts learned from the focused review to Virtual-ATI Educator.

Dietary Choices for A Client Who Has Cholelithiasis

Planning Care for a Client Who Has Disseminated Herpes Zoster (Shingles)

Evaluating Effectiveness of Fluid Replacement

Caring for a client with severe neutropenia.

Postoperative complication (the client has onset of excessive clotting followed by severe bleeding).

Precautions While Taking Chemotherapy for Cancer Treatment

 

  1. Answer the following questions 
While assessing a client two hours after a transurethral prostatectomy (TURP), the nurse notes the catheter drainage is bright red in color and contains many clots.  Name the priority nursing intervention.

 
A nurse is caring for a client who has just been admitted following surgical evacuation of a subdural hematoma. List one (1) priority nursing assessment to be completed.
A surgeon has explained an upcoming procedure to the client and the client has signed the informed consent form. An hour later the client tells the nurse, “I’m not really sure if I should have this operation. It sounds like there are a lot of risks”. What is the nurse’s responsibility in this situation?
​
​A client is being discharge to home after a total hip arthroplasty. Identify two (2) supportive equipment items the client will need to prevent strain on the prosthesis, postoperatively.
​​​A nurse is caring for a client with a latex allergy. What steps should the nurse take when initiating an IV line on this client?

​A home care nurse visits a client who has stage 4 metastatic lung cancer. He tells the nurse, “I don’t want any more chemotherapy or surgery. I just want to be made comfortable”. How can the nurse advocate for this client?
​List three (3) teaching points the nurse can provide a client with cholelithiasis on dietary choices for symptom management.
​Describe the goals and interventions of palliative care and provide one example of a client who might benefit from a referral to palliative care services.
​A nurse conducts a health seminar with clients. Identify four (4) risk factors for osteoporosis that should be discussed.
​An older client asks a nurse what she can do to minimize the risk of developing osteoporosis.  Identify 3 (three) health promotion activities the client should implement.
​The nurse is screening a client who has a family history of colorectal cancer. Identify three (3) modifiable risk factors for colorectal cancer to discuss with the client.
​A nurse provides discharge teaching for a client admitted in diabetic ketoacidosis (DKA). Identify four (4) actions the client/family should take to recognize DKA prior to seeking medical attention.
​A school nurse is conducting a health class regarding symptoms of a urinary tract infection.  Identify four (4) expected findings.

A nurse is caring for a client in skeletal traction. What guidelines should the nurse observe regarding traction?
​The nurse is assessing a client with peripheral vascular disease. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency.
​A community health nurse is conducting a class for senior adults regarding osteoarthritis.  Identify five (5) possible contraindications for taking over-the-counter glucosamine and chondroitin.
A nurse is caring for a client who has dysphagia following an ischemic stroke.  The nurse understands that the client must be kept NPO until being evaluated by what member of the health care team?
​A nurse is teaching a client newly diagnosed with multiple sclerosis. Describe management strategies for urinary elimination, diplopia, fatigue and safety.
​Describe the purpose and process of using hydrotherapy for wound care on a client who has a burn injury.

​A nurse swiftly completes an assessment after hearing a high-pressure alarm on the ventilation of a client in respiratory failure. Identify three (3) potential reasons for the alarm to alert the nurse.
​A nurse is caring for a client immediately following a paracentesis for ascites. What is a potential complication of this procedure? What are appropriate interventions for management of this potential complication?

A client is experiencing disequilibrium syndrome.  List three (3) manifestations associated with this presentation and three (3) associated nursing actions to manage the syndrome.

 
A 54-year-old client has undergone a surgical repair of an abdominal aortic aneurysm. The postoperative orders include to maintain a warm environment. What is the rationale for this order?
​A nurse is providing teaching for a client who has a newly placed colostomy. Describe three (three) teaching points each for nutrition and ostomy care.
To assess for Chvostek’s sign in a client with hypocalcemia, how will the nurse illicit it?
A nurse is caring for a client who has hyponatremia.  Identify three (3) complications of hyponatremia.

 
​A community health nurse is teaching a class on testicular self-examination (TSE). What findings would need further evaluation for possible testicular cancer.
​The nurse answers a client’s call bell to find the client’s abdominal wound bleeding and after a brief assessment discovers the wound has eviscerated. Identify the priority interventions the nurse must perform.
​An occupational health nurse cares for a client who encountered a chemical splash to the eyes.  Identify three (3) nursing actions involving irrigation of the eyes.
 

 

 

 

Create a statistical analysis table using the attached research study by Binns-Turner et al.

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Creating a statistical analysis table

Create a statistical analysis table using the attached research study by Binns-Turner et al.

  • https://www.studypool.com/questions/download?id=2834672&path=uploads/questions/950095/20230504225120binns_turner_et_al._3__1_.pdf&fileDownloadName=attachment_1

In creating the statistical analysis table name the columns purpose of analysis, analysis technique, statistic, results, and probability using the samples provided on pp. 370 and 376 in the textbook by Grove and Gray (2023). Create a separate row for each purpose.

Binn-Turner et al. Purpose of Analysis:

  • Difference between the intervention and control group on race
  • Difference between the intervention and control group on ASA status
  • Difference between the intervention and control group on marital status
  • Change scores on dependent variables (MAP. HR, Anxiety, & Pain) between preoperative (T1) to postoperative period (T2) in intervention and control groups

Write a reflection journal (250-300 words) to outline what has been discovered about your professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes.

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Health care delivery and clinical systems

Students are required to submit weekly journal entries throughout the course. These reflective narratives help students identify important learning events that happen throughout the course and the practicum. In each week’s entry, students should reflect on the personal knowledge and skills gained.

Write a reflection journal (250-300 words) to outline what has been discovered about your professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week there will be a specific focus to use in your reflection. Integrate leadership and inquiry into the current practice. Please make sure to address all areas in your writing.