Quantitative Annotated Bibliography

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Running head: NURSING PROBLEM 1

NURSING PROBLEM 2

Nursing Problem

Student’s Name

Institutional Affiliation

Date

Specialization: Nursing Practitioner.

As a nursing practitioner, the major roles include the assessment of the needs of the patients. A nursing practitioner also orders and interprets test from laboratories, they do illness and disease diagnosis, medication prescription and formulate plans for treatment. There are a number of challenges that face the nurse in their field of practices. This paper will focus to discuss the hazards in the workspace of these practitioners. It will also seek to find a way of solving these challenge using innovative means.

The Problem of Interest

Hazard in The Nursing Field.

The nursing field of practice is one of the most dangerous places of working as one does work in a delicate environment where one is in the risks of being infected or even injuring oneself. Nurses are faced with a number of risks in daily job activities. Some of these hazards include injuries, flu germs, hand washing –related dermatitis and pathogens that are based in the blood among others.

According to the report produced by OSHA, about 5.6 million of 12.2 million workers are under the risk of being exposed to blood borne pathogens. This is a big number of health workers under the risk meaning that soon there will be a shortage of health nursing or health workers in general. Moreover, the rates of risks are higher in the health care industry than any other industries. This industry has registered around 35000 injuries covering different parts of the body. These range from the shoulders, hands, feet, and back. These statistics are according to the Bureau Labor Statistics (Gooch, 2015).

Apart from the acute injuries discussed, they also suffer harm exposed on their hands. From a recent study carried out in the University of Manchester, the health workers that follow protocols are 4.5 times exposed to skin damage risks. The report also reported up to 25 percent of cases of irritant contact dermatitis.

These individuals also get exposed to infectious diseases in their areas of practice. One of the most commonly contacted infection is Hepatitis B (HBV). This is infection can be contacted via blood contact, feces, saliva, and semen. This instrument of spreading the infection is in contact with the patient and also the needles (Gooch, 2015). Nursing practitioners also risk exposure to toxic substances in the clinical environment. Radiation is another risk that comes majorly from the ionizing radiation. Complications associated with radiation include skin cancer, leukemia, and cancer among others. One comes to contact with this radiation in the instances of performing x-ray scans. Another challenge that faces nursing practitioners is stress. This is experienced mostly among the nurses who work with the patients that are terminally or chronically ill (NCBI, 2016).

Research Strategy.

The focus of the research is on the articles that are based on nursing practices. These articles also further narrow down to the specific problems facing the nursing practitioners. The aim is to find a solution to the above-identified problem.

Innovative Solution.

It was crucial to put up ways to protect nursing practitioners. It is important to take extra measures when working in various situations. Capacity building of the nurses on the safety measures while working is very important. They should also be educated on using the protective gear which will reduce exposure to risks. For instance, the use of antiviral face mask inactivates the 99.99 percent of the flu viruses tested in the laboratory.

References

Gooch, K. (2015, August 13). 5 of the biggest issues nurses face today. Becker’s Hospital Review. Retrieved from https://www.beckershospitalreview.com/human-capital-and-risk/5-of-the-biggest-issues-nurses-face-today.html

Gooch, K. (2015, July 15) 4 common nursing hazards demanding hospitals’ attention. Clinical Leadership & Infection Control. Retrieved from https://www.beckershospitalreview.com/quality/4-common-nursing-hazards-demanding-hospitals-attention.html

NCBI (2016). Nursing Health & Environment: Strengthening the Relationship to Improve the Public Health. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK232400/

 
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Research Proposal Draft

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By the due date assigned write a 2-3-page paper addressing the sections below of the research proposal.

Introduction

  • Background and Significance of the Problem
  • Statement of the Problem and Purpose of the Study

Research Questions, Hypothesis, and Variables with Operational Definitions

  • Research Question
  • Hypothesis: Research and Null
  • Identifying and Defining Study Variables
  • Operationalize Variables

This is my potential problem (topic) 

Cardiovascular disease for African American women rather than African Americans in general

 
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Standards Of Care

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Assignment Details

Using the information from the case study below, discuss the following issues from the perspective of an APN role:

  • Administrator
  • Practitioner
  • Educator 

Standards of care – what were the standards of care that were violated? Who was responsible for the violations?

In your role as an educator, administrator, or practitioner, what risk management steps needs to be taken before or after the incident to alleviate the issue?

Page length should be 3-4 pages exclusive of cover page and references.

Support your paper with a minimum of three scholarly references.

Case Study: Malpractice Action Brought by Yolanda Pinellas

Yolanda Pinellas is a 21-year-old female student studying to be a music conductor. She was admitted for chemotherapy. The medication Mitomycin was administered by intravenous infusion through an infusion pump.

During the evening shift the infusion pump began to beep. The RN found that the IV was dislodged and discontinued the infusion, notified the physician and provided care to the infusion site. The patient testified that a nurse came in and pressed some buttons and the pump stopped beeping. She was groggy and not sure who the nurse was or what was done. The documentation in the medical record indicates that there was an infiltration to the IV.

Two weeks after the event, the patient developed necrosis of the hand and required multiple surgical procedures, skin grafting, and reconstruction. She had permanent loss of function and deformity in her third, fourth, and fifth fingers. The patient is alleging that because of this, she is no longer able to perform as a musical conductor.

The risk manager had noted when doing chart reviews over the last 3 months prior to this incident that there were issues of short staffing and that many nurses were working double shifts, evenings, and nights then coming back and working the evening shift. The risk manager also noted a pattern of using float nurses to several units.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary;
  • utilize spelling and grammar check to minimize errors; and
  • review APA formatting and citation information found in the Writing Center, online, or elsewhere in the course.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.)
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th edition formatting and citation style.
 
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Deadly Sleep

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Assignment 2.1: Deadly Sleep

Deadly Sleep

OBJECTIVE

Describe the nature of sleep, sleep disorders, and their treatment

ASSIGNMENT OVERVIEW

This case study assignment allows you to read case studies on sleeping incidents and explore their understanding by answering questions.

DELIVERABLES

Written answers (12-point font) to the questions about two case studies

Step 1 Access the readings.

REM Madness and Murderous Dreams

Step 2 Complete the questions.

Answer the questions at the end of each reading.

 
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Drugs and Narcotics

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Assignment 2.2: Drugs and Narcotics

Drugs and Narcotics

OBJECTIVE

Discuss the role of drugs in hypnosis and altering consciousness

ASSIGNMENT OVERVIEW

This reaction and response assignment allows you to explore the use of drugs in hypnosis.

DELIVERABLES

A one-page (12-point font) paper

Step 1 Find an article.

Using the Internet or a library, find an article relating to the role of drugs in hypnosis and altering consciousness.

Step 2 Summarize the article.

Identify the main points in your chosen article about the role of drugs in hypnosis or in altering consciousness and summarize them in a one-pag

 
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HELP Need Back By 4-18-2019

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Instructions

For the Unit VIII PowerPoint Presentation, you will assume the role of a candidate interviewing for the director of medical billing at Columbia Southern Medical Group. The interview panel has provided you with five questions, and they would like you to create presentation slides with your response(s). Below are the five interview questions.

  1. Columbia Southern Medical Group is an organization that prides itself on being on the forefront of innovation. By fulfilling this role as the director of medical billing, you would be expected to maintain knowledge on health insurance developments and new strategies in the field. What three recent developments in health care have influenced the climate of reimbursement the most, in your opinion? Be sure to detail each development. (two slides)
  2. Some of your tasks as director of medical billing will lead you to be involved in Columbia Southern Medical Group’s medical coding procedures. Seeing that Columbia Southern Medical Group provides both inpatient and outpatient services, explain the types of medical coding that will be used in your department. Explain the relationship between the coding and billing departments, and identify some of the issues that could arise with incorrect coding/billing. (two slides)
  3. Columbia Southern Medical Group does accept Medicare assignment in most cases, but there are two facilities owned by Columbia Southern Medical Group that do not participate with the Medicare program. With what you know about the Medicare Physician Fee Schedule (MPFS) and how it differs regarding participating providers versus non-participating providers, outline the differences in how these separate entities would conduct payments with this system. It may be a good idea to provide an example with the two different calculations describing how a service or procedure would be reimbursed under these scenarios. (two slides)
  4. Being in compliance with healthcare regulations is of the utmost importance to Columbia Southern Medical Group, and it is imperative that all of its departments operate ethically and with integrity. One of your tasks as director will be to implement policies that will provide protection and security of all sensitive data housed in your department. Name safeguarding techniques that you will use to ensure privacy and security of patient information. Furthermore, describe regulatory standards and/or healthcare laws that will explain and enforce compliance measures. How do these measures help combat fraud and abuse? (two slides)
  5. Columbia Southern Medical Group has always worked hard to create an atmosphere of continuous improvement as that has shown to lead to a more quality experience for the patient. By keeping up with current trends in the industry as well as ensuring that all regulatory and legal requirements are met, Columbia Southern Medical Group will continue to provide quality unmatched by others. One regulatory requirement that you will be tasked with as the director of medical billing is auditing. What are some healthcare third-party audits specific to medical billing and coding of which you will need to be knowledgeable? What are your thoughts on random self-audits? Do you think they can be helpful to you and your department if you were to obtain this position? (two slides)

Your presentation should consist of a total

 
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Perspectives on Psychology

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Assignment 1.1: Perspectives on Psychology

Perspectives on Psychology

OBJECTIVE

Discuss key issues and perspectives regarding the field of psychology

ASSIGNMENT OVERVIEW

This writing assignment explores the various perspectives of psychology.

DELIVERABLES

A one and a half-page paper (12-point font)

Step 1 Research issues, scope, and perspectives in the field of psychology.

Use the Internet to explore the field of psychology in terms of issues, trends, and various perspectives. 

Step 2 Write a paper about issues and perspectives on psychology.

Based on the research you conducted in Step 1 and what you learned in this lesson, write a one and a half-page paper identifying current trends, issues, and 

 
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Differences between type i and type ii diabetes

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DIFFERENTIATING TYPE I & TYPE II DIABETES

TYPE I DIABETES:

Cause:

-Autoimmune destruction of beta cells

-Possible result from gene-environment interaction (autoimmune destruction) or idiopathic

-HLA-DR3 or 4 gene present

-Severe, absolute lack of insulin from loss of beta cells

-Onset: 11-13 years old

· Symptoms/Manifestations:

· Hyperglycemia

· Weight loss

· Breakdown of fat = ketone production = acidosis

· Breakdown of protein

· Polyuria / Polydipsia / Polyphagia

· Fatigue

· Treatment:

· Insulin

· Meal planning

· Exercise

· Pancreas transplant possible

TYPE II DIABETES

Cause:

· Risk factors: obesity, family hx, female, ethnic minority

· Unknown cause — Possible genetic susceptibility and environmental factors

· Insulin resistance / Increased glucagon secretion

· Beta cells less responsive to elevated glucose

· Onset: 40 or > years old

· Symptoms/Manifestations:

· Hyperglycemia

· Fatty liver Cirrhosis

· Weight gain

· Infection

· Visual changes

· Polyuria / Polydipsia / Polyphagia

· Fatigue

· Treatment:

· Oral hypoglycemic agents +/- insulin

· Meal planning / Diet

· Exercise

 
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Qualitative Annotated Bibliography

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For this assignment you will continue to review current research from South’s Online Library and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: Purdue Online Writing Lab

A total of two annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a qualitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable.

Each annotation must address the following critical elements:

  • Explanation of the main purpose and scope of the cited work
  • Brief description of the research conducted
  • Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration
  • Possible shortcomings or bias in the work
  • Conclusions or observations reached by the author
  • Summary as to why this research lends evidence to support the potential problem identified specific to your role specialization.

1- Articles

1-  

Graham, G. (2014). Population-based approaches to understanding disparities in cardiovascular disease risk in the United States. Int J Gen Med., 7(1), 393-400. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4132228/

2-  

Saab, K., Kendrick, J., Yracheta, J., & Lanaspa, M. (2015). New insights on the risk for cardiovascular disease in African Americans: The role of added sugars. Journal of the American Society of Nephrology, 26(2), 247-257. Retrieved from http://jasn.asnjournals.org/content/26/2/247.full

3-Sharma, A., Colvin-Adams, M., & Yancy, C. (2014). Heart failure in African Americans: Disparities can be overcome. Cleveland Clinical Journal of Medicine, 81(5), 301-311. Retrieved from http://www.abcardio.org/pdf/Yancy_Colvin.pdf

 
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PHILOSOPHY OF SCIENCE IN NURSING 3

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Running head: PHILOSOPHY OF SCIENCE IN NURSING

PHILOSOPHY OF SCIENCE IN NURSING 3

Title

Student’s name

Institutional affiliation

Date

There has been new advancements in the field of nursing over the last few decades. The changes are evidently beneficial to the nursing care by ensuring that patients receive holistic and satisfactory services. The recent developments take credit from intensive scientific research and technology. The philosophy of science results into better technology together with better ways of improving the healthcare industry. Improving customer service in the healthcare industry requires implementation and application of scientific research. Customer satisfaction is at the core of any strategy. The presence of patients in healthcare facilities continues to boost this industry. The presence of science philosophy in today’s medical practice cannot go unnoticed. This is heightened by the fact that new discoveries from scientific research and other technological advancements are at the core of provision of healthcare in all countries. Additionally, new advancements in diagnosis and treatment create a foundation through which the nursing industry operates. All these advantages are made possible by the presence of better scientific research in nursing (Roberts, 2017).

Following the essentials of master’s education nursing is in line with scientific research. A nurse who is at this level and follows the essentials must be involved in extensive scientific research. To an extent, research is imperative in ensuring that the practicing nurse is well versed ongoing trends in the field. This improves his/her practice and consequently improves public health. A master’s prepared nurse carries out extensive research to increase his/her level of information literacy which is then applied in driving better clinical decisions. Additionally, evidence-based research is vital in advancing in the field and staying updated.

Reference Roberts, P. (2017). Three Good Things: Build Resilience and improve well-being. American Nurse Today, 26-28.

 
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