Skin & Breast

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This discussion contains 2 parts:

  1. KM is a 38-year-old white woman with a 6-year history of psoriasis. Her family history includes allergies and asthma and her mother with psoriasis. KM returns today for an increase in symptoms, and she wants to improve the appearance of her skin. Please discuss the following:
    • What is the underlying cause of psoriasis?
    • What are the common signs and symptoms of this disease?
  2. Define, Compare and Contrast the following conditions:
    • Fibrocystic breast disease
    • Fibroadenoma
    • Malignant breast tumor

A

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SEE THE SCENIOR TO USE:

In my role as a student studying diverse fields, I've encountered a scenario that delves into the intersection of nursing informatics and clinical decision-making. This situation centers around using patient data to inform clinical reasoning and judgment, a crucial aspect of nursing leadership.

In this context, the scenario's primary focus is on leveraging data to enhance nursing practices and patient care. The scenario envisions a nurse leader overseeing a bustling hospital unit. The data at hand includes electronic health records (EHRs), patient vitals, medication administration records, and patient outcomes. EHRs can be conveniently accessed through secure electronic systems, while vitals and medication data can be collected using various medical devices and digital record systems.

The insights derived from this diverse set of data are invaluable. By scrutinizing patient vitals and medication records, patterns and trends can emerge, enabling early identification of potential complications (McGonigle & Mastrian, 2022). Comparative analysis of patient outcomes based on different interventions empowers nurse leaders to make well-informed decisions about treatment strategies. This approach not only improves patient care but also contributes to better overall health outcomes.

The role of a nurse leader's clinical reasoning and judgment cannot be overstated in this scenario. By critically examining the data, nurse leaders can pinpoint areas in need of refinement within patient care protocols (McGonigle & Mastrian, 2022). For instance, identifying medications associated with consistent adverse effects might prompt a nurse leader to recommend alternative treatments. Furthermore, clinical reasoning helps in recognizing anomalies in patient outcomes, triggering a deeper investigation into potential causes and interventions.

In conclusion, this scenario underscores how data-driven decision-making is central to effective nursing leadership. By deriving insights from patient data, nurse leaders can inform their clinical reasoning and judgment. Grounded in evidence-based practices, nurse leaders can implement changes that elevate patient outcomes and elevate the overall quality of care.

 

To Prepare:

· Review the concepts of informatics as presented in the Resources.

· Reflect on the role of a nurse leader as a knowledge worker.

· Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

· Explain the concept of a knowledge worker.

· Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

· Include one slide that visually represents the role of a nurse leader as knowledge worker.

· Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.

BY DAY

Vulnerable Population

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1) Many vulnerable populations exist in the United States. Which vulnerable population do you think is the most challenging to care for, and how might your nursing care change when caring for this population as opposed to individual clients? 

 Examples of Vulnerable Population

* Pregnant Teenagers
* Migrant Farmworkers
* Homeless persons
* Persons in poverty
* Substance abusers
* Individuals with mental illness
* Persons living with HIV/AIDS
* Victims of abuse/violence
* Gay, Lesbian, Bisexual, Transgender populations

Healthcare Infotmatic discussion

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NSG 3150 – Healthcare Informatics

Week 8 Discussion

In this course wrap-up discussion, please reflect on your experience in the course
NSG 3150 – Healthcare Informatics and address the following items:

· Identify one of your major takeaways from this course.

· What aspect of the course helped you achieve this?

· How will you apply this knowledge to your practice and career?


Please be sure to provide appropriate APA-formatted in-text citations and references to support your response.

sociology project final

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The purpose of this essay is to apply C. W. Mills’s Sociological Imagination
concept to explain a personal situation. The essay will demonstrate the
student’s ability to use sociological concepts & theories learned in the
course, to describe a personal situation. The topic is left to the student’s
discretion.

The Essay paper should have the following 5 content areas:

1. Introduction: In this first content area, write a paragraph introducing C.
W. Mills’s concept of sociological imagination, and give a general overview
of how you will be applying it to the personal situation that you will discuss
in your paper.

2. Personal Explanation: In this second content area, describe your
personal situation/topic. Based on whether the situation is a current one or
a past one, describe how you dealt or are dealing with it. You can also pick
a situation from a person’s life who is closely related to you or whose
experience affected you. You should know the person well enough to write
the essay.

Describe what caused the problem, who were involved, what were others’
and your roles in the situation, and if a resolution was reached. This section
is all about your account of your situation and should be no longer than four
paragraphs (3/4 – 1 page).

3. Sociological Imagination: In this third content area, analyze your
personal situation by applying sociological imagination, i.e., examine how
society and social forces affected your situation. This section should be the
most substantial portion of your essay. You should use terms and concepts
from at least 3 different chapters from the textbook, and one sociological
theory.

4. Data/Stats: Utilize at least 2 statistics or research studies from the
textbook or outside sources such as the Galen College online library. The
references should be scholarly and should be relevant to your situation
(E.g., Inclusion of divorce rates in the US if the topic is on Divorce;
inclusion of poverty rates, crime and victimization rates, or suicide rates if
the topic is either on Poverty or Crime). Citing at least one outside
source is required.

5. Conclusion: Write a wrap-up conclusion summarizing the major finding/
themes in your paper. This should be no more than a paragraph.

 

Your essay should be 4-6 pages in length (excluding the title page and the
references page) and should be double-spaced. You will lose points if your
essay is shorter than 4 full pages of content. The font should be 12-point
Calibri or Times New Roman. Use APA format for your entire essay,
including for references and in-text citations and edit your work carefully for
spelling and grammar.

Your essay should be 4-6 pages in length (excluding the title page and the
references page). It should be double-spaced on standard-sized paper
(8.5” x 11”) with a 1” margin on all sides. The font should be 12-point Times
New Roman or Calibri. Use APA formatting throughout your essay and cite
any sources you use.

Assigment .Apa seven . All instructions attached.

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rt 2 Writing Assignment Week 7

Top of Form

Bottom of Form

Health Promotion Proposal, Part 2 Content

1.

Top of Form

Health Promotion Proposal, Part 2

This is a continuation of the health promotion program proposal, part one, which you submitted previously. 

Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.

 

Directions 

You have already completed the steps 1-4. 
Do not resubmit part 1. Make sure you revise this initial submission according to your instructor’s comments. 

To assist in maintaining harmony between Part I and 2 here you have a reminder of the previous paper outline:

· 1. Describe the health problem. Using data and statistics support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measurable. 

· 2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified. 

· 3. Provide a review of literature from scholarly journals of evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, you will write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search. 

· 4. Select an appropriate health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide rationale for your selection which includes discussion of the concepts of the selected model 

 

For this assignment develop criteria 5-8 as detailed below: 

You will submit just this section 5-8 as essay. Please do not resubmit Part 1. 

Use a presentation page. Start the body of content with topic 5.

· 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. 

· Be certain to include a timeline. (2 to 4 paragraphs- you may use bullets if appropriate). 

· 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. 
The SMART goal statement should be no more than one sentence (1 paragraph). 

· 7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 

· 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 

· Finish the paper with a conclusion paragraph (1 paragraph) without typing the word “conclusion” before the paragraph. 

Paper Requirements 

Your assignment should be up to 3-5 pages (excluding title page and references). 

Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. 

Finish the essay with a your reference page.

Please review the Grading Rubric for this Assignment.

 

Bottom of Form

Peer Response 1

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Be sure to provide 2 APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.

****1 paragraph for each peer response and 2 citations.********

Please be sure to follow EACH AND EVERY BULLET POINT.

(TOPIC is based on the peer that’s being reviewed)

Please do not plagiarize nor reword another person’s assignment that has been previously submitted.

Look at the attachment for responses that are needed!!!

Analyis of social determinants of health

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What is the best way to analyze social determinants of health on population

Response

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Respond using APA, at least 2 scholarly references

Leadership Insights

Research indicates that promoting leadership development among employees requires the existence of effective organizational leadership (Mabona et al., 2022). This provided insight as the building up of our nursing leadership has been stagnant due to unease with executive leadership. Strong, effective leadership, or lack of, directly influences care, quality and motivation of staff (Mansel & Einion, 2019). We have nurses and leaders with great approaches for change, but a lack of motivation to do so. What was lacking was effective communication strategies, the ability for nurses to be actively involved in making decisions regarding patient care and having a substantial level of professional independence and influence over our work environment (Mabona et al., 2022).

During this week’s reading and research I stumbled across transformational leadership being an evidence-based leadership theory for nursing practice. It makes sense as building a trusting and respectful relationship is essential for implementing and fostering an empowering work environment. An empowering work setting is marked by the provision of information, support, resources, and learning opportunities (Mabona et al., 2022). Creating a supportive work environment fosters a culture of shared knowledge and a higher sense of duty and liability among nurses, while simultaneously safeguarding against and alleviating nurse burnout (Iqbal et al., 2019). Leaders who strive to cultivate a positive work environment through transformational leadership value and consider various viewpoints, display a comprehensive understanding of concerns, recognize and encourage the valuable contributions of nurses, effectively communicate achievements to boost confidence, maintain an approachable demeanor, and provide assistance to their staff (Mabona et al., 2022).

Transformational Leadership in Practice

We recently hired a new Chief Executive Officer (CEO), a position that has historically been filled by personnel with a clinical or medical background. This CEO however does not have this background. Rather than that hindering his abilities as a leader, he inspirationally utilized that as a key tool in motivating staff. Upon our first interaction, he encouraged the nursing team to take ownership of our profession/department and provide him with justifications to our needs and goals. He was transparent in pointing out that he is naïve to what we do and what our needs are, yet was able to still support us a valuable partners in the organization and pledge support to our success as well. This defined him as a transformational leader.

Interestingly enough, study findings show that when nursing staff perceives their leader as transformational, their psychological empowerment is enhanced, and they have higher well-being, which in turn increases their commitment to their workplace (Iqbal et al., 2019). This deemed true for our organization. The CEO sparked motivation that was lacking previously and motivated the nursing team to implement changes that were long overdue. Our admissions process was tedious and outdated for quite some time and was needing revamped but had previously lacked the support to do so. We then did a time study on the process for two-weeks, reviewed the ways in which we could improve that process, piloted those changes, completed a time study to evaluate the effectiveness of those changes, and then received the approval to move forward with those changes. A transformational leadership model has had a positive impact on our department and facility as a whole. Employee attitudes and behaviors have changed which has in turn increased job performance, satisfaction, and turnover.

References

Iqbal, K., Fatima, T., & Naveed, M. (2019). The impact of Transformational leadership on nurses’ organizational Commitment: a multiple mediation model. European Journal of Investigation in Health, Psychology and Education, 10(1), 262–275. https://doi.org/10.3390/ejihpe10010021

Mabona, J. F. M., Van Rooyen, D., & Ham-Baloyi, W. T. (2022). Best practice recommendations for healthy work environments for nurses: An integrative literature review. Health Sa Gesondheid- Journal of Interdisciplinary Health Sciences, 27. https://doi.org/10.4102/hsag.v27i0.1788

Mansel, B., & Einion, A. (2019). ‘It’s the relationship you develop with them’: emotional intelligence in nurse leadership. A qualitative study. British Journal of Nursing, 28(21), 1400–1408. https://doi.org/10.12968/bjon.2019.28.21.1400

Dimensions of Nursing Practice

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Agnes Karkoszka

4 hours ago, at 8:16 PM NEW

Hello Everyone,

In a health facility, it is important to ensure that patients morals and values are being obtained. Many people come from different cultural backgrounds and it is crucial to be able to understand them and respect them the best way possible. You want to make sure everyone feels safe and comfortable between the patient and the nurse. Its important to make sure the patient feels respected with whatever healthcare decisions they decide to make.

1.What values ensure a culture of safety?

Like in most situations, communication amoungs co-worker and patients is key to gather the proper information about the patient. It is crucial that we have a strong and well established team that makes working as a team a priority for every patient. We have to value everyone decisions and what they think is best for themselves. Culture plays a huge role in the patients decision making for themselves. It is important that as a team we work together to sustain a safe environment and to make sure everything is organized. Having great organization skills keeps the environment stay at a better state and avoids any problematic risk factors that can potentially harm the patient in any way.

2.How can healthcare facilities establish a culture of safety?

Some ways is establishing great teamwork and great work ethic practices. As nurses, we know to use EBP to ensure that the patient is in the best care needs from us. Working as a team will help maintain the environment the more nurses that work together the better the outcomes. Everyone in the facility should be promoting safety to make the environment welcoming.

3.What is the nurse's role in maintaining a culture of safety?

We all know that every hospital is going to have different set of rules depending on the state and region. Although, most hospitals will have very similar rules that nurses and medical professionals must follow. Many of these hospitals have to follow government advised rules like using EBP for every patient. I still think every single nurse should be educated in different cultures to understand every patient and for them to be well respected. Nurses play a huge role in taking proper care of each unique individual. Actively being part of ANA, taking every protocol seriously and maintaining a safe work environment for other staff and for the patient.As nurses, we play a vital role in creating a culture of safety within our clinical work area by maintaining an open line of communication with our healthcare team members, assessing our peers' and our own professional work habits and behaviors for safety risks, utilizing evidence-based practice (EBP) interventions in our patient protocols, and participating in shared governance workgroups (Davis,2017).

Serah Olayemi

she/her/hers

10 hours ago, at 1:29 PM NEW

In a health facility, it is essential to produce the culture of safety. It is important for workers within the healthcare facility to have respect for one another, especially for everyone to feel safe with each other. Not only that, but it's crucial for a facility's culture to support and promote patient safety.

1. What values ensure a culture of safety?

After reading, I have learned that there are various values that ensure a culture of safety. One example is the value of teamwork. The team needs to work together in order to provide each patient with a consistent safe experience. Another value is respect. As I mentioned earlier it is important for healthcare workers to respect one another but it is just as important for healthcare workers to be nothing but respectful to their patients. Another value includes organization and planning. It is important to acknowledge what can cause the culture of safety and plan accordingly.

2. How can healthcare facilities establish a culture of safety?

Some examples include teamwork by healthcare workers. It is important for leaders to be visibly committed to change. It is also essential for the full staff to openly share safety information with one another. Everyone should be on the same page of promoting patient safety.

3. What is the nurse's role in maintaining a culture of safety?

I understand that every health facility is ran differently and has different standards. I believe though, that every nurse should maintain a culture of safety. I feel that they have a crucial role because they are the main caregivers of the patients when they come to the facility. The patient is allowing the nurse to take care of them by putting a lot of trust in them. Due to this trust, nurses need to make it a goal to keep them safe at all times. The nurses are in control as far as safety because they are aware of the facility and regulations. If the nurse does a successful job at maintaining a culture of safety, it will create a safe and trusting experience between the nurse and the patient.