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REPLIES WEEK 3 MSN 5550

 Reply to these  students  posts with a reflection of their response. 

 1.The American Hospital Association’s Patients’ Bill of Rights involves several key points that healthcare professionals should guarantee in the best interest of their patients. In this discussion post, I will discuss how each of these points can be carried out by healthcare personnel.

  • High quality hospital care.

The pursuit of high quality hospital care relies on healthcare professionals adeptly merging evidence-based practice, compassion, and respect. This formulated equilibrium ensures that patients receive holistic care that caters to their physical, emotional, and psychological needs. Evidence-based practice, the foundation of modern healthcare, involves weaving research evidence, clinical expertise, and patient values into healthcare decisions, ultimately leading to enhanced patient outcomes. Compassion is essential as it nurtures trust, empathy, and overall well-being, setting healthcare apart from other fields. In addition, respect assumes a pivotal role in preserving dignity, autonomy, and ethical standards, acknowledging cultural differences and patient choices to guarantee patients feel valued and heard (Xiao et. al, 2018). 

  • A clean and safe environment.

Safeguarding a clean and secure healthcare setting relies on the thorough enactment of specialized rules and methods. These encompasses protocols for infection control, rigorous cleaning routines, accurate utilization of personal protective gear (PPE), and effective waste management. Equally essential are endeavors to enhance patient safety, emergency response strategies, and adherence to regulatory requisites. Both patients and healthcare professionals can also be educated with these topics to promote a clean and safe environment. By honoring these directives, healthcare practitioners can establish a protected environment that reduces infection risks, safety hazards, and regulatory lapses, thus ensuring the utmost care quality for patients (Greene & Samuel-Jakubos, 2021).

  • Protection of your privacy.

Protecting patient information is both a legal mandate and a moral obligation. The Health Insurance Portability and Accountability Act (HIPAA) is a law that legally upholds patient confidentiality, governing the use and disclosure of protected health information. Both physicians and nurses play vital roles in preserving patient privacy. Some methods of protecting health information include securing medical record storage, control of accessibility, and two-factor authentication. Healthcare personnel should also stay current with ongoing HIPAA training and regulations. In case of incidents, clear response and reporting procedures are paramount in order to promptly resolve flaws in the process.

  • Help with your billing claims.

To help with billing claims, healthcare professionals can ensure precise documentation of medical services, verify insurance coverage, and employ accurate coding to minimize claim denials (Xiao et. al, 2018). Prompt submission and effective communication are imperative, providing patients with clarity on billing processes. In case of disputes, professionals can guide patients through appeals and maintain contact with insurers. They also facilitate connections between patients and financial counselors for financial support. In essence, staying proactive eases the billing burden for patients.

As you can see, this transformative approach of healthcare professionals ensuring patients’ rights are protected not only benefits patients, but also enhances the overall healthcare experience.

2.  In the present discussion I was able to Examine the effect of legal and ethical practice processes on healthcare. I was also able to apply ethical guidelines to improve my Nursing practice and, in consequence, improve my patients’ outcomes.

     Healthcare, as the name suggests, means to care for our patients’ health. Our patients are human beings. Starting at this point, we must keep in mind that our patients are biological, psychological and social entities. If one of these sides fails, then the patient will loose the desired healthy balance. Many times we, as healthcare personnel, keep focusing on clinical diagnoses, management, treatment and clinical outcomes. However, the first and big step that makes a difference in those outcomes becomes establishing a good and trustable relationship with our patients. Nurses need to keep this in mind at all times, as Nurses should always advocate for their patients. Advocate means to seek for the best conditions for the patients from the beginning to the end. At this point, we need to ensure that all the patients’ rights are respected and fulfilled. The Sustained Development goals have been followed for many worldwide leaders. These goals promote same rights in all population groups. Also they promote that these groups should be treated with dignity (Kwame, A. Petrucka, P.M 2022). One of the goals specifically promotes equity in healthcare, which means, same and best possible attention quality to every person who seek health care attention, regardless race, sex, religion, culture beliefs, social level or even if the patient cannot afford the expenses in a health care facility. Every person has the right to get appropriate medical treatment and the right to know who are their healthcare givers. The patients also have the right to know everything about their health condition. In addition, the patients have the right to participate in choosing a treatment option, after learning the benefits but also the side effects of a given option. The patient has the right to stay in an environment with good hygiene quality. The patients also have the right to decide who can make decisions regarding their condition when cannot speak by themselves and even to decide/give advanced directions in these conditions. At any moment, the patients and their immediate caregivers also have the right to get patients’ education regarding treatment or therapy. Finally, the patients have the right to keep their information safe and private, which means that this information cannot be shared without consent to any person who is not in their health care team. However, the patients must collaborate with the healthcare team in order to provide all the information regarding clinical history and previous records in order to get a tailored attention and the best possible outcome.

     In conclusion, the Healthcare team needs to advocate for their patients, making sure that the best quality attention is provided regardless their social condition. The points exposed above are different ways we can advocate for our patients, developing a strong and trustable relationship with them, which is one of the main foundations for obtaining the best possible outcomes.

Discussion Post- Differentiating between Quantitative and Qualitative

What is the difference between qualitative and quantitative research methods? Give an example of each.

Submission Instructions:

  • Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

do

For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan, pertaining to medication administration, to understand or implement to ensure the success of the plan.

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Introduction

Communication in the health care environment consists of an information-sharing experience whether through oral or written messages (Chard & Makary, 2015). As health care organizations and nurses strive to create a culture of safety and quality care, the importance of interprofessional collaboration, the development of tool kits, and the use of wikis become more relevant and vital. In addition to the dissemination of information and evidence-based findings and the development of tool kits, continuous support for and availability of such resources are critical. Among the most popular methods to promote ongoing dialogue and information sharing are blogs, wikis, websites, and social media. Nurses know how to support people in time of need or crisis and how to support one another in the workplace; wikis in particular enable nurses to continue that support beyond the work environment. Here they can be free to share their unique perspectives, educate others, and promote health care wellness at local and global levels (Kaminski, 2016).

You are encouraged to complete the Determining the Relevance and Usefulness of Resources activity prior to developing the repository. This activity will help you determine which resources or research will be most relevant to address a particular need. This may be useful as you consider how to explain the purpose and relevance of the resources you are assembling for your tool kit. The activity is for your own practice and self-assessment, and demonstrates course engagement.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Analyze the elements of a successful quality improvement initiative.

· Analyze usefulness of resources for role group responsible for implementing quality and safety improvements with medication administration.

· Competency 2: Analyze factors that lead to patient safety risks.

· Analyze the value of resources to reduce patient safety risk or improve quality with medication administration.

· Competency 3: Identify organizational interventions to promote patient safety.

· Identify necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on medication administration.

· Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.

· Present reasons and relevant situations for resource tool kit to be used by its target audience.

· Communicate resource tool kit in a clear, logically structured, and professional manner that applies current APA style and formatting.

References

Chard, R., & Makary, M. A. (2015). Transfer-of-care communication: Nursing best practices.
 AORN Journal, 102(4), 329–342.

Kaminski, J. (2016). Why all nurses can/should be authors.
 Canadian Journal of Nursing Informatics, 11(4), 1–7.

Professional Context

Nurses are often asked to implement processes, concepts, or practices—sometimes with little preparatory communication or education. One way to encourage sustainability of quality and process improvements is to assemble an accessible, user-friendly tool kit for knowledge and process documentation. Creating a resource repository or tool kit is also an excellent way to follow up an educational or in-service session, as it can help to reinforce attendees' new knowledge as well as the understanding of its value. By practicing creating a simple online tool kit, you can develop valuable technology skills to improve your competence and efficacy. This technology is easy to use, and resources are available to guide you.

Scenario

For this assessment, consider taking one of these two approaches:

1. Build on the work done in your first three assessments and create an online tool kit or resource repository that will help the audience of your in-service understand the research behind your safety improvement plan pertaining to medication administration and put the plan into action.

2. Locate a safety improvement plan (your current organization, the Institution for Healthcare Improvement, or a publicly available safety improvement initiative) pertaining to medication administration and create an online tool kit or resource repository that will help an audience understand the research behind the safety improvement plan and how to put the plan into action.

Preparation

Google Sites is recommended for this assessment; the tools are free to use and should offer you a blend of flexibility and simplicity as you create your online tool kit. Please note that this requires a Google account; use your Gmail or GoogleDocs login, or create an account following the directions under the “Create Account” menu.

Refer to the following links to help you get started with Google Sites:

· G Suite Learning Center. (n.d.). 
Get started with Sites. https://gsuite.google.com/learning-center/products/sites/get-started/#!/

· Google. (n.d.). 
Sites. https://sites.google.com

· Google. (n.d.). 
Sites help. https://support.google.com/sites/?hl=en#topic=

Instructions

Using Google Sites, assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed.

It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative pertaining to medication administration. For example, for an initiative that concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.

Following the recommended scheme, you would collect 3 resources on average for each of the 4 categories focusing on safety with medication administration. Each resource listing should include the following:

· An APA-formatted citation of the resource with a working link.

· A description of the information, skills, or tools provided by the resource.

· A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative pertaining to medication administration.

· A description of how nurses can use this resource and when its use may be appropriate.

Remember that you must make your site ‘public’ so that your faculty can access it. Check out the Google Sites resources for more information.

Here is an example entry:

· Merret, A., Thomas, P., Stephens, A., Moghabghab, R., & Gruneir, M. (2011). 
A collaborative approach to fall prevention
Canadian Nurse, 107(8), 24–29.

· This article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT) project. It shows how a collaborative nurse lead project can be implemented and used to improve collaboration and interdisciplinary teamwork, as well as improve the delivery of health care services. This resource is likely more useful to nurses as a resource for strategies and models for assembling and participating in an interdisciplinary team than for specific fall-prevention strategies. It is suggested that this resource be reviewed prior to creating an interdisciplinary team for a collaborative project in a health care setting.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

· Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative pertaining to medication administration.

· Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements focusing on medication administration.

· Analyze the value of resources to reduce patient safety risk related to medication administration.

· Present reasons and relevant situations for use of resource tool kit by its target audience.

· Communicate in a clear, logically structured, and professional manner that applies current APA style and formatting.

Example Assessment: You may use the following example to give you an idea of what a Proficient or higher rating on the scoring guide would look like but 
keep in mind that your tool kit will focus on promoting safety with medication administration. Note that you do not have to submit your bibliography in addition to the Google Site; the example bibliography is merely for your reference.

·
Assessment 4 Example [PDF]
 Download Assessment 4 Example [PDF].

To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box.

Example Google Site: You may use the example Google Site, 
Resources for Improved Heparin Infusion Safety, to give you an idea of what a Proficient or higher rating on the scoring guide would look like for this assessment but 
keep in mind that your tool kit will focus on promoting safety with medication administration.

Note: If you experience technical or other challenges in completing this assessment, please contact your faculty member.

Additional Requirements

·
APA formatting: References and citations are formatted according to current APA style

Implementing Evidence in Clinical

Please see the attachment for instructions

discussion

 

  1. When taking care of patients, why do you think it is important to utilize the appropriate resources?
  2. How do you think evidence from nursing journals affects patient care?
  3. What role does using the right evidence play in being a professional nursing student?
  4. What role does understanding plagiarism and academic integrity play in being a professional nursing student?

Pharm C Poly-pharmacy

Module 01 Content

1.

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Many people in the US, particularly the elderly, take more than one prescribed medication. CDC (2014) reported that between 2009 and 2012 nearly 48% of persons asked used at least one prescription drug, 22% used three or more prescription drugs, and nearly 11% used five or more.

In a recent study published by the Mayo Clinic, seven out of 10 Americans take at least one prescription drug. The most commonly prescribed drug is antibiotics — taken by 17 percent of Americans — followed by antidepressants and opioids — each taken by 13 percent of Americans. In addition, findings showed that:

· Even more staggering than the CDC findings, currently more than half of Americans take two prescription medications, and 20 percent of Americans are on at least five prescription medications.

· More women than men receive prescription medications.

· Antidepressant prescriptions are more common among women than men and are most common among women ages 50 to 64.

When people take multiple medications, there is a greater risk of confusion about which medications are taken when they are taken, and what they are being taken for. There is also a higher risk for drug interactions and increased side effects and adverse reactions.

Sometimes because of the sheer number of medications being prescribed, they may be forgotten, become too much of a bother, or a financial burden which can significantly impact client compliance and lead to poor health outcomes.

In this written assignment, you will be interviewing a client who is taking multiple prescribed medications (three or more) and submitting a written paper describing the findings from the interview. You will then develop a Client Teaching Plan. Your instructor will assist you in the selection of the client. You must achieve a “pass” in this assignment to satisfactorily fulfill the requirements for the Pharmacology course.

The three parts of this assignment are:

Interview with a client who is taking multiple medications (polypharmacy). You must prepare the client before the interview by explaining why you are conducting the interview. You can say “My assignment is to find out about the medications you are taking so I can determine if you need more information about what you are taking”. You must always get permission from the client to conduct the interview and you must tell the client how the information will be used. You can say, “I will not be using your name in the information I share and I will be submitting it to my instructor only for this student assignment”. If there is important information that needs to be communicated to you, your doctor, family, or nurse, my instructor will assist me in following up on this”. Tell the client you will take no more than 30-45 minutes for the interview.

There may be a family member or significant other present during the interview. That is fine. Be sure to identify who answered a question and if possible always have the client answer first. Always thank the client (and others) when you complete the interview.

Do not use recording equipment for this interview. Have a notepad and pencil or pen and explain that you will be taking notes. When the interview is over, go to a quiet place and take some time to fill in any information you did not jot down. If you wait, you will not remember.

When setting the environment for the interview, make sure the client (and others) are comfortable and you are comfortably seated facing the client. If possible, interview in a quiet place. Ask questions slowly giving the client time to answer. Pay attention to the client's hearing and ability to respond to the questions. Be sure your non-verbal communication demonstrates you are calm and relaxed.

Use the following interview question guidelines when conducting the interview. Be aware that the client may not be able to answer each of the questions with detailed information. Collect as much information as the client is able and willing to give you. Remember you are the interviewer so you will be collecting information and not making any comments about the information shared by the client except to ask for further clarification if you are not sure what was said or need more detail if it is available.

1. What medications are you taking?

1. Before the interview research each of the medications. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.

For the following questions, paraphrase the client's answers for your written paper.

1. How long have you taken each of these medications?

1. Do you know why you are taking these medications?

1. Who told you about the medications and why do you need to take them? Were you able to ask any questions about the medications and if so were they answered so you understood what was said?

1. How do you feel about taking these medications?

1. Are you taking other medication purchased “over the counter” such as in a drug store? If so, what is it and why are you taking it?

1. How and when do you take your medications?

1. Do you have any difficulty taking the medications? If so, what happens and how do you deal with any difficulties?

1. Have you ever felt any uncomfortable feelings and body reactions to taking these medications? If so, what were they and how were they handled?

1. If you had the above reaction, did they take you off the medication and replace it with another medication? Were you told why this happened?

1. Do you have any reason not to take the medications?

1. Have you ever not taken the medication? If so, what was the reason?

Ask a final question about whether the client would like to tell you anything further about their medications.

Write a paper describing your research and findings about the medications being taken and the interview results. Report your findings in a 3-5 page written paper. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.

Use accurate and appropriate spelling and grammar and APA Editorial Format for sources used in your written paper.

Develop a teaching plan for this client based on your findings. Based on the findings from the interview, develop a 2-3 page teaching plan to include the following:

1. List one goal for this teaching plan

1. Describe two to three teaching resources that might be used

1. Identify two teaching strategies that can be used based on the client interviewed

1. List specific client instructions regarding the medications what adverse reactions they should be aware of/and what to do

1. Identify at least one factor that may negatively influence adherence to the medications and how it can be overcome

1. If, appropriate, describe how the family might be involved in ensuring the client is on a proper and safe medication regime

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Spirituality in nursing

The use of spirituality in nursing practice is not new.  However, it is more studied and utilized in a more structured format in nursing.  Identify and discuss tools used to evaluate spirituality.

Please include 400 words in your initial post with two scholarly articles no later than 5 years old. 

No Plagiarism

Research Questions

 

Review Table 2.2. Create 4 Research questions related to your nursing clinical practice area and/or role.  One of each type: correlational, comparative, experimental, and phenomenology.  

2. Review Table 2.3. Choose one of your research questions and map out the Independent, dependent variable, population, and testability.