Advanced Practice Nurses In Healthcare


1. Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings. What do you think are some effective tactics for APN strategic positioning regarding pay equality? Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

2. Discuss the impact of global migration on the nursing workforce and its particular influence on advanced practice nurses’ demand and compensation.

3. Examine issues related to practice authority and collective bargaining faced by nurse practitioners and other advanced practice nurses.

All discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.

 
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Health Information Technology Trends

Discussion: Healthcare Information Technology Trends

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

To Prepare:

· Reflect on the Resources related to digital information tools and technologies.

· Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.

· Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

· Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

· Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

· Identify and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

· Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.

· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 14, “The Electronic      Health Record and Clinical Informatics” (pp. 267–287)
  • Chapter 15, “Informatics      Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317)
  • Chapter 16, “Patient      Engagement and Connected Health” (pp. 323–338)
  • Chapter 17, “Using      Informatics to Promote Community/Population Health” (pp. 341–355)
  • Chapter 18, “Telenursing and Remote Access      Telehealth” (pp. 359–388)

Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from https://www.healthit.gov/faq/what-electronic-health-record-ehr

Healthcare Information Management and Systems Society. (2018). Electronic health records. Retrieved from https://www.himss.org/library/ehr/

Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221. doi:10.1016/j.pmn.2017.11.002

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40. doi:10.3390/informatics4030032

 
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Informatics

Recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. Be sure to include a title slide, objective slide, content slides, reference slide in APA format. Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly citations to support your claims. This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. Save your assignment as an MP4 document (.mp4) or link.

You are a project manager assigned to implementing a new computer system in an organization:

  • Why is it important to understand usability, configurability, and interoperability? Should these concepts outweigh the underlining cost of the new system? Which system do you recommend and why?
  • During phase one, you are selecting a team. What characteristics are important to consider when selecting a team?
  • During phase two the following principle was discussed, “lead with culture, determining where the resistance is,” and then, engage all levels of employees (Sipes, 2019, p. 161). What does this principle mean to you and how can you implement this principle?
  • How will you handle physician and other key professionals’ resistance to change and using the new system?
  • Discuss possible pitfalls during the implementation phase and how you can avoid them?
  • Describe your personal experience with automation and new information systems.

Assignment Expectations:

Length: Recorded presentation between 7 and 12 minutes in length. The presentation should include a Power Point and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. Use www.screencast-o-matic.com or other software to record your presentation as an mp4.

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. 

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as an MP4 document (.mp4) or link

File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.mp4”)

Presentation: Use a presentation software (PowerPoint, Google Slides) to create a visual presentation. Then use screencast-o-matic or other screen recording program to record an mp4 presentation between 7 and 12 minutes in length. ***Please do not record as voice-over PowerPoint because this cannot be saved in mp4 format.*** If you submit your assignment as a powerpoint with voice over recording you will not receive credit for your assignment (or partial credit as you did not meet the full requirements of the assignment.)

 
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Environmental Factors And Health Promotion: Accident Prevention And Safety Promotion For Parents And Caregivers Of Infants


The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

Include the following in your presentation:

  1. Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
  2. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
  3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
  4. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
  5. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
  6. In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for

 
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What Is Research Versus Evidence Based Practice?


Report Issue

 Hi, i need perfect respond to this discussion, 2-3 paragraph:

  • What is your personal experience with research? What is your personal experience with evidence based practice?
    • Briefly summarize the expectations of a BSN prepared nurse as it relates to research according to:
http://www.aacnnursing.org/News-Information/Position-Statements-White-Papers/Nursing-Research
  • How do you distinguish between evidence based practice and research utilization? Or do you see them as the same?
  • Are quality improvement projects the same as research?
  • Why do we as nurses struggle to understand the difference between evidence-based practice and nursing research?
  • What is your understanding of the differences between primary research and evidence based practice?
  • How are the two terms related?
  • Go to:
http://www.students4bestevidence.net/

Identify your impression of the site and an area of new learning. Discuss how this site could possibly impact professional nursing practice. Would you recommend this site to other professional nurses?

  • Identify  something you have implemented in nursing practice and asked “Is there a better way?’
  • How would you go about answering your question given that you had time to do so?
  • Your response should consist of complete sentences and should be at least one complete paragraph, but it should be no more than four paragraphs in length
 
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Select two clients you observed or counseled this week during a family therapy session.

Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session. Do not select the same family you selected for Week 2.

Then, address in your Practicum Journal the following:

  • Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
  • Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for each client.
  • Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.
  • Explain any legal and/or ethical implications related to counseling each client.
  • Support your approach with evidence-based literature.
 
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Post an explanation of how the use of CBT in families compares to CBT in individual settings. Provide specific examples from your own practicum experiences. Then, explain challenges counselors might encounter when using CBT in the family setting. Support your position with specific examples from this week’s media.

Johnson Family Episode 3

Johnson Family Episode 3 Program Transcript

[PEOPLE SOCIALIZING AT PARTY]

MALE SPEAKER: Hey there. How you feeling?

FEMALE SPEAKER: I’m drunk.

MALE SPEAKER: Yes, you are. Here, have some more.

FEMALE SPEAKER: I need to lay down. I don’t feel so good.

MALE SPEAKER: No, no, no, no. Not here. Not here.

FEMALE SPEAKER: Take me home.

MALE SPEAKER: I can’t leave. It’s my frat party. I actually– But I’ll tell you what, let me take you upstairs. You can use my bed. OK?

FEMALE SPEAKER: Sure.

MALE SPEAKER: All right. Come on, Talia. I got you.

FEMALE SPEAKER: I remember him lying me down on a bed and then he started kissing me. I think I kissed him back. And then he started taking off my pants. I told him to stop, but I must have passed out. When I woke up later, I didn’t have anything on. I just grabbed my clothes and got the hell out of there.

I feel like such a fool. I had too much to drink. I don’t know why I let it happen.

FEMALE SPEAKER: Thank you for sharing. It sounds like you still feel responsible for what happened. Has anyone else had similar feelings about something that’s happened to them?

FEMALE SPEAKER: There was this guy once, I told him no just like you. I told him really loud, but it didn’t matter. He did what he wanted anyway. He raped me. And for some reason, I blamed myself for it. It took a long time and a lot of help to realize I was wrong. It wasn’t my fault. Just like it’s not your fault. That frat boy, he’s the one to blame.

FEMALE SPEAKER: When it happened to me some of the people in my life, people I loved, they said it was my fault. Said that I shouldn’t have been where I was. Said it wouldn’t have happened otherwise. But it wasn’t my fault. It wasn’t. But to have people that you trust say those things about you, it’s confusing. It hurts.

© 2017 Laureate Education, Inc. 1

Johnson Family Episode 3

FEMALE SPEAKER: Thank you for sharing your thoughts and being supportive. It’s important in a group like this.

FEMALE SPEAKER: Is it? Is it really? I’m not so sure. It hurts talking about it like this. It just, it keeps hurting.

Johnson Family Episode 3 Additional Content Attribution

MUSIC: Music by Clean Cuts

Original Art and Photography Provided By: Brian Kline and Nico Danks

© 2017 Laureate Education, Inc. 2

 
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Comprehensive Client Family Assessment

  • Select a client family that you have observed or counseled at your practicum site.
  • Review pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this week’s Learning Resources.
  • Reflect on elements of writing a comprehensive client assessment and creating a genogram for the client you selected.

The Assignment

Part 1: Comprehensive Client Family Assessment

Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following:

  • Demographic information
  • Presenting problem
  • History or present illness
  • Past psychiatric history
  • Medical history
  • Substance use history
  • Developmental history
  • Family psychiatric history
  • Psychosocial history
  • History of abuse and/or trauma
  • Review of systems
  • Physical assessment
  • Mental status exam
  • Differential diagnosis
  • Case formulation
  • Treatment plan

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).Select a client family that you have observed or counseled at your practicum site.

  • Review pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this week’s Learning Resources.
  • Reflect on elements of writing a comprehensive client assessment and creating a genogram for the client you selected.

The Assignment

Part 1: Comprehensive Client Family Assessment

Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following:

  • Demographic information
  • Presenting problem
  • History or present illness
  • Past psychiatric history
  • Medical history
  • Substance use history
  • Developmental history
  • Family psychiatric history
  • Psychosocial history
  • History of abuse and/or trauma
  • Review of systems
  • Physical assessment
  • Mental status exam
  • Differential diagnosis
  • Case formulation
  • Treatment plan

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

 
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Forms And Family Funcions

utilized for   the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused   functional assessment. The questionnaire must include three   open-ended, family-focused questions to assess functional health   patterns for each of the following:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping
 
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Describe the health care organization or network.

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

  1. Describe the health care organization or network.
  2. Describe the organization’s overall readiness based on your findings.
  3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
  4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
  5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite

 
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