Cuarteto [Pin It] 1. A 66-year-old male presents to the emergency department accompanied by his wife who claims that he has been acting confused. The man is complaining of a sudden onset of severe weakness and malaise and has a dry cough and diarrhea. His temperature is 102.8°F and his blood work indicates his sodium level is 126 mEq/L (normal is 135 to 145 mEq/L). What will be the assessing nurse practitioner’s most likely suspicion? (Points : 0.4) Bronchopneumonia Mycoplasma pneumonia Legionnaire disease Pneumococcal pneumonia Question 2. 2. A 51-year-old female patient who is 2 days postoperative on a surgical unit of a hospital is at risk for developing atelectasis as a result of being largely immobile. Which of the following teaching points by her nurse practitioner is most appropriate? (Points : 0.4) “Being in bed increases the risk of fluid accumulating between your lungs and their lining, so it’s important for you to change positions often.” “You should breathe deeply and cough to help your lungs expand as much as possible while you’re in bed.” “Make sure that you stay hydrated and walk as soon as possible to avoid our having to insert a chest tube.” “I’ll prescribe bronchodilator medications that will help open up your airways and allow more oxygen in.” Question 3. 3. Which of the following situations would be most deserving of a pediatrician’s attention? (Points : 0.4) The mother of an infant 2 days postpartum notes that her baby has intermittent periods of hyperventilation followed by slow respirations or even brief periods of apnea. A volunteer in the nursery notes that one of the infants, age 2 weeks, appears unable to breathe through his mouth, even when his nose is congested. A neonate is visibly flaring her nostrils on inspiration. A midwife notes that a newborn infant’s chest is retracting on inspiration and that the child is grunting. Question 4. 4. A 77-year-old lifetime smoker has been diagnosed with a tumor in his lung at the site of an old tubercle scarring site, located in a peripheral area of his bronchiolar tissue. What is this patient’s most likely diagnosis? (Points : 0.4) Squamous cell carcinoma Small cell lung cancer Large cell carcinoma Adenocarcinoma Question 5. 5. Which of the following phenomena is most likely occurring during a child’s alveolar stage of lung development? (Points : 0.4) Terminal alveolar sacs are developing and surfactant production is beginning. A single-capillary network exists and the lungs are capable of respiration. The conducting airways are formed, but respiration is not yet possible. Primitive alveoli are formed and the bronchi and bronchioles become much larger. Question 6. 6. Which of the following residents of a long-term care facility is most likely to be exhibiting the signs and symptoms of chronic obstructive pulmonary disease (COPD)? (Points : 0.4) A 79-year-old lifetime smoker who is complaining of shortness of breath and pain on deep inspiration An 81-year-old smoker who has increased exercise intolerance, a fever, and increased white blood cells An 81-year-old male who has a productive cough and recurrent respiratory infections An 88-year-old female who experiences acute shortness of breath and airway constriction when exposed to tobacco smoke Question 7. 7. Following a winter power outage, a patient who had been using a home gasoline generator began to experience dizziness and headaches and was diagnosed with carbon monoxide poisoning. What is the goal of hyperbaric oxygen treatment for carbon monoxide poisoning? (Points : 0.4) To increase the amount of oxygen dissolved in plasma To increase the production of unbound hemoglobin To stimulate the release of oxygen at the capillaries To remove bound CO from hemoglobin Question 8. 8. A male lifetime smoker has died as a result of chronic obstructive pulmonary disease. Which of the following phenomena regarding his alveoli would his care team have most reasonably expected in the weeks prior to his death? (Points : 0.4) Proliferation of natural killer (NK) cells in the alveolar lumen Large numbers of alveolar macrophages in septal connective tissue The presence of tubercles in the intra-alveolar spaces Compensatory regeneration of type I alveolar cells Question 9. 9. A 44-year-old woman developed calf pain during a transatlantic flight followed by acute shortness of breath upon arrival at her destination. She was subsequently diagnosed with a pulmonary embolism (PE), which resolved with anticoagulant therapy. Which of these statements best characterizes the underlying problem of her PE? (Points : 0.4) She was short of breath because ventilation was occurring but perfusion was inadequate. The combination of normal perfusion but compromised ventilation caused hypoxia. She developed a transient anatomic shunt resulting in impaired oxygenation. Impaired gas diffusion across alveolar membranes resulted in dyspnea and hypoxia. Question 10. 10. A 21-year-old male patient has suffered a head injury during a crash on his motorcycle, and a deficit that assessments have revealed is an impaired swallowing mechanism. He has also developed aspiration pneumonia. Which of the following statements most accurately capture an aspect of his condition? (Points : 0.4) His oropharynx is obstructed. His epiglottis is covering his larynx His vocal folds have been compromised. His tracheobronchial tree is intermittently obstructed. Question 11. 11. As a consequence of long-standing lung disease, a patient is in a chronic state of hypoxia. Which of the following phenomena would the patient’s nurse practitioner be most justified in anticipating? Select all that apply: (Points : 0.4) Metabolic alkalosis Increased erythropoietin production Pulmonary vasodilation Hyperventilation A shift to the right of the oxygen-hemoglobin dissociation curve Personality changes Question 12. 12. The mother of a 7-year-old boy who has recently been diagnosed with childhood asthma has come to the education center to learn more about her son’s condition. Which of the following teaching points is most justifiable? (Points : 0.4) “Research has shown that viruses may actually be a factor in many children’s asthma.” “The most reliable indicator that your child is having an asthma attack is audible wheezing.” “Steroids that your child can inhale will likely be the first line of defense. “Your son will likely need to limit or avoid exercise and sports.” Question 13. 13. Which of the following statements best conveys an aspect of the respiratory pressures that govern ventilation? (Points : 0.4) Intrapleural pressure slightly exceeds that of the inflated lung The chest wall exerts positive pressure on the lungs that contributes to expiration The lungs are prevented from collapsing by constant positive intrapulmonary pressure Negative intrapleural pressure holds the lungs against the chest wall Question 14. 14. A premature infant on mechanical ventilation has developed bronchopulmonary dysplasia (BPD) and is showing signs and symptoms of hypoxemia, low lung compliance, and respiratory distress syndrome (RDS). Which of the following is the most likely contributor to the infant’s present health problem? (Points : 0.4) High inspired oxygen concentration and injury from positive-pressure ventilation Failure to administer corticosteroids to the infant in utero Insufficient surfactant production and insufficient surfactant therapy Insufficient supplemental oxygen therapy Question 15. 15. Which of the following patients who presented to a walk-in medical clinic is most likely to be diagnosed with a rhinosinusitis rather than a common cold? (Points : 0.4) A man complaining of general fatigue, a headache, and facial pain with a temperature of 100.9°F A woman presenting with malaise, lethargy, and copious nasal secretions A man with a dry, stuffy nasopharynx, a sore throat, and temperature of 98.9°F A woman complaining of generalized aches who has a hoarse voice and reddened, painful upper airways Question 16. 16. A definitive test for cystic fibrosis is (Points : 0.4) The sweat test A sputum culture A fecal fat test A Chymex test for pancreatic insufficiency Question 17. 17. A patient who presented with shortness of breath and difficulty climbing stairs has been diagnosed with pulmonary fibrosis, a disease characterized by scarring of the alveoli. What would her care team anticipate when observing her breathing? (Points : 0.4) Rapid, deep breaths Wheezing breaths Short, shallow breaths Pursed-lip breaths Question 18. 18. Which of the following patients are NOT displaying known risk factors for the development of pulmonary emboli? (Points : 0.4) A patient who is immobilized following orthopedic surgery A patient who has impaired Cl– and Na+ regulation A patient who is taking amiodarone for the treatment of a cardiac arrhythmia A patient who is a smoker and takes oral contraceptives A patient who is undergoing radiation therapy for the treatment of breast cancer Question 19. 19. A female patient is requiring supplementary oxygen by facemask due to her reduced lung compliance. Which of the following pathophysiologic processes is most likely to be a contributor to her low lung compliance? (Points : 0.4) The woman’s lungs have more recoil than a healthy person’s. Her type II alveolar cells are producing a slight excess of surfactant. Turbulent airflow is taking place in the patient’s large airways. Her thoracic cage is less flexible than when she was healthy. Question 20. 20. A 71-year-old woman is dependent on oxygen therapy and bronchodilators due to her diagnosis of emphysema. Which of the following processes would her care team be most justified in ruling out? (Points : 0.4) Decreased elastic recoil due to alveolar damage Decreased residual lung volume due to impaired alveolar ventilation Increased anatomic dead space due to reduced tidal volume Increased alveolar dead space due to incorrect intrapleural pressure Question 21. 21. As a result of dehydration, a patient’s epithelial cells are producing insufficient amounts of mucus. Consequently, the patient’s mucociliary blanket is compromised. Which of the following changes would a care provider most reasonably anticipate as a direct result of this change? (Points : 0.4) Impaired function of the patient’s cilia Decreased levels of oxygen saturation Increased amounts of bacteria in the lungs Increased carbon dioxide levels Question 22. 22. A 3-year-old boy has developed croup following a winter cold. His nurse practitioner would recognize that which of the following causative microorganisms and treatments are most likely? (Points : 0.4) Respiratory syncytial virus; treatment with intubation Parainfluenza virus; treatment with a mist tent and oxygen therapy Haemophilus influenza; treatment with appropriate antibiotics Staphylococcus aureus; treatment with bronchodilators and a mist tent Question 23. 23. A short, nonsmoking middle-aged man presents to the emergency department with left-sided chest pain and a cough. He says that the pain started abruptly, just after lunch, and that breathing and coughing make it worse. He denies recent injury. He is breathing shallowly and rapidly and expresses fear that he may be having a heart attack. Breath sounds are normal, and he is not cyanotic. Which condition is most likely causing his symptoms? (Points : 0.4) Myocardial infarction Spontaneous pneumothorax Pleuritis related to infection Obstructive atelectasis Question 24. 24. Which of the following clinical findings would be most closely associated with a patient who has interstitial lung disease rather than COPD? (Points : 0.4) Audible wheezing on expiration Diminished expiratory flow rates Increased respiratory rate with decreased tidal volume Normal compliance of alveolar tissue Question 25. 25. A nurse practitioner is doing the admission assessment on a patient who has been transferred to the floor after being diagnosed by the emergency room physician with bilateral pleural effusion. Which of the following findings from the nurse practitioner’s initial assessment of the patient is incongruent with the patient’s diagnosis, and would require further investigation? (Points : 0.4) The patient complains of sharp pain exacerbated by deep inspiration. The patient’s breath sounds are diminished on auscultation. Pulse oximetry indicates that the patient is hypoxemic. The patient complains of dyspnea and increased work of breathing.

Cuarteto

1. A 66-year-old male presents to the emergency department accompanied by his wife who claims that he has been acting confused. The man is complaining of a sudden onset of severe weakness and malaise and has a dry cough and diarrhea. His temperature is 102.8°F and his blood work indicates his sodium level is 126 mEq/L (normal is 135 to 145 mEq/L). What will be the assessing nurse practitioner’s most likely suspicion? (Points : 0.4)

Question 2. 2. A 51-year-old female patient who is 2 days postoperative on a surgical unit of a hospital is at risk for developing atelectasis as a result of being largely immobile. Which of the following teaching points by her nurse practitioner is most appropriate? (Points : 0.4)

Question 3. 3. Which of the following situations would be most deserving of a pediatrician’s attention? (Points : 0.4)

Question 4. 4. A 77-year-old lifetime smoker has been diagnosed with a tumor in his lung at the site of an old tubercle scarring site, located in a peripheral area of his bronchiolar tissue. What is this patient’s most likely diagnosis? (Points : 0.4)

Question 5. 5. Which of the following phenomena is most likely occurring during a child’s alveolar stage of lung development? (Points : 0.4)

Question 6. 6. Which of the following residents of a long-term care facility is most likely to be exhibiting the signs and symptoms of chronic obstructive pulmonary disease (COPD)? (Points : 0.4)

Question 7. 7. Following a winter power outage, a patient who had been using a home gasoline generator began to experience dizziness and headaches and was diagnosed with carbon monoxide poisoning. What is the goal of hyperbaric oxygen treatment for carbon monoxide poisoning? (Points : 0.4)

Question 8. 8. A male lifetime smoker has died as a result of chronic obstructive pulmonary disease. Which of the following phenomena regarding his alveoli would his care team have most reasonably expected in the weeks prior to his death?

(Points : 0.4)

Question 9. 9. A 44-year-old woman developed calf pain during a transatlantic flight followed by acute shortness of breath upon arrival at her destination. She was subsequently diagnosed with a pulmonary embolism (PE), which resolved with anticoagulant therapy. Which of these statements best characterizes the underlying problem of her PE? (Points : 0.4)

Question 10. 10. A 21-year-old male patient has suffered a head injury during a crash on his motorcycle, and a deficit that assessments have revealed is an impaired swallowing mechanism. He has also developed aspiration pneumonia. Which of the following statements most accurately capture an aspect of his condition? (Points : 0.4)

Question 11. 11. As a consequence of long-standing lung disease, a patient is in a chronic state of hypoxia. Which of the following phenomena would the patient’s nurse practitioner be most justified in anticipating? Select all that apply: (Points : 0.4)

Question 12. 12. The mother of a 7-year-old boy who has recently been diagnosed with childhood asthma has come to the education center to learn more about her son’s condition. Which of the following teaching points is most justifiable? (Points : 0.4)

Question 13. 13. Which of the following statements best conveys an aspect of the respiratory pressures that govern ventilation? (Points : 0.4)

Question 14. 14. A premature infant on mechanical ventilation has developed bronchopulmonary dysplasia (BPD) and is showing signs and symptoms of hypoxemia, low lung compliance, and respiratory distress syndrome (RDS). Which of the following is the most likely contributor to the infant’s present health problem? (Points : 0.4)

Question 15. 15. Which of the following patients who presented to a walk-in medical clinic is most likely to be diagnosed with a rhinosinusitis rather than a common cold?

(Points : 0.4)

Question 16. 16. A definitive test for cystic fibrosis is (Points : 0.4)

Question 17. 17. A patient who presented with shortness of breath and difficulty climbing stairs has been diagnosed with pulmonary fibrosis, a disease characterized by scarring of the alveoli. What would her care team anticipate when observing her breathing? (Points : 0.4)

Question 18. 18. Which of the following patients are NOT displaying known risk factors for the development of pulmonary emboli?

(Points : 0.4)

Question 19. 19. A female patient is requiring supplementary oxygen by facemask due to her reduced lung compliance. Which of the following pathophysiologic processes is most likely to be a contributor to her low lung compliance? (Points : 0.4)

Question 20. 20. A 71-year-old woman is dependent on oxygen therapy and bronchodilators due to her diagnosis of emphysema. Which of the following processes would her care team be most justified in ruling out? (Points : 0.4)

Question 21. 21. As a result of dehydration, a patient’s epithelial cells are producing insufficient amounts of mucus. Consequently, the patient’s mucociliary blanket is compromised. Which of the following changes would a care provider most reasonably anticipate as a direct result of this change? (Points : 0.4)

Question 22. 22. A 3-year-old boy has developed croup following a winter cold. His nurse practitioner would recognize that which of the following causative microorganisms and treatments are most likely? (Points : 0.4)

Question 23. 23. A short, nonsmoking middle-aged man presents to the emergency department with left-sided chest pain and a cough. He says that the pain started abruptly, just after lunch, and that breathing and coughing make it worse. He denies recent injury. He is breathing shallowly and rapidly and expresses fear that he may be having a heart attack. Breath sounds are normal, and he is not cyanotic. Which condition is most likely causing his symptoms? (Points : 0.4)

Question 24. 24. Which of the following clinical findings would be most closely associated with a patient who has interstitial lung disease rather than COPD? (Points : 0.4)

Question 25. 25. A nurse practitioner is doing the admission assessment on a patient who has been transferred to the floor after being diagnosed by the emergency room physician with bilateral pleural effusion. Which of the following findings from the nurse practitioner’s initial assessment of the patient is incongruent with the patient’s diagnosis, and would require further investigation? (Points : 0.4)

lewin change model [Pin It] Review the following nursing scenario from the Agency for Healthcare Research and Quality.

Review the following nursing scenario from the Agency for Healthcare Research and Quality.

 

 

 

A 60-year-old female is admitted to the ward with a 2-day history of severe left lower abdominal pain and leukocytosis. Her white count is 13,000, and she has WBCs in her urinalysis. Two hours after admission, she begins to experience an acute exacerbation of her abdominal pain and is believed to have a diverticular perforation and acute abdomen. At this point, her physician decides to send her to the OR. The unit clerk is aware of the plan, but the patient’s nurse is not. The patient is transported to the OR. Moments later, the OR calls to report that the patient has no permits signed, nor have any other pre-op protocols been completed.

 

 

 

Create a plan using Lewin’s change model, documenting strategies needed to support Followership and Empowerment.

 

 

 

Note. Points are awarded based on the quality of the content submitted and the degree to which assignment expectations are met.

 

 

 

Content

7 points possible

Points possible

Points earned

Plan describes 3 changes required for improvement of situation

1

Provides rationale for each change for why these changes are necessary

1.5

Uses Lewin’s change model to explain the process of preparing the organization for the changes

1.5

Describes 2 courses of action used to develop momentum for changes

1.5

Explains how organization will reinforce changes

1.5

Format

2 point possible

Points possible

Points earned

Follows rules of grammar, usage, and punctuation

2

Has a structure that is clear, logical, and easy to follow

Total

9

Written Assignment – PICO and EBP [Pin It] https://content.learntoday.info/Learn/PN110_Fall_13/site/Media/EBP.pdf s://content.learntoday.info/Learn/PN110_Fall_13/site/Media/PICO_handout.pdf Using the format outlined on the PICO reference page in the Nursing Reference Center design your own question. (This may be related to something you are familiar with, or something you imagine to be an issue in nursing. It is BEST if you keep it simple!) Next research reliable data bases or websites and find three articles that are related to your PICO (these MUST BE referenced on your reference page). Analyze the articles – write one paragraph about the similarities and/or differences in the articles related to your PICO. Your Essay should be outlined by using steps 1-3 of the EBP process.

Written Assignment – PICO and EBP

https://content.learntoday.info/Learn/PN110_Fall_13/site/Media/EBP.pdf

 

s://content.learntoday.info/Learn/PN110_Fall_13/site/Media/PICO_handout.pdf

 

  • Using the format outlined on the PICO reference page in the Nursing Reference Center design your own question. (This may be related to something you are familiar with, or something you imagine to be an issue in nursing. It is BEST if you keep it simple!)
  • Next research reliable data bases or websites and find three articles that are related to your PICO (these MUST BE referenced on your reference page).
  • Analyze the articles – write one paragraph about the similarities and/or differences in the articles related to your PICO.

Your Essay should be outlined by using steps 1-3 of the EBP process.

Only information for Regulatory law in Healthcare… About 250 words! Please see attachment [Pin It] Only REGULATORY section.. the second law on the chart.. complete all information for Regulatory! Related to Healthcare! You can. Use Affordable Care Act or how ito related to another Healthcare act.. need 100% plagiarism free

Only information for Regulatory law in Healthcare… About 250 words! Please see attachment

Only REGULATORY section.. the second law on the chart.. complete all information for Regulatory! Related to Healthcare! You can. Use Affordable Care Act or how ito related to another Healthcare act.. need 100% plagiarism free

NURSE PRACTITIONER CORE COMPETENCIES

NONPF – 1 NURSE PRACTITIONER CORE COMPETENCIES April 2011 Task Force Members Anne C. Thomas, PhD, ANP-BC, GNP – Chair M. Katherine Crabtree, DNSc, FAAN, APRN-BC Kathleen R. Delaney, PhD, PMH-NP Mary Anne Dumas, PhD, RN, FNP-BC, FAANP Ruth Kleinpell, PhD, RN, FAAN, FCCM M. Cynthia Logsdon, PhD, WHNP-BC, FAAN Julie Marfell, DNP, FNP-BC, FAANP Donna G. Nativio, PhD, CRNP, FAAN Note: Terms in bold are defined within the glossary found at the end of the competencies. Preamble In August 2008, NONPF endorsed the evolution of the Doctorate of Nursing Practice (DNP) as the entry level for nurse practitioner (NP) practice (NONPF, 2008a). Nurse practitioner education, which is based upon the NONPF competencies, recognizes that the student’s ability to show successful achievement of the NONPF competencies for NP education is of greater value than the number of clinical hours the student has performed (NONPF, 2008b). The Nurse Practitioner Core Competencies (NP Core Competencies) integrate and build upon existing Master’s and DNP core competencies and are guidelines for educational programs preparing NPs to implement the full scope of practice as a licensed independent practitioner. The competencies are essential behaviors of all NPs. These competencies are demonstrated upon graduation regardless of the population focus of the program and are necessary for NPs to meet the complex challenges of translating rapidly expanding knowledge into practice and function in a changing health care environment. Nurse Practitioner graduates have knowledge, skills, and abilities that are essential to independent clinical practice. The NP Core Competencies are acquired through mentored patient care experiences with emphasis on independent and interprofessional practice; analytic skills for evaluating and providing evidence-based, patient centered care across settings; and advanced knowledge of the health care delivery system. Doctorally-prepared NPs apply knowledge of scientific foundations in practice for quality care. They are able to apply skills in technology and information literacy, and engage in practice inquiry to improve health outcomes, policy, and healthcare delivery. Areas of increased knowledge, skills, and expertise include advanced communication skills, collaboration, complex decision making, leadership, and the business of health care. The competencies elaborated here build upon previous work that identified knowledge and skills essential to DNP competencies (AACN 1996; AACN, 2006; NONPF & National Panel, 2006) and are consistent with the recommendations of the Institute of Medicine’s report, The Future of Nursing (IOM, 2011). At completion of the NP program, the NP graduate possesses the nine (9) core competencies regardless of population focus. NONPF – 2 Nurse Practitioner Core Competencies Scientific Foundation Competencies 1. Critically analyzes data and evidence for improving advanced nursing practice. 2. Integrates knowledge from the humanities and sciences within the context of nursing science. 3. Translates research and other forms of knowledge to improve practice processes and outcomes. 4. Develops new practice approaches based on the integration of research, theory, and practice knowledge Leadership Competencies 1. Assumes complex and advanced leadership roles to initiate and guide change. 2. Provides leadership to foster collaboration with multiple stakeholders (e.g. patients, community, integrated health care teams, and policy makers) to improve health care.. 3. Demonstrates leadership that uses critical and reflective thinking. 4. Advocates for improved access, quality and cost effective health care. 5. Advances practice through the development and implementation of innovations incorporating principles of change. 6. Communicates practice knowledge effectively both orally and in writing. Quality Competencies 1. Uses best available evidence to continuously improve quality of clinical practice. 2. Evaluates the relationships among access, cost, quality, and safety and their influence on health care. 3. Evaluates how organizational structure, care processes, financing, marketing and policy decisions impact the quality of health care. 4. Applies skills in peer review to promote a culture of excellence. 5. Anticipates variations in practice and is proactive in implementing interventions to ensure quality. Practice Inquiry Competencies 1. Provides leadership in the translation of new knowledge into practice. 2. Generates knowledge from clinical practice to improve practice and patient outcomes. 3. Applies clinical investigative skills to improve health outcomes. NONPF – 3 4. Leads practice inquiry, individually or in partnership with others. 5. Disseminates evidence from inquiry to diverse audiences using multiple modalities. Technology and Information Literacy Competencies 1. Integrates appropriate technologies for knowledge management to improve health care. 2. Translates technical and scientific health information appropriate for various users’ needs. 2a). Assesses the patient’s and caregiver’s educational needs to provide effective, personalized health care. 2b). Coaches the patient and caregiver for positive behavioral change. 3. Demonstrates information literacy skills in complex decision making. 4. Contributes to the design of clinical information systems that promote safe, quality and cost effective care. 5. Uses technology systems that capture data on variables for the evaluation of nursing care. Policy Competencies 1. Demonstrates an understanding of the interdependence of policy and practice. 2. Advocates for ethical policies that promote access, equity, quality, and cost. 3. Analyzes ethical, legal, and social factors influencing policy development. 4. Contributes in the development of health policy. 5. Analyzes the implications of health policy across disciplines. 6. Evaluates the impact of globalization on health care policy development. Health Delivery System Competencies 1. Applies knowledge of organizational practices and complex systems to improve health care delivery. 2. Effects health care change using broad based skills including negotiating, consensus-building, and partnering. 3. Minimizes risk to patients and providers at the individual and systems level. 4. Facilitates the development of health care systems that address the needs of culturally diverse populations, providers, and other stakeholders. NONPF – 4 5. Evaluates the impact of health care delivery on patients, providers, other stakeholders, and the environment. 6. Analyzes organizational structure, functions and resources to improve the delivery of care. Ethics Competencies 1. Integrates ethical principles in decision making. 2. Evaluates the ethical consequences of decisions. 3. Applies ethically sound solutions to complex issues related to individuals, populations and systems of care. Independent Practice Competencies 1. Functions as a licensed independent practitioner. 2. Demonstrates the highest level of accountability for professional practice. 3. Practices independently managing previously diagnosed and undiagnosed patients. 3a). Provides the full spectrum of health care services to include health promotion, disease prevention, health protection, anticipatory guidance, counseling, disease management, palliative, and end of life care. 3b). Uses advanced health assessment skills to differentiate between normal, variations of normal and abnormal findings. 3c). Employs screening and diagnostic strategies in the development of diagnoses. 3d). Prescribes medications within scope of practice. 3e). Manages the health/illness status of patients and families over time. 4. Provides patient-centered care recognizing cultural diversity and the patient or designee as a full partner in decision-making. 4a). Works to establish a relationship with the patient characterized by mutual respect, empathy, and collaboration. 4b). Creates a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, mutual trust, and respect. 4c). Incorporates the patient’s cultural and spiritual preferences, values, and beliefs into health care. 4d). Preserves the patient’s control over decision making by negotiating a mutually acceptable plan of care. NONPF – 5 GLOSSARY OF TERMS Care processes: Actions or changes that occur during the delivery of health care. Clinical investigative skills: Those skills needed to conduct inquiry of practice questions/therapies, evaluate discovered evidence, and then translate it into practice. Cultural diversity: Common beliefs, values, practices and behaviors shared by multiple subgroups or individuals. Culture of excellence: The environment developed through the internalization of core values and a shared commitment in which the highest standards of personal integrity, professionalism, and clinical expertise are upheld. Evidence-based practice: The “conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. Individual clinical expertise is integrated with the best available external evidence from systematic research.” (modified from Sackett, 1996). Globalization: The interrelated influence of actions, resources, cultures, and economies across nations. Health policy: The set of decisions pertaining to health whether made at local, state, national, and global levels that influences health resource allocation. Independent practice: Recognizes independent licensure of nurse practitioners who provide autonomous care and promote implementation of the full scope of practice. Independently: Having the educational preparation and authority to make clinical decisions without the need or requirement for supervision by others. Information literacy: The use of digital technology, communications tools, and/or networks to access, manage, integrate, evaluate, create, and effectively communicate information. Interprofessional practice: Occurs when multiple health workers from different professional backgrounds work together with patients, families, and communities to deliver the highest quality of care. Interprofessional education: When two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes. Knowledge management: Strategies that identify, create, represent, distribute, and enable the efficient use of all types of information. Licensed independent practitioner: An individual with a recognized scientific knowledge base that is permitted by law to provide care and services without direction or supervision. Quality care: The degree to which health services to individuals and populations increase the desired health outcomes consistent with professional knowledge and standards. Quality care also means avoiding underuse, overuse, and misuse of health care services. Patient centered care: Care based on a partnership between the patient and health care provider that is focused on the patient’s values, preferences, and needs. Peer review: Evaluation of the processes and/or outcomes of care by professionals with similar knowledge, skills and abilities. NONPF – 6 REFERENCES Agency for Healthcare Research and Quality. Guide to Health Care Quality. Retrieved on July 1, 2010 from http://www.ahrq.gov/consumer/guidetoq/ American Association of Colleges of Nursing. (1996). The Essentials of Master’s Education for Advanced Practice Nursing. Retrieved on July 1, 2010 from http://www.aacn.nche.edu/Education/pdf/MasEssentials96.pdf American Association of Colleges of Nursing. (2006). The Essentials of Doctoral Education for Advanced Nursing Practice. Retrieved on July 1, 2010 from http://www.aacn.nche.edu/dnp/pdf/essentials.pdf Gibson, C. (2004). Information literacy develops globally: The role of the national forum on information literacy. Knowledge Quest, 32(4), 16-18. Information Literacy Summit 2006: American Competitiveness in the Internet Age. Retrieved on July 15, 2010 from http://www.infolit.org/reports.html.interprofessional Institute of Medicine. (2011). The Future of Nursing: Leading change, advancing health. Washington, DC: The National Academies Press. Institute of Medicine. (2001). Crossing the Quality Chasm: A new health system for the 21st century. Washington, DC: Institute of Medicine. NONPF. (2006). Domains and Core Competencies of Nurse Practitioner Practice. Washington, D.C.: NONPF. NONPF & National Panel for NP Practice Doctorate Competencies. (2006). Practice Doctorate Nurse Practitioner Entry Level Competencies. Retrieved on October 19, 2010, from http://www.nonpf.org/associations/10789/files/DNP%20NP%20competenciesApril2006.pdf NONPF (2008 a). Eligibility for NP Certification for Nurse Practitioner Students In Doctor of Nursing Practice Programs. In: Clinical Education Issues in Preparing Nurse Practitioner Students for Independent Practice: An ongoing series of papers. (2010). Retrieved on October 19, 2010, from http://www.nonpf.org/associations/10789/files/ClinicalEducationIssuesPPRFinalApril2010.pdf NONPF (2008 b). Clinical Hours for Nurse Practitioner Preparation in Doctor of Nursing Practice Programs. In: Clinical Education Issues in Preparing Nurse Practitioner Students for Independent Practice: An ongoing series of papers. (2010). Retrieved on October 19, 2010, from http://www.nonpf.org/associations/10789/files/ClinicalEducationIssuesPPRFinalApril2010.pdf Sackett, D. L., Rosenberg, W. C., Gray, J.A.M., & Haynes, R. B. (1996). Evidence Based Medicine: What it is and What It Isn’t. British Medical Journal, 312: 71-72. World Health Organization. (2010). Framework for action on Interprofessional Education and Collaborative Practice. Retrieved on October 19, 2010 from http://www.who.int/hrh/resources/framework_action/en/index.html

Capstone Topic for Health care Administration [Pin It] This is an ongoing project I need a Capstone topic and Abstract for Health care administration Type your introduction. Remember to include an overview of what your manuscript aims to do (e.g. research a problem, identify a new management concept, etc.). This should be one paragraph in length. Type your references, Remember that any reference in your reference list must be present in your paper in the form of a citation (Author, year). Likewise, any citation in your paper must be present in your reference list. You need a minimum of five (5) scholarly references. APA format

Capstone Topic for Health care Administration

This is an ongoing project

 

I need a Capstone topic and Abstract for Health care administration

 

Type your introduction. Remember to include an overview of what your manuscript aims to do (e.g. research a problem, identify a new management concept, etc.). This should be one paragraph in length.

 

Type your references, Remember that any reference in your reference list must be present in your paper in the form of a citation (Author, year). Likewise, any citation in your paper must be present in your reference list. You need a minimum of five (5) scholarly references.

 

APA format

Start being very specific – relate this to a patient safety issue – or HAC or NPSG. Make sure in the intro you tell the reader what you are going to focus on – which subject NPSG HAC etc. When you post / save your document Continue to use the area of improvement selected in the Week Three QI Plan Part l assignment to complete the following section of the QI plan. Write a 1,400- to 1,750-word paper in which you complete the following for the area of improvement:Productivity management Improvement Methodologies Analyze each methodology you researched. Explain the pros and cons of each methodology for your chosen area of improvement. Choose one of these methodologies for your organizational QI plan and explain why you chose this methodology over others. Information Technology Analyze each information technology application you researched. Analyze how these applications will be used to help improve the area of improvement you have chosen. Benchmarking Analyze how benchmarks and milestones are involved in managing the use of quality indicators. Analyze three potential benchmarks and milestones from quality indicators that could be used for your plan. Mission, Vision, Strategic, and Operational Plans Analyze how performance and quality measures are aligned to an organization’s mission, vision, and strategic plan in general. Analyze how the measures are aligned with the mission, vision, and strategic plan of an organization. Barriers Challenges Analyze barriers that can interfere with the implementation or revision of quality measures. Successful Implementation Implementation Analyze strategies to ensure successful implementation of new quality measures. Cite at least 3 sources according to APA guidelines to support your information. Click the Assignment Files tab to submit your assignment.

Start being very specific – relate this to a patient safety issue – or HAC or NPSG. Make sure in the intro you tell the reader what you are going to focus on – which subject NPSG HAC etc.

When you post / save your document

 

Continue to use the area of improvement selected in the Week Three QI Plan Part l assignment to complete the following section of the QI plan.

Write a 1,400- to 1,750-word paper in which you complete the following for the area of improvement:Productivity management

 

  • Improvement Methodologies
    • Analyze each methodology you researched. Explain the pros and cons of each methodology for your chosen area of improvement.
    • Choose one of these methodologies for your organizational QI plan and explain why you chose this methodology over others.
  • Information Technology
    • Analyze each information technology application you researched.
    • Analyze how these applications will be used to help improve the area of improvement you have chosen.
  • Benchmarking
    • Analyze how benchmarks and milestones are involved in managing the use of quality indicators.
    • Analyze three potential benchmarks and milestones from quality indicators that could be used for your plan.
  • Mission, Vision, Strategic, and Operational Plans
    • Analyze how performance and quality measures are aligned to an organization’s mission, vision, and strategic plan in general.
    • Analyze how the measures are aligned with the mission, vision, and strategic plan of an organization.
  • Barriers
    • Challenges
      • Analyze barriers that can interfere with the implementation or revision of quality measures.
  • Successful Implementation
    • Implementation
      • Analyze strategies to ensure successful implementation of new quality measures.

Cite at least 3 sources according to APA guidelines to support your information.

Click the Assignment Files tab to submit your assignment.

Building on the work that you started in Week 2, for all three groups of learners: Write several broad instructional goals for the educational experience. Write several behavioral objectives based on Bloom’s taxonomy. Describe the lesson content. Provide a sequence for teaching activities. Describe instructional methods. Indicate time allotted for each activity. Identify and describe the instructional resources (materials, tools, etc.) and technology to be used. Describe how the learning will be evaluated. On a separate references page, cite all sources using APA format. Use this APA Citation Helper as a convenient reference for properly citing resources. This handout will provide you the details of formatting your essay using APA style. You may create your essay in this APA-formatted template Submit your response in a 5- to 6 -page paper

Building on the work that you started in Week 2, for all three groups of learners:

  • Write several broad instructional goals for the educational experience.
  • Write several behavioral objectives based on Bloom’s taxonomy.
  • Describe the lesson content.
  • Provide a sequence for teaching activities.
  • Describe instructional methods.
  • Indicate time allotted for each activity.
  • Identify and describe the instructional resources (materials, tools, etc.) and technology to be used.
  • Describe how the learning will be evaluated.

On a separate references page, cite all sources using APA format.

The Affordable Care Act [Pin It] Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon. Share with the class implementation of the Affordable Care Act in your organization. (If you are not working as a nurse, think about what was happening when you were a prelicensure student). How did your fellow healthcare workers react to implementation of the ACA? How were citizens in your community impacted? REFERENCES:

The Affordable Care Act

Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon.

  1. Share with the class implementation of the Affordable Care Act in your organization. (If you are not working as a nurse, think about what was happening when you were a prelicensure student).
  2. How did your fellow healthcare workers react to implementation of the ACA?
  3. How were citizens in your community impacted?
REFERENCES:

Prior to engaging in this discussion, read Chapter 6 in your text, watch the Noel Bairey Merz: The Single Biggest Health Threat Women Face and the Go Red for Women Presents: ‘Just a Little Heart Attack’videos, and review the Instructor Guidance. Analyze the new research indicating that heart disease may affect females more than males and comment upon how gender impacts our behaviors related to disease. How has the fact that most prior research has studied heart disease in males changed the ways in which women perceive the risks of heart disease and heart attacks? Considering the videos, using Bronfenbrenner’s Ecological Model, what sociocultural beliefs contribute to the increased risk for heart attacks in women? Provide a statement from at least one of the required and/or recommended resources that supports your reasoning. Guided Response: Read several of your classmates’ posts and respond to two of your peers. Comment upon some of the differences you found in your classmate’s post. What specific sociocultural beliefs did they describe with which you may have had personal experience? If you or someone in your life were to suffer a heart attack or be diagnosed with cardiovascular disease, how might your opinions differ? Would your gender (or the gender of the person in your life) make a difference in how you would react and/or change your mind? Why, or why not? Carefully review the Discussion Forum Grading Rubric for the criteria that will be used to evaluate this Discussion Thread.

Prior to engaging in this discussion, read Chapter 6 in your text, watch the Noel Bairey Merz: The Single Biggest Health Threat Women Face and the Go Red for Women Presents: ‘Just a Little Heart Attack’videos, and review the Instructor Guidance.

Analyze the new research indicating that heart disease may affect females more than males and comment upon how gender impacts our behaviors related to disease. How has the fact that most prior research has studied heart disease in males changed the ways in which women perceive the risks of heart disease and heart attacks?   Considering the videos, using Bronfenbrenner’s Ecological Model, what sociocultural beliefs contribute to the increased risk for heart attacks in women?  Provide a statement from at least one of the required and/or recommended resources that supports your reasoning.

Guided Response: Read several of your classmates’ posts and respond to two of your peers.  Comment upon some of the differences you found in your classmate’s post. What specific sociocultural beliefs did they describe with which you may have had personal experience? If you or someone in your life were to suffer a heart attack or be diagnosed with cardiovascular disease, how might your opinions differ? Would your gender (or the gender of the person in your life) make a difference in how you would react and/or change your mind? Why, or why not?

Carefully review the Discussion Forum Grading Rubric for the criteria that will be used to evaluate this Discussion Thread.