Category: Nursing

I am attaching 2 important documents that contain all the information required to write the essay. Please follow the instructions in this documents.
References must be from 5 years ago maximum.

Please answer the following Discussion Question. Your post must have 3 references for full credit. Also, please ensure to have read the assigned chapters for the current week. 
Upholding Quality in Nursing
How do you define quality control in nursing, and what significance does it hold in ensuring optimal patient care?
Describe some key tools and methodologies employed in nursing to maintain and enhance service quality.
Elaborate on how quality control mechanisms can directly impact patient satisfaction and overall healthcare outcomes.
What are some potential challenges faced by healthcare institutions in maintaining consistent quality, and how can these be overcome for continuous improvement?

Instructions and the book are attached. Please
use simple but proper words or grammar. No AI or plagiarism, please. Thank you

Hypoglycemia 
The patient presented with confusion, diaphoretic, pale, anxious and tachycardic all signs of hypoglycemia. The patient was not experiencing slurred speech, blurry vision, or unresponsive which can be seen in sever hypoglycemia. 
Urosepsis 
The patient presented with confusion, tachycardia, hypotension and pain or pressure in the lower abdomen. However, due to the patient’s confusion he wasn’t able to tell me if he was experiencing burning, urgency, or frequency. 
Diverticulitis 
The patient presented with tachycardia, hypotension, and a fever. However, he complained or right lower quadrant pain and left lower quadrant pain would be expected with diverticulitis. In patient of this ago confusion and anxiety can be present when there is an infection source. 
What diagnostic tests (if any) would you order to include or exclude your diagnosis? Explain your rationale.
In this case I would order and abd and pelvis ct to evaluate for a gastrointestinal or urinary source of infection or inflammation. If this came back negative, I would consider scanning this patient head to assure no acute intracranial process was causing the confusion. I would order a CBC, BMP, ABG, and Blood cultures to evaluate for leukocytosis, sepsis and an elevated lactic acid. I also ordered urine studies on this patient given his age and confusion and right lower quadrant pain which came back positive for a UTI. I also performed a bedside glucose test to check for hypoglycemia since the patient was diaphoretic and confused. 
1. Need a response for this post 
In the setting of urosepsis what are the first three steps to management and evaluation that the NP should take per the sepsis guidelines? 
Need answer to thi question with reference

This chapter describes how you accomplished your project.
Begin by describing the approach to the project you chose and why this approach was the most appropriate.
Next, detail every step of the process.
Although this section varies depending on approach , many of the following areas typically are addressed:
Description of the reviewers or participants
Description of the project design
Development of instrument, tool or method for obtaining feedback (surveys, interviews, observation, content analysis)
Identification of themes/categories
This section should be about 3 pages and content should be separated with APA first and second level headings as appropriate.

Explore  response detailing your exploration of sources of evidence for your practice problem. (Burnout is nurses)
Consider multiple sources of evidence, rather than simply resources from the library: formal and informal interviews , national organizations, internal/external to your organization and/or practice. Consider library sources of information outside of nursing literature. Consider the impact of not including resources from specific sources.
Consider where you might explore sources of evidence for your practice problem. Include (Pre and post test for exmple from nurses as the practise problem is BURNOUT IN NURSES
How might this create a flaw in your ability to support a proposed practice change? Be specific and provide examples.

This discussion prompts you to identify and discuss cultural competence in professional nursing. You must present your Week 6: Course Project Part 3 Poster to your classmates. Please submit the poster as an attachment so your classmates can review this information. Please address the following in the discussion box in 1 to 2 pages double spaced APA format
Cultural population selected and why
Health issue selected and why
Highlight three or more key points from your poster
Scholarly outside sources are included and credited on your poster.
I will send poster after selecting tutor

Writing sample in APA 7th edition format
Discuss your professional and personal goals related to the DNP
Discuss a problem or issue you see in your professional practice today that needs to be addressed from a DNP Perspective

You are the director of an outpatient, senior community center, a position that you have held for 6 years. You are comfortable with your role and know your staff well. Recently, your lead registered nurse resigned. Two of your staff, Nancy and Sally, have applied for her position.
Nancy, an older nurse, has been with the organization for 8 years part time. Most of her work experience prior to her hire at the senior community center was in acute care nursing. She performs her job competently and has good interpersonal relationships with the other staff and with patients and physicians. Although her motivation level is adequate for her current job, she has demonstrated little creativity or initiative in helping the center establish a reputation for excellence, nor has she demonstrated specific skills in predicting or planning for the future.
Sally, a nurse in her mid-30s, has been with the organization and the unit for 2 years. She has been a positive driving force behind many of the changes that have occurred. She is an excellent clinician and is highly respected by physicians and staff. The older staff, however, appear to resent her because they feel she attempted too much change early in her employment. Both nurses have baccalaureate degrees and meet all the qualifications for the job. Both nurses can be expected to work at least another 5 years in the new position. There is no precedent for your decision.
You must make a selection. If you do not use seniority as a primary selection criterion, many of the long-term employees may resent both Sally and you, and they may become demotivated. You are aware that Nancy is limited in her futuristic thinking and that the center may not grow and develop under her leadership as it could under that of Sally.
DQ: Identify how your own values will affect your decision. Rank your selection criteria and make a decision about what you will do. Determine the personal, interpersonal, and organizational impact of your decision.
Discussion Protocol. Please observe the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.
All answers or discussions comments submitted must be in APA
format according to Publication Manual American Psychological Association (APA)
(7th ed.)
Discussions must have a minimum of two references, not
older than 2016.
1 peer reply

PICOT QUESTION: In adult patients newly diagnosed with type 2 diabetes aged 30-50 years old, how does compliance with diet and anti-diabetic medication to manage blood glucose compared to noncompliance affect A1C levels over the course of 6 months? 
Using the stated picot question, you will need to find two article from a research database like PUBMED OR CINAHL Complete (pls no google scholar) that will answer the picot question and you will need to critically appraise them using the template that I attach here. YOU WILL ONLY HAVE TO FILL IN THE APPLICABLE PARTS
Please, also upload the the PDF of the two articles in addition to the template that I attached to this instruction because i will need to submit those as well. 
FIRST ARTICLE – RESEARCH (it could be either a retrospective cohort study or randomized controlled trial) 
THE SECOND – NON RESEARCH (it could be a Narrative review or a systematic review) 
BOTH should be a QUANTITATIVE STUDY and peer review. please follow APA format very strictly when providing the reference of the article and summarizing each of the articles. 
Critical Appraisal of the Evidence – Research and Non-Research. Template for the Research and Non-Research Critical Appraisal of the Evidence is attached in the file below 
Submission Instructions
You only have to fill in the applicable parts (dependent on your study) of the form. You, as an individual, will complete this assignment which will then be incorporated into the final group submission.