Read Chapter 6 & 7
1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.
2. What similarities and differences can you identify among the above interactions?
3. Explain the concept of congruence between verbal and nonverbal communication.
4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective?
5. How have you seen ISBAR used during your clinical experiences?
6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports.
7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond?
8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?
9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.
10. Discuss the differences between direct delegation and indirect delegation.
1. You have to observe delegation procedures in your assigned unit:
A-What considerations does the RN take into account when delegating patient care?
2-You have to look at the unit census and prioritize the patient care:
A- Give the rationale foryour choices.
3.Answer the following questions during your clinical experiences:
a. What specific tasks did your patients require that you might have been able to delegate?
b. How effective was your nurse/preceptor in delegating tasks to others?
c. How did your nurse/preceptor ensure that the tasks were completed safely and appropriately?
USE APA FORMAT , NEW ROMAN 12. AND PLEASE DO NOT WRITE THE QUESTIONS , JUST USE THE NUMBERS. IF YOU HAVE A QUESTION LET ME KNOW. THANK YOU.
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Dq5 19335375
/in Uncategorized /by developer1. Describe the characteristics of the aging process. Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.). Discuss the types of consideration a nurse must be mindful of while performing a health assessment on a geriatric patient as compared to a middle-aged adult.
2.
End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature.
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Dq5 19359219
/in Uncategorized /by developerWhat interview types did this person describe? For example, consider the screening, the selection, the group, the competitive, the panel, or the stress interview types.
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Dq5 Case Study Chapter 9 Diversity In The Nursing Workforce
/in Uncategorized /by developerCase Study, Chapter 9, Diversity in the Nursing Workforce
A group of nurse educators are having a discussion about the minority student nurses. The nurse educators believe that there are numerous barriers to minority student success in nursing education. The nurse educators want to develop strategies to increase the success rate in graduation of these students.
1. The nurse educators make a list of the barriers that exist for minority student success. What are common barriers for minority student success?
2. The group of nurse educators is acutely aware that different generations are represented in nursing today. These different generations have different attitudes and value systems, which greatly affect the settings in which they work. What are the key characteristics of the four generational groups that are present in today’s workforce?
3. Analyze and describe how the different generations present in nursing today affect nursing care and the nursing workplace.
USE APA FORMAT , NEW ROMAN 12. AND PLEASE DO NOT WRITE THE QUESTIONS , JUST USE THE NUMBERS. IF YOU HAVE A QUESTION LET ME KNOW. THANK YOU.
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Dq5 Nursing Leadership Chp 6and7
/in Uncategorized /by developerRead Chapter 6 & 7
1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.
2. What similarities and differences can you identify among the above interactions?
3. Explain the concept of congruence between verbal and nonverbal communication.
4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective?
5. How have you seen ISBAR used during your clinical experiences?
6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports.
7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond?
8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?
9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.
10. Discuss the differences between direct delegation and indirect delegation.
1. You have to observe delegation procedures in your assigned unit:
A-What considerations does the RN take into account when delegating patient care?
2-You have to look at the unit census and prioritize the patient care:
A- Give the rationale foryour choices.
3.Answer the following questions during your clinical experiences:
a. What specific tasks did your patients require that you might have been able to delegate?
b. How effective was your nurse/preceptor in delegating tasks to others?
c. How did your nurse/preceptor ensure that the tasks were completed safely and appropriately?
USE APA FORMAT , NEW ROMAN 12. AND PLEASE DO NOT WRITE THE QUESTIONS , JUST USE THE NUMBERS. IF YOU HAVE A QUESTION LET ME KNOW. THANK YOU.
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Dq5 Response
/in Uncategorized /by developerWithin my facility, they have an actual process to review or revise policies that staff could do if they feel that something is out of date, or just needs a review. In the request to change a policy or procedure, it states, “If there is a REVISION to the document, are the revisions such that staff education/awareness is needed? How will this be accomplished? Who is responsible?” (Bellin Health, 2019) This shows that it is more than just an organizational thing. When something gets changed, more than us need to know about it. For example, if we change a policy for what company we use to transport patients, more than us have to know, and approve, this change. It impacts more than just our organization. Changes need to be supported by more than just the group that is changing it because it impacts the community. Going back to my example, if we change who we use for transportation, it impacts the drivers, the patients, their families, the hospital staff, and countless other people. Most everyone, if not all, should be supportive. Without support, it is hard to change anything. Support really helps ‘snowball’ things and get things rolling in the right direction. I already have the support of my mentor, and I feel that my department will have my support because it is something that we have to work on, and the policy that we are using now may not be the best for our department. I will put my research in our department’s weekly huddle and see what their thoughts on how to fix the problem. They may have some good ideas that I have not thought of and research from there. REFERENCEBellin Health. (2019). Process for the review/revision of policies & procedures. Unpublished internal
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Dq51 Response
/in Uncategorized /by developerStakeholders are essential to change because they are the ones who need to buy into the idea. For my project I have proposed to add education on life style changes into our existing free education class. In order to make this happen I would need the support of my facility administrator, Regional director, and medical director. Outside of my organization it would be important to collaborate with the existing program in the community at the local health department. Empowering the people around you will give better results this includes stakeholders (Halm, 2010). You may have the idea but they have the resources to put the ideas into action. In order to make sure that the change is effective coming up with a plan is essential and executing the plan is the next part (Fineout-Overholt, 2011). I plan to first address my idea with my mentor and facility administrator by doing a presentation. Then I will address it with the regional director and medical director. I am most excited about reaching out to the public health nurse in charge of the diabetic education in my area. I will start there and then hope to meet with the board to address the epidemic in our area of diabetes ending in end stage renal disease and how are we going to work together to educate the community? Fineout-Overholt, E. , Williamson, K. M. , Gallagher-Ford, L. , Melnyk, B. M. & Stillwell, S. B. (2011). Evidence-Based Practice, Step By Step: Following the Evidence: Planning for Sustainable Change. AJN, American Journal of Nursing, 111(1), 54-60. doi: 10.1097/01.NAJ.0000393062.83761.c0.Halm MA. (2010). “Inside looking in” or “inside looking out”? How leaders shape cultures equipped for evidence-based practice. American Journal of Critical Care, 19(4), 375–378. https://doi-org.lopes.idm.oclc.org/10.4037/ajcc2010627
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Dq52 Response 19425423
/in Uncategorized /by developerEugenia Uzoechi
1 posts
Re: Topic 5 DQ 2
Technology and CLABSIs reductionAlthough sophisticated progress has been made in several areas, central line-associated bloodstream infections (CLABSIs) remain a national healthcare problem of crisis proportions. The stakes for healthcare institutions that have not effectively addressed CLABSIs continue to mount (Pageler et al., 2014). Also, the financial stakes for healthcare institutions with CLABSI problems have risen. With the direction from the Congress, the Centers for Medicare and Medicaid Services (CMS) has curbed reimbursing hospitals for hospital-associated conditions, particularly the ones considered preventable. Among the designated preventable conditions is CLABSIs. The above sends a strong message to facilities to implement aggressive CLABSI minimization programs. Among the programs that can be implemented are technological programs (Pageler et al., 2014).An example of a technological program that can be used to address the issue of CLABSIs is a unit-wide patient safety and quality dashboard. This type of technology helps users to measure the outcome metrics such as CLABSI rate, central line utilization and excess cost in relation to the intervention metrics such as hand hygiene and central line maintenance bundle compliance (Field, Fong & Shade, 2018). At the same time, this technology enables users to identify the hospital care location where patients are at increased risk of developing CLABSI. Moreover, it provides infection prevention surveillance teams with automated work lists, and it works by giving the surveillance team the ability to evaluate cases flagged as at-risk, along with supporting clinical details, to make the final determination of the CLABSI case (Field, Fong & Shade, 2018).I plan to use a unit-wide patient safety and quality dashboard because it will provide mw with the ability to rapidly find, assess and document CLABSI cases, efficiently review submission data and CLABSI rates, and easily identify trends in performance and CLABSI prevention bundle compliance. At the same time, this type of technology will help me understand CLABSI risk based on device utilization and bundle compliance a care location to identify and prioritize improvement interventions, and drill down to the facility, unit, service, or patient level to analyze performance, provide feedback, and support measurement of performance improvement interventions.ReferencesField, M., Fong, K., & Shade, C. (2018). Use of Electronic Visibility Boards to Improve Patient Care Quality, Safety, and Flow on Inpatient Pediatric Acute Care Units. Journal of Pediatric Nursing, 41, 69-76.Pageler, N. M., Longhurst, C. A., Wood, M., Cornfield, D. N., Suermondt, J., Sharek, P. J., & Franzon, D. (2014). Use of electronic medical record–enhanced checklist and electronic dashboard to decrease CLABSIs. Pediatrics, 133(3), e738-e746.
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Dq52 Response
/in Uncategorized /by developerSandra Lewis
Re: Topic 5 DQ 2
The Baby-Friendly Hospital Initiative (BFHI) is a global initiative of the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF), (PH, 2019). Their aim is to improve health outcomes for mothers and babies through breastfeeding and immediate skin-to-skin bonding. Through successful implementation of the integration of technology BFHI has the power to help transform the way breastfeeding care and educations are delivered. Health Information Technology (HIT) is used to record, analyze, and share patient health data. HIT is also able to utilize personal health tools including smart devices and apps to help educate and inform the healthcare team as well as the mothers. This technology is able to remind mothers when to feed, help set schedules, reinforce education on diapering and hunger cues, assist in education on fussy babies, proper diets for breastfeeding mothers and help to keep logs on last feeding, length of time spent on breast and remind busy mothers which breast was last fed on. The purpose of HIT is to provide better care for patients and help achieve health equity. HIT supports recording of the patients’ data to improve healthcare delivery and allow for analysis of this information for both healthcare practitioners and government agencies, (OMRS, 2019). By implementing this data can assist the healthcare team on identifying issues that the mother may need support on. HIT such as IPad’s and virtual reality training with real case scenarios will also allow for policies and procedure to be quickly identified along with sources of EBP’s that can help to facilitate the implementation of BFHI.Open MRS, (2019). “The Importance of Health Information Technology in Developing Areas.” Retrieved from https://openmrs.org/2017/07/the-importance-of-health-information-technology-in-developing-areas/Prisma Health, (2019). “Baby Friendly Hospital.” Retrieved from https://www.palmettohealth.org/medical-services/womens-services/birthplace/baby-friendly-hospital
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Dq5b1 And Dq5b2
/in Uncategorized /by developerHello i need a Good and Positive Comment related with this argument.Thank you. I need at least two references.
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Dq61 Response 19431943
/in Uncategorized /by developerSusan Rowley
1 posts
Re: Topic 6 DQ 1
There are several aspects to consider when developing and implementing a standardized patient handoff report sheet to be used for transferring patients from Labor and Delivery (L&D) and the Neonatal Intensive Care Unit (NICU). These include financial, quality, and clinical aspects. The only cost directly involved in developing the quality improvement project is printing the report sheets. The direct cost of implementing the quality improvement project includes compensation of bedside nursing staff to participate in the education of the project. Education can be included in staff meetings. However, some staff may be coming in on their off time to the staff meeting. Therfore, they will be paid for their time. There are indirect financial aspects to consider for this project. For example, by implementing this project, there will be a decrease in medical errors, which will decrease potential for law suits. When considering quality of care aspects of implementing this project, it is important to note that including nurses in evidence based practice increases the culture of performance improvement. Nurses need to understand that quality is directly impacted by improving care during paient handoff. Implementing this project will decrease the risk for missed medications, missed risk factors for sepsis, hyperbilirubinemia, hypoglycemia,and communicable diseases. Patients will have better outcomes due to more timely treatment because such risk factors will not be missed. Implementation of this project directly impacts the clinical aspect of care by making the nurse accountable for giving a thorough report when transferring the patient into the NICU from L&D. The standardized patient handoff report sheet will also help the nurse to give a thorough report so that nothing is missed. ReferenceGiomuso C., Jones L. et al (2014) A Successful Approach to Implementing Evidence Based Practice; Med-Surg Matters Jul/Aug 2014; 23 (4); 4-9 retreived from https://lopes.idm.oclc.org/login?
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