Need A Response To Below Discussion 19381885

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Simulated Learning Experiences

            Simulated clinical experiences enhance learning. A simulated learning environment provides a safe and efficient acquisition of clinical skills (Mendoza-Maldonado & Barria-Pailaquilen, 2018). It also serves as an efficient alternative when there may be limitations to for clinical practice in certain areas (Mendoza-Maldonado & Barria-Pailaquilen, 2018). In this week’s discussion, implementing simulation learning experiences will be explored.

Past Learning Experience

 In nursing school, I can remember being taught the respiratory and cardiac units in class. The objectives were identifying abnormal breath sounds and heart tones respectively.  In the respiratory unit, I can recall the instructors telling us to auscultate each other’s lung sounds. She stated that we had to know what normal breath sounds sounded like before we could identify abnormal breath sounds. That statement is true but we could have benefited more from high-fidelity patient simulators (HFPs). According to Bradshaw and Hultquist (2017), HFPs generate observable responses from a mannequin and allow students to interact with the simulator as they would an actual patient. Additionally, the cardiac unit could have benefitted from a simulation lab. As a nursing student, having HFPs would have enhance the heart tones. I was not able to identify abnormal heart tone until I graduated from nursing school. I found myself “googling” abnormal heart tone to refresh my recollection of what was taught in nursing school and how to identify them.

Utilizing Simulated Clinical Labs

 In retrospect, I believe that HFPs would have prepared me more for the clinical experience. “Simulation may be useful to precede, complement, or replace actual clinical experiences” (Bradshaw & Hultquist, 2017, p. 248). Simulated learning experiences are beneficial to learning. Nurse educators can use simulations to educate future nurses using the latest technology. The future will provide us with advances in technology that will improve realism and a thorough learning experience (Bristol & Zerwekh, 2011).

Bradshaw, M. J., & Hultquist, B. L. (2017). Innovative teaching strategies in nursing and related health professions (7th ed.). Burlington, MA:  Jones and Bartlett

Bristol, T. J., & Zerwekh, J. (2011). Essentials of e-learning for nurse educators. Philadelphia, PA:  F. A. Davis Company

Mendoza-Maldonado, Y., & Barría-Pailaquilén, R. M. (2018). Simulated learning environment experience in nursing students for paediatric practice. Enfermería Clínica (English Edition)28(3), 205–209. doi: 10.1016/j.enfcle.2018.02.003

 
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Need A Response For Below Discussion Post

APA format 1 page long 3 references 1 from Walden University Library 

Please have done by Thursday 3/28/19 at 7pm EST

 

When developing a curriculum, it is important to understand not only what needs to be taught, but the type of learners you will be attempting to teach. The choosing of content and concepts for a course or curriculum, the involvement of the learner, and methods for assessment and evaluation can all be determined when using theories to develop a curriculum (Billings and Halstead, 2016, pp 211). More importantly, learning theories provide an explanation of the interaction between student and faculty, the environment set up for learning, and the subject being taught (Billings and Halstead, 2016, pp 211).

            For the course project, our group has chosen Moses Cone Hospital as our setting. It is a Level II trauma center in Greensboro, North Carolina (Cone Health, 2019). The proposed program our group would like to begin at this facility is one directed to educating the registered nurses on how to properly treat the pain of pediatric patients in their facility. This education could be completed with simulations, competencies, online modules, and group discussions. A group member works at this facility and has observed this as an educational opportunity for the staff members.

            The learning theory I chose for this discussion with our group project in mind was the situated learning and situated cognition theory. This theory has a goal of “bringing the real world into the academic setting” (Billings and Halstead, 2016, pp 216). The implications for nursing education for this theory allows for learning experiences including “case studies, role play, simulation, and learning in a clinical setting to immerse students in real-life situations” (Billings and Halstead, 2016, pp 216).

One study found that after a three-month period using situated learning for newly graduated nurse practitioners increased their confidence and competency levels, along with decreasing stress (Chen, Chen, Lee, Chang, & Yeh, 2017). Our program could help increase the knowledge and confidence of those pediatric nurses caring for children with pain. Another study showed that “on-site clinical practicums have been thought to provide a varied experience in learning to nurses. However, there is an inconsistency to clinical opportunities available during these practicums” (Onda, 2012). Clinical simulations of scenarios or patient cases can help the nurses feel comfortable with situations when they arise with patients if they did not see them during their practicum.

In conclusion, developing a curriculum that will satisfy the needs of every nurse that needs or desires the education will not be an easy task. With so many different types of theories to base the education off of, picking the most appropriate could be seen as a challenge. As for our group project, I feel that the situated learning theory would work in a favorable way for the curriculum we are developing for those nurses at Moses Cone Hospital.

References

 Billings, D. M., & Halstead, J. A. (2016). Teaching in nursing: A guide for faculty (5th ed.). St. Louis, MO: Elsevier.

Chen, S., Chen, S., Lee, S., Chang, Y., & Yeh, K. (2017). Impact of interactive situated and simulated teaching program on novice nursing practitioners’ clinical competence, confidence, and stress. Nurse Education Today, 55, pp 11-16. https://doi.org/10.1016/j.nedt.2017.04.025.

Cone Health. (2019). The Moses H. Cone Memorial Hospital. Retrieved from https://www.conehealth.com/locations/moses-cone-hospital/.

Onda, E. (2012). Situated Cognition: Its Relationship to Simulation in Nursing Education. Clinical Simulation in Nursing, 8(7) pp 273-280. https://doi.org/10.1016/j.ecns.2010.11.004.

 
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Need A Reference With Doi Or Retrieval Url For The Below Work

Me    3 posts   Re: Topic 6 DQ 1  From a financial perspective, hand hygiene is the most cost effective evidence based measure in healthcare systems. Moreover, a lack of investment in hand washing results in increased healthcare costs, decreased productivity or loss of life. According to McLaws (2015), hand hygiene has a relation with job attendance, thereby affecting staff performance. The costs of operating healthcare facilities remain a cardinal aspect that greatly depends on hand washing.According to infection prevention and control specialists, hand hygiene is recognized as the single most crucial intervention deployed to reduce the spread of infections both in the clinical setting and the community. Based on the fact that hands are the most viable modes of transmission and contact between people as well as innate objects, it is important to use water and soap or any alcohol based hand wash. Hand hygiene is paramount to patient safety and quality of healthcare outcomes. Based on the assessment of McLaws (2015), there is a relationship between hand hygiene and healthcare associated infections. The hands of healthcare workers are the most common avenue for the transmission of pathogens from patient to patient. In this light, healthcare workers can dictate the quality of healthcare outcomes when attending to patients.The compliance of hand hygiene has been critical in addressing infections. Bacteria alone accounts for ninety percent of infections while ten percent comprises of fungi and bacteria. Infection control on open wounds and cuts should be considered. Against this backdrop, frequent hand wash audits should be conducted in healthcare organizations to improve compliance. Healthcare organizations should invest in hand wash products and make them accessible to doctors, nurses and visitors alike.      References  McLaws, M. L. (2015). The relationship between hand hygiene and health care-associated infection: it’s complicated. Infection and drug resistance, 8 (7).

 
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Assignment 1: Assessinenitalia and Rectum

Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

GENITALIA ASSESSMENT

Subjective:

  • CC: “I have bumps on my bottom that I want to have checked out.”
  • HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
  • PMH: Asthma
  • Medications: Symbicort 160/4.5mcg
  • Allergies: NKDA
  • FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

  • VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia
  • Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney
  • Diagnostics: HSV specimen obtained

Assessment:

  • Chancre
  • PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

  • Review this week’s Learning Resources, and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

To complete:

Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study.  Using evidence based resources, answer the following questions and support your answers using current evidence from the literature.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or Why not?
  • Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.
 
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Me    6 posts   Re: Topic 4 DQ 1  I agree with you that the first step to bringing about change in the community is to know the community. One should acknowledge and understand the need for such change. It is usually very tempting to see that something needs fixing and quickly jump into a solution. One should resist this temptation and instead take the time to study the community to get a clear understanding of all the needed change.I, further, agree with you that understanding the healthcare system at the local level involves important questions such as those you mentioned. One needs to understand the services offered in the community so that they can be effective while implementing evidence-based practice. To implement the right change in the community, it is important for the healthcare professionals to put their biases aside and talk to the people on the ground, to get a good understanding of what matters most to the citizens. In the long run, this prevents the implementation of underused EBP initiatives (Saunders & Vehviläinen-Julkunen, 2018). Carrying out such an assessment for the community will help in the identification of the available community resources and how those services can be accessed for the benefit of the patient.I also agree with the insights of your mentor about the importance of focusing on lead education especially in this day and age. I think than this is an area that has not received a lot of attention and tends to be ignored yet it is very important especially for community health. Basing your research in this field will add to the exiting limited knowledge hence contribute to the future body of research. Generally, I find your post to be very informative. All the best.  References  Saunders, H., & Vehviläinen-Julkunen, K. (2018). Key considerations for selecting instruments when evaluating healthcare professionals’ EBP competencies: A discussion paper. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/30019462

This is what I need 

Terri O’Brien    25 posts   Alimatu – substantive credit and APA  Alimatu  As your link contains the journal name and other information, please revisit the link and then provide a complete reference in APA format so I can give you credit for this post.  Thank you.

this is what  i need

 
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Need Apa Format

References    ESKEROD, P. E. R. N. I. L. L. E. (2017). PROJECT STAKEHOLDER MANAGEMENT. Place of publication not identified: ROUTLEDGE.Securing stakeholdercommitment.(2017).Retrievedfrom https://www.workpositive.ie/prepare/stakeholders

 
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Need Answer To Below Question

APA format 2 pages long 3 references Please answer question 2 only 

  

Organizational Framework

  1. Identify the type of organizational framework and curriculum development approach that is most applicable to your program.
  2. Develop an organizational framework/approach that aligns with the following parameters:
    • It is congruent with the setting’s mission, vision, and philosophy.
    • It mirrors the academic needs of your intended nursing students, as well as the trends and regulations applicable to your setting and curriculum focus. 

REPLY QUOTE EMAIL AUTHOR 

 
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ncorporating Technology in Community-Based Learning

We live in a world in which we need to share responsibility. It’s easy to say “It’s not my child, not my community, not my world, not my problem.” Then there are those who see the need and respond. I consider those people my heroes.
Mr. Rogers, American educator and television host

Nurses hold great power both inside and outside of clinical settings. Patients and communities rely on nurses for information, care, and strategic leadership. As such, nurse educators must equip their students with the knowledge, skills and attitudes necessary for successful interactions with local and global communities. Since bridging the gap between academia and authentic experience can be difficult to accomplish inside the classroom, many universities have incorporated service learning into their curriculum. Service learning, a type of experiential learning, allows nursing students to collaborate with geographic (location-based) and functional (health-based) communities. Many times, this collaboration allows nursing students to examine the external factors that are impacting patient education and health. Technology, a generally positive external factor, has had an increased emphasis in these service learning experiences.

In this Discussion, you use the scenario provided below to imagine that you are involved with a service learning project that uses technology to address community-based learning needs.

Scenario:

This semester, you are taking a course that has a service learning component. During the first week of the class, you selected your community-based population and eagerly set out to make a difference. Over the next few weeks, you interacted with patients and documented their medical questions and health concerns. You also met with nursing professionals to hear their accounts of working with this specific community of patients. Upon personal reflection, you have noticed that not only has your empathy for this community increased but so has your awareness and self-confidence. As you come closer to the end of your semester and thus your final project, you meet with your instructor to discuss expectations. Your instructor acknowledges your hard work and commends you for the reputation that you have built in such a short amount of time. She feels that you have really become close to this community and as such, would like your final project to be a PowerPoint presentation that highlights the learning needs of the community. In your presentation, she would like you to incorporate a technology that could be adopted into a new community-based program. As you thank your instructor for the opportunity, she hands you a document that outlines your PowerPoint expectations.

To prepare

  • Reflect on the health-centered learning needs of patients in your community, communities with which you are familiar, or communities abroad. Consider not only patients grouped by geographic location, but also those that represent a functional community, such as expectant mothers or patients with breast cancer or muscular dystrophy.
  • Reflect on the mobile applications and social networking sites you have used for both personal and professional reasons. How might these technologies help to address patient learning needs?
  • Select either a geographic community or functional community to further investigate.
  • Using the websites in this week’s Learning Resources and your own scholarly research, identify specific learning needs of your selected community of patients. The learning need that you select might be associated with a health concern, preventative care practices, health management, or basic patient education.
  • Browse the Internet to select a mobile application, social networking site, or other technology that might be appropriate for your patient community. Once selected, save pictures, videos, and/or capture screenshots that highlight the benefits of this technology.
  • Review the section Guidelines for PowerPoint in Chapter 8 of the Herrman course text.
  • Describue how you would construct a PowerPoint that explains the following:
    • Learning needs of the community, as well as their relevance (i.e. why does this matter? Why should patients and nurses care to address this learning need?)
    • A mobile application (i.e. handheld tablet or smart phone) or social media website that could help to address this need and why
    • Suggestions for using this technology
    • Any concerns or potential problems that might be associated with this technology
    • Follow-up activities to increase the success of patient/nurse integration into daily activities

 
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Need Discussion Help 18939429

Post 1: Choose two terms from the Elements of Fiction lecture and apply them to “The Fall of the House of Usher.”  You learned in the Authors lecture that Poe is considered to be “the father of the modern-day short story.”  Did you find his story engaging?  Why do you think his works remain popular more than 150 years later?  Be sure to quote, cite, and reference from the text(s) using appropriate APA format.  Your post must be at least 250 words.

 
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