Identify members of the interprofessional team that will be vital for addressing this issue.

Topic : Creating a Just Culture

Follow these instructions for writing your Issues Facing Healthcare Leaders Paper. Keep the paper within a 10-12 page limit (excluding title page, abstract, attachments, and reference list). The paper should include at least 12 references*, including at least one non-nursing reference, and address all of the following criteria.

We have developed Library pages that are specific for this course. They include things such as resources related to your assignments, the ways of knowing, and more! Please refer to the Library’s Course Page (Links to an external site.) for assistance.

Note: Scholarly literature (including scholarly articles, white papers, and scholarly websites) integrated within this paper should come from the most current nursing or related literature (published no more than 5 years ago); however, older works may be included if it is a seminal source or where there is a gap in the literature.

Instructions:

Title Page
Abstract

Introduction (not labeled as such in APA format) – 5 points
Introduce the topic of the paper.
Include a thesis statement that describes the purpose of the paper.
Scope of Issue – Apply critical analysis to the issue – 20 points
Provide a description of this issue
Include:
Background
Synthesize current literature regarding this issue
Stakeholders
Why you think it is such a vital issue at this time and for the future.
Describe how addressing this issue will improve healthcare outcomes.
Nursing’s Role – 10 points
Discuss the role of nursing related to this issue.
Describe the ethical considerations facing nursing concerning this issue.
Relate what nursing leaders are currently doing with regards to this issue.
Discuss why nursing leadership needs to further address this issue.
Leadership – 10 points
Describe aspects of effective leadership.
Discuss what leadership strategies need to be employed to address this issue.
Describe how you will garner support for the proposed solutions.
Interprofessional Collaboration – 10 points
Describe how interprofessional collaboration will be needed to address this issue.
Identify members of the interprofessional team that will be vital for addressing this issue.
Solutions – 25 points
Propose 3 innovative solutions to the issue that are based on evidence and best practices.
Create goals and strategies related to each solution.
Describe the metrics that will be used to measure the success of these solutions.
Discuss how addressing this issue will contribute to a better model of healthcare.
Conclusion (less than a page). Present a brief and succinct description of the key elements of the paper.
Integration of Evidence and Theory – 10 points
Integrate credible, relevant sources to support ideas appropriate for the assignment.

Consistently use information in ways that are true to original context. Always distinguish between own ideas or common knowledge and ideas requiring attribution.

Scholarly articles integrated within the paper meet the following standards:
Provide the required number of references (minimum of 12)
Most nursing-specific or nursing-related
Provide the required number of references from a discipline outside nursing (minimum of 1).
Published within 5 years OR published beyond 5 years if seminal source or gap in the literature.
Organization, writing style, grammar, usage, mechanics, formatting, and length – 10 points
Follow APA Guidelines for title page, abstract, headings and subheadings, citations, and references. The presentation and style of the paper are consistent with scholarly work and reflect use of APA format (7th ed.) Page Limit: 10-12 pages
Use clear structure as outlined in the assignment with all components present, including brief and succinct abstract, introduction, and conclusion.
Use straightforward, clear, concise, nearly error-free language that conveys meaning to readers.
Conform to APA formatting standards, with only minor deviations.

Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.

Interview and Interdisciplinary Issue Identification

For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.

When submitting your plan, use the Interview and Issue Identification Template [DOCX], which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.

Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

Summarize an interview focused on past or current issues at a health care organization.

Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.

Describe potential change theories and leadership strategies that could inform an interdisciplinary solution to an organizational issue.

Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.

Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.

What cultural and age-related factors may have a bearing on the patient’s plan of care?

4 discussion responses

Respond to these discussion posts, in 125 words and at least one reference.

1. What major outcomes do you expect to achieve for this patient?
In the case of Mr. Z, the major outcomes expected are improved ventilation and oxygenation of tissues, normal ABGs, optimal gas exchange, absence of respiratory distress, and prevention of severe complications. (Eshwara et al., 2020)

What interventions must be initiated to monitor, prevent, manage, or eliminate the problems and risks identified?
Due to increased respiratory rate of 40 breaths per minute, multilobar infiltrates, and COPD, severe community-acquired pneumonia (SCAP) and systemic infection would be imminent if left untreated. Antibiotic therapy specific to addressing streptococcus pneumoniae must be initiated immediately as well as oxygen therapy appropriate for comorbidity of chronic obstructive pulmonary disease (COPD). Fluid resuscitation should be used if systolic pressure is less than 90 mmHg or diastolic below 60 mmHg. Frequent reassessment should be done to evaluate present treatment modalities and to detect changes in current condition. (Eshwara et al., 2020; Metlay et al., 2019)

What interventions should be initiated to promote optimal functioning, safety, and well-being of the patient?
Until symptoms of respiratory distress subside, patient should be on continuous monitoring of vital signs and oxygen therapy. Additionally, fall precautions should be implemented and bed rest encouraged (Pneumonia in Adults, 2019). Nicotine replacement therapy and in-patient counseling should be considered as symptoms of severe tobacco withdrawal may become evident during hospitalization (Wolfenden et al., 2003).

What possible learning needs do you anticipate for this patient?
The patient should be educated on how COPD and smoking can contribute and exacerbate community-acquired pneumonia. The typical course of expected improvement once discharged should also be discussed so that the patient understands that it may be several months until pneumonia symptoms resolve. Once eligible, the patient should be educated on the benefits of the pneumococcal vaccine. (Norris, 2018; Pneumonia in Adults, 2019)

What cultural and age-related factors may have a bearing on the patient’s plan of care?
According to Cunha, risk factors for severe pneumonia increase with age due to pathologic changes in the immune system and lungs. Elderly patients have decreased mucociliary function and impaired B-lymphocyte function which leave them more susceptible to infections with encapsulated pathogens like streptococcus pneumoniae (2001). It is also important to assess Mr. Z’s attitude and belief system as it relates to implementing lifestyle changes like smoking cessation (Narayan, 2003).

2. What major outcomes do you expect to achieve for this patient?
Mr.Z clinical presentation indicates a systemic inflammatory response. The major outcomes that would be expected would be a return to stable vital signs, absence of fever and normalization of the arterial blood gas. The work of breathing will return to normal which should help the anxiety and agitation. The patient would return to baseline function and be able to perform activities of daily living without complications. Once respiratory status improves Mr.Z will be able tolerate food intake without any gastrointestinal complications.
What interventions must be initiated to monitor, prevent, manage, or eliminate the problems and risks identified?
The patients’ respiratory status must be addressed, the arterial blood gas indicates respiratory alkalosis from hyperventilation, but the PO2 is not critically low, concern would be due the increased work of breathing endotracheal intubation may be indicated although with the patients’ history of COPD being able to wean off the ventilator may be difficult as that 61% of those with COPD fail weaning from the ventilator (Kuo et al., 2016).Bipap may be used before proceeding with intubation, a small dose of sedation could also be tried to manage the patients anxiety and compliance with Bipap. Fever management is also indicated to reduce the metabolic demand on the body to help improve oxygenation (Norris, 2019). Treatment for pneumococcal pneumonia is assumed to have been started that include antibiotics along with fluids as the indicated treatment for sepsis. The patients vital signs must be continuously monitored, would need to be transferred to the intensive care unit for continuous monitoring, vasopressors may be required if the patient mean arterial pressure drops below 65mmHg. Lastly due to the history of smoking a nicotine patch may also help some of the patients anxiety to prevent nicotine withdrawal.

What interventions should be initiated to promote optimal functioning, safety, and well-being of the patient?

Mr.Z is at risk for decline due to his mentation. A patient sitter may be indicated to keep him from removing his bipap mask. If a sitter is not effective, mittens may be used and escalate to wrist restraints if needed. Oral care must be completed, breaks from the bipap could be done for food and drink if tolerated, if not tolerated then Mr. Z could be assessed for total parental nutrition. Toileting should be frequently monitored, a urinary catheter may be inserted if the Mr. Z is unable to use a urinal as a result of the shortness of breath.

What possible learning needs do you anticipate for this patient?

Smoking cessation will be required to address once Mr. Z mentation improves and is indicates willingness to learn. Smoking alters the normal flora within the tracheobronchial tree which places an individual at higher risk for infection (Norris, 2019). The vaccination status of Mr. Z would need to be assessed and education on the importance of receiving the pneumococcal pneumonia vaccination due to the patient’s risk factors which include COPD and smoking.

What cultural and age-related factors may have a bearing on the patient’s plan of care?
Being a white male from the scenario, there might be some resistance with of lifestyle due to the era from which he grew up in. Age related factors included difficulty understanding how to administer medication especially inhalers properly (Sam, 2016). It is unknown if Mr.Z has family support which would be helpful for smoking cessation; could give him more motivation to make the lifestyle changes needed. Smoking was seen as a status for males and was prevalent in the higher socioeconomical groups which could hinder the desire for Mr. Z to quit (Di Novi & Marenzi, 2018).

Define the epistemological,ontological,ethical,ideological and philosophical tenants that guide the existing approaches to your question you have found in the current literature.

Person Centered Care – knowledge development and methodology

The purpose of this paper is to explore the fundamental epistemological, ontological, ethical, ideological, and philosophical tenants that guide scholarly inquiry as evidenced in a published research study while identifying, defining, and describing your own approach. This assignment will be foundational to the future work you do as a graduate student on either a thesis or a project when you begin to develop your methodological plan. You will be able to build on the work you did for the first two assignments. Again, you are strongly advised to take notes on articles as you review them, attend to the feedback of your colleagues during your facilitated discussion, and construct an outline for your paper before you start writing it. It is recommended that you meet with your professor to discuss your ideas as you contemplate this assignment. This scholarly paper will be written in APA (7 th ed.) format, 6-8 pages in length (excluding references and title page), incorporate at least 10 scholarly references, and include the following components:

A clearly stated question, and purpose statement for the work. Include a brief background discussion of what drew you to this question/issue, it’s relevance and significance to current nursing practice and/or the nursing profession.

Define the epistemological,ontological,ethical,ideological and philosophical tenants that guide the existing approaches to your question you have found in the current literature.

Describe and define your personal epistemological, ontological, ethical, ideological and philosophical perspective that will guide your decision in choosing a research methodology?

Identify and describe the methodological approach (research design) that provides the most coherent fit between your ontological and epistemological worldview and your research question?

Describe your emerging ideas r/t sample (size, sampling techniques, inclusion/exclusion criteria), setting, data collection (methods/tools), data analysis techniques, and knowledge translation plans.

A compelling conclusion that convinces the reader of the integrity of the plan and the importance of carrying it out.

Assessment criteria for this assignment:

I. Thoughts are organized and clearly communicated, writing is understandable and accurate; there is attention to APA, spelling and grammar, within page limit. (15%)

II. There is ample evidence of critical reflection upon all of the components outlined above (a-e) and they have all been addressed, and the components link together logically. The proposed plan flows clearly from a critical review of appropriate and adequate literature and is well justified as an approach to answer/address the clinical question. (50%)

III. There is evidence that you have thought about what you will need to consider, what questions may arise as you move forward with the plan, and what potential barriers may be encountered in carrying out the plan (with some thought as to how you might address them). Conclusion is compelling, logical and reflective. (35%)

Describe the national healthcare issue or stressor you selected and its impact on your organization.

ANALYSIS OF A PERTINENT HEALTHCARE ISSUE

TO PREPARE:

REVIEW THE NATIONAL HEALTHCARE ISSUES/STRESSORS AND REFLECT ON THE NATIONAL HEALTHCARE ISSUE/STRESSORS YOU SELECTED FOR STUDY.

IDENTIFY AND REVIEW TWO ADDITIONAL SCHOLARLY RESOURCES( NOT INCLUDED IN THE RESOURCES FOR THIS MODULE) THAT FOCUS ON CHANGE STRATEGIES IMPLEMENTED BY HEALTHCARE ORGANIZATIONS TO ADDRESS YOUR SELECTED NATIONAL HEALTHCARE ISSUE/STRESSOR.
THE ASSIGNMENT INSTRUCTIONS ARE THE FOLLOWING (3-4):
(1) DEVELOP A 3- TO 4- PAGE PAPER, WRITTEN TO YOUR ORGANIZATION’S LEADERSHIP TEAM, ADDRESSING YOUR SELECTED NATIONAL HEALTHCARE ISSUE/STRESSOR AND HOW IT IS IMPACTING YOUR WORK SETTING. BE SURE TO ADDRESS THE FOLLOWING:

DESCRIBE THE NATIONAL HEALTHCARE ISSUE/STRESSOR YOU SELECTED AND ITS IMPACT ON YOUR ORGANIZATION. USE ORGANIZATIONAL DATA TO QUANTIFY THE IMPACT ( IF NECESSARY, SEEK ASSISTANCE FROM LEADERSHIP OR APPROPRIATE STAKEHOLDERS IN YOUR ORGANIZATION).

PROVIDE A BRIEF SUMMARY OF THE TWO ARTICLES YOU REVIEWED FROM OUTSIDE RESOURCES ON THE NATIONAL HEALTHCARE ISSUE/STRESSOR. EXPLAIN HOW THE HEALTHCARE ISSUE/STRESSOR IS BEING ADDRESSED IN OTHER ORGANIZATIONS.

SUMMARIZE THE STRATEGIES USED TO ADDRESS THE ORGANIZATIONAL IMPACT OF NATIONAL HEALTHCARE ISSUES/STRESSORS PRESENTED IN THE SCHOLARLY RESOURCES YOU SELECTED. EXPLAIN HOW THEY MAY IMPACT YOUR ORGANIZATION BOTH POSITIVELY AND NEGATIVELY. BE SPECIFIC AND PROVIDE EXAMPLES. ANSWER ALL PARTS OF THE QUESTIONS CLEARLY AND CONCISELY WITH NO GRAMMAR OR SPELLING ERRORS USING THE CURRENT APA MANUAL WRITING RULE OR STYLE. PLEASE PROVIDE AT LEAST THREE OR FOUR REFERENCES. USE A SAFE-ASSIGN DRAFT TO CHECK PERCENTAGE MATCH BEFORE SUBMITTING.

Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach to address the identified need.

LITERATURE REVIEW

ASSESSMENT INSTRUCTIONS

PROBLEM STATEMENT: In South San Francisco Hospital, over 91% of contaminated blood cultures are drawn by Emergency Department (ED) Registered Nurses (RNs). This is an average of 1.63% in ED vs. 0.3% for the rest of the hospital. Contaminated blood cultures could result in false-positive results, which could lead to the patient being unnecessarily treated.

LITERATURE REVIEW (10–15 RESOURCES, 3–6 PAGES)

Analyze current evidence to validate the problem statement, identify possible causes and potential solutions and interventions.
Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach to address the identified need.

ADDRESS GENERALLY THROUGHOUT

Communicate the problem statement and literature review in a way that helps the audience understand the importance and validity of a proposed project.

Additional Requirements

Length of submission: 3-6 double-spaced pages.
Number of resources: 10–15 credible resources from peer-reviewed journals or professional industry publications (no more than 5 years) to support your presentation.
Written communication: Written communication is free of errors that detract from the overall message.

APA formatting: Resources and citations are formatted according to current APA 7th edition style. Header formatting follows current APA levels.
Font and font size: Times New Roman, 12 point.

What disease did you select?What altered concepts of human function did you highlight?

Unit 10 discussion reply 2

Respond to this classmates discussion post do not critique their writing simply continue the conversation have included my research paper to answer the questions as well. make sure to use intext citations where applicable and only use the reference provided

This is her post:
Good Evening Class and Professor

This has been a very challenging and informative semester! Wish everyone the best of luck on your final and future classes.

My answer is not changing a whole lot, I feel that when you care for a patient you are taking care of them as a whole. If they come into the hospital for one problem but we find out that they are not controlling their diabetes, were going to assist them in making better choices concerning their diabetes. We’re not going to skip that just because they are in there for gallstones. I still agree that nurses need to know the functional changes in the body caused by injury, disorder, or disease in order to do their jobs correctly (Braun & Anderson, 2017).

Selected Diabetes for my evidence-based paper because I think that disease is one that is affecting a lot of people, and something we will run into a lot as a nurse. This is a disease that affects all ages, it just depends on weather they have type 1 or type 2 diabetes. Older adults that have not taken care of their bodies and was aware of what they were eating are the individuals getting diagnosed with type 2. As nurses we will see this disease a lot in the hospitals and nursing homes and need to be vigilant to other things happening with a patient with diabetes. Someone that has diabetes and goes through a surgical procedure, you will be keeping a close eye on their sugars as surgery tends to make them fluctuate more.

Reference

Braun, C. A., & Anderson, C. M. (2017). Applied pathophysiology: (3rd ed.). https://thepoint.lww.com/Book/Show/993500#/about-this-product?groupby=learningactivity&ts=1631720455018

These are the questions i need to anwer while still continuing the discussion with her

Share some information you gained from the Unit 8 Evidence-Based Practice Paper and answer the following questions:

What disease did you select?·
What altered concepts of human function did you highlight?·
How does age affect this disease?·
Why do you feel this disease is important for you to understand more fully and continue to learn about?

Research paper is in uploaded files

Discuss the general purpose,premise,and concepts of this middle range nursing theories,and give examples of how it might be used in nursing practice and research.

Middle Range Theory

Read section in Grand Range Nursing Theory in Chapter 8 and then read Chapters 10, 11, and 12 in McEwen & Wills Textbook

Part 1: After completing assigned readings described above, write a paragraph describing differences and describing similarities between a Grand Range nursing theory and a Middle Range nursing theory, then consider and apply a Middle Range nursing theory to the following Case Study and write a paper answering the questions listed at the end of this case study.

Elaine Chang is an infection control nurse at a community hospital. She has been in her position for over 6 years, since finishing her master’s degree in community health nursing.

She has noted that the annual influenza immunization rate for employees has been decreasing each year after reaching a high in 2009 of 78%. The rate in 2016 to 2017 dipped under 55% for all employees. In addition, this past year, there was a large outbreak of influenza with multiple staff and patients affected.

Ms. Chang has decided she needs to review the situation using Pender’s Health Promotion Model and develop a plan to educate staff and increase immunization rates.

Discuss the general purpose,premise,and concepts of this middle range nursing theories,and give examples of how it might be used in nursing practice and research.

Brief introductory paragraph which contains a description of the origin of the theory and its concepts.

Discuss how this theory could be specifically applied to solve the following questions regarding the case study.

What types of things should Ms. Chang ask about to assess the reasons for the decline in immunization rates?

Ms. Chang developed and distributed a survey to each unit manager. After analyzing her results, she identified three major reasons that many in the staff declined the flu vaccine:

A large number (over 40%) believed that the vaccine might give them the flu. They believed this because either they or a family member had become sick with some sort of illness around the time they took a flu shot.

About 25% of those surveyed would have taken the flu vaccine, but it was only available at the hospital Monday to Friday between 10 AM and 2 PM.

About 10% of those surveyed believed that all vaccines are bad for one’s health because they introduce something unnatural into the body.

The remainder had a variety of reasons for declining the vaccine, from religious beliefs to inconvenience. From Pender’s model, what motivational factors might each of these be?

Use all concepts from Pender’s model to state actions Ms. Chang can take to improve the immunization rates.

Discuss how this theory could be specifically applied to your current nursing practice.

Summary

2-3 Pages not looking for anything too crazy should be short and sweet and to the point.

Evaluate the quality and safety of the nursing care needed for a pediatric client experiencing a burn injury.

NURS 4610 Senior Practicum
Premium Experience B

Nursing Care of a Pediatric Client Experiencing Burn Injury

Overview

In this premium experience, students will focus on nursing care of a pediatric client experiencing a burn injury.

Student Learning Outcome for this Premium Experience

Evaluate the quality and safety of the nursing care needed for a pediatric client experiencing a burn injury.

Identify a theory from another discipline that could also guide practice in the same situation.

Application of Theory to Practice Paper

Select a problem that you all are interested in understanding in greater depth. Use middle-range theory of caregiver stress and how that can be applied to the problem.

A middle-range theory of caregiver stress

by Pao-Feng Tsai

Description of Theory (15 points) – Describe in detail the nursing middle range theory of caregiver stress. This description must be accurate and in sufficient depth so that the reader will be able to understand important concepts and how they relate to one another. Use 2 or more primary sources to support the description of the theory.

Alternate Theory (10 points) – Identify a theory from another discipline that could also guide practice in the same situation. Provide justification for using this theory. The textbook provides an excellent source for the alternate theory.