Of the three change models—PDSA, Kotter, or Rogers—which would you choose to use and why? What makes the other two less useful? What influence did your leadership profile have on your choices?

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Hayden Week 6

You are the CNO of your current healthcare organization and have been told that the current organizational structure of the nursing department is “top heavy,” resulting in financial loss for the institution in the last fiscal year. You’ve been instructed to restructure the department to flatten the line to reduce expenses. You must decide how you will do it and how you will implement the change.

Describe the decision-making framework or model you will choose and the rationale for choosing it.

Of the three change models—PDSA, Kotter, or Rogers—which would you choose to use and why? What makes the other two less useful? What influence did your leadership profile have on your choices?

Summarize five new key data collection terms that you found in the research reports that you are using in your proposal. Discuss the advantages and potential bias of the data collection methods used in the research reports.

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Module 5: Discussion — Data Collection, Quality and Measurement

Summarize five (5) new key data collection terms (starts on p.167) that you found in the research reports that you are using in your proposal. Discuss the advantages and potential bias of the data collection methods used in the research reports.

Read a research report for critique. In your own words, list one strength and one weakness of the data collection method if any.

Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?

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Communicable Disease Chain

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

Communicable Disease Selection

Chickenpox
Tuberculosis
Influenza
Mononucleosis
Hepatitis B
HIV
Ebola
Measles
Polio
Influenza
Epidemiology Paper Requirements

Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.

Describe the social determinants of health and explain how those factors contribute to the development of this disease.

Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?

Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.

Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.

Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

What factors might you consider in supporting Mr. Smith’s self-care?

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Case Study Analysis Journal – Mr. Smith

Journal Prompt

You are conducting an assessment with Mr. Smith 45 years old known Diabetic with visual impairment. You gathered information that reveals that he is homeless and spends nights in a local shelter. He is unable to comply with his diabetes medication or ensure adequate diet to control his blood sugar. What factors might you consider in supporting Mr. Smith’s self-care?

Post your response in 250-500 words and use APA referencing for citations.

In reference to RNAO BPG recommendations in enhancing healthy adolescent development, what should be discussed to help support his feelings and need to belong?

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Case Study Analysis Journal – Adolescence & Need to Belong

Journal Prompt

A sixteen-year-old Don wants very much to belong and to be accepted by his peers. He expresses concern when his peers begin to plan a party with alcohol and drugs. In reference to RNAO BPG recommendations in enhancing healthy adolescent development, what should be discussed to help support his feelings and need to belong?

RNAO. (2002). Enhancing healthy adolescent development: Summary of recommendations. (pp. 8-10). https://rnao.ca/sites/rnao-ca/files/storage/related/588_BPG_Adolescent_summary_.pdf

Post your response in 250-500 words and use APA referencing for citations.

Identify an individual who uses herbal/nutritional supplement/element therapy from the list above and conduct an interview. Describe the individual’s perception of how the supplement impacts his or her health, including benefits realized and any side effects or adverse reactions.

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Herbal and Nutritional Supplements: Where is the Proof ?

Instructions

Review the rubric to make sure you understand the criteria for earning your grade.

For this discussion, address the following prompts. Please write paper as if you are the one being interviewed.
You will conduct an interview with a consumer of an herbal or a nutritional supplemental, or an element such as a vitamin or mineral. You will present the results of the interview and compare what the person told you with scientifically-based research findings for your classmates as part of your initial discussion.

Watch the film by Dr. Bauer, Herbal Supplements, Segment 3 of The Science of Integrative Medicine. You may need to create a Kanopy account, which is a free account.
Peruse and use applicable portions of Part 3: Evaluating Alternative Therapies of the textbook The Biblical Guide to Alternative Medicine, Chapter 18.
Read the article, “Using Dietary Supplements Wisely” at the National Center for Complementary and Integrative Health (NCCIH) website.
Read the description of the Dietary Supplemental Health and Education Act of 1994.
Explore a topic using the National Center for Complementary and Integrative Health (NCCIH)
or another reputable website
Read the article (Optional), “CR Reports: Tumeric and Echinecea”
View the video (Optional) Self-Medicating: Herbal Supplements
View the video (Optional) Inside the Pill: Startling Facts about Dietary Supplements. Note: You may need to log in with your MyIWU login.

Select one of the following herbs/elements to investigate (select only one):
Nutritional supplements, e.g., high protein drinks to ‘build muscle’
Other nutritional supplements for common conditions such as high lipids, hot flashes, tinea pedis, arthritis, etc.
Vitamins/mega vitamins
Energy drinks
Essential oils/ aromatherapy: e.g., lavender to help sleep
Medicinal marijuana

Identify an individual who uses herbal/nutritional supplement/element therapy from the list above and conduct an interview. In the report, include the following information:
A succinct synopsis of the health need of the individual, the herbal/nutritional supplement element they use, and the person’s rationale for its use. (Protect the interviewee’s identity by not including a name or disclosing how you know them, but include their age and gender).

Describe the individual’s perception of how the supplement impacts his or her health, including benefits realized and any side effects or adverse reactions.
Based on your review of related literature and evidence-based findings (suggestions for resources are above), clearly state what you learned about the following:
Reasons he or she uses the supplement/element, and the resultant health impact
Efficacy of the supplement or element and health benefits vs. what the interviewee’s perceived the benefits were
Safety of the product

Health risks and contraindications
Side effects\interactions with other traditionally prescribed pharmacological agents
Record the interviewee’s responses as a personal communication (See APA Manual, pp. 260-261). NO NEED TO DO INTERVIEW OR RECORD
Write another paragraph in which you share your findings about the significance of the Dietary Supplement Health Education Act (DSHEA).
Explain what DSHEA is and whether you think it is effective in protecting the citizens of the U.S.
Explain how DSHEA affected the availability of the herb\element you discussed in your post.

Analyze and group the related cues. What is the significance of the information that you gathered? What problem(s) were you able to identify? Which concept and interrelated concepts do the problems relate with?

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Case study

CONCEPTUAL APPROACH to NURSING PROCESS for CLINICAL JUDGMENT
By Manny Ramos based on Tanner’s Model of Clinical Judgment

ASSESSMENT
• Noticing: What cues do you notice on the patient and their environment that are of concern?

IDENTIFY PROBLEM
• Interpreting:
o Analyze and group the related cues.
o What is the significance of the information that you gathered?
o What problem(s) were you able to identify?
o Which concept and interrelated concepts do the problems relate with?

PLANNING
• Responding:
o How will the problem(s) be solved?
o What are the goals of patient care?
o What evidence–based information will you include in planning the care of your patient?
o Write the nursing and collaborative plans of intervention that address the problem(s) to achieve the goals of care.

IMPLEMENTATION
• Responding: Implement the plan of care

EVALUATION
• Reflecting:
o What were the outcomes of the interventions?
o Were the goals met?
o Were the problems resolved?
o Which interventions worked and did not work?
o What would you do differently?

Differentiate the following teaching/ patient education; Advanced practice nurse guidance (including anticipatory guidance); and Advance Practice Nurse coaching. Are there similarities and differences between these three? How are these three interventions incorporated into APN practice?

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Advance Practice Nurse coaching/guidance

Tracy, M.F., & O’Grady, E.T. (2019). Hamric and Hanson’s Advanced practice nursing; An integrative approach, (6th edition). St. Louis, MO, Elsevier.

Chapter 8: Guidance and coaching

Differentiate the following teaching/ patient education; Advanced practice nurse guidance (including anticipatory guidance); and Advance Practice Nurse coaching. Are there similarities and differences between these three? How are these three interventions incorporated into APN practice?

Increased pressure to manage care for a larger number of patients impedes the development of the role of an advanced practice nurse?

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Role of an advanced practice nurse

Role development issues that may impact ANP’s ability to transition and practice to their full extent of skills and training

1. Increased pressure to manage care for a larger number of patients impedes the development of the role of an advanced practice nurse?

2. Role conflict between nurses and APNs or physicians and APNs could impede the development of the role of an advanced practice nurse?

Compose an essay on why have you elected to pursue a career in vocational nursing? What are your nursing goals after graduation?

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Nursing goals after graduation

In 1500 characters (not words) or less answer the following questions: compose an essay on why have you elected to pursue a career in vocational nursing? What are your nursing goals after graduation?