For Prof Speedstar 19333493

300 words, 1 scholarly reference, no later than 5 years.

State your area of evidence-based practice (EBP) interest consistent with your specialty track.

State your MSN program specialty track and defend how your selected area of EBP interest is consistent with your selected MSN program track.

Defend how your area of interest is of importance to the MSN program specialty track you have selected—scholarly references are required.

Identify an initial PICOT question that reflects your area of interest for the evidence-based practice proposal.

 
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For This Assignment You Will Read A Case Study That Presents Difficulties Associated With Implementing A New Computer System In A Professional Setting

  

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· To complete this assignment:

o Review the case study and select one of the committee roles.

o Download the provided PowerPoint template to create a presentation that includes:

§ Your selection as a member on the committee 

§ Identification one or more issues, related to your role on the committee

§ Identification of probable cause(s) of identified issue(s)

§ Proposed recommendations to resolve the identified issues 

§ Reference slide – list of academic references, using APA style 

  

Ø Case Study

Read the following case study

A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go live in the specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option. However, three physicians have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior, they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders,” they began smuggling in order sheets from the non-activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians. 

You suggest to your friend (director of nursing) to create an informal committee to review the issues surrounding the CPOE implementation. The committee would determine methods to address these issues, prior to implementing CPOE within the ICU, pediatrics, and obstetrics units. Your friend appreciates the suggestion and forms a small committee with the following members:

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

The director of nursing asks each committee member to create a short PowerPoint presentation for the committee. The presentation would identify issues that occurred during CPOE implementation, identify potential causes of such issues, and list specific recommendations, based on strong rationale and research, to resolve the identified issues prior to the next CPOE implementation. Each committee member will have a unique perspective, based on their position (i.e., nurse, physician).

  

 
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For Now

  

Case Study Using the Deontological Decision-Making Process

Because finding affordable housing was difficult, 26-year-old Terry White lived with her 6-month-old son, Tommy, and his father, Billy Smith, in a one room of the landlord’s house. Ms. White was morbidly obese and was diagnosed with bipolar disease, Mr. Smith had served time for drug dealing and was out on parole and staying straight. Neither has finished high school. Mr. Smith’s past drug use had rendered him unable to do much manual labor because of heart damage, but on occasion, he would work in construction to support the family.

Public health nurse Jim Lewis had received a referral on Tommy when he was diagnosed with failure to thrive, (FTT) 2 months earlier, Ms. White (who had had two children removed from her custody by Child Protective Services (CPS) in the past) and Mr. Smith seemed to adore their baby so much so that Ms. White would hold the baby all day long. In the past 2 months, the nurse had taught Ms. White about infant nutrient and gotten her enrolled in the Women, Infants, and Children (WIC) nutrition program; as a result, Tommy had increased his rate of physical growth and was above the 5% level of his growth percentile. Yet he was not meeting his gross motor milestones per Denver Developmental Screening Test 11 (DDST111) testing. Mr. Lewis thought that Tommy was not allowed to play on the floor enough to progress in sitting, pushing his shoulders up, or crawling. Most of their small room was taken up with the bed and the boxes that stored their belongings. There wasn’t really space for “tummy time” or play. When not in the room, the family would take the bus to a discount store and spend the day walking around to get a change of scene. 

One week Ms. White told the nurse she was not taking her medications for bipolar disease anymore because they caused her to gain weight. The next week she confided that Mr. Smith had had a “dirty” urine specimen check and would have to return to prison in the near future. The following week Mr. Lewis found the family living in a run-down motel because they were evictee after a disagreement with the landlord. Ms. White was agitated, and she told the nurse that they had only $100, Mr. Smith was going to have to return to prison that week, and the motel bill was already $250. Ms. White knew she would be homeless soon without Mr. Smith’s support but refused to talk with her social worker about her needs. She asked the nurse not to tell anyone about her situation because she was afraid CPS would take Tommy from her. It was clear to Mr. Lewis that he might not know where Tommy was after they left this motel.

Directions

Using the ethical decision processes and the of code of ethics discussed in chapter 4 discuss and debate these questions.

  1. Considering the principle of      telling the truth, what are Mr. Lewis’s professional responsibilities to      Ms. White, to Tommy, and to the social worker assigned to this family?
  2. Using the generic ethical      decision-making framework discussed in chapter 4 and consider the      deontological ethical decision-making process:

a. How should Mr. Lewis respond to Ms. White’s request to not tell anyone about their situation?

b. What communication, if any should the nurse initiate with the social worker?

c. What communication, if any should the nurse initiate with others? 

  1. Using virtue ethics:

a. What actions would you take to resolve any moral dilemma you have about the safety of Tommy in this family situation?

b. If you do not tell anyone about the possible dangers to the child, what moral principles come into play?

c. If you do tell the social worker about the situation and the child is removed from the mother, what moral principles come into play for you?

  1. What ethical dilemmas may you      experience if you are the nurse in this case? 
  2. How can you deal effectively      with these potential dilemmas? 
 
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For This Assessment You Will Create A Professional Eportfolio

Demonstration of Proficiency

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

  • Competency 1: Lead people and processes to improve patient, systems, and population outcomes. 
    • Explain how at least 2 chosen artifacts illustrate personal growth and achievements in leading people and processes to improve patient, systems, and population outcomes.
  • Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care. 
    • Explain how at least 2 chosen artifacts illustrate personal growth and achievements in transforming processes to improve quality, enhance patient safety, and reduce the cost of care.
  • Competency 6: Collaborate interprofessionally to improve patient and population outcomes. 
    • Explain how at least 2 chosen artifacts illustrate personal growth and achievements in interprofessional collaboration to improve patient and population outcomes.
  • Competency 8: Integrate professional standards and values into practice. 
    • Explain how chosen at least 2 artifacts and a professional resume illustrate personal growth and achievements in the area of integrating professional standards and values into practice.
    • Present a well-organized ePortfolio in a clear and professional manner, using correct grammar, spelling, and APA style.

You should complete this assessment last.

Professional Context

A portfolio is a great way to for nurses to “record and provide evidence of skills, achievements, experience, development and learning, not only for themselves, but for the information and scrutiny of registration boards, employers, managers and peers” (Green, Wyllie, & Jackson, 2014, p. 8). As you collect the artifacts that best showcase your strengths, you begin to track, reflect on, and evaluate your own learning and growth over time.

 
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For Madam Professor 19459993

 
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For The Public Health Industry Describe Some Examples Of A Random Variable

 For the public health industry, describe some examples of a random variable 

 
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For The Grade Only 19261059

  

Pro-Con position paper on Opioid Crisis

· Length: 4-5 pages (not including title page or references page)

· 1-inch margins

· Double spaced

· 12-point Times New Roman font

· Title page

· References page (minimum of 5 scholarly resources)

 
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For The Grade Only 19245373

Con Position Research Paper on Contraceptives

Due 06/01/19

2-3 pages

paper should include approximately 6 developed paragraphs

-intro (with thesis)

-context paragraph

– 3 body paragraphs (focusing on 3 cons of contraceptives)

-conclusion

-3 scholarly articles

 
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For The Grade 19261375

TOPIC: MYOCARDIAL INFARCTION

Due: June 16 @12pm EST

**Use/Follow Template provided**

2-3 pages

Please Review Instructions

At least 2 scholarly resources, primary sources from the last 5 years.

Run through turn it in, submit report

 
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For Suryana Only 18633433

   Need an assignment in APA format 4-5 pages long.  4 references with 3 from Walden University Library.  Due Thurs. November 2, 2017 at 1800 EST Will pay 15 dollars.  The directions are below 

Assignment: Application: Taking a Stand

Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others.

As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.

At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.

For this Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.

To prepare:

Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.

To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.

Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly).

What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between ethical, moral, and legal leadership.

Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?

To complete:

By Day 7

Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:

Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.

Consider  an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.

Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.

Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma. 

 
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