Client Questions

A nurse is a patient’s voice when they don’t have one. I think it’s one of the single most important aspects of the position. We work hard to build a safe trust with our patients, and they look to us to help them understand what’s happening and to be the liaison between physicians and other healthcare personnel. They turn to us for comfort and support and depend on our knowledge to practice safe care. (Gerber, 2018) lists their concept of a nurses roll in advocacy as “consistently insisting on quality of care, including a safe and clean environment, and basic human rights for all. The American Nurses Association lists patient advocacy as “a professional nursing responsibility to protect the rights of patients.” (Gerber, 2018). The article goes on to say “Advocates ensure that patients’ autonomy and self-determination are respected. Serving as the link between patients and the healthcare system, they also contribute to the patient/family decision-making process and speak up when problems go unnoticed or when the patient or family can’t or won’t address them.” (Gerber, 2018). The most recent situation where I advocated for a patient was with a new admission to my unit from surgery. I was completing the admission assessment and when I got to the suicide assessment section the patient started answering YES to all the questions regarding the potential of committing suicide. I reported the screening to the charge nurse and my preceptor at the time and both were perplexed as to if we should place the patient on suicide precaution. Both colleagues felt as if the patient was safe and wouldn’t be a risk of committing suicide and placing him with a constant observer would place the next shift who was already short staffed even shorter staffed. I couldn’t leave the patient unprotected from self-harm, the screening tool is there for a reason and came from research and evidence-based practices and is hospital policy. I obtained an order from a VERY annoyed surgeon and placed the patient on suicide precautions. I definitely wasn’t the most liked person on the unit that night or next morning, but I did have a couple fellow colleagues come to me as say “even though we will be short, I respect you for doing the right thing.”   References Gerber, L. M. (2018). Understanding the nurse’s role as a patient advocate. Nursing2019, 55-58. Retrieved November 2019, 2019, from https://journals.lww.com/nursing/Fulltext/2018/04000/Understanding_the_nurse_s_role_as_a_patient.15.aspx

1) Minimum 4 full pages                    Part 1: minimum 1 page                  Part 2: minimum 1 page                   Part 3: minimum 1 page                  Part 4: minimum 1 page                   Submit 1 document per part 2)¨******APA norms               All paragraphs must be narrative and cited in the text- each paragraphs             Bulleted responses are not accepted             Dont write in the first person              Dont copy and pase the questions.             Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph 3) It will be verified by Turnitin and SafeAssign  4) Minimum 8 references not older than 5 years             2 references per part 5) ******************* Identify your answer with the numbers, according to the question. Example: Q 1. Nursing is XXXXX Q 2. Health is XXXX _______________________________________________________________ Part 1:  Nursing Leadership (1 page)   Discuss how nurse managers and nurse leaders contribute to the reengineering of health care. Part 2: Leadership (1 page)   Continuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry. Provide an example of how you would apply CQI in your current or past position (Physical rehab nurse) Part 3: Dynamics Nursing   1) Outline the process for the development of nursing standards of practice for your state (Florida) 2) Discussion about the entities involved in developing the standards of practice  3) how the standards of practice influence the nursing process for your areas of specialty. Part 4: Dynamics Nursing 1) Outline the concept of professional accountability as it pertains to nursing.  2) Provide examples of how a nurse demonstrates professional accountability in clinical expertise, the nursing process, and evidence-based practice.

Review the story at the link below before posting to the discussion: Rau, J. (2015). Half of nation’s hospitals fail again to escape Medicare’s readmission penalties. Kaiser Health News. Retrieved from http://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/ (Links to an external site.)Links to an external site. After you have finished, consider how you would respond to the following situation: Your local hospital has received notice from CMS (Centers for Medicare and Medicaid) regarding their readmission rates. As a BSN prepared nurse, you have been asked to serve as a consultant to suggest a new Quality (Performance) Improvement process for ONE of the areas of deficiency. Write some brief steps (suggestions) for improvement as you contemplate accepting the consulting opportunity. Share practice improvements utilized from your own clinical nursing experiences that have led to enhanced patient outcomes. Textbook:   Finkelman, A., 2016 Leadership and Management for Nurses: Core Competencies for Quality Care (3rd Edition), Pearson Learning Solutions, Boston, MA  & Two outside scholarly sources to be referenced within the last 10 years.

Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.

CASE STUDY 1- Reflecting on week 2’s lessons in the syllabus, select a patient population (pediatric, young adult, adult or geriatric), and briefly analyze a common/acute EENT condition (Sinusitis, Pharyngitis, Epiglottitis, Infectious Mono, Epistaxis, Allergy rhinitis, Hearing loss, common eye conditions etc.…there are several to choose from), that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific disease and tell of one specific patient care teaching that he/she may do to help minimize disease symptoms. (Due 01/27/19.

While treating the chronically ill, a major challenge is developing a plan of care that addresses the specific needs of a patient and a caregiver. You need to be in close touch with patients and their support group, family and peers, to come up with an ideal plan. In this course project, you are going to develop a plan of care for a chronic illness group of your choice using the Healthy People 2020 topics. While executing the tasks of this project, remember that while you need to give a general overview of the biomedical considerations of the case, the focus should always be on the psychosocial elements. Your perspective in this care plan should be the patient’s goals rather than those of the medical team. Each week, you will complete a part of this project, submitting the final project in Week 5. Identifying a Group Identify a chronic illness of specific interest to you that is also identified as a Healthy People 2020 topic (healthypeople.gov). In a Microsoft Word document of 4-5 pages formatted in APA style, address the following criteria: Identify a chronic illness and rationale for choice. Develop a questionnaire by utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group. Discuss morbidity and comorbidity of the disease. Discuss the impact of the chronic illness and patient morbidity on overall health of the nation. Incorporate Healthy People 2020 goals and objectives for the specific illness group. Support your responses with examples and information from library resources, textbook and lectures. On a separate reference page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper. Use this APA Citation Helper as a convenient reference for properly citing resources. This handout will provide you the details of formatting your essay using APA style. You may create your essay in this APA-formatted template. Submission Details Name your document SU_NSG4055_W1_Project_LastName_FirstInitial.doc. Submit your document to the Submissions Area by the due date assigned.

Post your display of the table or figure you created and provide an explanation of why this would be the best way to display the data provided, include the General Social Survey Dataset’s mean of Age to verify the dataset you used.

The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers. Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end. Include the following in your presentation: Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource. In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation. 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. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Review your state’s mandated reporter statute. Provide details about this in your post. If faced with a mandated reporter issue, what are the steps in reporting the issue? Create a mandated reporter scenario and post it. Respond to one of your peer’s scenarios using the guidelines for submission/reporting in your state. Be sure to include a reference to your state’s website related to mandated reporting. FYI: my state is Florida and below you’ll find a link http://reportabuse.dcf.state.fl.us/

Compare and contrast the rational and political models of policy analysis. Debate the advantages of the model that you believe is most influential in policymaking. Support your rationale with two (2) specific examples of your chosen model’s influence. Suppose you are a health policy analyst for a government contracting agency that a local hospital has hired to complete a policy analysis. From the third e-Activity and your textbook, formulate the problem statement for one (1) of your chosen health policies. Then, outline two (2) additional key steps in the development of a policy analysis for your client.