Category: Nursing

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
References and citations should conform to the APA standards.
Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
Plagiarism is never acceptable – give credit when credit is due – cite your sources.
DOI reference link
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
PLEASE RESPOND TO THE FOLLOWING POST:
Consider your topic of interest and the purpose for exploring this topic.
topic of interest was finding research validating the effectiveness of exercise to reduce symptoms of depression.  The topic was of interest to me for the following reasons:.  Family history of depression on the paternal male side with completed suicide of my brother, 1st cousin and grandfather. In addition, throughout my profession, I have observed side effects to various antidepressant medications, abuse of antidepressant medications by mixing with other substances, and non-adherence to medications as catalysts to worsen depressive symptoms.
What outcomes would you like to see emerge from this?
Some individuals do not enjoy exercising, furthermore, individual response to exercise can vary with different exercise modalities. The desired outcomes would be for further research to validate the effectiveness of RewP testing.  Further research on the effects of acute and chronic exercise on brain function by measuring event related potential (ERP)  would also be helpful in validating positive effects of exercise. ERP’s are small electrical potentials from the cortex of the brain, they can provide information about brain activity such as higher level processing (thinking) and sensory perception processes such as learning, memory, emotions and expectations.(Gusatovic et al., 2022). Further evidence supporting the validity of the RewP as a predictive measurement tool supporting the positive effects of exercise, may lead to more providers utilizing the equipment, thus hoping the cost of testing would decrease. If more providers were able to use the RewP as a measurement to predict positive response, they would be able to customize the right modality of exercise to obtain maximum results.
How would you measure these outcomes?
I would utilize tools like those used by (Brush et al., 2020).  EEG-flankers and ERP measurements for RewP measurements.  Reward positivity, (RewP) is a measure thought to be correlated with the positive reward processing center of the brain. The results of the study suggested a greater (RewP) predicts a response to exercise for adults with major depression (Brush et al., 2020).   In addition, I would use self-assessment tools and questionnaires, such as the Mini International Neuropsychiatric Interview, to obtain subjective data pre and post exercise.
Include in your discussion an analysis of how Aiken measured her selected outcomes.
Patient mortality, patient surveys, care quality, patient safety, and nurse reported outcomes such as burnout and job satisfaction were the outcomes measured. Representative samples were gathered from hospitals over 6 countries. Patient mortality data was pulled from 188 hospitals, nurse reported data was pulled from 243 hospitals and patient ratings were pulled from 182 hospitals (Aiken et al.,2016).  An analysis was performed on the data pertaining to outcomes such as patient discharge, adverse events, hospital characteristics, as well as feedback from patients and nurses (Aiken et al.,2016).  
References:
Aiken, L., Sloane, D., Griffiths, P., Rafferty, A. Bruyneel, L., McHugh, M., Maier, C., Casbas, T., Ball., J., Ausserhofer, D.,  Sermeus, W., (2016). Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Quality and Safety 26. doi: 10.1136/bmjqs-2016-006197
Brush, C. J., Hajcak, G., Bocchine, A. J., Ude, A. A., Muniz, K. M., Foti, D., & Alderman, B. L. (2020). A randomized trial of aerobic exercise for major depression: Examining neural indicators of reward and cognitive control as predictors and treatment targets. Psychological Medicine, 52(5), 893–903. https://doi.org/10.1017/s0033291720002573Links to an external site.
Gusatovic, J., Mathias, H. G., Hasselbalch, S. G., & Kristian, S. F. (2022). Effects of aerobic exercise on event-related potentials related to cognitive performance: a systematic review. PeerJ, https://doi.org/10.7717/peerj.13604Links to an external site.  DOI:10.7717/peerj.13604

Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script or speakers notes for your presentation, 4-5 pages in length.
This assessment provides an opportunity for you to develop a presentation for a local community organization, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional.
For this assessment, select a community organization or group that you feel would be interested
in learning about ethical and policy issues that affect the coordination of care. Then, develop
and record a 10–12-slide, 20-minute presentation, with audio, intended for that audience.
Create a detailed narrative script or speakers notes for your presentation, 4–5 pages in length.
Before you complete the instructions detailed in the courseroom, first select one of the following
community organizations or groups: 
• American Nurses Association: The American Nurses Association is a professional
organization that represents nurses and advocates for policies that improve patient care
and safety.
• Planned Parenthood: Planned Parenthood offers LGBTQ+ Care Coordinators who can
help connect patients with resources in their community, answer questions, and provide
care at their health centers. 
After you have selected one of the problems/issues from the list above, return to the detailed
instructions in the courseroom to complete your assessment  
For this assessment:
Use the Assessment 02 Supplement: Ethical and Policy Factors in Care Coordination [PDF] Download Assessment 02 Supplement: Ethical and Policy Factors in Care Coordination [PDF]to select the community organization or support group that you plan to address.
Develop a PowerPoint with typed speaker notes (the script for your voice recording) and audio voice-over recording, intended for that audience. Video is not required.
Note: PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document. See Microsoft Office Software for technical support about the use of PowerPoint, including voice recording and speaker notes.
For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not required to deliver your presentation to an actual audience.
Presentation Format and Length
You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voice over. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
Be sure that your slide deck includes the following slides:
Title slide.
Presentation title.
Your name.
Date.
Course number and title.
References (at the end of your presentation).
Your slide deck should consist of 10–12 slides, not including a title and references slide with typed speaker notes and audio voice over. Your presentation should not exceed 20 minutes.
Create a detailed narrative script for your presentation, approximately 4–5 pages in length.
Supporting Evidence
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.
Grading Requirements
The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
Explain how governmental policies related to the health and/or safety of the community affect the coordination of care.
Provide examples of a specific policy affecting the organization or group.
Refer to the assessment resources for help in locating relevant policies.
Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
What are the implications and consequences of specific policy provisions?
What evidence do you have to support your conclusions?
Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
Consider the factors that contribute to health, health disparities, and access to services.
Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.
Provide evidence to support your conclusions.
Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included for a proficient score; both speaker notes and the audio voice over are included for a distinguished score.
Present a concise overview.
Support your main points and conclusions with relevant and credible evidence.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 4: Defend decisions based on the code of ethics for nursing.
Assess the impact of the code of ethics for nurses on the coordination and continuum of care
Competency 5: Explain how health care policies affect patient-centered care.
Explain how governmental policies related to the health and/or safety of a community affect the coordination of care.
Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group, using PowerPoint or other appropriate software. Both speaker notes and audio voice-over are included.

1) 
Please briefly describe your understanding of maternal health and birth equity, as well as why you are personally interested in or impacted by this topic. (250 words max)
2) Do you have any background with working with any organizations, community service projects, or research that involves maternal or newborn health, racial justice, or birth outcomes? Please describe. (250 words max).
3) How do you plan to use your skills and degree to address disparities among Black, Indigenous and people of color (BIPOC) women, birthing people, and babies upon graduation? (250 words max).
4) Do u have any financial hardships that you would like us to consider? (100 words max).
Reply Hints
1) Answer all questions in a simple grammar and very effective points. (No hint provided)
2) As I don’t have the same background but please use my experiences to relate and how ambitious I am in pursuing BSN program and looking forward to work in NICU department;
“As
an HR Coordinator at Al Ansar Hospital, I gained insight into healthcare’s
human side, involving recruitment and employee support. My stint as an Assets
Protection Coordinator at CVS Pharmacy revealed my dedication to customer
relations and competence in coping with difficult situations. Nevertheless, my
connection to health care seemed most profound when I was involved in the COVID-19
response at the Highland Hospital for bringing positive changes to people’s
lives came from registering patients, arranging testing materials, and
following individuals after the vaccination”.
3) I read & write 4 languages: English, Arabic, Tigrinia & Amharic. Add to your response those skills can help with communication and provide help..
4) I take care of my both elderly parents. Mention anything reasonable reffering to less time for work as I will be busy with the BSN program.

In your Case Study Analysis related to the scenario provided, explain the following
The pulmonary pathophysiologic processes that result in the patient presenting these symptoms.
Any racial/ethnic variables that may impact physiological functioning.
How these processes interact to affect the patient.

Please download the attached doc, view the narrated powerpoint, and complete the assignment – answer the questions on the 3 nursing situations.

Health Literacy Handout
Submission Type:
Digital Handout 
Details:
You will develop a health literacy-appropriate handout. Choose a health topic, describe your target audience, and create a handout that could be used to teach patients about your topic. 
This handout is designed to be a quick and easy reference and filled with facts, definitions, helpful tips, checklists, and resources.
Include a primary communication objective.
Create an outline for the pamphlet, including headings and subheadings.
Use plain language and avoid medical jargon or technical terms.
Use visuals and graphics to enhance understanding.
Incorporate interactive features such as checklists or quizzes to engage the reader.
Ensure that the content is accurate and evidence-based.
Use health literacy assessment tools to determine if the pamphlet is at an appropriate reading level: Flesch Health Literacy Scale.
The first section contains fact sheets on health literacy, including a basic overview of the key concepts and definitions and information on health literacy and health outcomes.
The second section contains practical strategies for improving health literacy:
Improve the usability of health information and health services.
Build knowledge to improve decision-making.
Advocate for health literacy in your organization.
The third section contains a list of resources, including websites, research studies, and additional publications.
You may use Word, PowerPoint, Canva, or other tools to create your handout. 
Visit the Canva tutorial if you need assistance using Canva. 
See examples of the CDC’s gallery of health infographics.

USING THE WALDEN LIBRARY
Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library.
Post the following:
Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not.
Database used: Walden University Library
Searched in search bar: ”Ethics Mental Health”
No issues/difficulties finding articles & would recommend to peers. 
Directed to: https://jemh.ca/issues/open/JEMH-Open-Volume.html
Journal attached ****
Respond to at least two of your colleagues’ posts by offering suggestions/strategies for working with this database from your own experience, or offering ideas for using alternative resources.
Peer Response #1:
Peer Reviewed Article Citation
Vitorino, C., Canavarro, M., & Carona, C. (2024). Six-month psychopathological symptom trajectories following the covid-19 outbreak: Contrasting mental health outcomes between nurses and the general population. PLOS ONE, 19(4), e0301527. https://doi.org/10.1371/journal.pone.0301527
My topic for my peer reviewed article is titled Six-Month Psychopathological Symptom Trajectories following the Covid-19 Outbreak: Contrasting Mental Health Outcomes Between Nurses and the General Population. My goal is to become a mental health practitioner and assist those with anxiety, depression, and post-traumatic stress disorder, focusing on healthcare workers and the general population. For those of us who are working in the healthcare field and experienced covid, have most likely come across new mental health issues from the pandemic.  The peer-reviewed article was intriguing to me because it provides a contrast between healthcare workers and the general population. “The main findings showed nurses reported higher levels of depression, anxiety, and trauma than the general population” (Vitorino et al., 2024).  Being able to help create resilience-promoting interventions, but tailoring them to unique needs in each group. Organizational leaders have a responsibility to advocate for the mental and physical well-being of health care staff, from safe and resilient working environments and promoting social connections among colleagues. 
To find my topic I accessed Walden University Library database. Cumulative Index to Nursing and Allied Health Literature (CINAHL) and National Libary of Medicine (NLM) are the two online resources I have found to be useful in my academic studies. CINAHL is a private corporation and provides the criteria for indexing journals”high impact factor; usage in reputable subject indexes; peer reviewed journals covered by other databases; top ranked journals by industry studies; and article quality” (Oermann et al., 2020).  This can give one the ease of knowing when researching using these databases that they are getting quality research. A difficulty I found was trying to narrow down my research to my liking. I did find too many words would result in no findings, using fewer words and different wording would narrow down the results. Another advantage was being able to click a box for peer-reviewed articles only, but then would find the issue of proper wording to narrow down the research. Overall, CINAHL and NIL are elite databases to use if you want high quality research-based articles. 
References
Oermann, M. H., Wrigley, J., Nicoll, L. H., Ledbetter, L. S., Carter-Templeton, H., & Edie, A. H. (2020). Integrity of databases for literature searches in nursing. Advances in Nursing Science, 44(2), 102–110. https://doi.org/10.1097/ans.0000000000000349Koppelingen naar een externe site.
Vitorino, C., Canavarro, M., & Carona, C. (2024). Six-month psychopathological symptom trajectories following the covid-19 outbreak: Contrasting mental health outcomes between nurses and the general population. PLOS ONE, 19(4), e0301527. https://doi.org/10.1371/journal.pone.0301527Koppelingen naar een externe site.
Peer Response #2:
Peer-Reviewed Article Citation
Vlaicu, A., & Bustuchina Vlaicu, M. (2020). Vagus nerve stimulation for treatment-resistant depression: Is this therapy distinct from other antidepressant treatments? International Journal of Psychiatry in Clinical Practice, 24(4), 349–356. https://doi.org/10.1080/13651501.2020.1779751
Search Databases
This week’s discussion broadened my knowledge of the importance of searching for evidence-based articles in writing for my career. According to Al-Jundi (2017), using evidence-based articles helps integrate the article’s information into clinical experience and patient values (Al-Jundi,2017). The Al-Jundi (2017) article further states that “the simple process for assessing the credibility of articles and their value to your clinical practice” (p.2).
I used CINAHL, Medline, and Comprehensive Psychiatry in the Walden Library to search for this article (Walden University Library, n.d.).  One of the challenges during my search for peer-reviewed articles was figuring out what keywords to use to narrow the search. At first, once I clicked the search button after putting in the topic, the page took me to the video on how to use the advanced search. I watched that video several times while trying different keywords that would yield results. For this week’s discussion, the topic of interest is the treatment of major depression using vagus nerve stimulation therapy versus other antidepressant treatments. The article of Vlaicu and Bustuchina Vlaicu (2020) discussed the efficacy and safety of using nerve stimulation therapy. The results from this article show that treatment-resistant depression who used vagus nerve stimulation therapy show both acute and long-term benefits such as safe response and excellent compliance (Vlaicu & Bustuchina Vlaicu, 2020).
However, I chose this topic because of the increase in depression in the patient population I have encountered in my career. The rate of depression in patients who have other chronic illnesses is alarming.  I assessed the database A-Z: Nursing; I got to the Walden library page, checked the CINAHL with full text, and put the treatment of depression in the first search box, vagus nerve therapy in the second search box, and finally, antidepressant treatment. I also limited my search to peer-reviewed articles from 2017 to 2024. I found relatively great articles on my topic of interest. Then, I searched to compare journal articles comparing CINAHL and Medline; however, CINAHL produced twenty-five relevant articles, while Medline produced twenty-one relevant references. However, most of the articles helped determine the topic of interest.
Surprisingly, I recommend both search databases, as one always must determine which of the searches will give one the best references for a topic of interest. One can use different parameters to drive a better reference based on specific interests, such as the source date, age, keywords, and more.
I also searched using comprehensive psychiatry to find the topic of choice, where I found relevant articles that also discussed the methods used to implant the device used to stimulate the nerves and how vital the use of electronic devices is for the treatment of depression, especially in cases that are treatment resistant. (Bottomley et al., 2020).
References
Al-Jundi, A. (2017, p.2). Critical appraisal of Clinical Research. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. https://doi.org/10.7860/jcdr/2017/26047.9942
Bottomley, J. M., LeReun, C., Diamantopoulos, A., Mitchell, S., & Gaynes, B. N. (2020). Vagus nerve stimulation (VNS) therapy in patients with treatment resistant depression: A systematic review and meta-analysis. Comprehensive Psychiatry, 98, 152156. https://doi.org/10.1016/j.comppsych.2019.152156
Databases A-Z: Nursing. (2019, October 04). Retrieved from Walden University Library. (n.d.).:   https://academicguides.waldenu.edu/az.php?s=19981
Vlaicu, A., & Bustuchina Vlaicu, M. (2020). Vagus nerve stimulation for treatment-resistant depression: Is this therapy distinct from other antidepressant treatments? International Journal of Psychiatry in Clinical Practice, 24(4), 349–356. https://doi.org/10.1080/13651501.2020.1779751

Amy Kerns
Jun 24, 2024 at 11:22 AM
Module 8: Collaboration Cafe
In the case in which an experienced nurse is 60 days post hire and requires an upcoming performance review in which a performance concern must be addressed, I would first bundle the conversation mindfully. I would initiate the conversation with discussion on a positive contribution the employee has made, and secondly, address the performance concern. I would be careful to approach the finalization of the discussion with another positive quality or contribution the employee has displayed, and encourage the employee to continue to improve and pursue excellence. If the performance concern was related to a medication error, for instance, I would reeducate/remind the employee on the proper 6 rights of medication administration. I would speak with the nurse about how significant it is to be mindful of these rights to induce a proper outcome of medication administration. Without following this nursing standard, patient safety, quality, and person-centered care could be impacted. 
As stated, a plan for an improvement in this scenario would be to have the nurse teach back the six medication rights and display performance of them while a supervisor checks off on the nurse. Behavioral expectations, in regards to demonstrating proper safety checks prior medication administration would suffice to offer resolution of the concern. Leadership competencies including communication, collaboration, interpersonal skill, and emotional intelligence would all be at play in the above scenario in order to effectively carry out the corrective and desired change of behavior in the employee. Cultural humility would also be required from the nurse leader to aid in effective change. It is a challenge to keep self care as a priority as a nurse, however, one must lead change from within first, and this takes great self reflection and great self care to be a leader. 
Information technology could support performance management surrounding this issue by ensuring a scanning in process of each right of medication confirmation prior granting the medicine. The administration of the medication would be filtered through a precise standard of checks and balances in the scenario above with the 6 rights implemented in the scanning system prior moving forward with medication administration. A programmed pyxis would also support a safer process to support against error. Programming the pyxis with reminders to perform the 6 rights would be beneficial, as well as team emails sent out reminding the nurses to be careful with the process of medication administration.

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.
General instructions
Use Canva.com or other infographic development tool of your choice to create a patient teaching aid about over-the-counter treatments for constipation.
Include the following sections/headings. You do not have to use these exact words for headings, but they should be labeled in a way that is very clear to your instructor of which topic you are addressing.
When should a laxative be used?
Classification/Types (Bulk, Osmotic, Stimulant, Surfactant)
How each type works
Examples of each
When should each laxative type be considered?
When would each laxative type be contraindicated?
Caution of laxative overuse
Symptoms of laxative overuse
Long-term health risks of laxative overuse
Who is at risk?
Possible referrals
Format
Readability
Lay language for patients
Creativity
The format should not match the layout shown in the example image. Be creative.
Reference(s)
References used should be noted at the bottom of your infographic in a smaller font as not to distract from information provided but also validating the information came from a reliable source.
References should be from either your textbook or a professional source such as American Gastroenterological AssociationLinks to an external site., Prescriber’s Digital Reference, etc. References should not be from sources such as MayoClinic, WebMD, etc. Additionally, avoid use of journal articles for this assignment as you are looking for a more global consensus than that of one journal article.
Screen shot
Provide a screen shot of your infographic in Canva or other platform of your choice.   
Make sure to highlight in some manner the day and time your infographic was created like the image below.   
The infographic you submit should match the screen shot you submit with your assignment.   
Of course, the date your infographic is created should also coincide with the session of your submission.
See example in the attached file

I have attached my dissertation from my professor with needed corrections. Can you do these? Thank you so much for your attention.