Learning Goal: I’m working on a nursing writing question and need support to help me learn.Write a paper on “Managing Patient Care”, be sure to include the following points in your discussion:1. Differentiate among the types of nursing care delivery models.2. Describe the elements of shared decision making.3. Describe the characteristics and traits of a transactional leader.4. Discuss the ways in which a nurse manager supports staff involvement in a decentralized decision-making model.5. Discuss ways to apply clinical care coordination skills in nursing practice.6. Discuss principles to follow in the appropriate delegation of patient care activities.
Learning Goal: I’m working on a nursing project and need an explanation and answer to help me learn.Assignment ContentCompetencyDetermine appropriate responses when integrating situated cognition into clinical reasoning.
Student Success Criteria“View the grading rubric for this deliverable by selecting the “The item is graded with a rubric” link, which is located in the Details & Information pane.”
ScenarioOne week ago, you started your dream job as an orthopedic nurse at a Level 1 Trauma Center in a metropolitan city of 3.7 million people. The hospital has ranked as the #5 Trauma Orthopedic Specialty Unit in the United States for eight years. At this point during orientation, you are permitted to care for one stable client per 12-hour shift. Today you start your shift with Ryan; a 25-year-old admitted through the Emergency Room after a motor vehicle accident with rollover resulting in a fractured right femur, multiple rib fractures, sternal bruises, and multiple abrasions. He is two hours post-op from an open reduction internal fixation of the right femur and appears alert and oriented. When you enter the room his first statement is, “Can someone please get me a cigarette or a patch; I have not had a smoke since yesterday morning!”Assessment Data:The client is sitting up in bed with thigh-high anti-embolism stockings on the left leg only.
Dressings to multiple abrasions appear dry.
Urine in Foley Bag amber colored and urinary output in the past 2 hours 40cc
Pain reported as 8 on a scale of 10 with a goal of 5
Vital signs:BP 130/80
Heart Rate 92
O2 Sats 94% on 4L Nasal Cannula
Blood Gases:pH 7.32
PaCO2 53 mmHg
Pao2 84mm Hg
Physician’s Orders:Bed Rest Only
Clear Liquid Diet
Oxygen to maintain Spo2 of 92% or greater
ABGs repeated every 4 hours
Discontinue PCA and consult pain management
Administer tetanus and flu immunizations before discharge
Administer 1-2mg Morphine IV every 4-6 hours as needed for breakthrough pain
As you review the assessment data and physician orders, you plan client care and determine six nursing interventions you believe are appropriate and should be completed in this order within the next hour:Administer 2mg Morphine IV now for breakthrough pain
Apply anti-emoblism stockings bilaterally
Call the physician to get an order for Nicotine Patch and report decreased urinary output with amber urine
Input consult for pain management into the electronic order system
Decrease O2 to 2L Nasal Cannula and continue Sp02 monitoring
Administer tetanus immunization
InstructionsAs you write down the proposed interventions, the nurse manager stops by to check on your progress and asks you a few questions regarding your decisions. The nurse manager is disappointed and states, “One of these actions is not correct I want you to write down what you believe is the best choice from your list to do immediately and the action you believe is incorrect and should not be done. I will be back in 10 minutes to discuss your thoughts.”On a document provide detailed responses to these questions:What is the best action to perform first from the six actions identified as part of planned client care for this particular client?
What is the best action to perform second from the six actions identified as part of planned client care for this particular client?
What is the best action to perform third from the six actions identified as part of planned client care for this particular client?
What is the best action to perform fourth from the six actions identified as part of planned client care for this particular client?
What is the incorrect action?
Learning Goal: I’m working on a nursing writing question and need an explanation and answer to help me learn. Find a scholarly, peer-reviewed article no more than four years old that discusses an ethical health promotion-related issue. Use the WCU library databases to search for appropriate articles.In your paper:Briefly summarize the presented issue.
Describe your thoughts on the role health care professionals should play in resolving the ethical issue.
Provide specific theories and refer to specific ethical codes to support your position.
Your paper should be 2–3 pages long. Use APA to cite and reference the article and any other optional sources you use. Adhere to APA formatting throughout your paper.
Learning Goal: I’m working on a nursing writing question and need a sample draft to help me learn.Assessment 1 Instructions: Locating Credible Databases and ResearchPRINT
Create a 2-4 page resource that will describe databases that are relevant to EBP around a diagnosis you chose and could be used to help a new hire nurse better engage in EBP.IntroductionEvidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, with a goal to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature, along with the expertise of the practicing nurse. The concern for quality care that flows from EBP generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. To gain the knowledge, you require a good understanding of how to search for scholarly resources, as well as identify which databases and websites are credible for the purposes of implementing evidence-based changes in practice.Your Online e-PortfolioCreating an ePortfolio is not required in the BSN program, but you may find it helpful to create one to attach to your professional resume while job hunting. Online ePortfolios serve two key purposes: 1) to support learning and reflection, and 2) to be used as a showcase tool. Your learning journey can be documented, and ePortfolios contribute to lifelong learning and growth through reflection and sharing. Online ePortfolios can also be shared with employers and peers to present artifacts that demonstrate your accomplishments at Capella.Professional ContextAs a baccalaureate-prepared nurse, you will be responsible for providing patient-centered, competent care based on current evidence-based best practices. You will be required to do research, analysis, and dissemination of best evidence to stay abreast of these best practices. Understanding where to go to find credible sources and locate evidence, as well as which search terms to use, is the foundation of incorporation of best practices.ScenarioYou are supervising three nurses working on the medical-surgical floor of a local teaching hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is, CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies, procedures, and guidelines, and computers at nurse workstations that also have access to these resources. (For this scenario, use the Capella University Library to simulate the hospital’s online library.) You have given the nurses their patient assignments and you have all participated in shift report. A new nurse who just completed orientation and training a week ago approaches you and tells you that one of the assigned patients has a diagnosis he or she is very unfamiliar with. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research that can be utilized to provide the best care for this patient. Describe how you would communicate with this nurse to encourage him or her to research the diagnosis. Assume you will assist in the quest to locate evidence, then describe where you would go within the facility and what resources you would look for. These resources may include websites, journals, facility policies or guidelines, or any other sources of online information.You may choose the diagnosis for the patient in this scenario or health care issue/diagnosis of your choice. Or you may choose something you would find interesting to research or that applies to a clinical problem/diagnosis you would be interested in addressing. Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, journal article, et cetera). You are not actually completing a search and selecting evidence. Consider the following examples: a nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy database found on a website may not be the best source of information on caring for a patient with a rare chromosomal abnormality.PreparationTo help ensure you are prepared to complete this assessment, review the following resources related to the Capella library. These resources will provide you an overview of the types of tools, resources, and guides available in the library. This may be useful in forming a better understanding of the library to apply to the hypothetical situation laid out in the scenario of this assessment.BSN Program Library Research Guide.
Evidence-Based Practice in Nursing & Health Sciences.
Databases A-Z: Nursing & Health Sciences.
Get Critical Search Skills.
Remember, it is also appropriate to look toward databases and resources outside of the Capella library, such as organizational policies, professional organizations, and government health care resources.You are encouraged to complete the Evaluating the Credibility of Evidence activity. This activity offers an opportunity to practice evaluating the credibility of evidence. These skills will be necessary to complete Assessment 1 successfully and is for your own practice and self-assessment. Completing this activity is also a way to demonstrate course engagement.InstructionsThe purpose of this assessment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical staff during the process of evidence location. As a baccalaureate-prepared nurse, you will not only use research for self-improvement in your clinical role, but you will also serve as a mentor to supervised nursing staff. Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research, as well as support them through the initial evidence location process. In doing so, nurses can gain access to evidence that can be analyzed and utilized to stay current on best practices. This allows them to provide safe, patient-centered care and improve patient outcomes.For this assessment:Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.
Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to this scenario or clinical practice issue/diagnosis and describe to which of these you would direct a nurse colleague to search for evidence.
Describe where you might go in the work place to complete this research and how you would access the desired, relevant research within research databases or other online sources.
Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.Describe communication strategies to encourage nurses to research the diagnosis/practice issue, as well as strategies to collaborate with the nurses to access resources.
Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis/health care issue within the context of a specific health care setting.
Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis/practice issue.
Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis/health care issue.
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis/practice issue, you should still be citing the literature and best practices to support your description of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the five sources of online information that you did.Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:Assessment 1 Example [PDF].
Additional RequirementsYour assessment should meet the following requirements:Length of submission: 2-4 pages (not including the title page or the reference page) description of communication, collaboration, and evidence location process, including a list of databases or other sources with description of why they are appropriate for clinical scenario diagnosis/health care issue (that is, something that would be useable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission.
Number of references: Cite a minimum of three sources of scholarly or professional evidence that supports your findings and considerations. Resources should be no more than five years old.
APA formatting: References and citations are formatted according to current APA style.
Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.Explain why the sources selected should provide the best evidence for the chosen diagnosis/health care issue.
Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision within the context of a specific health care setting.Describe the best places to complete research within the workplace environment and what types of resources one would want to access to find pertinent information for the diagnosis/health care issue.
Competency 4: Plan care based on the best available evidence.Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a diagnosis/health care issue and three out of five should be specific to the diagnosis/health care issue.
Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.Describe communication strategies to encourage nurses to research a diagnosis/health care issue, as well as strategies to collaborate with the nurses to access resources.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
Learning Goal: I’m working on a nursing presentation and need support to help me learn.According to Hacker (2002), welfare state refers to the “share of the economy devoted to government social expenditures”. Across the United States and internationally, there are multiple variations of welfare states. Name three types of welfare states. List and describe the three types of welfare states and where they can be found. Which country has the largest percentage of social spending? 300 words, APA
Learning Goal: I’m working on a nursing test / quiz prep and need an explanation and answer to help me learn.Assignment 3.1: Diseases Related to Homeostatic InstabilityStep 1: Identify three diseases related to homeostatic instability within the integumentary system.Describe the cause of each disease
Explain the physical characteristics of each disease
Identify the symptoms that your patient may experience
Assignment Expectations for Grading: 1. Demonstration of critical thinking, scholarship, and ability to connect and apply the material 2. Comprehensiveness and completeness of your responses 3. Adherence to the written instructions, minimum length of 500 words ( without cover and references )4. Spelling and grammar5. Provide 3-5 APA Style References to support your paper.
Learning Goal: I’m working on a nursing case study and need an explanation and answer to help me learn.Case StudyGoutam Patel (he, him, his), a 25-year-old Indian American man,
comes to you for an evaluation, along with his mother. Goutam has been in
outpatient psychotherapy for 6 months with a therapist who provides cognitive
behavioral therapy (CBT).Goutam
has had severe anxiety since the age of 15. Both he and his mother state that
the CBT seems to be helping only a little and he must get more help. Goutam is
not able to go to his college classes most days because he is very anxious. He
often stays inside, refusing to go outside or socialize with his friends. He
has become what his mother describes as “depressed.” He was only able to make
it to the appointment today because his mother drove him.Question: Choose
a behavioral technique from Wheeler’s Psychotherapy
for the Advanced Practice Psychiatric Nurse that applies to
Goutam’s situation, explaining how he could use the technique to reduce
Learning Goal: I’m working on a nursing question and need an explanation and answer to help me learn.When it comes to facilitating spiritual care for patients with worldviews different from your own, what are your strengths and weaknesses? If you were the patient, who would have the final say in terms of ethical decision-making and intervention in the event of a difficult situation?
Learning Goal: I’m working on a nursing case study and need an explanation and answer to help me learn.In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?
Remember to support your responses with the topic Resources.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.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 InformationThis benchmark assignment assesses the following programmatic competencies:BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2CASE STUDY Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then. Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches. James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel. Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. What could require greater faith than that?”Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.
Learning Goal: I’m working on a nursing presentation and need support to help me learn.10-12 slide presentation Develop a disaster recovery plan to lessen health disparities and improve access to community services after a disaster(please refer to the villa scenario link in the attachement) the PowerPoint should have speaker notes. The audio is not ne