Using the research article selected for DQ 1, identify three key questions you will ask and answer when reading the research study and why these questions are important.
When responding to peers, provide other questions and answers that could be considered in relation to the peers’ studies.
Methods of Changing Burnout in Nursing
Environment (Comprehensive Occupational and Environmental Health History)
Home (from lecture in class)
Family (Friedman Family Assessment)
Risk assessment (from lecture in class describe risks for your aggregate based on local statistics and services available)
Describe the results of the assessments, including examples and support from journal articles,
This assignment will help to identify the normal growth and development by topic for each age group. In the final column of the assignment you need to observe a child and apply the information you gathered and document your findings in comparison by the particular age of that child.
Competency
Apply the foundations of pediatric nursing when caring for clients with health alterations.
Scenario
You are working in a large urban pediatric clinic after-hours.
A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions.
The child is in less than 10th percentile of weight and has a cardiac history of Patent Ductus Arteriosus (PDA).
Born at 36 weeks gestation.
Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare.
A swab for respiratory syncytial virus (RSV) is positive.
Doctor orders – Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, Albuterol nebulizer in office and push po fluids as tolerated.
After the albuterol neb treatment, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that she has a nebulizer at home and can return to pediatric afterhours or ER if needed.
Client is discharged with these orders:
methylprednisolone 0.4 mg/kg oral BID for 3
Albuterol Q4 hours for 24 hours, then Q 6 hours for 24 hours, and Q6 as needed.
Call if needed prior to the Q4 dose.
Manage fever with Tylenol and continue hydration and nasal bulb suction Q6 while awake.
In a two to three-page APA formatted paper, provide reponses for these questions and requests for information:
Criteria:
Describe the pathophysiology of bronchiolitis and identify the most common organism causing this infection. What laboratory testing can confirm your suspicion?
Describe the pathophysiology of PDA and why the history of PDA is significant in this scenario.
What risk factors place Vivi Mitchell at a greater risk for the development of bronchiolitis?
What are the characteristic signs/symptoms of bronchiolitis?
Vivi Mitchell been prescribed the following medications; acetaminophen, albuterol nebulizer, corticosteroids. Provide the rationale for why each medication has been included as part of her medical management and explain any potential contraindications related to these medications.
You are designing Vivi Mitchell’s plan of care. Identify two priority nursing diagnoses to include in your plan. For each nursing diagnosis, identify two SMART goals, and two interventions for each goal.
What short and long-term possible complications should the nurse anticipate?
What client education is appropriate for Vivi Mitchell as she is discharged from the after-care clinic?
Healthy Work Environment (M6O
Introduction (~1 page) 25 points
Present and describe guidelines for a Healthy Work Environment (HWE).
Describe your current work environment,
In your current work environment, consider the strengths, weaknesses, opportunities and threats (SWOT) to assess the work environment. (See page 180 in your text).
What 2-3 guidelines do you recommend strengthening as it relates to these elements and why.
Literature Review (~1-2 pages) 30 points
Summarize and synthesize pertinent professional literature on HWE as it relates to the elements you recommend strengthening.
Literature from books and readings should be used including the required readings from the text and Canvas articles.
Discussion and Conclusion (~ 2 pages) 30 point
Based on the literature and your learning’s from this course, what specific recommendations would you make to build a HWE in your workplace.
What resources are needed to be successful in these recommendations.
What barriers or obstacles do you foresee? Be sure to substantiate with the literature.
Recommendations should include an objective, action items (tasks), and resource(s) including cost.
EBP Synthesis Paper based on PICOT question
Recommendations: Apply the evidence, determine and describe logical and feasible recommendations supported by the evidence you have presented in the critical analysis section above. Be specific and define the recommendations in a bulleted list. If you recommend more study is needed be sure to indicate the reasons for taking this position (week 6)
Stakeholders/Change Agents: Discuss who, or what organizations are concerned with the findings and the recommendations.
Who may benefit from the information, including patients, families, health care professionals, insurance carriers and more.
Describe how feasible your recommendations are for these identified groups to develop and implement. Focus this section on how to include patient’s preferences and values in the process (week 6)
Summary or Conclusion: End with a paragraph or two concluding the argument for change based on your evidence as it stands. Describe how health care professionals can advocate for patients and families and the population health using the EBP process.
Interdisciplinary Plan Proposal
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.
Explain the need and process to improve safety outcomes related to medication administration.
Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative on medication administration.
Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.
List clearly the purpose and goals of an in-service session focusing on safe medication administration for nurses.
Explain audience’s role in and importance of making the improvement plan focusing on medication administration successful.
Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
Slides are easy to read and error free. Detailed speaker notes are provided. Speaker notes are clear, organized, and professionally presented.
Organize content with clear purpose or goals and with relevant and evidence-based sources (published within 5 years).
In order to successfully implement a change within an organization, the change agent must assess the organization’s culture and readiness for change.
In 750-1,000 words, analyze the culture and level of readiness of the organization for which your evidence-based practice project is proposed.
You will use the assessment of the organization’s culture and readiness in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.
Include the following:
Describe the organization’s culture and explain to what degree the culture supports change. Consider organizational and leadership structure, mission and values, interprofessional collaboration/team engagement, communication, perception of the organization by employees, etc.
Select an organizational readiness tool and assess the level or readiness for change within your organization
Identify the readiness tool and summarize the survey results.
Discuss the degree to which the culture will support and sustain an evidence-based practice change. Consider strengths and weaknesses, potential barriers, stakeholder support, timing of the proposal, and resources. Provide rationale.
Discuss what health care process and systems you would recommend for improving quality, safety, and cost-effectiveness for the organization.
Propose strategies to better facilitate the readiness of the organization.
Identify the stakeholders and team members for the project. Include what their duties will be in the evidence-based practice project proposal.
Explain what information and communication technologies are needed for the implementation and how they will be integrated in the setting by the internal stakeholders. Explain how these will help improve nursing practice and care delivery for individuals and populations for your intervention.
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 a minimum 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.
This is continuation from my Evidence base practice on Accident and Trauma Prevention see file uploaded please follow this instructions listed above
Develop a 6-7-page implementation plan. Include a budget for material, staffing, and capital costs over the first five years of the initiative, as well as projected earnings. In addition, include a timeline, an organizational impact analysis, and an explanation of the effects of environmental changes on the initiative. Base the work on Assessment 1 and Assessment 2 papers which I’m attaching.
Teaching is one of the primary roles of the registered nurse. Learning is affected by many variables both external and internal.
1. Reflect on the presentations for this week and discuss influences on patient learning. (Uploaded pictures of presentation slides)
2. Pick a health promotion topic from the list below and give examples of what teaching would fall into each area of the 3 learning domains cognitive, affective, and psychomotor.
Nursing practice issue- Inadequate Staffing
Summary (Evidence to support need for a change)
Describe the practice problem in your own words and formulate your PICOT question.
List the systematic review chosen from the CCN Library databases. Type the complete APA reference for the systematic review selected.
List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format.
Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence.
Outline one or two evidence-based solutions you will consider for the trial project.
Star Point 3: Translation (Action Plan)
Identify care standards, practice guidelines, or protocols that may be in place to support your intervention planning (These may come from your organization or from the other sources listed in your Summary section in Star Point 2).
List your stakeholders (by title and not names; include yourself) and describe their roles and responsibilities in the change process (no more than 5).
What specifically is your nursing role in the change process? Other nursing roles?
List your stakeholders by position titles (charge nurse, pharmacist, etc.). Why are the members chosen (stakeholders) important to your project?
What type of cost analysis will be needed prior to a trial? Who needs to be involved with this?
Star Point 4: (Implementation)
Describe the process for gaining permission to plan and begin a trial. Is there a specific group, committee, or nurse leader involved?
Describe the plan for educating the staff about the change process trial and how they will be impacted or asked to participate.
Outline the implementation timeline for the change process (start time/end time, what steps are to occur along the timeline).
List the measurable outcomes based on the PICOT. How will these be measured?
What forms, if any, might be used for recording purposes during the pilot change process. Describe.
What resources are available to staff (include yourself) during the change pilot?
Will there be meetings of certain stakeholders throughout the trial? If so, who and when will they meet?
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