Nurr

  Write Number 1 as an Excel or Word document. Number 2 as a Word document as a formal paper in APA format. 

 Please complete the following:

1. Write up CMP, CBC, UA – include normal range and what abnormal findings indicate for both HIGH and LOW values. Chest Xray and CT scan- uses for these diagnostic tests. 

2. As the nurse you are caring for a patient with a Stage 2 wound on their coccyx. How as the nurse would you care for this patient? (Include a description of the wound, nursing care-nutrition, dressing care for the wound, turning of patient, etc).

 
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Nurs 6

Open the attached to read the question…..

 
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Nurs 501

I’m trying to get help with the attached paper. Bills may be located at The Library of Congress THOMAS.

 
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Nurs 6231 Healthcare Systems And Quality Outcomes 1 Paper And 1 Brief Quality Improvement Issue

  

In this course, you develop a comprehensive Course Project: Promoting Health Care

Quality. To initiate this project, this week you examine the systems and structures of an

organization with which you are familiar.

Organizational Systems and Structures, Part 1

Section 1: Organizational Systems and Structures Evaluation

When a problem related to health care quality and patient safety arises, there can be an

inclination to focus on a specific event rather than to examine the larger context

surrounding it. Analyzing the systems and structures within an organization provides a

foundation for generating a fuller understanding of how and why the event occurred and

for developing strategies to address the underlying issues. Perhaps more importantly,

such an analysis can be used to proactively identify potential challenges and improve

organizational systems and structures in order to promote positive outcomes.

In the first section of your Course Project, you analyze the systems and structures of a

health care organization with which you are familiar.

To prepare:

Identify a health care organization with which you are familiar; one that you will be

able to sufficiently analyze to complete the full scope of the Course Project. (Refer to

the Course Project Overview as needed.)

Select two or more of the following frameworks:

· Learning organizations

· Complex adaptive systems (CAS)

· Clinical microsystems

· Good to great

· The 5 Ps

With these frameworks in mind, analyze the systems and structures of the

organization. Be sure to research and consider:

· Mission, vision, and values

· Strategic plan, goals, and objectives, if possible

· Key operational processes and patterns

· Information technology use

· Organizational priorities and investments, as indicated by financial data

Week 4: Organizational Systems and Structures, Part 2

Section 1: Organizational Systems and Structures Evaluation

As you continue your evaluation of a health care organization, it is essential to pay

attention to culture. Organizational culture provides the context in which all interactions

and processes occur and is therefore central to any effort to enact change.

To prepare:

Continue to analyze your selected organization, as indicated in Week 3 (Section 1 of

the Course Project).

Continue to analyze essential elements of organizational culture and evaluate the

influence of culture on the ability to achieve goals within your selected organization.

To complete:

Write a 3- to 5-page paper in which you:

· Provide a description of the organization that you selected

· Present your analysis of the organization with attention to:

· Its mission, vision, values

· Strategic plan, goals, and objectives

· Key operational processes and patterns

· Information technology use

· Organizational priorities and investments, as indicated by financial data

· The essential elements of the organization’s culture

· The influence of culture on meeting organizational goals

Section 2: Quality Improvement Issue

To help you move forward with your Course Project, this week you identify a quality

issue that you would like to address and submit a description of this issue for Instructor

feedback.

Your proposed issue should reflect a genuine need for improvement within your

selected health care organization. Through your Course Project, you will analyze this 

issue and propose strategies to improve outcome(s), including the redesign of a related

process.

To prepare:

· Review the six quality improvement aims from the Institute of Medicine (IOM)

· Safe: Avoiding harm to patients from the care that is intended to help them.

· Effective: Providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and misuse, respectively).

· Patient-centered: Providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.

· Timely: Reducing waits and sometimes harmful delays for both those who receive and those who give care.

· Efficient: Avoiding waste, including waste of equipment, supplies, ideas, and energy.

· Equitable: Providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.

· Conduct a search of the literature to help you identify a specific issue that warrants attention and action to promote quality improvement.

· Consider what you have surmised thus far through your analysis of the organization

that you selected. What have you noticed that could help you identify a quality related need for improvement? For instance:

· What has captured your attention in meetings, reports, and/or daily activities?

· Have you noticed discrepancies between activities in the organization and

recommendations in the research literature, quality standards, and/or the

organization’s stated policies and procedures?

· If so, what do you think could be the reason(s) for variations or gaps between

what you have observed and what is recommended?

Identify a quality improvement issue that you would like to investigate for this project.

Note: Review the Course Project Overview/full instructions, located in the Week 3

Learning Resources, as needed to identify a quality improvement issue that is viable for

completing the full scope of this project. Once you receive a response from your

Instructor on the quality improvement issue that you submit, be sure to integrate his or

her feedback before moving forward with Section 3 of your Course Project.

To complete:

Write a brief description of the quality improvement issue that you would like to address

for your Course Project.

 
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Nurs 5

Open to read the attached files……

 
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Nurs 6221 Wk 6 Paper

  

In preparation for this hypothetical coaching exercise, identify one individual, staff member, or employee (from your current organization or a past setting) who could benefit from coaching. Create a pseudonym for him or her.

Use the six-step coaching process to develop a coaching and development plan

   

Submit a 5- to 7-page paper in which you do the following:

Step One: Determine your intention.

· Describe your intention and purpose for coaching this specific individual.

· Explain the goals, skills, and/or competencies you have in mind, and define your primary focus.

· Explain how you would engage this individual in identifying these and other development opportunities.

Step Two: Assess the performer.

· Identify the individual’s strengths and level of development.

· Explain the leadership style and interventions that would be most appropriate to help this individual achieve his or her identified goals, skills, and/or competencies.

Step Three: Clarify expectations and parameters.

· Describe the roles and expectations of both you and the individual.

· Outline the learning opportunities you could provide and the order in which they should be approached.

· Identify the specific objectives to be achieved for each learning opportunity.

· Explain the coaching best practices you would apply and why.

Step Four: Carry out the coaching intervention.

· List the coaching questions you might develop to ensure that learning opportunities and interventions are applied as needed, and explain how any additional development opportunities might help to address your intended coaching goals.

Step Five: Observe performance.

· Explain the observation method you will use to assess whether or not your coaching has been effective.

Step Six: Give feedback.

· Describe how you will administer feedback to this individual.

 
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Nurs 440 Issues Andtrends In Nursing

Discussion Prompt 1:
How does the registered nurse use guided research in the clinical setting?

 
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Nurs 6208 Final Project

Deadline: 7 Hours from NOW

Nursing Assignment

All instructions are in the attached document

The deadline must be met

The solution paper must be correct, resourceful, precise and accurate

 
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Nurs 440 Issues And Trends

Discussion Prompt 2
Explore your clinical site and relate one quality improvement (QI) study currently being analyzed. What is benchmarked in the study? What role does the nurse play in the QI study?

 
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Nurs 6208 Final Assignment

  

The project must be typewritten, double spaced and very limited in length (maximum 12 pages).

Part I (25%)

A NP researcher randomly sampled 100 women aged 50-65 years and measured their minutes of exercise in the past week, BMI, and depression. Depression was measured using a Likert type scale consisting of 20 items. The summation score ranged from 20 to 100 and the higher the score, the higher the level of depression. The Pearson correlation coefficients (r’s) are summarized in the following table. For the analyses, statistical significant level was set at α=0.05.

Table 1: correlation among minutes of exercise, BMI and depression

  

Exercise in past week (minutes)

BMI

 

BMI

-0.15

 

Depression score

-0.30*

0.20

*p < 0.05

1. Write a research and null hypotheses regarding the relationship between exercise and depression.

2. Based on the test statistics in table 1, what is your conclusion regarding your research hypothesis? (Hint: discuss both the magnitude and direction of the relationship).

3. What proportion of variance is shared by minutes of exercise and depression among women 50-65 years of age?

4. For the relationship between minutes of exercise and BMI, 

a. what was the estimated power of the statistical test? (Using the power table on page 202, table 9.1, Polit 2010). 

b. What was the risk that a type II error was committed?

5. If -0.20 is a good estimation of population correlation, what sample size would be needed to achieve power of 0.80 at a significance α=0.05?

PART II. (25%)

Using the “N6208 Final Project Data”, 

a). select two variables with nominal or ordinal level measurements, and perform the descriptive statistics (frequency and percentage). [Please select only dichotomous variables from the following list: poverty, smoker, PoorHealth]. 

b). perform the bi-variate descriptive statistics using crosstabulation. 

c). Hand calculate the ARs, ARR, RR, and OR. Show all your calculations.

d). Perform a chi-square analysis. 

e). Using APA format, write a full report with the following sections:

1. Introduction: Describe your research question and hypothesis. Include the variables, measurement levels, the bivariate research question, and the hypothesis [for example, the event of adverse risk (using your variable name here, for instance, alcohol usage) will be higher/or lower in the risk exposed group (i.e., marijuana use) compare to the non-exposed group (non-users of marijuana)].

2. Method: Include the sample description (sample size, eligibility criteria) and statistical methods used for data analysis. (The sample information can be found in “Polit Dataset Description” in SPSS Data Sets folder).

3. Results: Include frequencies and percentages for the two variables, crosstabulation results, risk indexes (ARs, ARR, RR, and OR), and chi-square test results. Include a summary table for the results and write your interpretation.  (Attach SPSS outputs).

4. Discussion: Write a report including summary and interpretation of the findings reported in the previous sections relative to the research questions you posed in your introduction.

Part III. (50%)

Run a one-way ANOVA using the dataset “N6208 Final Project Data”. The Dataset contains 462 cases from the original PolitDatasetA. Two variables will be used for this analysis: Satisfaction and Houseproblem.

The variable Houseproblem is created using the variable housprob, a summary index of eight variables about current housing problems for the women in this sample—for example, whether or not they had their utilities cut off, had vermin in the household, had unreliable hear, and so forth. The variable housprob is a count of the total number of times the women said “yes” to these eight questions. The variable housprob is recoded into Houseproblem based on number of housing problems. The coding for Houseproblem is: 1=no housing problems, 2=one housing problem, and 3= two or more housing problems.

Satisfaction measures the overall satisfaction with material sell-being. This variable is a summated rating scale variable for women’s responses to their degree of satisfaction with four aspects of their material sell-being—their housing, food, furniture, and clothing for themselves and their children. Each item was coded from 1 (very dissatisfied) to 4 (very satisfied), so the overall score for the four items could range from a low of 4 (4 X 1) to 16 (4 X 4). Higher score indicates greater satisfaction. This scale has an internal consistency Cronbach’s alpha of 0.90. The content validity and construct validity have been established in previous research.

For this analysis, use the variable Houseproblem as the independent (group) variable and variable Satisfaction as the outcome variable. To run the one-way ANOVA, click Analyze Compare Means Oneway. In the opening dialogue box, move Satisfaction into the Dependent List and Houseproblem into the slot for Factor. Click the Options pushbutton, and click Descriptives and Homogeneity of Variance, then continue. Next, click the Post Hoc pushbutton and select LSD. Click continue, then OK, and answer the following questions using compete sentences: 

  1. What are the mean levels of       satisfaction in the three groups? Report the mean, SD, minimum, maximum       and sample size in a table.
  2. Write a research question.
  3. Write the research hypothesis (Ha)       and the null hypothesis (Ho).
  4. What was the value of the F statistic and its p-value?
  5. Can the null hypothesis be       rejected?
  6. What were the degrees of       freedom?
  7. According to the LSD test,       were any group means significantly different from any others? If yes,       which ones?
  8. Write a paragraph summarizing all       the results.
  9. Attach the relevant SPSS       printouts.
 
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