Diagram

    Scenario 1
    You are working in risk management and need to track medication administration errors and adverse events for patients over a 6-month period. You are receiving information from the inpatient areas, outpatient clinics, and home health. 

Using the scenario, create a diagram of WK 3 proposed database using Microsoft Word.

  • Include the additions made in Week 4.
  • Complete the diagram first, but place it as the final page or pages of your submission. The diagram is separate from the required page count.

In the narrative portion of the assignment: 2 to 3 pages. Provide current references to support narrative.

  • Explain how your diagram articulates your planned design.
  • Explain the principles behind selecting key fields and defining relationships. Be specific and support your response with evidence.
  • Write a sample PICOT question (i.e., a query) you might ask based on the information in the database created during Weeks 3 and 4 to demonstrate your understanding of the connection between data and research.
  • List the tables in the database that you would need to include when answering your question.

Nursing homework 9


Vaccination for Infants and Children Worksheet

Complete the following –using references provided in pediatric prep information. (5 points )

Age

Recommended Childhood Vaccines

Include route of administration

(oral, IM or Subcutaneous)

And indicate if a combination vaccine is indicated.

Special Considerations for Age and Vaccine

Site of Administration, Angle of Insertion, and Needle and Syringe Size, etc.

Within 12 hours of Birth

2 months

4 months

6 months

12 months

15-18 months

2 years

5 years

11-12 years

16 years

Infants 6 months to 18 years of age

2

Review the technique, sites, angle of insertion, correct sized syringe and needle, combination vaccines, and recommended vaccines for each age group. Here are a few questions to get you thinking… (points 2.5)

1. A 15 month old child is to be immunized.

a. What immunizations will you consider him/her?

b. List supplies needed for these immunizations.

c. What size syringe will you select for these immunizations? What size needle?

d. What angle of insertion will you use in administering these immunizations?

2. A 6 month old infant is to receive all her recommended vaccines today.

a. What is the name of the combination vaccine used that is given at this visit and what are the 3 components?

b. Which site do you select for her injections?

c. What do you tell the child’s parents before they leave the clinic?

3. A seventh grader requests an MMR booster

a. What questions will you ask to determine if he/she is an appropriate candidate?

b. What will you tell the student (client) before he/she leaves the clinic?

week5 586

Discussion Prompt

Discuss the essential components of a financial projection for your start-up business for inclusion in your business plan. Speculate on potential financial resources to fund your proposed business start-up.

Expectations

Initial Post:

  • Due: Thursday, 11:59 pm PT
  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

use business plan and cost from assignment labeled business logo. 

Assigment .Apa seven . All instructions attached.

Research paper 1

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Exercise Content

1.

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COT / Research Assignment # 1

Purpose

The student will share their PICOT question and further explore and explain its key components, as well as examine its feasibility as a hypothetical project.

General directions

1. You will submit one (1) paper as part of this assignment; inclusive of:

2. PICOT (written/narrative)

3. Your scholarly paper must follow APA format. Include a cover page and headings per 6th edition APA guidelines.

PICOT (written/narrative):

4. The PICOT (written/narrative) component of the assignment should be no more than 4-7 pages (not including the title or references pages).

5. Include the following components in the PICOT part of your scholarly paper:

6. Title Page

7. Introduction

8. Problem Statement

9. PICOT Question explanation of each component

10. Population of Interest

11. Intervention of Interest

12. Comparison of Interest

13. Outcome of Interest

14. Timeframe

15. Conclusion

16. References Page

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Discussion

Preparing the Discussion

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient's chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you. 

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety. 

Case Study Responses: 

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based on the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members: 

· Medical assistant

· Nurse Practitioner

· Medical Director

· Practice

2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes? 

3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.

4. A scholarly resource must be used for EACH discussion question each week.

Nursing Assignment-1 4040

Assessment 1

Nursing Informatics in Health Care

INSTRUCTION- Write a 4–5 page evidence-based proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes.

Introduction- Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.

Preparation- To successfully prepare for this assessment, you will need to complete these preparatory activities:

· Review assessment resources and activities.

· Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.

· Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wikis, job boards, and so on.

· Consult the 

BSN Program Library Research Guide
 for help in identifying scholarly and authoritative sources.

· Interview peers in your network who are considered information technology experts.

· Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond.

Scenario- For this assessment, assume you are a nurse attending a meeting of your state’s nurses association. A nurse informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in her workplace. You realize that your organization is undergoing many technological changes. You believe this type of role could provide many benefits to your organization.

You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing officer (CNO) and human resources (HR) manager, who ask you to prepare a 4–5 page evidence-based proposal to support the new role. In this way, they can make an informed decision as to whether the addition of such a role could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting.​ This is not an essay, but instead, it is a proposal to create a new Nurse Informaticist position.

One important part of this assessment is the justification of the need for a nurse informaticist in a health care organization and references from relevant and timely scholarly or professional resources to support the justification for creating this nurse informaticist position. The term justify means to show or prove that the nurse informaticist position brings value to the organization. This justification must include evidence from the literature to support that this position will provide a return on investment for the organization.

Proposal Format- The chief nursing officer (CNO) and human resources (HR) manager have asked you to include the following headings in your 
proposal and to be sure to address the bullets following each heading:

Nursing Informatics and the Nurse Informaticist

· What is nursing informatics?

· What is the role of the nurse informaticist?

Nurse Informaticists and Other Health Care Organizations

· What is the experience of other health care organizations with nurse informaticists?

· How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?

Impact of Full Nurse Engagement in Health Care Technology

· How does fully engaging nurses in health care technology impact:

· Patient care?

· Protected health information (security, privacy, and confidentiality)?

· In this section, you will explain evidence-based strategies that the nurse informaticist and interdisciplinary team can use to effectively manage patients' protected health information, particularly privacy, security, and confidentiality. Evidence-based means that they are supported by evidence from scholarly sources.

· Workflow?

· Costs and return on investment?

Opportunities and Challenges

· What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?

· How can the 
interdisciplinary team collaborate to improve quality care outcomes through technology?

Summary of Recommendations

· What are 3–4 key takeaways from your 
proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember?

· This is the section where the justification for the implementation of the nursing informaticist role is addressed. Remember to include evidence from the literature to support your recommendation.

·
Additional Requirements-
Written communication: Ensure written communication is free of errors that detract from the overall message.

·
Submission length: 4–5 double-spaced pages, in addition to title and references pages.

·
Font: Times New Roman, 12 point.

·
Citations and References: Cite a 
minimum of three current scholarly and/or authoritative sources to support your ideas. In addition, cite a 
minimum of one current professional blog or website to support your central ideas. 
Current means no more than five years old.

·
APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the 

Evidence and APA
 page on Campus.

Competencies Measured- By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 1: Describe nurses' and the interdisciplinary team's role in informatics with a focus on electronic health information and patient care technology to support decision making.

· Define nursing informatics and the role of the nurse informaticist.

· Explain how the nurse collaborates with the interdisciplinary team, including technologists, to improve the quality of patient care.

· Justify the need for a nurse informaticist in a health care organization.

· Competency 2: Implement evidence-based strategies to effectively manage protected health information.

· Explain evidence-based strategies that the nurse and interdisciplinary team can use to effectively manage patients’ protected health information (privacy, security, and confidentiality).

· Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

· Follow APA style and formatting guidelines for citations and references.

· Create a clear, well-organized, and professional proposal that is generally free from errors in grammar, punctuation, and spelling.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated

Nursing Informatics in Health Care Scoring Guide

CRITERIA

NON-PERFORMANCE

BASIC

PROFICIENT

DISTINGUISHED

Define nursing informatics and the role of the nurse informaticist.

Explain how the nurse informaticist collaborates with the interdisciplinary team, including technologists, to improve the quality of patient care.

Justify the need for a nurse informaticist in a health care organization.

Explain evidence-based strategies that the nurse informaticist and interdisciplinary team can use to effectively manage patients’ protected health information (privacy, security, and confidentiality).

Follow APA style and formatting guidelines for citations and references.

Create a clear, well-organized, and professional proposal that is generally free from errors in grammar, punctuation, and spelling.







case study

  Read the following case and answer reflective questions.Provide evidence based rationals for your answers APA 7th forma and scholarly references no older than 5 years old

CASE STUDY: Preschool Child: Ricky Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, who both work full-time, and his infant sister. Their extended family lives in a different state more than 100 miles away. Both parents are of average height and in good health. Ricky’s mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed. Ricky’s mother is quite frustrated and concerned that he will become malnourished.

Reflective Questions 

1. What additional assessment information would you collect? 

2. What questions would you ask, and how would you further explore this issue with the mother? 

3. In what ways does the distance of the extended family influence this family’s approach to health promotion? 

4. What factors would you consider to determine whether malnourishment is a factor in this family?

Discussion

 PHILOSOPHY OF NURSING PRACTICE 

power points slides

power points slides

MSN5400 REPLIES 2

 Reply these words with 200 words each one and reference

Title: Influencing Healthcare Through Advocacy: A Personal Journey and how to 

create effective interdisciplinary organizational and systems leadership in the care of clients in diverse care settings.

Introduction

Learning the ropes of policy, politics, and advocacy is a transformative endeavor with the ultimate goal of influencing healthcare and broader social agendas that profoundly impact human health. In this discussion, I become an advocate to effect change in healthcare, reflecting the purpose of mastering these skills.

Advocacy for Universal Healthcare Access

My journey into healthcare advocacy began when I witnessed the struggles of a close friend, Emily, who was burdened by exorbitant medical bills due to a chronic illness. Fueled by empathy and a desire for equitable healthcare, I embarked on a path to advocate for universal healthcare access.

            1.         Policy Analysis and Research: I started by immersing myself in healthcare policy analysis and research (Smith et al., 2018). This included studying existing healthcare systems worldwide to understand their strengths and weaknesses. Through this, I gained the knowledge needed to advocate for an inclusive healthcare system.

            2.         Community Engagement: Recognizing that community support is crucial for advocacy, I organized town hall meetings, awareness campaigns, and grassroots movements to engage citizens in discussions about healthcare access (Gitterman, 2017). By fostering a sense of shared responsibility, we encouraged individuals to join the cause.

            3.         Legislative Advocacy: I proactively engaged with lawmakers, presenting data and personal stories to advocate for policy changes aimed at expanding healthcare access. Collaborating with like-minded organizations and lobbying for healthcare reform became integral to my advocacy efforts (Berkowitz & Wolff, 2020).

            4.         Patient-Centered Advocacy: To amplify the voices of patients like Emily, I encouraged them to share their experiences and struggles. These personal stories resonated with policymakers and underscored the urgent need for healthcare reform (Travis, 2019).

            5.         Building Coalitions: Recognizing the power of partnerships, I formed coalitions with healthcare professionals, advocacy groups, and community leaders. These alliances strengthened our advocacy efforts and allowed us to pool resources and expertise (Berkowitz & Wolff, 2020).

Conclusion

My journey in healthcare advocacy reflects the purpose of mastering policy, politics, and advocacy skills – to influence healthcare and broader social agendas. Through policy analysis, community engagement, legislative advocacy, patient-centered efforts, and strategic partnerships, I worked towards the vision of universal healthcare access.  This it highlights the profound impact advocacy can have in shaping the future of healthcare and improving human health on a broader scale.

2. I have learned to value the crucial part that politics, lobbying, and policy play in determining the healthcare landscape throughout my work as a nurse. One specific instance stands out as proof of the effectiveness of advocacy in changing health care and more general societal goals.

I recently came across a critical problem involving patient safety and drug delivery while working as a clinical nurse in a big urban hospital. It became clear that our current system had a history of mistakes, especially when it came to high-risk drugs. This finding is confirmed by Pozzi’s (2023) study. Concerns over near-miss occurrences and sporadic medication mistakes had been raised among the nursing team, and it was obvious that something needed to be done to safeguard the safety of our patients.

Seeing the gravity of the situation, I started an advocacy journey to deal with it. The first step was acquiring information and proof to support my claims. I carefully recorded incidences and reviewed the available research on the best medication administration methods. I used this knowledge to report my findings to the hospital’s quality improvement committee.

Gaining support for the suggested improvements required active participation from stakeholders, as evidenced in the study by Beaudry et al. (2019). I formed a multidisciplinary task force with other nurses, pharmacists, and doctors to enhance pharmaceutical safety. We held regular meetings to discuss solutions, examine policies, and implement actual initiatives.

The adoption of a barcode scanning technology for medicine administration was one of the main campaign initiatives. I thought this technology had a lot of promise for our hospital because it had successfully reduced prescription errors in other healthcare settings. I did a ton of study on the advantages and affordability of this approach, and I made a strong argument to hospital executives.

The practice of advocacy went beyond hospital boundaries. I spoke with representatives from pharmaceutical companies, went to patient safety seminars, and connected with industry experts. I was able to present creative solutions by keeping up with developments in medicine administration technologies and best practices.

I worked with the hospital’s nursing leadership to write a policy proposal describing the implementation strategy for the barcode scanning technology as the advocacy efforts picked up steam. This comprised a thorough rollout schedule, workflow modifications, and employee training. I made sure that frontline nurses’ involvement was included in the policy because their viewpoints were crucial for forming its actual implementation.

The conclusion of these campaign efforts was the effective introduction of barcode scanning technology for drug administration. The new approach greatly decreased prescription errors and near-miss instances, improving patient safety and boosting nursing staff trust.

This example demonstrated the significant influence lobbying may have on medical outcomes. I was able to have an impact on an important component of patient care by identifying a problem, obtaining data, enlisting stakeholders, and promoting creative solutions. It strengthened my resolve to be a proactive advocate for the welfare of my patients and the larger community, and it confirmed my belief in the ability of advocacy to bring about constructive change in the healthcare industry.