Nursing

Primary Task Response: Within the Discussion Board area, write 500–700 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas. Incorporating the patient’s values and preferences into a plan of care is essential for increasing the likelihood of patient adherence and consequently, improving patient outcomes. Your MSN program has focused on many concepts related to improving patient outcomes but none as important as patient-centered care. Reflect on current practices in health care that are provider-centered (e.g., restricted visiting hours). Detail 3 examples of how your MSN degree will help you deliver, or help guide the delivery of, patient-centered care.

Identify a situation you have encountered in the workplace that has an ethical component. Integrate the reading material (chapters, Code of Ethics, article) in your response.  Describe the ethical situation and respond to the following questions: Who are the key individuals involved? If you were the nurse involved . . . what did you do or would you do? What guidance can be provided by the application of ethical principles/theory and the nursing code of ethics to this specific situation? Identify resources available to nurses to assist and support them through this type of situation. Ethical situation information and extension Posted on: Friday, July 31, 2020 8:03:05 AM PDT Hello Students,  I spoke with the MSN coordinator regarding the difficulty with the Ethical assignment. I have examples of ethical situations below you can use or you can present an ethical situation of your own. I know most of you have emailed me with ethical situation ideas. Feel free to use the situations you presented to me or you can change to one of the examples below.  I would also like to extend the deadline due date to August 15th.  Hope this helps Case #1 – Pain in a Drug Abuser A middle aged man was involved in a motorcycle accident and suffered multiple injuries, such as broken ribs, clavicle, scapula, and arm. While in the ER, the patient had a heart attack, which turned him to cardiac intensive care patient, not just a trauma patient. Right before coming to the intensive care unit (ICU), he was sent to the Cardiac Catheterization lab, where two of his vessels were stented (to keep them open and blood flowing).  He arrived in agonizing pain at the ICU.  The facility is a teaching hospital and there are typically interns making the decisions, with some oversight from the residents and fellows. This is especially true during the night shifts, when the attending physician is not available. The patient had a history of drug abuse, which made him opioid tolerant. As a result, the interns would question the authenticity of his pain and would downplay it. The nurse had never before given so much pain medication to a patient and not see any alleviation of symptoms. The patient was screaming and yelling for the entire shift.  But many interns and even staff nurses still questioned whether the patient was really in pain. The nurse understood that there are “drug seekers” out there, but critical thinking skills help to evaluate the pain experience.  A patient who presents with multiple fractures and broken bones should be mediated for pain accordingly, regardless of his current drug abuse history.  Interns or new physicians can be extremely cautious when prescribing pain medication. The patient’s vital signs were good and there were no signs of respiratory depression (a complication of narcotic medications). There were no real contraindications to increasing pain management and the patient was in so much pain that his overall condition was being affected. Usually nurses can contact the nurse supervisor and even the immediate subordinate of the residents, but this nurse, in order to better advocate for this patient, skipped the hierarchy levels and woke the attending physician at 3am to request more aggressive pain management. Case #2 – A Surgical Mishap An attending physician was performing a routine cesarean section delivery in the operating room (OR). During the c-section the physician nicked the patient’s uterine artery. The physician did not immediately report a problem in the OR. The scrub nurse had been trained to scrub a c-section but was inexperienced so did not know what was going on. The physician repeatedly asked for more and more sutures but did not indicate that additional help was needed. The physician was trying to repair the nicked artery on her own but was ultimately unsuccessful. The circulating nurse asked the physician if she needed help several times since she knew this procedure was taking too long. Eventually the physician requested that the on-call Gynecology-oncology physician be called to assist with the repair. The assisting doctor was unable to repair the artery and ultimately a hysterectomy was performed. The patient lost a lot of blood and received multiple blood transfusions. The patient was young and this was her first pregnancy.

minimum 3 scholarly articles, from the past 5 years used as sources. scholarly articles include health promotion and wellness content, include statistics to support significant of the topic

Discuss different nursing communication styles. Include examples of situations that call for different communication styles. I also need 2 responses to my piers with citations.  Just respond as if you were responding to my post.  Even a generic response on communication would work for one.

Compare independent variables, dependent variables, and extraneous variables. Describe two ways that researchers attempt to control extraneous variables. Support your answer with peer-reviewed articles.

Select one of the 2019 National Patient Safety goals. What are your thoughts about the opportunities and challenges related to achieving at least two goals in your work environment? dkkk FYI: I work as a Nurse Supervisor at a nursing home/ Rehab

Write a 2-3 page paper that examines the moral and ethical considerations of organ conscription policies and theories. 1. Articulate the moral concerns surrounding a policy of organ conscription. 2. Articulate questions about the fairness and justness of organ conscription policy. 3. Explain the relevance and significance of the concept of consent as it pertains to organ donation. 4. Evaluate alternative policies for increasing available donor organs.

Discuss what training programs are needed for the technology required for your final presentation topic (anything about informatics in healthcare). Consider what training to provide to new employees and what on-going training may be necessary.

Effective delegation supports positive outcomes. As a master’s-prepared advance practice nurse leader, you will be responsible for proper delegation of team work and patient care that enhances positive health care outcomes. For this assignment complete a video of you role playing, as the nurse leader, delegating a task or assignment to one of your subordinates or peers (the camera will be used as the individual you are delegating to). For example, think about delegating a task for the nurse on the clinical unit to complete to a team member the task of oversight for a specific committee a job responsibility that has been added to the nurse supervisor’s role It is important for the nurse leader to follow specific criteria and ensure the task assigned is safe and appropriate. The second part of the assignment will be a summary paper highlighting important points to the delegation process. You will submit both parts of this assignment as instructed. Course Outcomes Through this assignment, the student will address the following course learning outcomes: CO 1: Incorporate effective professional communication and leadership skills to facilitate collaborative practice with individuals, groups, and at the systems level (PO 1, 2, 5) CO 3: Integrate principles of interprofessional collaborative practice to support quality nursing care and healthcare delivery (PO 1,4,5) Assignment Overview For this assignment you will complete a video presentation of you, as the nurse leader, delegating a task or assignment to one of your subordinates or peers. For this assignment complete a video of you role playing, as the nurse leader, delegating a task or assignment to one of your subordinates or peers (the camera will be used as the individual you are delegating to). For example, think about delegating a task for the nurse on the clinical unit to complete to a team member the task of oversight for a specific committee a job responsibility that has been added to the nurse supervisor’s role It is important for the nurse leader to follow specific criteria and ensure the task assigned is safe and appropriate. The second part of the assignment will be a summary paper highlighting important points to the delegation process. You will submit both parts of this assignment as instructed. Assignment Instructions Please note – the intent of the video portion of the assignment is to videotape yourself delegating the information (Consider the camera the individual you are delegating to). This is role playing. No PowerPoint or other media should be used to deliver the information in the video. The recording must include you presenting information face to face with the camera. Part I: Refer to the Canvas assignment page titled “Part I”. Part II: Using Microsoft Word 2013, create the summary paper for the assignment. Include a title page with your name, date, and course information, as well as a reference page. The summary paper must be concisely written and a minimum of three (3) pages in length (excluding title and reference pages). A minimum of two (2) peer-reviewed scholarly sources, current within five years, are required. Sources older than five years may not be used without the permission of the class professor. No direct quotes may be used in this assignment. First person may be used for this assignment.

Explain the role of health education in health promotion. How is the nursing process used in developing health education? Describe a contemporary issue, local or global, that a family may experience today. What steps would the nurse take to address these as part of a health education plan?