For example, if you would like to be a pediatric nurse, select an article that discusses a best practice in pediatric care.

For this written assignment, select one recent (within the last two years) evidence-based article from a peer reviewed nursing journal that describes a “best practice” in an area of nursing you are interested in. For example, if you would like to be a pediatric nurse, select an article that discusses a best practice in pediatric care.

Cite the article and provide a brief overview of how the results or findings were obtained. Then describe the “best practice.” Conclude your discussion by explaining whether you thought the research findings supported the conclusions and the best practice.

This assignment must be no more than 3 pages long. It should include all of the required elements. Use APA Editorial format and attach a copy of the article.

 

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create a 2-year professional career development plan in which you discuss your goals and plans for achieving them.

In this assignment, you will create a 2-year professional career development plan in which you discuss your goals and plans for achieving them. Include your short- and long-term objectives and goals. Evaluate your present position in relation to these goals by listing your current experience and skills. Identify your strengths and weaknesses and those areas that need further development. Prepare a plan of action to achieve your goals.

NUR206: Week 8 Assignment Page 1 `

© 2018

Assignment: Professional Development Plan

Assignment Overview

In this assignment, you will create a 2-year professional career development plan in which you discuss your goals and plans for achieving them. Include your short- and long-term objectives and goals. Evaluate your present position in relation to these goals by listing your current experience and skills. Identify your strengths and weaknesses and those areas that need further development. Prepare a plan of action to achieve your goals.

Assignment Details:

Perform the following tasks: • Complete the reading assignment and the interactive lesson before attempting this assignment. • Complete a 2-year professional career development plan.

o Include your short- and long-term objectives and goals. o Evaluate your present position in relation to these goals and create a list of your current

experience and skills. o Identify your strengths and weaknesses and those areas that need further development. o Prepare a plan of action to achieve your goals.

• Write a 2-3 page paper in APA format, include a cover page. • Include the proper file naming convention: NUR206_wk8_assn_jsmith_mmddyyy.

Grading:

Criteria Excellent (3pts) Good (2pts) Needs Improvement (1pt)

Pts.

Content – Includes short- and long-term goals. – Evaluates current position and skills. – Identifies strengths, weaknesses, areas of concern. – Includes plan of action

– Includes short- and long-term goals. – Evaluates current position and skills. – Missing strengths and weaknesses. – Weak plan of action.

– Vague or missing goals – Missing evaluation. – Vague plan of action.

Organization – Well organized into separate headings. – Main points are clearly identified. – Paragraphs transition well.

– Somewhat organized. – Main points are clear. – Occasional issues with flow and transitions.

– Disorganized. – Main points are unclear – Difficult to follow or illogical.

Spelling/grammar/ APA

– No spelling or grammar errors. – APA format is correct. – Appropriate length

– Some spelling or grammar errors. – APA format is correct. – Appropriate length.

– Many spelling or grammar errors. – Incorrect APA format. – Inappropriate length.

Instructor:

Total score

  • Assignment Overview
  • Assignment Details:
 

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Diabetes mellitus that was diagnosed 12 years ago with neuropathy.

Clinical Scenario:

REASON FOR CONSULTATION: Desaturation to 64% on room air 1 hours ago with associated shortness of breath.

HISTORY OF PRESENT ILLNESS: Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago and is now working properly. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs. X was found be mildly dyspneic. Vital signs were checked at that time and were; temperature 38.6, pulse 120, respirations 22, blood pressure 138/38. O2 sat was 64% on room air. The general surgeon was notified by the nursing staff of the hypoxia, an order for a chest x-ray and oxygen therapy were given to the RN. The O2 sat is maintaining at 91% on 4L NC. The patient was seen and examined at 10:10 a.m. She reports that she has been having mild dyspnea for 2 days that has progressively gotten worse. She does not use oxygen at home. Her respiratory rate at the time of visit was 22 and she feels short of breath. She has felt this way in the past when she had pneumonia. She is currently undergoing radiation treatment for laryngeal cancer and her last treatment was 1 to 2 weeks ago. She reports that she has 2 to 3 treatments left. She denies any chest pain at this time and denies any previous history of CHF. Review of her vital signs show that she has been having intermittent fevers since yesterday morning. Of note, she was admitted to the hospital 3 weeks ago for an atrial fibrillation with RVR for which she was cardioverted and has not had any further problems. The cardiologist at that time said that she did not need any anticoagulation unless she reverted back into A-fib.

REVIEW OF SYSTEMS:

Constitutional:  Negative for diaphoresis and chills. Positive for fever and fatigue.

HEENT: Negative for hearing loss, ear pain, nose bleeds, tinnitus. Positive for throat pain secondary to her laryngeal cancer.

Eyes:  Negative for blurred vision, double vision, photophobia, discharge or redness.

Respiratory: Positive for cough and shortness of breath. Negative for hemoptysis and wheezing.

Cardiovascular: Negative for chest pain, palpitations, orthopnea, leg swelling or PND.

Gastrointestinal: Negative for heartburn, nausea, vomiting, abdominal pain, diarrhea, constipation, blood in stool or melena.

Genitourinary: Negative for dysuria, urgency, frequency, hematuria and flank pain.

Musculoskeletal: Negative for myalgias, back pain and falls.

Skin: Negative for itching and rash.

Neurological: Negative for dizziness, tingling, tremors, sensory changes, speech changes.

Endocrine/hematologic/allergies: Negative for environmental allergies or polydipsia. Does not bruise or bleed easily.

Psychiatric: Negative for depression, hallucinations and memory loss.

PAST MEDICAL HISTORY:

  1. Diabetes mellitus that was diagnosed 12 years ago with neuropathy. This resolved after gastric bypass surgery, which she had approximately 3 years ago.
  2. Laryngeal cancer
  3. Hypertension
  4. Hypercholesterolemia
  5. Pneumonia
  6. Arthritis
  7. Hypothyroidism
  8. Atrial fibrillation
  9. Acute renal failure
  10. Chronic kidney disease, stage IV – on 07/30/2013 a renal biopsy was completed, which showed focal acute tubular necrosis and patchy tubular atrophy, moderate to severe interstitial fibrosis with patchy acute and chronic interstitial nephritis, normal cellular glomeruli with no white microscopic evidence of a primary glomerulopathy. Baseline creatinine is 1.9.
  11. Peptic ulcer disease
  12. Skin cancer
  13. Anemia
  14. Osteoporosis

PAST SURGICAL HISTORY:

  1. Laparoscopic gastric bypass – 3 years ago
  2. Closure of mesenteric defect.
  3. Radical neck resection on -3 months ago

FAMILY HISTORY:

  1. Mother has diabetes diagnosed at age 55 and high blood pressure. She is deceased.
  2. Father had heart disease diagnosed at age 60. He is deceased.
  3. She had a sister with diabetes, thyroid disease, CKD, on dialysis, with unknown etiology.

SOCIAL HISTORY: She denies any smoking or alcohol use. She denies any drug use.

MEDICATIONS:

  1. Calcitriol 0.5 mcg PO every other day
  2. Vitamin B12 2500 mcg sublingual every Monday and Thursday
  3. Docusate sodium 100 mg PO BID
  4. Fentanyl patch 100 mcg every 72 hours
  5. Gabapentin 800 mg PO BID
  6. Levothyroxine 50 mcg daily
  7. Multivitamin 1 PO Daily
  8. Oxybutynin 5 mg PO BID
  9. Hydrocodone 5/325 1-2 tablets every 6 hours PRN pain

ALLERGIES: SHE IS ALLERGIC TO CIPRO, WHICH CAUSES URTICARIA AND HIVES, CONTRAST DYE, HONEY AND BEE VENOM, ADHESIVE, AND SULFAS, WHICH CAUSE HIVES.

PHYSICAL EXAMINATION:

Vital signs: 38.6, 120, 22, 138/38, 64% on room air. O2 sat of 91 on 4 liters nasal cannula.

Constitutional: She is somnolent. Oriented to person and place. Appears ill and mildly dyspneic.

Head: Normocephalic and atraumatic. Nose: Midline, right and left maxillary and frontal sinuses are nontender bilaterally.

Oropharynx: Clear and moist. No uvula swelling or exudate noted.

Eyes:  Conjunctivae, EOM and lids are normal. PERL. Right and left eyes are without drainage or nystagmus. No scleral icterus.

Neck: Normal range of motion and phonation. Neck is supple. No JVD. No tracheal deviation present. No thyromegaly or thyroid nodules. No cervical lymphadenopathy noted bilaterally.

Cardiovascular: rapid rate, S1 and S2 without murmur or gallop. Brachial, radial, dorsalis pedis, and posterior tibial are 2+/4+ bilaterally.

Chest: Respirations are regular and even with mild dyspnea.

Lungs are coarse and with some rales posterior bases.

Abdomen:  Soft. Bowel sounds are active, nontender, no masses noted. No hepatosplenomegaly noted. No peritoneal signs.

Musculoskeletal: Full range of motion of the bilateral shoulders, wrists, elbows.

Neurologic: Somnolent. Cranial nerves II-XII are intact.

Skin: Warm and dry.

Psychiatric: Mood and affect are normal. Calm and cooperative. Behavior, judgment is intact.

LABORATORIES AND DIAGNOSTICS:

  • WBC 7.2, Neutrophil 63%
  • Creatinine 2.5 mg/dL, BUN 45 mg/dL, Na 144 mEq/L, Potassium 4.4 mEq/L, Total Bilirubin is 0.9 mg/dL, Platelets 100,000
  • BNP 242 pg/mL
  • Lactate 1.0 mg/dL
  • All other labs are unremarkable
  • Chest x-ray: Right lower lobe infiltrate
  • EKG: NSR, no ST or T wave changes

One hour after you saw Mrs. X, you get a call from the RN to report that her BP is 75/40 mmHg, heart rate is 140, respiratory rate is 34 and she is dyspneic. Her temperature is 39.6 and she is minimally responsive.  Upon re-evaluation of Mrs. X you note that she is obtunded, struggling to breath, using accessory muscles and O2sats are 85% on a Non-rebreather. Repeat labs are as follows:

WBC 20,000

Hgb 12 g/dL

HCT 36%

Platelets 98,000

Na 148 mEq/L

Chloride 110 mEq/L

Potassium 5.6 mEq/L

Glucose 190 mg/dL

Creatinine 3.0 mg/dL

BUN 68 mg/dL

Albumin 3.0 g/dL

Anion Gap 21

Lactate 5.2 mg/dL

Procalcitonin 15 ng/dL, INR is 1.0

aPTT 23 seconds

EKG: Atrial Fibrillation with RVR at 156

Questions:

  1. What is the most likely cause of her atrial fibrillation with RVR and her pulmonary decompensation?
  2. Based on the available clinical data, list all the acute diagnoses. There is a total of 8. Some may be repeated from last week.
  3. What additional diagnostic tests should be ordered to further evaluate her cardiopulmonary problems?
  4. Write an assessment and treatment plan for the new cardiac diagnosis, new pulmonary diagnosis, and the electrolyte imbalance. Write a treatment plan which addresses nutrition, stress ulcer and DVT prevention. You should have a complete treatment plan for each disorder. All written orders must have complete instructions. For instance, a medication order must have the name, dose, frequency, and route. Lab orders must include the lab name and frequency. If an order should be done now, stat, urgent or routine that also should be indicated.
  5. What is the most appropriate level of care for this patient?
  6. What physician specialty or other interprofessional consults should be ordered?
  7. What anticipatory guidance/patient education should you provide to the patient?
 

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This paper consists of researching and completing a term paper dealing with an issue in cultural diversity and healthcare.

Research Paper 

This paper consists of researching and completing a term paper dealing with an issue in cultural diversity and healthcare. There is a list of topics you can choose from or you can submit an original topic. Your paper should be in APA style .Grading rubrics for the research paper can be found at the end of this syllabus.

Your research paper should have at least the following components: 

  • · an introduction presenting your      topic, 
  • · an overview of the structure of      the paper, 
  • · an engaging and thought-provoking      thesis statement, 
  • · a literature review of the      existing research, 
  • · a minimum of five sources that are      peer-reviewed, or academic in nature, 
  • · references and citations following      APA formatting, and 
  • · key points summarized with smooth      transitions between section. 

You will often be given a task dealing with your career and sent on your way to “accomplish the job”. Just as in the real world, you must work toward excellence. The more original, the better the evaluation! Mediocracy will be rewarded as such by your instructor.

 

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Changes that occur with the implementation of a new EHR system—Present the issues such as resistance to change and discuss ways to resolve issues.

You will do a power point presentation on one of the following topics.

  • Changes that occur with the implementation of a new EHR system—Present the issues such as resistance to change and discuss ways to resolve issues.
  • Role of informatics on patient safety and quality
  • Assess the impact of information technology on multicultural groups—Discuss and explore how the digital divide impacts different cultural groups. Examine and analyze the factors affecting this issue. Provide recommendations to revolve issues.
  • Define data integrity, data management and strategies for maintaining accuracy of data and its impact on healthcare—Define and explore the challenges associated with data integrity and management and the impact on various areas of health care.
  • Define and discuss how health care institutions are adhering to HIPAA regulations—Examine this significant issue in nursing and discuss the impact on the profession.
  • Analyze the impact if tele-health on the current healthcare system—Define the different types of telehealth. List the pros and cons of each. Give examples of where telehealth might be most useful and issues around access to health care.
  • Examine the impact that internet technology has on the security of health-related information—Discuss different ways the Internet impacts health care, for example, WebMD. Discuss and list the pros and cons of each application, website, online journals, or other including accuracy of the information in each one. Discuss security issues of each and provide recommendations to resolve these issues. .

Assignment Instructions:

  1. Pick your topic as above and email me for approval. Topics will be first come first serve.
  2. Address this issue through the lens of the nurse informaticist

Your presentation should

  • Consist of 15–20 slides in length, including the title and reference slides.
  • Use the following bolded topics and subtopics (required) to guide the flow of discussion in your presentation.
  • Define and describe the issue. (one to two slides)
    • Describe the background and history of the issue. (two to three slides)
    • Perform a review of the literature. (three to four slides)
    • *Summarize what is known about the issue.
      *Discuss solutions to the issue as identified from the literature.
    • Explain how the issue is being addressed at the organization where each team member is employed. (one slide)
    • Propose a best practice solution integrating information from the review of literature and from team member’s organizations. (one to two slides)
    • Conclusion – one slide
    • Use course content, your textbooks, professional journal articles, and professional websites as references for your work. (A minimum of 10 professional references with at least five (5) nursing journal articles required.)
  1. Submit your assignment electronically in the designated location. Sometimes, a voice-over PowerPoint presentation is large and will not submit if the size is larger than the designated drop box. Review the size of your file and check with your instructor regarding any size limits for submission.

Presentation Tips: When submitting a PowerPoint make sure content flows between slides, avoid duplication of information; make sure format, grammar, APA format, and content are seamless and flow. Voice recordings should be done in a quiet environment with easily audible sound levels.

 

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Explain why this topic is suitable for a professional doctoral project as opposed to a PhD research project.

For this assignment, complete a draft of the Introduction, Methods, and Critical Review sections for the Critical Review of the Literature paper. Provide headings as placeholders for the sections of the paper you will not complete for this assignment (Recommendations and Conclusions).

In addition, continue to add new sources to the evidence table you developed for the Unit 5 assignment. You will include this table as an appendix to your final paper. The final evidence table should include a minimum of 10 peer-reviewed resources.

Assignment Structure

Your assignment should include the following sections:

  • Title page.
  • Abstract.
  • Introduction (3–5 paragraphs).
    • Describe the topic you investigated.
    • Provide a brief background of this topic.
    • Explain why this topic is suitable for a professional doctoral project as opposed to a PhD research project.
    • Discuss a potential sponsoring organization that would be interested in the investigation of this topic.
  • Methods. (Methodology and search strategy used for literature search).
    • Databases searched.
    • Key search terms used.
    • Number of articles accessed and number of articles used for the paper.
  • Critical review.
    • Compare and contrast peer-reviewed articles and sources in your evidence table.
    • Provide analysis and synthesis of the articles.
  • Recommendations. [Only heading in this assignment.]
    • Content to be added in the final assignment.
  • Conclusions. [Only heading in this assignment.]
    • Content to be added in the final assignment.

Other Requirements

Your paper should meet the following requirements:

  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA format: Resources and citations are formatted according to current APA style and formatting.
  • Length of paper: A minimum of five typed, double-spaced pages.
  • Font and font size: Arial, 10 point.

Resources

 

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Create a 7-10 slide presentation with speaker notes on an organization that exhibits characteristics of a socially conscience organization.

Create a 7-10 slide presentation with speaker notes on an organization that exhibits characteristics of a socially conscience organization. Cite the mission and vision in your presentation. Explain how the mission and vision are translated into implementation of strategy. Be sure to provide specific examples.

As a manager, your role is to carry out the mission and vision of the organization in daily life, ensuring alignment between managerial tactics and the organization’s mission and vision. Examine the organization’s alignment through the following concepts: corporate social responsibility, corporate culture, personal ethics, leadership, followership, and competitive advantage.

 

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The interpretation of research in health care is essential to decision making.

The interpretation of research in health care is essential to decision making. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care costs and best practices. To be effective in evaluating and interpreting research, the reader must first understand how to interpret the findings. You will practice article analysis in Topics 2, 3, and 5.

For this assignment:

Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. Complete an article analysis for each using the “Article Analysis 1” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 1,” for an example of an article analysis.

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. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsHLT-362V-RS2-ArticleAnalysisExample-1.docx
HLT-362V-RS2-ArticleAnalysis-1-Template.docx

 

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Choose 2 research methods from the below: Randomized Control Trial  Cohort Study  Case-Control Study  Cross-Sectional

  • Choose 2 research methods from the below: Randomized Control Trial  Cohort Study  Case-Control Study  Cross-Sectional
  • choose two articles to write about. The articles should be related to population health and infectious disease, chronic health, occupational health, global health, genomics, or environmental health:
  • and these are the questions needed to be answered:
  • Does the study design specify a question, goal, of the study? Why is this important?  Explain the methodology (Randomized Control Trial, Cohort Study, Case-Control Study). Describe the participant information, include recruitment. Is selection bias present?  How is data collected?  Are the variables identified? If yes, discuss. If no, how does this impact your interpretation of the study?  How was the data analyzed, what statistics are provided? What are potential errors related to the study design?  What are the weaknesses of the type of study design/method?  Discuss the outcomes and the implications for implementation.
 

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Despite costs associated with performance appraisal, it is one way health care organizations can ensure that only competent, qualified personnel care for patients.

Despite costs associated with performance appraisal, it is one way health care organizations can ensure that only competent, qualified personnel care for patients. Some management experts have recommended that performance appraisals be eliminated from the work setting.

DIRECTIONS:

Do you agree with these experts? Why or why not? Be specific.

Remember this is scholarly writing and not a venue for your personal opinion. Support your assertions with evidence from recent, scholarly, peer-reviewed journals (preferably nursing journals). (To reiterate, “recent” is less than five years old.) Remember, your textbook is not a journal.

This assignment should be submitted in a word document in APA format including title page, headers, citations in text, and reference page. THE BODY OF THE PAPER SHOULD BE 2 TO 3 PAGES, excluding the title page and reference list.

 

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