Review the role of the ear, specifically detailing the external, middle, and inner ear. Discuss the structure of the ear examination and the variation when applied to special population groups. What specific questions would you ask when completing the patient history? How does the adult ear differ from the pediatric ear?

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THE EAR

1:Review the role of the ear, specifically detailing the external, middle, and inner ear.

2:Discuss the structure of the ear examination and the variation when applied to special population groups.

3:What specific questions would you ask when completing the patient history?

4:How does the adult ear differ from the pediatric ear?

5:Identify and discuss 2 specific ear disorders.

Prepare an agenda that you would use for a pre-implementation kick-off meeting with stakeholders and organizational approvers if you were implementing your HIP.

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Reducing Wait times in the ER

CLINICAL PRACTICE EXPERIENCE Max Hours Earned SME Verification

Phase 1: Agenda for Proposed Implementation Kick-off and National Association for Healthcare Quality (NAHQ) Modules and Practice Exam

Meet with your SME to review the requirements for your CPE. Strategically plan the tasks and timeline needed to complete your CPE.

Prepare an agenda that you would use for a pre-implementation kick-off meeting with stakeholders and organizational approvers if you were implementing your HIP. The purpose of the meeting would be to ensure they are supportive of implementing the proposed HIP and should include the project background, timeline, action items, role clarification and responsibilities of the project team.

Discuss your kick-off agenda with your SME. Create a 5- to 10-minute GoReact video that discusses the agenda. After recording your video and posting it for review, watch two of your peers’ videos and provide them with encouraging and constructive feedback. Finally, capture a screenshot of your video and screenshots showing that you responded to two of your peers’ videos. Include a brief written summary of your video reflection below your video screenshot.

Complete the NAHQ modules that are located in the course. Once you have completed the modules, take the practice examination, which is also located in the course. You will receive a score each time you complete the practice exam; however, you can take it as many times as you need to receive a competent-level score and to practice for the Certified Professional in Healthcare Quality (CPHQ) exam. Capture a screenshot of your practice exam attempt.

Phase 2: Interview Guide and Presentation Outline
Create an interview guide that you will use to question student peers about their HIP proposal in your capstone CPE. The interview guide should consider “what if” scenarios and should be written in the frame of mind of asking your student peers to critically review their proposed HIP. You should also be thinking about questions that you will be asked, and you should prepare responses to potential questions to critically review your proposed HIP.

Create an outline for a conference-ready presentation of your proposed HIP that you will present in your performance assessment. Include references in APA format.

Create a second 5- to 10-minute GoReact video that discusses your interview guide and conference-ready multi-media presentation outline. After recording your video and posting it for review, watch two of your peers’ videos and provide them with encouraging and constructive feedback. Finally, capture a screenshot of your video and screenshots showing that you responded to two of your peers’ videos. Include a brief written summary of your video reflection below your screenshot.

If you have trouble with the above GoReact link, you can copy and paste the following URL directly into your browser: https://lrps.wgu.edu/provision/232827985.
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Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values.

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The Diagnostic Test: Mammogram

Attention Writer: Include all of the below Requirements/Topics in the paper: Assignment (3–4 pages, not including title and reference pages. Include an Introduction and conclusion. Use references no older than 2016)

A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.

o What is its purpose?

o How is it conducted?

o What information does it gather?

• Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values.

How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care? Reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.

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Ethical dilemmas faced by nurse leaders

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.

WHAT ARE THE BENEFIT OF THIS CHANGE TO THE ORGANISATION AND/OR THE STAFF OR CLIENTS? WHAT ARE THE LIMITATIONS OF THE IDEA? HOW WOULD YOU SUCCESSFULLY IMPLEMENT THIS CHANGE? WHY HANDOVER IS IMPORTANT?

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IMPROVING COMMUNICATION IN WORKPLACE – TIME FOR HANDOVER.

WHAT IS THE CURRENT PRACTICE WITHIN THE HEALTH AND/OR SOCIAL CARE? – SUPPORT WORK FOR VULNERABLE ADULTS WITH LEARNING DISABILITIES AND OTHER MENTAL HEALTH DISORDERS.

WHAT CHANGE DO YOU PROPOSE (IN-DEPTH AND UNDERPINNED WITH APPROPRIATE RESEARCH)

WHAT ARE THE BENEFIT OF THIS CHANGE TO THE ORGANIZATION AND/OR THE STAFF OR CLIENTS?

WHAT ARE THE LIMITATIONS OF THE IDEA?

HOW WOULD YOU SUCCESSFULLY IMPLEMENT THIS CHANGE?

WHY HANDOVER IS IMPORTANT? – PUT THE EVIDENCE.

THE FOLLOWING ARE THE OUTCOMES TO FOLLOW TO WRITE THIS ESSAY.

MODULE CONTENT.
Content will include but not limited to:
Management skills
Leadership skills
Change management
Service improvement
Legislation in relation to their clinical area.
Research appreciation.
Intended learning outcomes?
Articulate the difference between evidence and opinion.
Construct a literature review on a negotiated topic.
Discuss the concepts of service development and improvement.
Demonstrate the ability to apply management and change management theory to practice.
Discuss the concepts of leadership and management within health and social care settings.

 

Describe the proposed evidence-based intervention and explain how your proposed intervention incorporates health policies and goals that support health care equity for the population of focus. Compare your intervention to previous practice or research.

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Benchmark – Evidence-Based Practice Project: PICOT Paper _PART 4

Assignment Submission
Take a moment to review the details of this assignment below and gather any necessary files. Once you’re ready to submit your assignment, move on to Step 2.

Assessment Description
Refer to the PICOT you developed for your evidence-based practice project proposal. If your PICOT required revision, include those revisions in this assignment. You will use your PICOT paper for all subsequent assignments you develop as part of your evidence-based practice project proposal in this course and in NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

Write a 750-1,000-word paper that describes your PICOT.

Describe the population’s demographics and health concerns.

Describe the proposed evidence-based intervention and explain how your proposed intervention incorporates health policies and goals that support health care equity for the population of focus.

Compare your intervention to previous practice or research.

Explain what the expected outcome is for the intervention.

Describe the time for implementing the intervention and evaluating the outcome.

Explain how nursing science, social determinants of health, and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population.

Create an Appendix for your paper and attach the PICOT. Be sure to review feedback from your previous submission and revise your PICOT accordingly.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as the final appendix at the end of your paper.

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 at least four to six 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.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

MS Nursing: Public Health

MS Nursing: Education

MS Nursing: Acute Care Nurse Practitioner

MS Nursing: Family Nurse Practitioner

MS Nursing: Health Care Quality and Patient Safety

4.1: Synthesize nursing science, determinants of health, and epidemiologic, genomic, and genetic data in the management of population health.

Critically evaluate the evidence-based management strategies advocated for a range of traumatic conditions and demonstrate an ability to select the appropriate treatment plan. Critically evaluate the evidence-base of treatment options and management strategies for the patient and working diagnosis.

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Summative Assignment

Critical analysis of a major incident and the assessment and management of a major trauma patient using a case study.
2500 words.
The student will be provided with a case study of a major incident, including incident and scene details. Using the case study, the student will.

CASE STUDY:
32-year-old female Initial Triage Category: P2 • C: None externally evident • A: Patent • B: RR 20 / SpO2 92% • C: Pallor / BP 74/42 / HR 138 • D: GCS 15 (4:5:6); I = bruising to right abdomen; P = severe pain (10/10) right abdomen/pelvis/lower back; P = unable to ascertain due to scene noise; A: No abnormalities detected • E: What other examination considerations do you have?

Demonstrate an ability to apply the underlying concepts and principles of risk assessment, safety and management of a high-risk environment or accident scene (LO5).
Critically evaluate the aspects of communication and collaborative working required on the scene of a traumatic incident and recognise the interprofessional boundaries and roles at the scene of an incident (LO4)
The student will also be provided details of three trauma patients involved in the case study major incident.
The student will select ONE of these patients to demonstrate achievement of the following learning outcomes.

Demonstrate knowledge and understanding of a range of established techniques for the history, assessment and examination of a patient involved in a traumatic incident (LO1).

Demonstrate knowledge and critical understanding of the relevant anatomy, physiology and pathophysiology relating to the trauma patient, to include mechanism of injury and the laws governing physical or movement forces (LO2).

Critically evaluate the evidence-based management strategies advocated for a range of traumatic conditions including head, chest, abdomen, pelvic, spine, extremity and thermal injuries and demonstrate an ability to select the appropriate treatment plan (LO3).

Expectations
Ensure presentation of work is in line with University of Cumbria standards.
1.5 line spacing; Arial or Calibri Font; Font size 11 or 12
There is NO requirement to include an assignment cover sheet as you are submitting your work electronically.
Anonymous marking is in place, therefore do not put your name on your assignment. Use your student number only.
Refer to the University of Cumbria Academic Regulations Appendix 3c – The Conduct of Assessment for further information on word count limits, content and format.
The Table-Top Exercise will focus on the module learning outcomes outlined below, using an interactive major incident scenario.
You will work in your peer groups to evaluate the scene and establish early scene control and management, incorporating current inter-agency collaborative principles, risk assessment and major incident procedures and protocols. You will also undertake a table-top triage exercise.

Learning Outcome 4
Critically evaluate the aspects of communication and collaborative working required on the scene of a traumatic incident and recognise the interprofessional boundaries and roles at the scene of an incident.
.
Learning Outcome 5
Demonstrate an ability to apply the underlying concepts and principles of risk assessment, safety and management of a high risk environment or accident scene.

For your chosen patient.
LO1. Demonstrate knowledge and understanding of a range of established techniques for the history, assessment and examination of a patient involved in a traumatic incident.
• Discuss data/info gathering techniques for the trauma patient.
• Discuss specific assessment techniques and why/how they are performed.
• Discuss diagnostic tests (inc specific questions) pertinent to the patient presentation

Discuss clinical reasoning and decision-making processes in arriving at a working diagnosis. For your chosen patient.

LO2. Demonstrate knowledge and critical understanding of the relevant anatomy, physiology and pathophysiology relating to the trauma patient to include mechanism of injury and the laws governing physical or movement forces
• Critically analyse the mechanism of injury and forces the patient has been subjected to.
• Include thorough explanation of the underlying pathophysiological processes occurring to explain the working diagnosis.
• Include detailed explanation and understanding of the underlying pathophysiological processes occurring to produce the signs and symptoms the patient presents

LO3. Critically evaluate the evidence-based management strategies advocated for a range of traumatic conditions and demonstrate an ability to select the appropriate treatment plan. • Critically evaluate the evidence-base of treatment options and management strategies for the patient and working diagnosis. • Also consider a critical discussion on cervical spine and shock in trauma management strategies. • Discuss the decision-making process in choosing a management plan appropriate for the patient

Discuss signs and symptoms & vital signs and link this to tools we use for identifying and managing acute illness.

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Identifying and managing acute illness

Link your patient presentation to the intervention
Discuss signs and symptoms & vital signs and link this to tools we use for identifying and managing acute illness.

For example: If your patient has a diagnosis of sepsis

– Link to NEWS2 to demonstrate acute illness

– Link the vital signs to the sepsis six and the red flags for sepsis

– Then link to your intervention i.e. as a result of the signs and symptoms of sepsis, the red flags and NEWS2 score a fluid challenge is part of this patients management

Describe an example from your practice or your own healthcare experiences in which there has been a shift from the medical model of disease prevention to health promotion in health care.

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Shifting Nursing Practice to Health Promotion and Partnerships

Describe an example from your practice or your own healthcare experiences in which there has been a shift from the medical model of disease prevention to health promotion in health care.

Describe the shift from the individual to the community setting.

Explain the role that the nurse assumes in this transition to merge partnerships in the transition from individual health promotion to the community model of health promotion.

How can sociological research help us understand how laws and policies are made and how they change over time? How might we use the sociological perspective to develop more effective solutions to political and social issues or create policies that are effective and based on sound research?

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Comparing two U.S. states’ approaches to issues of same-sex marriage.

Note: You must complete Assessment 4 before beginning this assessment.

How can sociological research help us understand how laws and policies are made and how they change over time? How might we use the sociological perspective to develop more effective solutions to political and social issues or create policies that are effective and based on sound research? These are questions to consider as you explore the connection between political and economic power and legislative decision making.

In this final assessment, you study how our culture’s beliefs about diversity are reflected in the law-making and policy-making process, including laws and policies that pertain to immigration and same-sex marriage. As you compare and contrast how two specific states have approached same-sex marriage, reflect on which sociological theories (such as power elite theory, state autonomy theory, or pluralism) best apply to the policy decisions that have been made in your states. Something to think about, too, is whether the policies and positions maintained by those in power actually reflect the research and data on the topic or issue they address. The research you do for this final assessment should show you how power and politics, as well as population demographics, influence policy making.

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

Competency 1: Describe theoretical ideas of power in relation to policy.
Discuss contrasts in how states approach a diversity issue, using theoretical ideas of power.
Competency 2: Identify historical and contemporary influences of discrimination in U.S. culture.
Discuss law, policy, or politics in states with varying approaches to a diversity issue.
Competency 3: Analyze the effects of social policy using aggregated data.
Analyze data to project how state policies might affect population migration.
Competency 4: Analyze how laws are applied or created based on race, ethnicity, religion, gender, sexual orientation, age, and social class.
Discuss contrasts between two states in areas of law, politics, or policy as they apply to a diversity issue.
Competency 5: Apply diversity strategies in professional, educational, and personal contexts.
Apply historical solutions to an issue where there are discrepancies between state and federal diversity law.
Competency 6: Communicate effectively.
Write coherently to support a central idea in appropriate format and with few errors of grammar, usage, and mechanics.
Instructions
Building on your research and analysis of the immigration policy or same-sex marriage debates, this assessment asks you to more closely examine the connection between power, policy, and law making by comparing and contrasting how two states have handled these issues.

In order to understand the link between power and political and legal decision making, you will place this process in each state in the appropriate context. That means that you need to assess the historical, demographic, cultural, and socioeconomic factors that have influenced each state’s different approach to immigration policy or same-sex marriage. You will also reflect on the consequences of state-to-state discrepancies in policies and laws regarding controversial social and political issues like these.

This assessment combines the key components of studying cultural diversity from a sociological perspective—placing current social issues in historical context, understanding how demographic and cultural trends influence public opinion, and applying sociological theories to determine the role of power in shaping policy-making decisions.

Write an essay addressing each of the following three parts:

Part 1 – Complete the following:
Discuss one of the following for each of the two states you have chosen as it relates to your chosen topic:
Law (rules and standards enforced by a particular institution).
Politics (the key political players in the policy-making and law-making processes).
Policy (principles or methods used to achieve a particular goal or make decisions about political or social issues).
Discuss theories of power that might explain the differences between how each state has handled your issue.
Examples of theories of power include power elite theory, the four networks theory of power, pluralism, Marxist theory, and state autonomy theory.
Discuss other possible explanations for the differences in how each state’s government has approached your topic. Address at least three of the following potential factors, and come up with another of your own that might explain the divergent approaches you have identified:
Demographics of the state population, including age, race/ethnicity, gender, and percentage of the population in urban versus rural areas.
Geography.
Religion.
History.
Socioeconomic standing, including median or average income and education levels of the population, as well as the overall economic well-being of each state.

Part 2 – Answer the following, incorporating data to support your answers:
To what extent have these states’ existing policies and laws affected past or recent migration patterns of the groups affected (immigrants or those seeking same-sex marriage rights)?
How might future migration patterns be affected?

Part 3 – Complete the following:
Reflect on a historical precedent in which a state has had to alter its laws as a result of inconsistencies with federal law.
Why and how did the state change its laws?
What lessons might be learned from this precedent, and how can those lessons be applied to your topic?

Additional Requirements
Written communication: Written communication is free of errors that detract from the overall message.
Length: 6–8 pages, not including the title and reference pages.
Format: Include a title page and reference page, and format the essay and your citations according to current APA style and formatting guidelines.
Sources: Cite at least four credible, scholarly sources to support your points.
Font and font size: Times New Roman, 12-point.