Category: Nursing

Health care organizations and professionals strive to create safe environments for
patients; however, due to the complexity of the health care system, maintaining safety
can be a challenge. Since nurses comprise the largest group of health care professionals,
a great deal of responsibility falls in the hands of practicing nurses. Quality improvement
(QI) measures and safety improvement plans are effective interventions to reduce
medical errors and sentinel events such as medication errors, falls, infections, and deaths.
A 2000 Institute of Medicine (IOM) report indicated that almost one million people are
harmed annually in the United States, (Kohn et al., 2000) and 210,000–440,000 die as a
result of medical errors (Allen, 2013).
The role of the baccalaureate nurse includes identifying and explaining specific patient
risk factors, incorporating evidence-based solutions to improving patient safety and
coordinating care. A solid foundation of knowledge and understanding of safety
organizations such as Quality and Safety Education for Nurses (QSEN), the Institute of
Medicine (IOM), and The Joint Commission and its National Patient Safety Goals
(NPSGs) program is vital to practicing nurses with regard to providing and promoting
safe and effective patient care.
You are encouraged to complete the Identifying Safety Risks and Solutions activity. This
activity offers an opportunity to review a case study and practice identifying safety risks
and possible solutions. We have found that learners who complete course activities and
review resources are more successful with first submissions. Completing course
activities is also a way to demonstrate course engagement.
References
Allen, M. (2013). How many die from medical mistakes in U.S. hospitals?
https://www.npr.org/sections/health-shots/2013/09/20/224507654/how-many-die-
from-medical-mistakes-in-u-s-hospitals.
Kohn, L. T., Corrigan, J., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer
health system. National Academy Press
Healthcare-Associated Infections (HAIs): Healthcare-Associated Infections,
commonly referred to as HAIs, are infections that patients acquire while receiving
treatment for other conditions within a healthcare setting. These infections can occur in
any healthcare setting, from hospitals to outpatient clinics. Understanding the
significance of HAIs is crucial for nursing students for the following reasons:
Patient Morbidity and Mortality: HAIs can lead to severe health complications.
Depending on the type of infection and the patient’s underlying health conditions,
HAIs can result in prolonged illness, the need for intensive treatments, or even
death. For instance, sepsis, which can arise from an HAI, is a life-threatening
condition that requires immediate intervention.
Extended Hospital Stays: Patients with HAIs often require extended hospital
stays for additional treatments, such as antibiotics or surgeries. This not only
increases the patient’s risk of acquiring other complications but also adds to their
emotional and psychological stress.
Increased Healthcare Costs: The extended hospital stays, additional
treatments, and interventions associated with HAIs result in significant financial
burdens. These costs are borne by healthcare systems, insurance providers, and
often, the patients themselves.
o
Antibiotic Resistance: The overuse or misuse of antibiotics to treat HAIs can
lead to the development of antibiotic-resistant strains of bacteria. These
“superbugs” are harder to treat and can spread to other patients, posing a
significant public health threat.
Emotional and Psychological Impact: Acquiring an infection while seeking
treatment for another condition can be distressing for patients. They may feel
betrayed by the very system they trusted to heal them. This can lead to feelings
of anxiety, fear, and mistrust towards healthcare providers.
Reputation and Trust: Just as with falls, repeated incidents of HAIs can impact
the reputation of a healthcare facility. High rates of HAIs can lead to decreased
public trust and potential legal implications.
Regulatory Implications: Healthcare facilities are held to strict standards by
regulatory and accrediting bodies. High rates of HAIs can result in penalties,
increased inspections, and challenges in maintaining accreditation.
For this assessment, you will analyze a safety quality issue in a health care setting and
identify a quality improvement (QI) initiative.
Be sure that your plan addresses the following, which corresponds to the grading criteria
in the scoring guide. Please study the scoring guide carefully so that you know what is
needed for a distinguished score.
• Explain factors leading to a specific patient-safety risk in a health care setting.
• Explain evidence-based and best-practice solutions to improve patient safety and
reduce costs.
• Explain how nurses can help coordinate care to increase patient safety and reduce
costs.
• Identify stakeholders with whom nurses would coordinate to drive safety
enhancements with a specific safety quality issue.
• Communicate using writing that is clear, logical, and professional, with correct
grammar and spelling, using current APA style.
• Length of submission: 3–5 pages, plus title and reference pages.
• Number of references: Cite a minimum of 4 sources of scholarly or professional
evidence that support your findings and considerations. Resources should be no
more than 5 years old.
• APA formatting: References and citations are formatted according to current APA
style.
By successfully completing this assessment, you will demonstrate your proficiency in the
course competencies through the following assessment scoring guide criteria:
• Competency 1: Analyze the elements of a successful quality improvement initiative.
o Explain evidence-based and best-practice solutions to improve patient safety and
reduce costs.
• Competency 2: Analyze factors that lead to patient safety risks.
o Explain factors leading to a specific patient-safety risk in a health care setting.
• Competency 4: Explain the nurse’s role in coordinating care to enhance quality and
reduce costs.
o Explain how nurses can help coordinate care to increase patient safety and reduce
costs.
o Identify stakeholders with whom nurses would coordinate to drive safety
enhancements with a specific safety quality issue.
• Competency 5: Apply professional, scholarly, evidence-based strategies to
communicate in a manner that supports safe and effective patient care.
o Organize content so ideas flow logically with smooth transitions; contains few errors
in grammar or punctuation, word choice, and spelling.
o Apply APA formatting to in-text citations and references exhibiting nearly flawless
adherence to APA format.

Assignment 3: Research Designs, Conceptual/Theoretical Frameworks, and Collection of Data Assignment – Due Sunday, June 16
Overview
As a novice reader of research, it is important to note the quality of studies you read as well as the authority and credibility of the resource for the information. When studies are published in peer-reviewed journals or on authoritative websites, readers can assume that the information was reviewed and/or critiqued by the journal’s editorial board and specialized healthcare reviewers.
Another step in the research process is identifying the theoretical or conceptual framework to guide the study. Every study has a framework, but not every study is based on a theory or model (Polit & Beck, 2018). If the theoretical or conceptual framework was not a major component of the focus of the study, the researchers may not mention the framework that guided the study in the published article. Yet, when critiquing a study, readers need to be able to identify the theory, if addressed by the researchers of the study. 
Authors of research studies collect data based on the research design. Quantitative data are collected for experimental and non-experimental research designs. Examples of experimental studies are randomized control trials (RCTs) and quasi-experimental studies. Examples of non-experimental studies are descriptive or correlational designs. Qualitative data are collected for studies based on human experience and have no measurements or statistics, but words are used to describe the themes of findings from the data. Examples of qualitative studies are phenomenological, historical, and ethnographic studies.
A systematic review is a structured and focused review of all research on a specific topic where the researchers search and analyze data from other researchers’ studies. Systematic reviews may be conducted alone or with a meta-analysis where each individual study in the systematic review is considered to be data and statistically analyzed. The sample in a systematic review and meta-analysis is the number of research studies included in the review. Review all resources in this module.
Assignment #3 Directions  
Select a new research study focused on your PICO question. If you already identified 3 research studies for your EBP Project, you do not need to select any more studies. 
Save a PDF copy of the study in this assignment, upload,  and reference the study in the correct APA format. 
Remember to follow the grading rubric and answer all questions. 

This is a self-reflection activity that requires you to consider what you have learned in this module. Please upload your response to the following question:
Question: As a nurse, caring for people who have neurocognitive disorders like Alzheimer’s disease creates many challenges. It is often progressive and devastating for the family and caregivers. How can the nurse provide support and guidance for the family while maintaining realistic expectations for the client? 

Purpose:
The purpose of this assignment is intended to allow the student to show evidence of achievement of the following course objective: Explain how the advanced practice nurse applies and integrates broad, organizational, client-centered, and culturally appropriate concepts in the planning, delivery, management, and evaluation of evidence-based clinical prevention and population care and services to individuals, families, and aggregated/identified populations. The Concept Map assignments are a progressive learning activity that builds with each assignment. Each week you will be taking steps to create a personal nursing concept map and relating it to a nursing theory of your choice. This will then be used, along with a systems theory, in your final paper assignment. Some weekly assignments will ask you to submit a rough draft of your concept map work to show your progress and keep you on track. In week 9, you will post your concept map with a brief explanation to the discussion board for peer review. The final Concept Map will be submitted along with your Final Paper. The final paper is a combination of the concept map assignment you complete during the course. Description: For this week’s Concept Map paper, you will be focusing on concepts and NOT a theory. Before starting the assignment, please watch this video:
Also, refer to this list of conceptsDownload this list of concepts to help you get started.
(Please note that while this document contains a list of possible concepts that can be used for this assignment, some concepts are not appropriate for this assignment. It is just meant to help “kick-start” your creativity) Also review Nursing Theory and Philosophy: Terms & Concepts Guide! Download Nursing Theory and Philosophy: Terms & Concepts Guide! Students will write a 1 to 2-page paper responding to written prompts. Week 2 prompts: Discuss personal values and beliefs of nursing. Discuss your assumptions about nursing, clients, and the world in general. Consider how your philosophical beliefs influence your practice.
Compile a list of concepts that you engage in during your practice.
Begin a list of concepts. Decide which concepts ‘‘rise up’’ as priorities in your nursing practice.
Explore why particular concepts emerge as ‘‘essential,’’ while others seem ‘‘secondary.’’
Select 1 concept to be used for the concept map. Requirements: This assignment needs to be submitted following APA format (title page, headings, reference page, etc.). Citations from References that are synthesized from the assigned article, course text, evidence-based and peer-reviewed research articles, and other credible sources are required. A minimum of 3 resources are used. References must be current within 5 years. This assignment will be submitted below through Canvas and automatically run through TurnItIn. Course faculty monitor for the compliance of citations with Turnitin evaluation of the assignment during the course session.Please click here for more information on TurnItIn NOTE: Evidence of plagiarism will result in a score of 0 for this assignment. Repeat offenses of plagiarism will result in more significant repercussions per the South College student handbook. Evaluation: The following rubric will be used to score this assignment. Week 3
Purpose:
The purpose of this assignment is intended to allow the student to show evidence of achievement of the following course objectives: Examine how the advanced practice nurse integrates scientific findings from nursing, biopsychosocial fields, genetics, public health, quality improvement, and organizational sciences for the continual improvement of nursing care across diverse settings. Explain how the advanced practice nurse applies and integrates broad, organizational, client-centered, and culturally appropriate concepts in the planning, delivery, management, and evaluation of evidence-based clinical prevention and population care and services to individuals, families, and aggregated/identified populations. Critique nursing conceptual models and theories and their impact on advanced practice nursing Description: This week you will be building upon the previous Concept Map assignment. The goal is to eventually develop a concept map – translating practice knowledge into conceptual language that is then represented visually. (Please see an example of a finished concept map below for reference) This week, follow the prompts and submit a 1-2 page paper showing your progression toward the final concept map. Discuss how the selected concept is used in nursing (eg, practice, research, theory focus). Discuss how nursing goals are achieved related to the concept. Discuss the knowledge you have and the knowledge you may need to achieve those goals.Consider how you view the concept. Is it a property or a process? Is it a process or outcome? Begin to sketch out a visual representation of the concept. Discuss the nurse’s role in its management. Requirements: This assignment needs to be submitted following APA format (title page, headings, reference page, etc.). Citations from References that are synthesized from the assigned article, course text, evidence-based and peer-reviewed research articles, and other credible sources are required. A minimum of 3 resources are used. References must be current within 5 years. This assignment will be submitted below through Canvas and automatically run through TurnItIn. Course faculty monitor for the compliance of citations with Turnitin evaluation of the assignment during the course session. Please click here for more information on TurnItIn NOTE: Evidence of plagiarism will result in a score of 0 for this assignment. Repeat offenses of plagiarism will result in more significant repercussions per the South College student handbook. Evaluation: The following rubric will be used to score this assignment. Rubric
Concept Map Week 4 Rubric (1)
Concept Map Week 4 Rubric (1)
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeContent KnowledgeDiscuss how the selected concept is used in nursing (e.g., practice, research, theory focus).
Discuss how nursing goals are achieved related to the concept.
Discuss knowledge you have and knowledge you may need to achieve those goals
Discuss the nurse’s role in its management.
50 ptsExcellent Work
50 Points -Follows all requirements for the assignment. -Conveys well-rounded knowledge of the topic. -Excels in fully presenting what is known about the topic. – All prompts are answered and thoroughly discussed. Discuss how the selected concept is used in nursing (eg, practice, research, theory focus); Discuss how nursing goals are achieved related to the concept; Discuss knowledge you have and knowledge you may need to achieve those goals; Discuss the nurse’s role in its management. – Information is accurate, with supporting evidence (see additional resources requirement). Opinion is stated as such.
40 ptsMeets Expectations
-Follows all requirements for the assignment. -Major points of topic are mostly covered in the required assignment areas. – Majority of the questions are answered and thoroughly discussed (minimum of 3 prompts fully answered)
25 ptsNeeds Improvement
-Knowledge of topic is partially covered. -Key information is missing from 2 or more assignment areas. – Some of the prompts are answered and thoroughly discussed (minimum of 2 prompts fully answered)
0 ptsNot Acceptable
-Knowledge of topic is general and does not cover all the required assignment areas. – Many prompts or questions are left unanswered. No supporting evidence to distinguish factual information from opinion
50 pts
This criterion is linked to a Learning OutcomeFlow of Content
10 ptsExcellent Work
-Well-organized. -Information flows in logical and interesting sequence. -Easy to read, follow, and understand throughout. -Captures the reader’s attention.
8 ptsMeets Expectations
-Organized. -Information flows in logical and interesting sequence. -Easy to read, follow, and understand through most of presentation.
4 ptsNeeds Improvement
-Organization, sequence, and flow of presentation are difficult to follow at times. -Information is difficult to read or understand in a few areas.
0 ptsNot Acceptable
-Paper is not well organized. -Information is difficult to read, understand, and follow throughout most of the paper.
10 pts
This criterion is linked to a Learning OutcomeClarity, Critical Thinking
10 ptsExcellent Work
-Concisely explains the topic. – Consistently analyzes information, offers insight, and draws conclusions. -Excels in presentation of ideas. -Scholarly work.
8 ptsMeets Expectations
-Explains the topic. -Presents information about the topic. -Some analysis, insight, and conclusions offered. -Scholarly work.
4 ptsNeeds Improvement
-Major aspects of the topic are presented, but content lacks insight and analysis.
0 ptsNot Acceptable
-Information is basic. -Major aspects of the topic are missing or inadequate. -Lacks insight, analysis, and conclusions. -Reader gains little understanding of the topic.
10 pts
This criterion is linked to a Learning OutcomeConcept appropriate for nursing practice
15 ptsExcellent Work
Concept is appropriate for nursing practice
8 ptsMeets Expectations
Concept is partially appropriate for nursing practice and selected nursing theory
0 ptsNot Acceptable
Concept is NOT appropriate for nursing practice
15 pts
This criterion is linked to a Learning OutcomeWriting Composition (Spelling, Grammar, Sentence Structure)
5 ptsExcellent Work
-An occasional error may occur, but writing, grammar, spelling, transitions, readability, and sentence structure are essentially error free.
4 ptsMeets Expectations
-Some minor errors (1-3 errors) may occur with spelling, grammar, transitions, and sentence structure but are not consistent throughout. -Errors do not interfere with the readability or comprehension of information.
2 ptsNeeds Improvement
-Frequent errors (4-5 errors) occur with spelling, grammar, transitions, sentence structure, and readability throughout.
0 ptsNot Acceptable
-Numerous errors (>6 errors) occur with spelling, grammar, transitions, and sentence structure, throughout, which make it very difficult to read and understand the information presented.
5 pts
This criterion is linked to a Learning OutcomeReferences
5 ptsExcellent Work
-Information gathered from a variety of nursing journals and nursing and/or medical organization websites. – Using at least 3 resources—-Utilize additional resources to support or disprove the concepts presented.
4 ptsMeets Expectations
-Information gathered from a variety of relevant sources. – Using 2 resources—-Utilize additional resources to support or disprove the concepts presented.
2 ptsNeeds Improvement
-Information gathered from a variety of relevant sources. (Not all are professional sites). – Using 1 resource—-Utilize additional resources to support or disprove the concepts presented.
0 ptsNot Acceptable
-Not all references are appropriate, not from scholarly sources. – Uses no additional resources to support or disprove the concepts presented
5 pts
This criterion is linked to a Learning OutcomeAPA Format
5 ptsExcellent Work
-An occasional error may occur, but the paper is essentially error-free, following APA format in the body of the paper and reference page.
4 ptsMeets Expectations
-Some minor errors (1-3 errors) may occur with APA format, but errors are not consistent throughout the paper.
2 ptsNeeds Improvement
-Frequent errors (4-5 errors) occur with APA format throughout the paper.
0 ptsNot Acceptable
-Numerous errors (>6 errors) occur with APA format consistently throughout the paper, indicating that little effort was placed on understanding the format guidelines.
5 pts
Total Points: 100
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Chapter 5 presents a brief overview of diverse religions or spiritual
traditions. In this assignment you will research more in-depth
information utilizing at least two scholarly references. Provide major
findings for each religion and 3-4 practices/rituals relative to the
religion. Use the required table below to complete.

The purpose of this assignment is for the student to present a complete picture of interdisciplinary care using specific therapeutic modalities in the care of a complex adult health client.
The topic chosen is neurogenic shock and spinal cord injury management.

Allied health professionals are confronted with different death and dying practices. An effective allied health professional recognizes the importance of understanding different cultural practices, and learns how to evaluate the death, dying, and spiritual beliefs and practices across the cultures.
Read the two specified case histories and choose one for this assignment.
Chapter 4, “Stories of Abby: An Ojibwa Journey” and Chapter 14, “Stories of Shanti: Culture and Karma,” by Gelfland, Raspa, and Sherylyn, from End-of-Life Stories: Crossing Disciplinary Boundaries (2005), from the GCU Library.
Identify your role as a health care professional in supporting Abby’s or Shanti’s dying rituals, and in creating strategies for displaying respect while still providing quality care. Identify communication strategies necessary in caring for your select person. Integrate your strategies as you develop a care plan describing how you would approach the situation and care for the patient. Review the “Care Plan” template prior to beginning.
Include the following in your care plan:
Communication: family and patient
Treatment options that align with the specific culture
Education: family and patient
Family roles in the process
Spiritual beliefs
Barriers
Cultural responses
Any additional components that you feel would need to be addressed (from your perspective as a health care professional)
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are not required to submit this assignment to LopesWrite.
Attachments

Instructions
Generate a professional Power Point presentation that sums the following areas:
Introduction to topic, include introducing yourself, why this is important (1 slide)
Develop a business plan to start or manage a practice (6-10), identify SWOT analysis, marketing plan, key stakeholders, reimbursement, insurance issues, a solid budget plan (expense and revenue sheet)
Construct  an employment contract for an advanced practice nurse in your selected care setting. (3-4)) Be specific. What should APRN ask for salary, vacation, Health insurance, dental, vision, long and short term insurance, professional development/education fees, professional journals, any others?
Compare the legal, ethical, and contractual considerations for APRN in the employment setting (2-3 slides)
Parameters
Inclusive of references in presentation, and references then fully presented in final slide of presentation as a reference page (1-2 slides)
Use APA for formatting
Presentation should be minimally 25 slides, enough slides to appropriately cover material being presented
Presentation is to be designed as if you, the ARPN, were seeking funding for starting your own clinic.
Presentation to include:Contract portion is to be designed as if student/APRN was seeking a position. What would an APRN want in the contract? Provide details within the contract about salary, insurances, benefits, duties, etc.
Type of clinic, clientele serving, location
Mission/vision statement
DETAILED budget analysis. Expense and revenue reports
Insurance and reimbursement: Provide information on expected revenue. What would an APRN charge for certain visits (sick versus health check), what is expected pay from insurance types (private, Medicare/Medicaid?)
Contract portion is to be designed as if student/APRN was seeking a position. What would an APRN want in the contract? Provide details within the contract about salary, insurances, benefits, duties, etc.
MUST USE NOTES SECTION. NO AUDIO. Use the notes section to discuss content. Professor will be assessing analysis and synthesis of understanding of the content)

Summarize the article. Explain how the article supports the upgrade of 9 beds in the step down unit to specialty critical care beds.
Link to article:
https://doi.org/10.1016/j.annemergmed.2011.04.033

feel free to use template or create your own.
at least 3 sources
speaker noes should be sufficient for a presentation of at least 5 mins.
part 3/3