questions

Original Work, No Plagiarism, Cite and Reference

Mary admires the NIH-funded work of her postdoctoral advisor, Henryk, who pioneers research on alternative treatments for fever due to infectious diseases. Mary is one of many co-workers who has assisted Henryk in compiling the most comprehensive database ever assembled, tracking many different infectious agents, species of animals, and different interventions and their outcomes. Henryk’s interpretation of this rich dataset suggests that some “alternative medicines” are highly effective in certain species, but have no therapeutic value in others. He is completing his analysis and interpretation, and is preparing a manuscript for submission. Mary will be a co-author because of her part in collecting data for the study.

Mary is preparing to seek an Assistant Professor position and wants to build on her postdoctoral work.  She asks Henryk for permission to use the dataset to develop her own project. However, she plans to use a different methodology for analysis and interpretation of the dataset to address a different aspect of the outcomes of treatment. At that point, she will develop a career development proposal to submit to the NIH.

Henryk is unwilling to share the entire dataset prior to publishing his interpretation of these data. However, Mary has access to the database as part of her current project, and therefore she decides that it is ethical for her to look more closely at the data. Mary spends quite a lot of time looking at the data and Henryk’s analysis, and realizes that he has excluded specific datapoints that impact his interpretation. Henryk’s draft manuscript carefully justifies the exclusion of these data in the methods section so that there is no issue with data falsification.

Mary realizes that if she includes these datapoints, an entirely new understanding of therapies to treat fever could emerge. Mary is excited about her impending grant proposal, but is concerned about how to broach the discussion of her use of the data with Henryk.

Discussion Questions

1. Must Henryk share his database with Mary before publication? After publication? Must he share it with others, outside his lab, and if so, when?

2. Who owns the database at this point: Henryk? The institution? NIH? The public?

3. Why is sharing a dataset beneficial to the person who collected it? How is it potentially risky?

4. Is Henryk obligated to document how datapoints were included or excluded in the methods section of his paper?

Reply to your classmate



Virginia Workman

Hello class,

I chose interface to discuss. The interface in the electronic medical record system is truly remarkable. When the monitor displaying vital signs and other patient data seamlessly transfers that information to the patient's chart on the computer without the need for manual data entry, it significantly streamlines our workflow. As a nurse, you simply click to confirm that the vital signs are accurate while entering them, saving you a significant amount of time. The advantages of using an interface have proven to be incredibly beneficial in my daily nursing duties.

Liz Workman

Introduction to Primary care

  

Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?

Nursing Lab Assignment: Differential Diagnosis for Skin Conditions

 

  • Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
  • Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

Library Research 300 words Nursing

Due 9/10      10 am EST

 

In this unit you learned about the evolution of evidence-based practice and strategies to implement evidence-based practice. You were also provided with an introduction to quantitative and qualitative research designs.

An important step in the review of literature is the ability to identify the type of research that you are reviewing.

For this assignment, you will continue to consider your problem/topic of interest (HEALTH EQUITY). Using the HU Library, search for an article that is related to your chosen problem/topic.

Review the article and identify the type of research design (quantitative, qualitative, mixed).

  1. Provide the APA formatted reference for a full-text primary research article. The article must be peer-reviewed from the last 5 years.
  2. Identify the type of research design.
  3. What factors/information did you use from the article to determine the type of research?

DUE REAL 2

Name: Cara Jett
Age: 34 years
Provider: R. Mcbride NP
Allergies: NKA
Admit weight: 102 Ibs (46.3kg)
BMI: 17.5
Code status: full code

I just can’t eat. Every time I do, I have horrible pain in my stomach. My family keeps
accusing me of having an eating disorder. It’s not that I don't want to eat. It's that I can’t
without pain and diarrhea!

4/12
1345

Nursing Note: Client presents for ongoing stomach pain after eating. Current BMI of
17.5. Last recorded BMI from 3 years ago was 22.2. States pain has been ongoing for
several years, more severe as of late yesterday. Client skipped lunch today. Current
abdominal pain is 2/10. States that she has tried using over-the-counter pain relievers to
help with the abdominal pain, but this has not been successful. Rates 2/10 RLQ
abdominal pain.

4/12
1355

Neuro/Cognitive: Alert and oriented x4.

Cardiovascular: Regular heartbeat with S1 and S2 heard. No edema present. Capillary
refill <3 seconds. Bilateral pedal and radial pulses +3.

Respiratory: Lungs clear bilaterally.

Gastrointestinal: Abdomen flat, firm, hyperactive bowel sounds x 4 quadrants. Tender
in RLQ. Denies nausea. Last bowel movement was 1045 today. Loose, brown, mucous
looking – per client. Three loose stools today so far.

Genitourinary: Continent. No pain or burning when urinating

Musculoskeletal: Muscle atrophy present. +5 strengths for all extremities. Tenting
present on arm and collarbone.

Psychosocial: Anxious. Becomes tearful several times during visit. States her family is
accusing her of having an eating disorder.

5/7
1435

Nursing Note: Follow-Up Appointment with Gastrointestinal Specialist

Diagnosis: New Crohn’s disease.

Follow-up appointment after colonoscopy and upper GI procedure. Had a CT scan of the
abdomen completed after the procedure. Rates 4/10 abdominal pain. Client is taking
prednisone and metronidazole as prescribed by primary care provider for Crohn's
disease.

Date Temp HR RR BP SpO2 O2

4/12 1345 96.8 °F

(36.0 °C)

78 18 102/54 100% RA

5/1 0945 97.2 °F

(36.2 °C)

64 12 94/45 89% RA

5/1 1000 97.2 °F

(36.2 °C)

69 12 104/50 92% RA

5/1 1015 97.2 °F

(36.2 °C)

72 14 110/52 94% RA

5/7 1430 98.6 °F

(37.0 °C)

88 18 138/78 99% RA

Date Diagnostic Test Findings

5/1
1015

Upper GI
Colonoscopy

No abnormal findings.

Small ulcer found in the transverse portion of the large intestine with
evidence of more in the small intestine. Further testing, including an
MRI, is highly suggested.

5/5
1500

CT Scan of
Abdomen

Impression: Thickening of the wall of the small intestine present.
Three small abscesses noted by entrance to the colon correlating with
recent gastric studies. No fistula apparent.

5/1
0945

Endoscopy Center Nursing Note:

Client has completed an upper GI study and a colonoscopy with no noticeable
complications. Vitals stable. Drowsy but easily woken. Oriented x4.

5/1
1000

Endoscopy Center Nursing Note:

Vitals remain stable. Client drank 60mL of clear soda and two bites of graham cracker.
Swallow and gag reflex present. Mild 2/10 throat discomfort present. Driver present and
atbedside.

5/1
1015

Endoscopy Center Nursing Note:

Client discharged to home in care of mother, Nancy. Follow-up appointment made.

Response

PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

2. Nursing‐sensitive indicators are the criteria for changes in health status that nursing care can directly affect. Nursing‐sensitive indicators have been increasingly adopted as valid and reliable tools due to their features such as objective assessment, improvement of clinical practice, evaluation of nursing care quality and performance, and informed decision‐making capability for patients in selecting a hospital to receive care. The use of nursing‐sensitive indicators affects the outcomes of nursing care by defining the structure and processes of nursing care. Indicators can be used for quality improvement purposes in applied settings to monitor performance and progress and to support evidence-based decision making, to support informed policy analysis related to regulatory or accreditation requirements, workforce development, and reimbursement, and to research the role of nursing care in determining patient safety outcomes by examining structure-outcome, process-outcome, and structure-process-outcome relationships. I believe that no one nursing sensitive indicator is sufficient on its own for measuring the profession’s impact on patient care and outcomes. Rather, several elements must be considered together to provide a comprehensive view of nursing practices and results, such as patient falls with and without injuries, RN satisfaction survey, nosocomial infections, nursing hours per patient day. Indicators not included in the database statistics, but which professional nurses should consider, nonetheless are patient satisfaction with pain management, patient satisfaction with nursing care. For example, assessment and treatment of pain is complex, and optimal pain care remains elusive. Only 63-74% of patients report that their pain was well-controlled. Personal biases may interfere with healthcare’s ability to accurately assess pain management needs, but nurses who keep in mind the ethical principles of autonomy, beneficence, non-maleficence, and justice will be better equipped to make sound judgments. 

Reference:

Oner, B., Zengul, F. D., Oner, N., Ivankova, N. V., Karadag, A., & Patrician, P. A. (2021). Nursing-sensitive indicators for nursing care: A systematic review (1997-2017). Nursing open8(3), 1005–1022. https://doi.org/10.1002/nop2.654

Response TO WEEK 8 DISC 2

PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

Since Week 1, I have learned a lot. My perspective on the concepts of trends in nursing has changed to say the least. This class has helped me build and evolve the way of thinking that nurses have to deal with low pay, lateral violence, long hours, not being heard etc, just because it’s part of our job. There are ways for us to use our voice and join different groups to help us be heard in the healthcare field. Discussion 6 I thought was especially important because it shows different ways for nurses to get involve and advocate for nurses. Trends and issues in nursing is something we can overcome with time and effort. Providing the right care and education in all aspects of nursing will help change the view people have of nursing and the believe that nursing is a just a job and not a profession.

PN1

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Module 02 – Written Assignment-Communication Techniques Worksheet

Name:

Date:

Complete all your lesson content and assigned readings. Make sure that you are focusing on:

· Communication techniques used to promote safety within the healthcare facility.

· Communication techniques used to provide optimal patient care.

Instructions:

· Answer the questions listed below using complete sentences.

· Use correct grammar, spelling and APA format.

· Support your answers using credible sources such as textbooks, course materials, and evidence-based articles (
1 Point)

Resources:

How do I know if a source is credible?

How do I find evidence-based practice articles? Or nursing best practices?

1. Identify and describe communication techniques that can be used to promote safety within the healthcare facility.
(2 Points)

2. Describe how communication is used to provide optimal patient care.
(2 Points)

11/16/2021

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Nursing Assignment 2

The baccalaureate prepared nurse must have a good understanding of the quality 

management process as well as the programs that various governmental and professional 

organizations have in place to measure and improve patient safety and quality of care. In

addition to discussing the National Database of Nursing Quality Indicators, delineate the 

role any two of the following have in addressing safety and quality issues: the Joint 

Commission (JC), Centers for Medicare & Medicaid Services (CMS), Agency for

Healthcare Research and Quality (AHRQ), or National Quality Forum (NQF).