Nursing Delegation

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Nursing Delegation

 Case Study

You are working the night shift on a medical unit and have been assigned charge nurse responsibilities. You are working with four RNs, one LPN, and two UAPs. A client becomes pulseless and is not breathing, and the nurse assigned to the client’s care calls a code. The nurse is occupied at this client’s bedside for 1.5 hours until the resuscitation effort is completed, and the client is transferred to the intensive care unit. This nurse also has four other assigned clients. In addition to the nurse assigned to care for the client requiring resuscitation, two of the other nurses working on your unit are assisting in the code.

Thyroid Disorder

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Maria is a 29-year-old woman with a seven-month history of heavy, irregular menses, a 5-lb weight gain, constipation, and decreased energy. Her past history is unremarkable. She takes no prescription medications but uses iron and calcium supplements. She has a family history of thyroid disease. On examination, her weight is 152 lbs, her heart rate is 64 bpm, and her blood pressure is 138/86. Her thyroid gland is mildly enlarged, without nodularity. She has trace edema in her lower extremities, and her reflexes are slow.

Laboratory studies are as follows:

TSH is 15.3 mIU/mL (elevated), free T4 is 0.3 mIU/mL (decreased), and total cholesterol is 276 mg/mL.

Diagnosis: Primary Hypothyroidism

1. List specific goals of treatment for Maria.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What over-the-counter and/or alternative medications would be appropriate for Maria?

8. What lifestyle changes would you recommend to Maria?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.

Use 3 evidence based articles and write inn APA format.

Kants Ethics And Our Duty

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Introduction
Kant’s famous First Formulation of the Categorical Imperative reads, “Act only according to that maxim whereby you can at the same time will that it should become a universal law.” Kant taught morality as a matter of following maxims of living that reflect absolute laws. “Universal” is a term that allows for no exceptions, and what is universal applies always and everywhere. Don’t forget about the second formulation of the categorical imperative which states, “Act in such a way that you treat humanity, whether in your own person or in the person of another, always at the same time as an end and never simply as a means.” It is just as important.

Initial Post Instructions
For the initial post, address one of the following sets of questions:

  1. What are the personal and/or communal ethical factors that may be involved in determining the moral position of either side given a contemporary debate, such as those concerning animal rights, stem cell research, abortion, the death penalty, and so forth?
  2. Elaborate in detail the ethical positions arrived at by using the Kantian categorical imperative relative to the long standing debate surrounding the death penalty or abortion. Argue the ethics from the point of view of the prisoner or from the fetus
  3. Evaluate the ethical positions in part two. You will want to detail whether they are convincing, logical, correct, consistent, etc.

Writing Requirements

  • Minimum of 2 sources cited (assigned readings/online lessons and an outside scholarly source)
  • APA format for in-text citations and list of references

Addressing Diversity

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This assignment is to identify and define the various electronic or technological tools and measurements that can be used to improve the effectiveness of patient-centered outcomes in diversity programs established by an organization.

Providers must learn new tools to eliminate disparities, build trust with patients, and understand how international biases and pre-established stereotypes affect quality of care..

National health goals

Socioeconomic pressures.

Stakeholder ethical considerations of organizational strategies, marketing, and operations.

Potential conflicts or influence between personal standards and the goals of an organization.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

MS Health Care Administration

Identify the characteristics of a health care technology infrastructure that supports patient-centered organizational strategies, marketing, operations, and outcomes

Maternity Nursing Care

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1. You are a nurse working in a labor and delivery unit in a small town near a Native American reservation. Charity, your patient, is about to give birth to her sixth child. Her family does not have health insurance. Normally she would give birth at home; however, her blood pressure is high. Her family is doing a dance to scare away the evil spirits that brought about this medical condition. She is in a lot of pain but refuses an epidural. She believes that pain is something that should be tolerated. There are also about 20 family members present to watch the birth, including all of her children. After the baby is born, she hand-expresses colostrum from her breasts and disposes of it. Additional family members arrive with all sorts of food to celebrate the birth of the baby. (Learning Objectives 5 and 6)
A. What are the cultural traits with Charity and her baby that are specific to her Native American culture?
B. How would you provide culturally sensitive nursing care to Charity and her baby?

Family Disaster Plan Summative

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For this paper you must cite and reference 2 sources. The paper should be 2–3 pages and written using current APA format. Your paper should address the following:

a. How would you prepare for the following situation?  (provide realistic examples and details for safety and survival) 

(Scenario) At this moment, you are sitting at home working on your WCU class. Suddenly, the National Weather Bureau sends an alert across your cell phone—a tornado is headed your way. You have 15 minutes before touchdown in your neighborhood. What is your plan? This is a ‘shelter in place’ scenario, you cannot outrun the tornado. Identify a safe place in your home to take shelter. 

You must include research. Cite and reference two sources and explain the recommended safety measures in a tornado emergency and how you would apply them to your specific living arrangements. 

b. How prepared are you in the event of a disaster? Describe your level of disaster preparedness using specific examples and references to your “go-bag” and preparedness checklist assignments.

water-related disaster

Example: “I am more prepared for a water-related disaster than a fire-related disaster even though I live in a highly secluded, forested area. I have a boat as transportation in the event of flooding, but I do not have rain barrels or fire barrier supplies on hand.”

Example:  “There were many missing items on my preparedness checklist. I realized that I do not own a flashlight. If I had to use my phone as a light it would drain the battery very quickly.  

c. Reflect on how prepared you were before this class and compare it with how prepared you are now.

· Have you acquired any new emergency items?

· Do you plan to take any additional trainings or certification courses? Have you shared your knowledge with friends and family?

Review the rubric for more information on how the assignment will be graded.

 Need help with APA Style?  Visit the  Student Resources page .

Movie Review

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Movie Review

Due on:

The threaded discussion will provide the student with the opportunity to explore different topics, share what he/she is learning with classmates, and gain clarity about the content. This assignment reflects student centered independent learning.

The student will:
• Apply critical thinking through participation of selected topics
• Engage in thoughtful discourse with peers
• Incorporate topic discussion into clinical judgment and decision making within the setting

Directions: Movie Review

Part 1:
• The original post must be at least 200 – 300 words in length
• Give a summary of the movie
• How was the older person and aging portrayed?
• Would you want the life that the movie projected of the older adult?
• What were your overall feelings after watching the movie?

Groups and Movies:
• Group 1: The Notebook
• Group 2: The Bucket List
• Group 3: UP
• Group 4: The Curious Case of Benjamin Buttons
• Group 5: The Intern

Multidimensional Care

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Competency

Compare strategies for safe, effective multidimensional nursing practice when providing care for clients with lower respiratory disorders.

Scenario

You are a nurse on a pulmonary rehabilitation team at an outpatient clinic in your community. You are updating educational resources to educate clients who want to know more about health promotion and maintenance and improving pulmonary health related to their lung conditions.

Instructions

Create an infographic for a lower respiratory system disorder that includes the following components:

  • Risk factors associated with the common lower respiratory system disorder.
  • Description of;
  • three priority treatments for the lower respiratory disorder.
  • inter professional collaborative care team members and their roles to improve health outcomes for the lower respiratory system disorder.
  • three multidimensional nursing care strategies that support health promotion and maintenance for clients with the lower respiratory system disorder.
  • a national organization as a support resource for your client specific to the lower respiratory system disorder.
Resources

For assistance creating an infographic, review this FAQ.

Prevalence of and Factors Associated With Nursing Burnout in the US

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Submit a summary of six of your articles on the discussion board. Discuss one strength. And one weakness for each of these six articles on why the article may or may not provide sufficient evidence for your practice change.

Example of a student’s post

Cimiotti, J., Gandrakota, N., Shah, M. (2021) Prevalence of. And Factors Associated With Nursing Burnout in the US. Retrieved from Prevalence of and Factors Associated With Nurse Burnout in the US | Nursing | JAMA Network Open | JAMA Network

This article examines the survey data from more than 50,000 registered nurses in the United States. And found that nurses who leave their job 31% reported it was due to burnout and those who work in the hospital. And work more than 20 hours per week are associated with greater risk of burnout. This is expected to increase with the demands of Covid-19. The strength of this article is it examines a large amount of nurses in various care settings. A weakness of the article is it did not assess degrees in nursing practice categories.

Glassman, E. (2020) Developing a mentor program to improve support and retention. Retrieved from Developing a mentor program to improve support and retention – American Nurse (myamericannurse.com)

This article examines the benefit of a mentor program that goes beyond new hire orientation. Evidence shows that mentorship can be effective if the unit and its leaders make a commitment to support it. Employees were asked to stay on their unit for 2 years, 70% of nurses were retained on the unit after being part of the mentorship program. Strengths of this article are a guide for success to successfully implement a mentorship program. Weakness of the article is data is not given for employee satisfaction. Or improvement throughout the mentorship program, just at the beginning and end.

Mentorship during the pandemic

Handzel, S. (2021) Mentorship during the pandemic: A community-based hospital’s approach. Retrieved from Mentorship during the pandemic: A community-based hospital’s approach | Wolters Kluwer

This article also examines the benefit of a mentorship program. It was found after just 3 months of a mentorship program that satisfaction scores trended higher than before the program. Job satisfaction also trended higher. While intent to stay did not compare to previous results. Considering the influence of the pandemic on bedside nurses. And the working environment it is important to look further into why intent to stay did not improve through the program. Which was a weakness of this article. A strength of the article is it took place on 8 measure units which allowed a better look into how mentorship can work for acute hospital nurses to prevent burn out. And it gave insight into implementing the program.

The Influence of Leader Empowering Behaviors

Hassan, N., Mudallal, R., Othman, W. (2017) Nurses’ Burnout: The Influence of Leader Empowering Behaviors, Work Conditions, and Demographic Traits. Retrieved from Nurses’ Burnout: The Influence of Leader Empowering Behaviors, Work Conditions, and Demographic Traits (nih.gov)

This article is on a study that was conducted to assess the level of burnout in nurses. And investigates the influence of leader empowering behaviors. The importance of nurse leaders in improving work conditions and motivating nurses to decrease burnout, turnover rates, and improve the quality of nursing care is highlighted. A strength of this article is it included a variety of nurses from 11 hospitals and with at least 6 months of experience to fully assess burnout influences as well as gives insight into where burnout is impacting healthcare. A weakness of the article is not using nurses in different care settings to compare the influence of different workload on burnout.

Kluwer, W. (2020) Leadership’s role in helping nurses during COVID-19. Retrieved from Leadership’s role in helping nurses during COVID-19 | Wolters Kluwer

nursing practice related to Covid-19

This article examines the changes in nursing practice related to Covid-19 and how that has impacted nursing burnout. Moral distress has increased and can be a significant factor in burnout. Possibly threatening the stability of the workforce. Strengths of this article are analysing recommendations for nurse leaders and how they impact bedside nurse burnout. Weakness of the article is intervention results aren’t assessed.

Lagasse, J. (2020) Healthcare workers experiencing burnout stress during to COVID-19 pandemic. Retrieved from Healthcare workers experiencing burnout, stress due to COVID-19 pandemic | Healthcare Finance News

This article aims to understand the causes of burnout. And factors that can protect against it to improve healthcare workers quality of life and patient’s quality of care. The study measured organization capacity for change, individuals’ change readiness, hours worked per week, and burnout. It was found that organizational change capacity impacted burnout scores. As the change capacity of the organization increased. Burnout in healthcare workers decreased. These positive responses to change further decreased burnout. Strengths of this article are examining organizational factors in burnout. And how when they change so does employee satisfaction. Weakness of this article is not comparing inpatient vs outpatient organizations.

Aspect Of The Health Care Payment System

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  1. Identify an aspect of the health care payment system.
  2. Provide an overview of the criteria and parameters for implementation.
  3. Identify the impact on nursing practice.

NOTE: The team grouping process will be explained by your professor.

Submission Instructions:

  • Presentation is original work and logically organized. Followed current APA format including citation of references.
  • Power point presentation with 10-15 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
  • Your PowerPoint presentation should be formatted per APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions).
  • Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style (the library (Links to an external site.) has a copy of the APA Manual).