Nurse leaders must work with staff to foster respect for varied lifestyles. Showing respect to all patients and colleagues, irrespective of their cultural differences, tells staff that differences are valuable. This discussion is designed to introduce key principles nurse leaders must address in leading and managing diverse groups.

Respond to the following in a minimum of 175 words:

Use Google ScholarTM, Leading and Managing in Nursing, or the University Library to define multiculturalism, cross-culturalism, and transculturalism.
Explain the definitions in your own words and give an example of applying each term to a leadership situation. For example, think of a time in your practice when you, as a nurse leader, or your nurse leader used multiculturalism to promote inclusion among colleagues or patients.

Discussion: Big Data Risks and Rewards

When you wake in the morning, you may reach for your cell phone. To reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card. Even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

• Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs. (*****SEE LINK BELOW*****)
• Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Assignment.

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

For your note this week, create an HEENT related CC. Create an ID, CC, HPI, ROS, V/S, physical findings, and assessment with at least 3 differential diagnoses, a final diagnosis. And treatment plan in a full SOAP note format. Use an HEENT related CC that a patient would present with in a primary care setting (i.e. no emergency room or ICU type complaints. Examples: sore throat, ear ache, hearing loss, eye drainage, etc.).
Include at least two references for your diagnostic and treatment plan. They should be recent (in the last 5-10 years) and peer-reviewed. Use APA title page, citations, and reference format. Ensure the treatment plan includes all components (diagnostic plan, therapeutic plan, education plan, and follow up).
The ROS and physical exam in your document should be written up as they would be for a problem focused visit. The HEENT part of the physical exam write up should be a comprehensive write up, including everything you assessed in your recording.
Submit this SOAP write-up and the video in the assignment tab
Include the link the video via Youtube. Submit in electronic format, no video tapes or discs will be accepted. Ensure your link works and privacy settings are correct (unlisted vs private – instructor can’t see private).
Click here for a tutorial
Student appearance for videos should be consistent with clinical attire. Which is outlined in the FNP clinical handbook. Students should dress as they would for working as a provider in a primary care clinic (not ER/scrubs). Business or business casual attire is expected along with the USU lab coat. And ID badge. The student should consult the handbook for more details. Please note that if the student appears in very revealing or inappropriate clothing (some examples including shorts, short skirts, low-cut shirts, wearing lab-coat with no clothing beneath, etc.). The instructor reserves the right to refuse to view the video. And the student will re-record with appropriate clothing.

Developing PICOT De Pedro

 

 

 

Developing PICOT

 

 

Cristina De Pedro

West Coast University

NURS 350 Research in Nursing

Professor Sara Turpel

09/05/2021

 

Developing PICOT

Topic Description

To achieve improved care quality, healthcare organizations have focused on clinical care processes such as nurses’ shift reports. And the involvements of patients in healthcare delivery. Malfait et al. (2017) report active patient participation has been critical in reducing medical errors especially during shift change and reporting among nurses. The proposition is further reiterated by Buus et al. (2017), highlighting that nurse shift reports are routine occurrences in healthcare organizations aimed at transitioning the care process. And improving care coordination among the interdisciplinary teams. Current healthcare delivery has been dominated by bedside reporting due to the one-on-one communication between the nurse and the patient. The shift report remains a viable site for studying the professional role of nurses. And has progressed to receive increased attention especially regarding quality improvement strategies and the reduction of medical errors.

Background Information

Mitchell et al. (2018) argue that mandatory bedside reporting has been widely implemented in various healthcare settings to improve quality and safe care. Of note, nursing bedside report allows the interaction between the incoming and outgoing nurse to assess the patient. And examine for possible errors that may ensue. Usually, bedside reporting highlights the first time the oncoming nurse has a chance to meet the patient. And establish a rapport that sustains their therapeutic relationship. The reporting fosters specific care concerns during management and other issues that the oncoming nurse may want to prioritize.

Significance of the Topic to Nursing Practice

Currently, nursing practice has been rapidly evolving with a strong emphasis being placed on the quality and safety of care delivery. Malfait et al. (2017) state that nurse shift reporting has been essential to healthcare organizations in improving patient satisfaction and meeting their expectations of care. Specifically, the study highlights that bedside reporting has been instrumental in improving care quality, as nurses can share extensive health information between themselves and the patient. Additionally, the patients can indicate their healthcare preferences, values, and expectations which can then be aligned with the best available evidence, thereby improving their care quality (Malfait et al., 2017). By making such expectations clear to both nurses, the patient becomes more involved in the decision-making process increases the likelihood of patient-centered care. Apart from mitigating medical errors due to effective communication and handing over between the two nurses, bedside reporting also intertwines improved patient empowerment and activation.

PICOT Research Questions

Wichman (2017) argues that the patient-provider interaction during shift reporting enables the nurses to prioritize their work which ultimately enhances their accountability, medication reconciliation, and better handing over processes. In developing a PICOT question to address this topic, two key shift reporting techniques will be explored; bedside shift reporting versus nurse station shift report. As outlined in previous literature, bedside reporting has been recommended due to reduced errors as it enhances nurses to nurse and nurse-to-patient communication.

The population of interest will be patients in acute care. Due to the benefits of bedside reporting the intervention for this PICOT question will be bedside shift reporting which will be compared to nurse station shift reporting. Although several benefits have been implicated, the outcome of this PICOT question will be medication errors investigated within a timeline of 6 weeks. Thus, the PICOT will be stated as; In acute care patients (P), how does beside shift reporting (I) compare with nurse station shift reporting (C) in reducing medication errors (O) within six weeks (T)?