Name two different methods for evaluating evidence. Compare and contrast these two methods.

 

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During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.

 

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Write a paper of 1,000-1,200 words on a specific cultural group. Use the following guidelines:

1. Select one article from a nursing journal focused on a cultural group.
2. In the introduction, state your reason for selecting the cultural group.
3. Summarize the key points of the article.
4. Apply the new information to a practice situation that demonstrates cultural sensitivity in communication, reflecting the reading in Chapter 25.
5. Write a conclusion.

STRICT APA FORMAT, NO PLAGIARISM PLEASE. GUIDELINE FOR THE ASSIGNMENT IS BELOW. THANK YOU

  

Professional Communication Cultural Sensitivity Guide

Title of Paper

This is the introduction. It should include purpose of paper and rationale for selection of specific cultural group. It would be appropriate to cite information from your textbook regarding the importance of cultural competence in nursing.

Summary of Article

Summarize article succinctly. Then focus on the key cultural differences that should be taken into consideration when providing care.

Application to Practice

In this section, be sure to focus on communication (assessing, comforting, teaching) that would demonstrate cultural sensitivity to the cultural group. You may also include other nursing interventions that would demonstrate cultural sensitivity. 

Conclusion

In the conclusion, address the importance of cultural sensitivity in communication, both generally and with this population. Describe any conclusions you have drawn from the article/text readings related to this paper. Do not introduce new information.

References

Provide complete information for the references you have cited in your paper.

 

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Please complete ALL THREE of the Professional Development exercises.

• Develop a workflow analysis of the patient flow in the Emergency Department. This will include the time the patient enters the ED to the time they interact with the following:
  • Receptionist
  • Triage Nurse
  • Assigned Nurse
  • Physician
  • Lab and/or Imaging
  • Admit to floor or discharge to home
• Make sure to include SmartArt to delineate the different areas within the workflow and include a key.
• Read the Following and Answer Questions

“In my experience consulting, I have seen several examples of organizations that incorporate the printing of paper reports, which replicate information that has been entered and is available with the electronic patient record. These reports are often reviewed, signed, and acted on instead of the electronic information. Despite the knowledge that the information contained in these reports was outdated the moment the report was printed and the very nature of using the report for workflow is an inefficient practice, this method of clinical workflow is prevalent in many hospitals across the United States. There is an underlying fear that drives the decision to mold a paper-based workflow around clinical technology. There is also a lack of the appropriate amount of integration that would otherwise allow this information to be available in an electronic form.”

• How does workflow analysis help practicing nurses?
• Can we mold paper-based workflows into clinical information systems? Explain your answer.
• Imagine that you are the INS charged with implementing the use of electronic records. What strategies could you use to promote a seamless transition?

Please submit one APA formatted analysis consisting of 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

McGonigle, D., & Mastrian, K. (2018). Nursing science and the foundation of knowledge. In Nursing informatics and the foundation of knowledge (4th  ed. (pp. 1-19). Burlington, MA: Jones & Bartlett Learning.

 

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• Read the case study presented at the end of Chapter 11 (Guido, p. 222)
  • Did the facility have sufficient evidence to suspend the nurse?
  • How should the testimony of the other nurses in the unit affect the outcome of this case?
  • What additional questions should the institution address before the court rules in this case?
  • How would you have ruled in this case?
• Read the case study presented at the end of Chapter 12 (Guido, p. 238)
  • Did the ANP have a duty to consult with the child’s physician or another emergency center physician regarding the possibility of child abuse before she reported her findings to the case worker?
  • What questions would you anticipate might be asked regarding the injury itself and the possibility that the child had caused her own injury?
  • Did the ANP have a duty to report the injury, even though the diagnosis was not absolutely conclusive at the point that the child was initially examined?
  • How would you determine liability in this case, assuming that the trial court found liability against any of the three defendants?
• Read the case study presented at the end of Chapter 16 (Guido, p. 329)
  • Did the nurse manager have a responsibility to supervise the care of the patient?
  • Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient’s care more appropriately?
  • If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case?
  • How do the principles associated with delegation and supervision figure into this case?
  • How would you decide this case?

e your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

Professional Development Exercises :

• Read the case study presented at the end of Chapter 11 (Guido, p. 222)
•  A nurse had been working in a critical care unit for more than 25 years, gaining respect for her competence and dedication before suspicions began to gather that she was diverting narcotics for her
• own use. The acute care hospital had recently installed a “computerized medicine cabinet” for enhanced distribution and better monitoring of narcotics. The cabinet recorded the nurse’s per
• 222 Part 4 • Impact of the Law on the Professional Practice of Nursing
• nurses testified that they often deviated from the physician’s order for an IM injection, electing to give the medication by an IV route. Finally, there was testimony that the hospital had no formal policy for which nurse was to document narcotics in the paper record when two nurses, such as a preceptor and a mentee, both had responsibility for the patient. The nurse who was suspended testified that she, too, frequently entered data into the paper record long after she had administered the medication and, in some rare instances, entered the data on the following day.
•   QUESTIONS    1. D   id the facility have sufficient evidence to suspend the nurse from their employee?      2.    How should the testimony of the other nurses in the unit affect the outcome of this case?      3.    What additional questions should the institution address before the court rules in this case?      4.    How would you have ruled in this case?
• sonal keypad code and the patient’s data before it could be unlocked and narcotics dispensed. The nurses were also required to document the narcotic usage by handwriting the patient’s name, medication, time, route, and dosage on a more traditional paper medication administration record (MAR). D iscrepancies were noted between this nurse’s patients’ electronic data for narcotic administration and the handwritten notations made on the paper record. The nurse was first questioned by her supervisors and then she was suspended, as they did not find her explanations credible. Her grievance was upheld by the arbitrator assigned to the case and the hospital appealed. A t trial, other nurses from the same unit testified that they frequently completed their paper record documentation during their breaks or at the end of the shift, often when they could not remember exactly what medications or dosages they had administered to patients. There was additional information that the nurses would electronically sign for narcotics, prepare IV drip bags in advance of when they were needed, and then discard these same IV bags when they were no longer required or the physicians had changed the medication orders. Additionally, these
  • Did the facility have sufficient evidence to suspend the nurse?
  • How should the testimony of the other nurses in the unit affect the outcome of this case?
  • What additional questions should the institution address before the court rules in this case?
  • How would you have ruled in this case?
• Read the case study presented at the end of Chapter 12 (Guido, p. 238)
•   preschool teacher called child protective services about a child who appeared to have a vaginal infection and the child protective services worker instructed the mother to take her child to the emergency center at the local acute care facility. In the emergency center, the child was examined by an ANP who found a vaginal tear, which the ANP felt could have been caused by digital penetration. The child would not talk about the injury with the ANP. T he ANP then discussed the child’s case with the child protective services worker, and the child was admitted to the facility. The parents were subsequently questioned regarding potential abuse of the child. Charges of child abuse were filed against the father, who is now a registered sex offender in the state. The parents filed suit against the preschool teacher, the case worker and the ANP. A t trial, evidence was presented that the ANP did not share her findings or impressions of possible child abuse with the mother, the child’s primary pediatrician, or other emergency center physicians. She also did not recommend that the mother contact the
• child’s pediatrician for an evaluation and a second opinion. The ANP also admitted that it was possible that the child had scratched herself as a result of the infection and that the child herself had caused the vaginal tear.
  • Did the ANP have a duty to consult with the child’s physician or another emergency center physician regarding the possibility of child abuse before she reported her findings to the case worker?
  • What questions would you anticipate might be asked regarding the injury itself and the possibility that the child had caused her own injury?
  • Did the ANP have a duty to report the injury, even though the diagnosis was not absolutely conclusive at the point that the child was initially examined?
  • How would you determine liability in this case, assuming that the trial court found liability against any of the three defendants?
• Read the case study presented at the end of Chapter 16 (Guido, p. 329)
•   licensed practical nurse (LPN) employed by a nursing personnel agency worked one evening shift at the Veterans Administration Hospital in a major city. She cared for a patient who had recently undergone hip replacement surgery. Since his surgery, the patient had consistently spiked significant temperatures, and his temperature generally responded well to oral Tylenol, 500 mg, 2 tablets, every 4 hours as needed. The change nurse explained to the LPN that the patient was to continue on vital signs every 4 hours, including temperatures, and that he was to be medicated if his fever increased, even if only at low-grade levels.  During the evening that she worked, the LPN obtained the patient’s temperature at 4 p.m. and again at 8 p.m. He had a lowgrade fever at the 4 p.m. hour and his temperature had risen to 102 degrees orally at 8 p.m. At both intervals, the LPN administered Tylenol as ordered. The charge nurse did not assess the patient during the evening, nor did she inquire about the patient’s condition. The nurse caring for the patient at midnight noted that his temperature was still elevated (102.4 orally). When notified, the attending physician ordered blood cultures, additional treatment for his ever-increasing fever, and a change in antibiotic therapy.
• D espite this aggressive therapy, the patient developed a fatal septicemia and the patient’s family sued for wrongful death. At trial, the court determined that the charge nurse had been derelict in her duty to supervise this patient and assessed partial liability against the LPN and the charge nurse
  • Did the nurse manager have a responsibility to supervise the care of the patient?
  • Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient’s care more appropriately?
  • If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case?
  • How do the principles associated with delegation and supervision figure into this case?
  • How would you decide this case?

 

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