Respond to Antoinette Anidi and Marteka Chitty, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
Antoinette Anidi
In the healthcare setting, the integration of informatics and knowledge work can significantly enhance patient care and operational efficiency. “The American Nurses Association (ANA) identified nursing informatics as “a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice” (Sweeny, J. 2017).” I will use a scenario involving a nurse leader addressing medication adherence among patients with chronic conditions, such as diabetes.
The scenario focuses on improving medication adherence among diabetic patients, which is crucial for their health outcomes and overall management of the disease. Non-adherence can lead to complications, increased hospital visits, and even death plus higher healthcare costs. The data to be used involves patient demographics which include age, gender, socioeconomic status, health literacy levels, and medication records: this involves the types of medications prescribed, dosages, and refill history. There are also patient feedback/surveys: which involves information on barriers to adherence, such as side effects, cost, or understanding of the treatment, and clinical outcomes: blood glucose levels, HbA1c results, hospital readmission rates, and lastly behavioral data: using health apps, reminders, or family support systems. Data collection can be accessed from electronic health record systems where medication prescriptions and patient history are documented. Patient surveys can be done through online platforms or during routine visits to gather qualitative data on patient experiences and barriers. Wearable devices could also be utilized to track health metrics related to diabetes management and conduct focus groups with patients to gain deeper insights into adherence challenges.
By analyzing this data, the nurse leader could derive several insights identifying common factors contributing to non-adherence and understanding the correlation between medication adherence and clinical outcomes. The nurse will also gain insights into patient preferences for medication reminders and support systems and recognize patterns in adherence among different demographic groups.
A nurse leader would use clinical reasoning and judgment in several ways by assessing the data to identify trends or gaps in adherence rates and understanding the underlying causes. She will also develop targeted interventions based on the data, such as educational programs tailored to specific demographics or implementing reminder systems. The nurse will continuously monitor the effectiveness of implemented strategies through follow-up data collection, adjusting interventions as necessary, and engaging with multidisciplinary teams to ensure a holistic approach to patient care, considering both clinical and psychosocial factors.
Marteka Chitty:
Imagine this: you arrive at work, and during your hand-off report, you notice one of your patients is behaving abnormally. Your loud and rambunctious patient is lying in bed with chills and cannot stop shivering. Her heart rate is indicating that she is tachycardic. What could be causing these symptoms?
In skilled nursing facilities, sepsis is becoming a more common issue. Sepsis leads to longer lengths of stay and higher healthcare costs. Sepsis also leads to unnecessary peripherally inserted central catheters (PICCs) and antibiotics treatment that the patient might not have needed initially. Early detection of infection can be beneficial to prevent unnecessary procedures. How can the signs and symptoms be interpreted before the patient gets septic in a skilled nursing setting? One way to detect the signs of an infection is a sepsis questionnaire.
Some data used in a sepsis questionnaire include evaluating vital signs and monitoring for changes in neurological status, gastrointestinal system, cardiac function, genitourinary system, and a skin assessment. Abnormal vital signs are one of the first clues to an impending infection. Questions include: is there any new or worsening confusion, or is there slow mental status? Evaluate the neurological aspect as infection in older individuals causes neurological issues. Changes in the gastrointestinal system tend to show up as diarrhea, nausea, and vomiting. Abnormal pulses can indicate an infection as well. Changes to the genitourinary system would be assessed by asking questions like any pain upon urination or decreased or increased urination. Issues such as chills, excessive perspiration, redness, swelling, and soreness are skin changes that we look for to indicate infection.
Once the data is collected and analyzed if two abnormal vital signs are present or any changes in one of the systems, further labs, and testing should be completed. Knowledge derived from this data could indicate an impending infection and alert nurses to the signs and symptoms of declining patients. The sepsis questionnaire will allow nurses to see and become familiar with patient bodily changes in real-time.
With this experience, nurses learn about sepsis and how it manifests in different people. Nurses also learn when sepsis is severe enough to transport patients to the hospital versus treating the infections in the facility. The nurse knows how sepsis is treated and how to ensure that the patients are less likely to become septic by using proper protocol. The overall process of using data from sepsis questionnaires can benefit all.
Category: Nursing
For your Module 2 Pre-Assessment, respond to the following prompts. These prompt
For your Module 2 Pre-Assessment, respond to the following prompts. These prompts match those in your final Assessment.
Prompts:
You will complete the Strengths Finder Assessment, in which you will develop a personal leadership philosophy that reflects your characteristics, core values, and strengths. You will apply your Strengths Finder Assessment to your written leadership philosophy.
To prepare:
Access the Strengths Finder Assessment Tool. When you complete the Strengths Finder Assessment, you will receive a Signature Theme Report to download.
Reflect on your results of the Strengths Finder Assessment and consider what these results convey in terms of your behaviors and characteristics in contributing to your leadership style/philosophy.
Review the three scholarly research resources you identified that evaluate the impact of leadership behaviors, styles, and characteristics for transformational leadership. (You may refer to the same resources you used for the Module 1 Pre-Assessment or research for additional scholarly articles, as needed.)
Use the scholarly resources on leadership you selected to support your philosophy statement.
Leadership Philosophy
In 2–3 pages (total for all topics), develop a leadership philosophy that reflects your characteristics, core values, and strengths as they pertain to your leadership skills and profile. Your leadership philosophy should include the following:
Analysis of your Strengths Finder Assessment summarizing the results of your profile.
A description of two key leadership behaviors that you wish to strengthen.
A development plan that explains how you plan to improve upon the two key leadership behaviors you selected. Be specific and provide examples. * NOTE: The response must synthesize and integrate at least three outside resources and two competency-specific resources that fully support the responses provided.
An explanation of how you plan to achieve your personal mission/vision. Be specific and provide examples. * NOTE: The response must synthesize and integrate at least three outside resources and two competency-specific resources that fully support the responses provided.
Please write a minimum 500-word post that addresses your thoughts on liberal ed
Please write a minimum 500-word post that addresses your thoughts on liberal education.
How will you apply a liberal education to your practice.
Please use two scholarly sources and respond to one colleague.
Please use the correct APA & formatting
Group C What is phenylketonuria (PKU)? What are the symptoms of PKU? How is PKU
Group C
What is phenylketonuria (PKU)?
What are the symptoms of PKU?
How is PKU diagnosed?
What is the treatment for PKU?
Is PKU inherited?
Is the NHGRI currently performing any Clinical Research on PKU? have to be a power point
Policy Analysis Paper This assignment is an analysis of local, state, or federal
Policy Analysis Paper
This assignment is an analysis of local, state, or federal health policy.
Select a state health policy reform innovation
Discuss the rationale for the policy, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact. ethical outcome based on evidence.
Examples of state innovations include Maryland’s hospital rate setting, Vermont’s single payer system, and Massachusetts’ health reforms
Submission Requirements:
The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The paper is to be formatted per current APA style, 5-7 pages in length, excluding the title, abstract and references page.
Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
OVERVIEW The purpose of this assignment is to provide a review of basic researc
OVERVIEW
The purpose of this assignment is to provide a review of basic research concepts. Students should
seek out sources as needed to aid in understanding of research as they analyze and apply research
studies in the course. The modules provided a review of some, but not all, types of research and
elements of a research study. Please bookmark the website for future reference.
INSTRUCTIONS
Read through Modules 1–5 for the Interact: Office of Research Integrity listed in the Learn
section.
1. You will find quiz questions with answers at the end of each module. Go through the
quizzes on your own to help further cement the concepts contained in the modules. There
is no need to turn in anything related to the quizzes.
2. Answer the following module questions. Please clearly identify the module and section
you are answering. The questions you will be answering include:
Module 2:
Section 1 Questions 1, 3 and 4
Section 2: Questions 1 and 3
Module 3:
Section 1: Questions 1 – 3 (Just the first group of questions)
Section 3: Question 1
Section 4: Question 3
Module 4:
Section 2.3: Questions 4 and 5 in second set of questions, under random error heading.
Module 5:
Section 1: Questions 1 – 4
• Please answer all questions with complete sentences and provide a rationale for your
answer.
• Clearly number your answers by module, section number, and question number.
• You will utilize the website, your text, and other sources to answer the questions.
Always cite information obtained from any source, including the website.
• Provide a reference page for all cited sources.
• The paper must adhere to APA regarding citations and the reference page.
• This assignment should be 6 pages and utilize 5 scholarly sources.
Note: Your assignment will be checked for originality via the Turnitin plagiarism tool
Here is the website you will find information:
https://ori.hhs.gov/module-1-introduction-what-research
How will you use critical thinking in your evidence-based practice, as a nurse,
How will you use critical thinking in your evidence-based practice, as a nurse, and as an informed citizen?
Background: Critical thinking is a habit of mind. That means that it’s not a set of facts you can learn or a routine procedure you can memorize. It’s a way to train your mind whenever it encounters new information. When you learn to think critically you are changing the way that you think. One of the goals of this program is to give you practice thinking critically about a variety of different topics and in a variety of different contexts. If you become a critical thinker on the job as a nurse, you cannot help but become a critical thinker in your personal life, and vice versa. Remember, habits get stronger and more easily used the more you practice them.
So, this week you’ll read a chapter from a book called The 5 Elements of Effective Thinking about “Being your own Socrates.” If you’re unfamiliar with who Socrates was, just remember that he was a philosopher who made an art out of asking really effective, challenging questions. No one he talked to could get away with making a claim that was not completely defined and supported by logical evidence. This kind of questioning is the foundation of evidence-based practice. You’re being asked to watch a movie because this will hopefully illustrate that critical thinking can be utilized in every aspect of your life – professional and personal. 🙂
Instructions:
1) Read “Be your own Socrates” and take notes on it
2) Think of times in your personal or professional life that you have acted as your own Socrates
3) Watch your favorite movie. Even if you’ve seen it 30 times, watch it again. And as you watch it, take notes using Burger and Starbird’s guidelines for being your own Socrates by asking questions. As they suggest, “actively construct well-founded questions about what is missing, what is assumed, what might be extended, or what is vague or unclear.”
4) In your main post, begin with an introduction, then LIST the questions that you came up with for your favorite movie, and then answer the following questions:
a) How did it feel to ask probing questions about something that you thought you already knew a lot about? What did you learn about this film and about yourself as a viewer from asking critical questions about this film? What topics or issues did you realize you could learn more about by asking questions of this film?
b) Describe a situation in your professional or personal life in which this habit of asking probing questions would benefit you? In your answer, keep in mind that EBP requires you to find reliable evidence to support any claim or decision you make in healthcare, but that in order to find the right evidence, you need to first ask the right questions.
5) Respond thoughtfully to one peer.
Please type your response in a Word document, spell and grammar check it, include citations, and then upload it below.
As with all discussions, main posts should be at least 500 words. Use scholarly references, support your statements (includes opinions), use proper APA and respond to one colleague’s post.
Use of course readings and viewings to support your points is required. Outside source support is encouraged.
Writing Assignment Week 1 Writing Assignment Content The CMS considers patient e
Writing Assignment Week 1
Writing Assignment Content
The CMS considers patient engagement a quality metric for a learning healthcare system.
● Patient engagement is a major focal point of stage 2 MU of HER.
● Patient Engagement in Health and Health Care Framework by Carman et al. presents different forms and levels of patient engagement across the healthcare system.
● Institute for Patient- and Family-Centered Care recognizes the vital role families play by providing emotional, social, and developmental support, ensuring the health and well-being of all family members
● The Level of Engagement with Health Care framework considers the engagement, quality, and safety of mobile apps. Clinicians can identify trustworthy apps that serve the engagement of high-need, high-cost populations.
Consider content covered in chapter 5 concerning policy changes in the United States and the strategic plan needed to improve care and drive down cost through health information technology. Give at least 3 examples of an information technology policy change that has supported patient engagement.
Please note the grading rubric. The submission should be maximum 2 pages not counting the cover page and references.
Rubric Details
Maximum Score
100 points
Integration of Knowledge
25% of total result
Topic Focus
25% of total result
Depth of Discussion and Cohesiveness
25% of total result
Sources
7% of total result
APA adherence and Citation in text
6% of total result
Spelling and Grammar
12% of total result
Articles for Week 1 Discussion Board Hello students; Please choose one of the ar
Articles for Week 1 Discussion Board
Hello students;
Please choose one of the articles provided here and use this in the Week one discussion board.
Combs, M. A., & Arnold, T. (2022). Human trafficking: empowering healthcare providers and community partners as advocates for victims. Journal of Holistic Nursing, 40(3), 295–301. https://doi.org/10.1177/08980101211045554Links to an external site.
https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_unpaywall_primary_10_1177_08980101211045554Links to an external site.
Maykut, C., & Rubuliak, A. (2022). Situated knowingness of caring and bureaucracy: A student’s growth. International Journal of Caring Sciences, 15(1), 644–649.
https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_proquest_journals_2670463488Links to an external site.
Cavey, W. M., Lewis, S., & Carter, H. (2023). Health care professionals’ self-efficacy in identifying and treating human trafficking victims. Nurse Education Today, 129, Article 105900. https://doi.org/10.1016/j.nedt.2023.105900Links to an external site.
https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_proquest_miscellaneous_2841024799Links to an external site.
Week 1: Discussion | The Theory-Practice Gap and Nursing Research
Week 1The Theory-Practice Gap and Nursing Research
Discussion
Purpose
As the nursing profession continually evolves, practice knowledge is increasing and closing the theory-practice gap. The purpose of this discussion is to explore how nursing theory is used as a framework in nursing research, building the body of professional nursing knowledge. In addition, students will support their discussion by successfully applying academic integrity principles
Instructions
1. Using one of the articles provided in this week’s course announcement, identify the nursing theory used to frame the nursing research.
2. Analyze the selected nursing theory used to guide the research article you selected for the assignment and describe how the nursing theory that was used applies to nursing’s metaparadigm, including each of the following:
•
o Person
o Health
o Environment
o Nursing
3. Support your summary using one quotation, cited in the APA format for a quote as outlined in the academic integrity presentation in lesson 1.
4. Support your summary using one summary or synthesis statement, cited in the APA format for a summary/synthesis as outlined in the academic integrity presentation in lesson 1.
NOTE: At the doctoral level, paraphrasing is not acceptable.
Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:
• Link (webpage): DNP Discussion GuidelinesLinks to an external site.
Program Competencies
This discussion enables the student to meet the following course outcomes:
1. Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)
3. Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)
5. Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)
7. Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)
8. Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)
Course Outcomes
This discussion enables the student to meet the following course outcomes:
3. Appraise global healthcare practice problems and DNP practice relevant to advanced nursing practice. (PCs 1, 3, 5, 7, 8; POs 1, 3, 9)
6. Analyze the concepts and principles used in theory development in nursing. (PCs 1, 3, 5; POs 3, 5, 9)
Due Dates
• Initial Post: By 11:59 p.m. MT on Wednesday
• Follow-Up Posts: By 11:59 p.m. MT on Sunday
Reply
Mark post as read
Donna Dunn
Aug 20 9:36am
Manage Discussion by Donna Dunn
Reply from Donna Dunn
Class, you may begin posting in this discussion for credit on Monday when Week 1 starts.
Welcome to our Week 1 Discussion!
The week one discussion question asks you to evaluate a research article with a nursing theory as the underpinning. Use one of the links posted in this discussion thread to a recent research article in your discussion question this week.
We encourage you to read the question carefully to answer all aspects presented. Our interactive discussion addresses the following course outcomes:
CO 3. Appraise global healthcare practice problems and DNP practice relevant to advanced nursing practice. (Pos 1, 3, 9).
CO 6. Analyze the concepts and principles used in theory development in nursing. (POs 3, 5, 9)
Please use your writing resources as you construct your posts, such as Grammarly, Chamberlain Guidelines for Professional Writing, and the Turnitin Draft Box. I have also attached professional writing guidelines that should be helpful regarding APA formatting guidelines. 7th Rev. Chamberlain Guidelines for Writing Professional Papers. Download 7th Rev. Chamberlain Guidelines for Writing Professional Papers.Since the discussions are the equivalent of sharing ideas in the classroom, using the first person is permitted and encouraged (I, we, us, etc.). Using the first person is avoided when writing the three papers (weeks 3, 5, and 7).
As a reminder, when sharing thoughts that are not your own, please give credit to the author(s), agencies, etc.
The use of direct quotes is discouraged at the doctoral level; however, if altering the original words would somehow change the original message, please be sure to include the direct quotations, the author(s), publication year, and page (or paragraph number if retrieved from a website).
Last, please include three scholarly sources published within the past five years to support your work. The three sources can be included in any combination of both required posts. In other words, if you used two sources to help your initial post, only one additional source will be needed to support your peer response. If all three sources were used to support your initial post, you would not lose points if your peer response is without a reference.
You will also want to ensure each reference listed after the post in the reference list is cited within the body of your writing. The same is true if referencing a source within the body; it must be included within the reference list.
Hit the ‘Reply’ button in the left corner above this post to start your initial postings.
I am looking forward to a great discussion!
Enjoy week one!
Dr. Dunn
For your Module 2 Pre-Assessment, respond to the following prompts. These prompt
For your Module 2 Pre-Assessment, respond to the following prompts. These prompts match those in your final Assessment.
Prompts:
You will complete the Strengths Finder Assessment, in which you will develop a personal leadership philosophy that reflects your characteristics, core values, and strengths. You will apply your Strengths Finder Assessment to your written leadership philosophy.
To prepare:
Access the Strengths Finder Assessment Tool. When you complete the Strengths Finder Assessment, you will receive a Signature Theme Report to download.
Reflect on your results of the Strengths Finder Assessment and consider what these results convey in terms of your behaviors and characteristics in contributing to your leadership style/philosophy.
Review the three scholarly research resources you identified that evaluate the impact of leadership behaviors, styles, and characteristics for transformational leadership. (You may refer to the same resources you used for the Module 1 Pre-Assessment or research for additional scholarly articles, as needed.)
Use the scholarly resources on leadership you selected to support your philosophy statement.
Leadership Philosophy
In 2–3 pages (total for all topics), develop a leadership philosophy that reflects your characteristics, core values, and strengths as they pertain to your leadership skills and profile. Your leadership philosophy should include the following:
Analysis of your Strengths Finder Assessment summarizing the results of your profile.
A description of two key leadership behaviors that you wish to strengthen.
A development plan that explains how you plan to improve upon the two key leadership behaviors you selected. Be specific and provide examples. * NOTE: The response must synthesize and integrate at least three outside resources and two competency-specific resources that fully support the responses provided.
An explanation of how you plan to achieve your personal mission/vision. Be specific and provide examples. * NOTE: The response must synthesize and integrate at least three outside resources and two competency-specific resources that fully support the responses provided.