Category: Nursing

  • [Solved] nursing leadership assessment 3

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    – 2 years ago **files (1)** – ## Nursingleadershipassessment3.pdf **## Nursingleadershipassessment3.pdf** When creating a project plan, it is important to be cognizant of the significant role that nurses play in strategizing about use of organizational human and financial resources within the organi…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## Nursingleadershipassessment3.pdf

    **## Nursingleadershipassessment3.pdf**

    When creating a project plan, it is important to be cognizant of
    the significant role that nurses play in strategizing about use of
    organizational human and financial resources within the
    organization.

    Communication is the key component to beginning and finishing
    projects, such as a plan proposal. The ability to effectively
    communicate involves reaching a state of consciousness
    regarding how others think and feel about something—an
    awareness of human differences. In addition, being
    knowledgeable about what type technological advancements
    exist can greatly enhance a positive project outcome (Harris et
    al., 2023).

    As you work on your assessment, consider the following: How do
    organizational leaders impact project successes, sustain practice
    change, and share evidence-based findings? Which technology
    might help you evaluate the project's impact within a health care
    system?

    You are encouraged to complete the Budgeting for Nurses
    activity before you develop the plan proposal. The activity
    consists of seven questions that will allow you to check your
    knowledge of budgeting basics and as well as the value of
    financial resource management. The information gained from
    completing this activity will promote success with the
    Interdisciplinary Plan Proposal. Completing this activity also
    demonstrates your engagement in the course, requires just a few
    minutes of your time, and is not graded.

    This assessment will enable you to describe a plan proposal that
    includes an analysis of best practices of interprofessional
    collaboration, change theory, leadership strategies, and
    organizational resources, including financial considerations,

    which can be used to solve the problem identified in the
    healthcare professional interview you conducted

    Having reviewed the information gleaned from your professional
    interview and identified the issue, you will determine and present
    a plan for an interdisciplinary intervention to address the issue.
    While you will not be expected to implement the plan during this
    course, the plan should be evidence based and realistic within
    the context of the issue and your interviewee's organization.

    The goal of this assessment is to clearly lay out the improvement
    objective for your interdisciplinary intervention. Be sure to build
    on the leadership, change, and collaboration research you
    completed in the previous assessment. Look for specific, real-
    world ways in which those strategies and best practices could be
    used to generate buy-in for the plan or improve the
    implementation of the plan.

    Use the context of the organization from your interview to
    develop a viable plan for an interdisciplinary team to address the
    issue you identified. Define a specific organizational or patient
    outcome based on the information gathered in your interview.

    Using the Interdisciplinary Plan Proposal Template [DOCX] will
    help you stay organized and concise. As you complete each
    section of the template, apply APA format to in-text citations for
    the evidence and best practices that inform your plan, as well as
    to the reference list at the end. (Because you're using a template,
    a title page is optional.)

    Be sure that your plan addresses the following, which
    corresponds to the grading criteria in the scoring guide. Please
    study the rubric carefully so you understand what is needed for a
    distinguished score.

    [https://courseroom.capella.edu/courses/39389/files/7481568/download](https://courseroom.capella.edu/courses/39389/files/7481568/download)

    • Describe an objective and predictions for an evidence-
    based interdisciplinary plan to achieve a specific goal
    related to improving patient or organizational outcomes.

    • Explain a change theory and a leadership strategy,
    supported by relevant evidence, that is most likely to help
    an interdisciplinary team succeed in collaborating and
    implementing, or creating buy-in for, the project plan.

    • Explain the collaboration needed by an interdisciplinary
    team to improve the likelihood of achieving the plan’s
    objective. Include best practices of interdisciplinary
    collaboration from the literature.

    • Explain organizational resources, including financial, needed
    for the plan to succeed and the impacts on those resources
    if the improvements described in the plan are not made.

    • Organize content so ideas flow logically with smooth
    transitions; contains few errors in grammar/punctuation,
    word choice, and spelling.

    • Apply APA formatting to in-text citations and references,
    exhibiting nearly flawless adherence to APA format.

    • Length of submission: Use the template. Remember that
    part of this assessment is to make the plan easy to
    understand and use, so it is critical that you are clear and
    concise. Most submissions will be 2–4 pages in length. Be
    sure to include a reference page at the end of the plan.

    • Number of references: Cite a minimum of three sources of
    scholarly or professional evidence that support your central
    ideas. Resources should be no more than 5 years old. See
    the Bachelor of Nursing (BSN) Program Library Guide.

    • APA formatting: Make sure that in-text citations and
    reference list follow current APA style. See the APA Module.

    [https://capellauniversity.libguides.com/BSN](https://capellauniversity.libguides.com/BSN)

    [https://lat.strategiced.com/redirect?linkid=2586](https://lat.strategiced.com/redirect?linkid=2586)

    By successfully completing this assessment, you will
    demonstrate your proficiency in the following course
    competencies and scoring guide criteria:

    • Competency 1: Explain strategies for managing human and
    financial resources to promote organizational health.

    ◦ Explain organizational resources, including financial,
    needed for a plan to succeed and the impacts on those
    resources if nothing is done to address the
    improvements sought by the plan.

    • Competency 2: Explain how interdisciplinary collaboration
    can be used to achieve desired patient and systems
    outcomes.

    ◦ Explain the collaboration needed by an interdisciplinary
    team to improve the likelihood of achieving a plan’s
    objective. Include best practices of interdisciplinary
    collaboration from the literature.

    • Competency 3: Describe ways to incorporate evidence-
    based practice within an interdisciplinary team.

    ◦ Describe an objective and predictions for an evidence-
    based interdisciplinary plan to achieve a specific goal
    related to improving patient or organizational
    outcomes.

    • Competency 4: Explain how change management theories
    and leadership strategies can enable interdisciplinary teams
    to achieve specific organizational goals.

    ◦ Explain a change theory and a leadership strategy,
    supported by relevant evidence, that are most likely to
    help an interdisciplinary team succeed in collaborating
    and implementing, or creating buy-in for, the project
    plan.

    • Competency 5: Apply professional, scholarly, evidence-
    based communication strategies to impact patient,
    interdisciplinary team, and systems outcomes.

    ◦ Organize content so ideas flow logically with smooth
    transitions; contains few errors in grammar/
    punctuation, word choice, and spelling.

    ◦ Apply APA formatting to in-text citations and
    references, exhibiting nearly flawless adherence to APA
    format.

    **## Nursingleadershipassessment3.pdf**

    When creating a project plan, it is important to be cognizant of
    the significant role that nurses play in strategizing about use of
    organizational human and financial resources within the
    organization.

    Communication is the key component to beginning and finishing
    projects, such as a plan proposal. The ability to effectively
    communicate involves reaching a state of consciousness
    regarding how others think and feel about something—an
    awareness of human differences. In addition, being
    knowledgeable about what type technological advancements
    exist can greatly enhance a positive project outcome (Harris et
    al., 2023).

    As you work on your assessment, consider the following: How do
    organizational leaders impact project successes, sustain practice
    change, and share evidence-based findings? Which technology
    might help you evaluate the project's impact within a health care
    system?

    You are encouraged to complete the Budgeting for Nurses
    activity before you develop the plan proposal. The activity
    consists of seven questions that will allow you to check your
    knowledge of budgeting basics and as well as the value of
    financial resource management. The information gained from
    completing this activity will promote success with the
    Interdisciplinary Plan Proposal. Completing this activity also
    demonstrates your engagement in the course, requires just a few
    minutes of your time, and is not graded.

    This assessment will enable you to describe a plan proposal that
    includes an analysis of best practices of interprofessional
    collaboration, change theory, leadership strategies, and
    organizational resources, including financial considerations,

    which can be used to solve the problem identified in the
    healthcare professional interview you conducted

    Having reviewed the information gleaned from your professional
    interview and identified the issue, you will determine and present
    a plan for an interdisciplinary intervention to address the issue.
    While you will not be expected to implement the plan during this
    course, the plan should be evidence based and realistic within
    the context of the issue and your interviewee's organization.

    The goal of this assessment is to clearly lay out the improvement
    objective for your interdisciplinary intervention. Be sure to build
    on the leadership, change, and collaboration research you
    completed in the previous assessment. Look for specific, real-
    world ways in which those strategies and best practices could be
    used to generate buy-in for the plan or improve the
    implementation of the plan.

    Use the context of the organization from your interview to
    develop a viable plan for an interdisciplinary team to address the
    issue you identified. Define a specific organizational or patient
    outcome based on the information gathered in your interview.

    Using the Interdisciplinary Plan Proposal Template [DOCX] will
    help you stay organized and concise. As you complete each
    section of the template, apply APA format to in-text citations for
    the evidence and best practices that inform your plan, as well as
    to the reference list at the end. (Because you're using a template,
    a title page is optional.)

    Be sure that your plan addresses the following, which
    corresponds to the grading criteria in the scoring guide. Please
    study the rubric carefully so you understand what is needed for a
    distinguished score.

    [https://courseroom.capella.edu/courses/39389/files/7481568/download](https://courseroom.capella.edu/courses/39389/files/7481568/download)

    • Describe an objective and predictions for an evidence-
    based interdisciplinary plan to achieve a specific goal
    related to improving patient or organizational outcomes.

    • Explain a change theory and a leadership strategy,
    supported by relevant evidence, that is most likely to help
    an interdisciplinary team succeed in collaborating and
    implementing, or creating buy-in for, the project plan.

    • Explain the collaboration needed by an interdisciplinary
    team to improve the likelihood of achieving the plan’s
    objective. Include best practices of interdisciplinary
    collaboration from the literature.

    • Explain organizational resources, including financial, needed
    for the plan to succeed and the impacts on those resources
    if the improvements described in the plan are not made.

    • Organize content so ideas flow logically with smooth
    transitions; contains few errors in grammar/punctuation,
    word choice, and spelling.

    • Apply APA formatting to in-text citations and references,
    exhibiting nearly flawless adherence to APA format.

    • Length of submission: Use the template. Remember that
    part of this assessment is to make the plan easy to
    understand and use, so it is critical that you are clear and
    concise. Most submissions will be 2–4 pages in length. Be
    sure to include a reference page at the end of the plan.

    • Number of references: Cite a minimum of three sources of
    scholarly or professional evidence that support your central
    ideas. Resources should be no more than 5 years old. See
    the Bachelor of Nursing (BSN) Program Library Guide.

    • APA formatting: Make sure that in-text citations and
    reference list follow current APA style. See the APA Module.

    [https://capellauniversity.libguides.com/BSN](https://capellauniversity.libguides.com/BSN)

    [https://lat.strategiced.com/redirect?linkid=2586](https://lat.strategiced.com/redirect?linkid=2586)

    By successfully completing this assessment, you will
    demonstrate your proficiency in the following course
    competencies and scoring guide criteria:

    • Competency 1: Explain strategies for managing human and
    financial resources to promote organizational health.

    ◦ Explain organizational resources, including financial,
    needed for a plan to succeed and the impacts on those
    resources if nothing is done to address the
    improvements sought by the plan.

    • Competency 2: Explain how interdisciplinary collaboration
    can be used to achieve desired patient and systems
    outcomes.

    ◦ Explain the collaboration needed by an interdisciplinary
    team to improve the likelihood of achieving a plan’s
    objective. Include best practices of interdisciplinary
    collaboration from the literature.

    • Competency 3: Describe ways to incorporate evidence-
    based practice within an interdisciplinary team.

    ◦ Describe an objective and predictions for an evidence-
    based interdisciplinary plan to achieve a specific goal
    related to improving patient or organizational
    outcomes.

    • Competency 4: Explain how change management theories
    and leadership strategies can enable interdisciplinary teams
    to achieve specific organizational goals.

    ◦ Explain a change theory and a leadership strategy,
    supported by relevant evidence, that are most likely to
    help an interdisciplinary team succeed in collaborating
    and implementing, or creating buy-in for, the project
    plan.

    • Competency 5: Apply professional, scholarly, evidence-
    based communication strategies to impact patient,
    interdisciplinary team, and systems outcomes.

    ◦ Organize content so ideas flow logically with smooth
    transitions; contains few errors in grammar/
    punctuation, word choice, and spelling.

    ◦ Apply APA formatting to in-text citations and
    references, exhibiting nearly flawless adherence to APA
    format.

  • [Solved] NUR 691 B presentation

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Prepare a minimum 10-minute narrated PowerPoint presentation. The presentation should be 15–20 slides in length, not including your cover slide or reference slide. Your reference slide should cite at least 10 references. Your presentation should, at the minimum, include discussion of the following t…

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    Assignment Prompt & Instructions

    Prepare a minimum 10-minute narrated PowerPoint presentation. The presentation should be 15–20 slides in length, not including your cover slide or reference slide. Your reference slide should cite at least 10 references.

    Your presentation should, at the minimum, include discussion of the following topics regarding your change project:

    1. Your specific change project topic
    2. The background of the problem addressed, why you chose this specific change project, and why it had anticipated value to the organization you developed it for
    3. Your findings from your literature review
    4. Your intervention for change
    5. Why your project aligns with the theoretical framework you chose
    6. Project aims, values, and desired outcomes
    7. Your change project implementation process
    8. The outcomes that will be measured and the overall effect on the organization

    Use current APA format to cite your sources. Review the rubric for more information on how the assignment will be graded.

    – 2 years ago

  • [Solved] NUR 600 2

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    – [\ \ IMG_8054.jpeg](https://www.sweetstudy.com/files/img-8054-jpeg "IMG_8054.jpeg") – [\ \ IMG_8055.jpeg](https://www.sweetstudy.com/files/img-8055-jpeg-10239209 "IMG_8055.jpeg") – 2 years ago

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    – [\
    \
    IMG_8054.jpeg](https://www.sweetstudy.com/files/img-8054-jpeg "IMG_8054.jpeg")
    – [\
    \
    IMG_8055.jpeg](https://www.sweetstudy.com/files/img-8055-jpeg-10239209 "IMG_8055.jpeg")

    – 2 years ago

  • [Solved] NUR 507 Lecture Discussion 2

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    discuss the following: List strategies that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance into the following sick visits: 1. An 18-month-old with an acute upper respiratory infection 2. A 4-year-old with stool withholding and constipation 3. A …

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    Assignment Prompt & Instructions

    discuss the following:

    List strategies that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance into the following sick visits:

    1. An 18-month-old with an acute upper respiratory infection
    2. A 4-year-old with stool withholding and constipation
    3. A 9-year-old with chronic headaches
    4. A 15-year-old with dysmenorrhea.

    **Submission Instructions:**

    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

    – 2 years ago

  • [Solved] NUR 507 Clinical Discussion 2

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Describe your clinical experience for this week. – Did you face any challenges, any success? If so, what were they? – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales. – Mention the …

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    Assignment Prompt & Instructions

    Describe your clinical experience for this week.

    – Did you face any challenges, any success? If so, what were they?
    – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
    – Mention the health promotion intervention for this patient.
    – What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?
    – Support your plan of care with the current peer-reviewed research guideline.

    **Submission Instructions:**

    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

    – 2 years ago

  • [Solved] NUR 501 2

    ✓ Verified Academic Solution Available

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    – [\ \ IMG_8056.jpeg](https://www.sweetstudy.com/files/img-8056-jpeg-10239211 "IMG_8056.jpeg") – [\ \ IMG_8055.jpeg](https://www.sweetstudy.com/files/img-8055-jpeg-10239213 "IMG_8055.jpeg") – 2 years ago

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    Assignment Prompt & Instructions

    – [\
    \
    IMG_8056.jpeg](https://www.sweetstudy.com/files/img-8056-jpeg-10239211 "IMG_8056.jpeg")
    – [\
    \
    IMG_8055.jpeg](https://www.sweetstudy.com/files/img-8055-jpeg-10239213 "IMG_8055.jpeg")

    – 2 years ago

  • [Solved] WK 5 RESP 2 EPID

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    – 2 years ago **files (1)** – ## WK5DISEPID.docx **## WK5DISEPID.docx** Measures Used in Epidemiology ![A group of people sitting at a table AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-5-resp-2-epid)One important application of epidemiology is to identify factors …

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## WK5DISEPID.docx

    **## WK5DISEPID.docx**

    Measures Used in Epidemiology

    ![A group of people sitting at a table AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-5-resp-2-epid)One important application of epidemiology is to identify factors that could increase the likelihood of a certain health problem occurring within a specific population. Epidemiologists use
    _measures of effect_ to examine the association or linkage in the relationship between risk factors and emergence of disease or ill health. For instance, they may use measures of effect to better understand the relationships between poverty and lead poisoning in children, smoking and heart disease, or low birth weight and future motor skills. The following are some common measures used in epidemiology:

    ·
    **Odds ratio**: The odds ratio quantifies the association between an independent variable (exposure) and a dependent variable (outcome). It is calculated as the odds that an effect will occur given the presence or exposure to a studied variable, compared to the odds when there is no exposure (e.g., lung cancer and smoking)

    ·
    **Risk ratio (also called relative risk)**: Also quantifies the association between an independent variable and a dependent variable. The risk of an effect occurring in one population versus another population (e.g., preeclampsia in women <35 versus >35). Risks greater than one suggest that exposure to a given variable is associated with an increase in the risk of the outcome, and a risk ratio of less than one indicates that the exposure is associated with a decrease in the risk of the outcome.

    ·
    **Mortality**: Measure of deaths in a particular population during a specified time interval. If this is attributed to a specific cause, it is referred to as cause-specific mortality.

    ·
    **Morbidity**: Measure of instances of illness or disability in a population from a given cause (e.g., heart disease) during a specified time interval

    ·
    **Incidence**: The occurrence of new cases of an effect or disease in a population over a defined time period relative to the size of the population at risk (e.g., new cases of COVID-19 in a population over a 7-day period/1000 people)

    ·
    **Prevalence**: The number of all cases of an effect or disease, not just new ones, in a population at a given time relative to the size of the population (e.g., number of people with autism/1000)

    What is the significance of these measures of effect for nursing practice? In this Discussion, you will consider this pivotal question.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/155998/modules/items/6259844)

    [Required Readings](https://waldenu.instructure.com/courses/155998/pages/week-5-learning-resources?module_item_id=6259844)

    · Curley, A. L. C. (Ed.). (2024).
    _Population-based nursing: Concepts and competencies for advanced practice_ (4th ed.). Springer.

    · Chapter 4, “Epidemiological Methods and Measurements in Population-Based Nursing Practice: Part I” (pp. 68-105)

    · Friis, R. H., & Sellers, T. A. (2021).
    _Epidemiology for public health practice_ (6th ed.). Jones & Bartlett.

    · Chapter 3, “Measures of Morbidity and Mortality Used in Epidemiology”

    · Chapter 9, “Measures of Effect”

    To prepare:

    · Select item 1, 2, or 3 to use for this Discussion. Consider the definitions, differences, and utility of the two terms listed under your item selection. Your response will need to include both terms in the item selected.

    1. Odds ratio and risk ratio

    2. Mortality and morbidity

    3. Incidence and prevalence

    · Consider how these epidemiologic measures strengthen and support nursing practice.

    · Assess practice limitations of not using these measures in nursing practice.

    · Conduct additional research in the Walden Library and other credible resources, and then locate two examples in the scholarly literature that support your insights.

    By Day 3 of Week 5

    **Post** a cohesive scholarly response that addresses the following:

    · Explain how your selected measures of effect strengthen and support nursing practice. Provide at least two specific examples from the literature to substantiate your insights.

    · Assess limitations of
    **not** using measures of effect in nursing practice.

    By Day 6 of Week 5

    **Respond** to
    **at least two** colleagues on
    **two different days** in one or more of the following ways:

    · Ask a probing question, substantiated with additional background information, evidence or research.

    · Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    · Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    · Validate an idea with your own experience and additional research.

    · Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    · Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    RESPOND TO THIS DISCUSSION POST

    **Mortality and Morbidity**

    Mortality and Morbidity are two key terms used in Epidemiology to define the numbers of deaths and the frequency of illness respectively (Friis & Sellers, 2021). Mortality rate is the number of deaths in a population over a specific time, usually expressed as deaths per unit population (Curley et al., 2024). Meanwhile the morbidity rate is the frequency of disease within a population over a specific time, usually expressed as a percentage, a proportion, or a rate per unit population (Curley et al., 2024).

    **How Mortality and Morbidity Strengthen and Support Nursing Practice**

    Epidemiological surveillance, whether in a large community or within a healthcare facility, provides important information on health outcomes. Mortality and morbidity surveillance is necessary to understand the impact and find ways to improve public health.
    Moreover, mortality rates compare death rates among and within populations therefore providing evaluation and comparing data within the populations (Curley et al., 2024). Likewise, morbidity rates can help us to compare risk factors, prevent and manage modifiable risk factors, and decrease mortality rates. These measures strengthen nursing practices such as surveillance systems to reduce hospital-acquired infections and conditions, find innovation, develop policies, and protocols, and evaluate the system.

    For example, about 70% of urinary tract infections (UTIs) developed in the hospital are associated with a urinary catheter, and catheter-associated urinary tract infections (CAUTIs) are associated with increased mortality and morbidity as well as healthcare costs (The Centers for Disease Control and Prevention, n.d.). Mitchell et al. (2016) evaluated incidence, mortality, and length of hospital-acquired UTIs, and hospital stay (Mitchell et al., 2016). In this large multi- state model, the authors found that the length of stay was up to four days due to UTIs, and the incidence of CAUTIs was related to antimicrobial resistance organisms. The study further suggested that surveillance and intervention to reduce CAUTIs are necessary. Likewise, Van Decker et al. (2021) implemented a bundle care approach to reduce CAUTIs over five years in an acute care hospital (Van Decker et al., 2021). Their bundle included processes for insertion and maintenance of Foley catheters, catheter indications, appropriate testing for CAUTIs, alternatives to indwelling devices, and sterilization techniques. With these interventions, the number of CAUTIs decreased from 83% to 33% over the five years.  Therefore, mortality and morbidity surveillance of HAIs such as CAUTIs can strengthen nursing practice to reduce such incidences.

    **Practice Limitation of Not Using These Measures in Nursing Practice**

    It is important to have accuracy in reporting data for mortality and morbidity, as healthcare workers should know what to report, provide diagnosis correctly, and report requirements (Curley et al., 2024). Not having surveillance data or the lack of available data makes it harder to find ways for improvement in nursing practice, and to assess the measures of success. The Centers for Medicare and Medicaid (CMS) penalizes acute general care hospitals applicable to HAI reduction programs based on quality and safety care scoring system (Vsevolozhskaya et al., 2021). The CDC calculates a standardized infection rate for each facility based on the facility’s presumed characteristics and types of patients. Furthermore, if mitigation or risk adjustment is not calculated or is not adjusted, it can lead to inaccuracy. Therefore, hospitals submit their observed HAI cases, as well as data on the population at risk (i.e., the denominator) for risk adjustment, through the National Healthcare Safety Network, both can be misleading if not taken carefully. Researchers, quality leaders, and bedside caregivers play key roles in the success of quality measurement by observing and recording the events, vigilance, surveillance, compliance, and adherence to evidence-based guidelines and documentation.

    **References**

    Curley, A. L. C., Niedz, B. A., & Erikson, A. E. (2024).
    _Population-based nursing: Concepts and competencies for advanced practice (4th ed.)._ Springer
    _._

    Friis, R. H., & Sellers, T. A. (2021).
    _Epidemiology for public health practice (6th ed.)._ Jones & Bartlett.

    Mitchell, B. G., Ferguson, J. K., Anderson, M., Sear, J., & Barnett, A. (2016). Length of stay and mortality associated with healthcare-associated urinary tract infections: a multi-state model.
    _J Hosp Infect_,
    _93_(1), 92-99.
    [https://doi.org/10.1016/j.jhin.2016.01.012Links to an external site.](https://doi.org/10.1016/j.jhin.2016.01.012)

    The Centers for Disease Control and Prevention. (n.d.).
    _Urinary Tract Infection._ [_https://www.cdc.gov/uti/hcp/clinical-safety/_ Links to an external site.](https://www.cdc.gov/uti/hcp/clinical-safety/)

    Van Decker, S. G., Bosch, N., & Murphy, J. (2021). Catheter-associated urinary tract infection reduction in critical care units: a bundled care model.
    _BMJ Open Qual_,
    _10_(4).
    [https://doi.org/10.1136/bmjoq-2021-001534Links to an external site.](https://doi.org/10.1136/bmjoq-2021-001534)

    Vsevolozhskaya, O. A., Manz, K. C., Zephyr, P. M., & Waters, T. M. (2021). Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HACRP) cost hospitals millions.
    _BMC Health Serv Res_,
    _21_(1), 131.
    [https://doi.org/10.1186/s12913-021-06108-wLinks to an external site.](https://doi.org/10.1186/s12913-021-06108-w)

    ## image1.jpeg

    **## WK5DISEPID.docx**

    Measures Used in Epidemiology

    ![A group of people sitting at a table AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-5-resp-2-epid)One important application of epidemiology is to identify factors that could increase the likelihood of a certain health problem occurring within a specific population. Epidemiologists use
    _measures of effect_ to examine the association or linkage in the relationship between risk factors and emergence of disease or ill health. For instance, they may use measures of effect to better understand the relationships between poverty and lead poisoning in children, smoking and heart disease, or low birth weight and future motor skills. The following are some common measures used in epidemiology:

    ·
    **Odds ratio**: The odds ratio quantifies the association between an independent variable (exposure) and a dependent variable (outcome). It is calculated as the odds that an effect will occur given the presence or exposure to a studied variable, compared to the odds when there is no exposure (e.g., lung cancer and smoking)

    ·
    **Risk ratio (also called relative risk)**: Also quantifies the association between an independent variable and a dependent variable. The risk of an effect occurring in one population versus another population (e.g., preeclampsia in women <35 versus >35). Risks greater than one suggest that exposure to a given variable is associated with an increase in the risk of the outcome, and a risk ratio of less than one indicates that the exposure is associated with a decrease in the risk of the outcome.

    ·
    **Mortality**: Measure of deaths in a particular population during a specified time interval. If this is attributed to a specific cause, it is referred to as cause-specific mortality.

    ·
    **Morbidity**: Measure of instances of illness or disability in a population from a given cause (e.g., heart disease) during a specified time interval

    ·
    **Incidence**: The occurrence of new cases of an effect or disease in a population over a defined time period relative to the size of the population at risk (e.g., new cases of COVID-19 in a population over a 7-day period/1000 people)

    ·
    **Prevalence**: The number of all cases of an effect or disease, not just new ones, in a population at a given time relative to the size of the population (e.g., number of people with autism/1000)

    What is the significance of these measures of effect for nursing practice? In this Discussion, you will consider this pivotal question.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/155998/modules/items/6259844)

    [Required Readings](https://waldenu.instructure.com/courses/155998/pages/week-5-learning-resources?module_item_id=6259844)

    · Curley, A. L. C. (Ed.). (2024).
    _Population-based nursing: Concepts and competencies for advanced practice_ (4th ed.). Springer.

    · Chapter 4, “Epidemiological Methods and Measurements in Population-Based Nursing Practice: Part I” (pp. 68-105)

    · Friis, R. H., & Sellers, T. A. (2021).
    _Epidemiology for public health practice_ (6th ed.). Jones & Bartlett.

    · Chapter 3, “Measures of Morbidity and Mortality Used in Epidemiology”

    · Chapter 9, “Measures of Effect”

    To prepare:

    · Select item 1, 2, or 3 to use for this Discussion. Consider the definitions, differences, and utility of the two terms listed under your item selection. Your response will need to include both terms in the item selected.

    1. Odds ratio and risk ratio

    2. Mortality and morbidity

    3. Incidence and prevalence

    · Consider how these epidemiologic measures strengthen and support nursing practice.

    · Assess practice limitations of not using these measures in nursing practice.

    · Conduct additional research in the Walden Library and other credible resources, and then locate two examples in the scholarly literature that support your insights.

    By Day 3 of Week 5

    **Post** a cohesive scholarly response that addresses the following:

    · Explain how your selected measures of effect strengthen and support nursing practice. Provide at least two specific examples from the literature to substantiate your insights.

    · Assess limitations of
    **not** using measures of effect in nursing practice.

    By Day 6 of Week 5

    **Respond** to
    **at least two** colleagues on
    **two different days** in one or more of the following ways:

    · Ask a probing question, substantiated with additional background information, evidence or research.

    · Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    · Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    · Validate an idea with your own experience and additional research.

    · Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    · Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    RESPOND TO THIS DISCUSSION POST

    **Mortality and Morbidity**

    Mortality and Morbidity are two key terms used in Epidemiology to define the numbers of deaths and the frequency of illness respectively (Friis & Sellers, 2021). Mortality rate is the number of deaths in a population over a specific time, usually expressed as deaths per unit population (Curley et al., 2024). Meanwhile the morbidity rate is the frequency of disease within a population over a specific time, usually expressed as a percentage, a proportion, or a rate per unit population (Curley et al., 2024).

    **How Mortality and Morbidity Strengthen and Support Nursing Practice**

    Epidemiological surveillance, whether in a large community or within a healthcare facility, provides important information on health outcomes. Mortality and morbidity surveillance is necessary to understand the impact and find ways to improve public health.
    Moreover, mortality rates compare death rates among and within populations therefore providing evaluation and comparing data within the populations (Curley et al., 2024). Likewise, morbidity rates can help us to compare risk factors, prevent and manage modifiable risk factors, and decrease mortality rates. These measures strengthen nursing practices such as surveillance systems to reduce hospital-acquired infections and conditions, find innovation, develop policies, and protocols, and evaluate the system.

    For example, about 70% of urinary tract infections (UTIs) developed in the hospital are associated with a urinary catheter, and catheter-associated urinary tract infections (CAUTIs) are associated with increased mortality and morbidity as well as healthcare costs (The Centers for Disease Control and Prevention, n.d.). Mitchell et al. (2016) evaluated incidence, mortality, and length of hospital-acquired UTIs, and hospital stay (Mitchell et al., 2016). In this large multi- state model, the authors found that the length of stay was up to four days due to UTIs, and the incidence of CAUTIs was related to antimicrobial resistance organisms. The study further suggested that surveillance and intervention to reduce CAUTIs are necessary. Likewise, Van Decker et al. (2021) implemented a bundle care approach to reduce CAUTIs over five years in an acute care hospital (Van Decker et al., 2021). Their bundle included processes for insertion and maintenance of Foley catheters, catheter indications, appropriate testing for CAUTIs, alternatives to indwelling devices, and sterilization techniques. With these interventions, the number of CAUTIs decreased from 83% to 33% over the five years.  Therefore, mortality and morbidity surveillance of HAIs such as CAUTIs can strengthen nursing practice to reduce such incidences.

    **Practice Limitation of Not Using These Measures in Nursing Practice**

    It is important to have accuracy in reporting data for mortality and morbidity, as healthcare workers should know what to report, provide diagnosis correctly, and report requirements (Curley et al., 2024). Not having surveillance data or the lack of available data makes it harder to find ways for improvement in nursing practice, and to assess the measures of success. The Centers for Medicare and Medicaid (CMS) penalizes acute general care hospitals applicable to HAI reduction programs based on quality and safety care scoring system (Vsevolozhskaya et al., 2021). The CDC calculates a standardized infection rate for each facility based on the facility’s presumed characteristics and types of patients. Furthermore, if mitigation or risk adjustment is not calculated or is not adjusted, it can lead to inaccuracy. Therefore, hospitals submit their observed HAI cases, as well as data on the population at risk (i.e., the denominator) for risk adjustment, through the National Healthcare Safety Network, both can be misleading if not taken carefully. Researchers, quality leaders, and bedside caregivers play key roles in the success of quality measurement by observing and recording the events, vigilance, surveillance, compliance, and adherence to evidence-based guidelines and documentation.

    **References**

    Curley, A. L. C., Niedz, B. A., & Erikson, A. E. (2024).
    _Population-based nursing: Concepts and competencies for advanced practice (4th ed.)._ Springer
    _._

    Friis, R. H., & Sellers, T. A. (2021).
    _Epidemiology for public health practice (6th ed.)._ Jones & Bartlett.

    Mitchell, B. G., Ferguson, J. K., Anderson, M., Sear, J., & Barnett, A. (2016). Length of stay and mortality associated with healthcare-associated urinary tract infections: a multi-state model.
    _J Hosp Infect_,
    _93_(1), 92-99.
    [https://doi.org/10.1016/j.jhin.2016.01.012Links to an external site.](https://doi.org/10.1016/j.jhin.2016.01.012)

    The Centers for Disease Control and Prevention. (n.d.).
    _Urinary Tract Infection._ [_https://www.cdc.gov/uti/hcp/clinical-safety/_ Links to an external site.](https://www.cdc.gov/uti/hcp/clinical-safety/)

    Van Decker, S. G., Bosch, N., & Murphy, J. (2021). Catheter-associated urinary tract infection reduction in critical care units: a bundled care model.
    _BMJ Open Qual_,
    _10_(4).
    [https://doi.org/10.1136/bmjoq-2021-001534Links to an external site.](https://doi.org/10.1136/bmjoq-2021-001534)

    Vsevolozhskaya, O. A., Manz, K. C., Zephyr, P. M., & Waters, T. M. (2021). Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HACRP) cost hospitals millions.
    _BMC Health Serv Res_,
    _21_(1), 131.
    [https://doi.org/10.1186/s12913-021-06108-wLinks to an external site.](https://doi.org/10.1186/s12913-021-06108-w)

    ## image1.jpeg

  • [Solved] W-DISC WEEK 5

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    #### **Addressing Stigma and Barriers to Substance Use Treatment** **Objective:** This discussion post aims to foster a reflective and empathetic understanding of the stigma associated with substance use treatment and to identify potential barriers to accessing mental health services. By considering…

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    Assignment Prompt & Instructions

    #### **Addressing Stigma and Barriers to Substance Use Treatment**

    **Objective:** This discussion post aims to foster a reflective and empathetic understanding of the stigma associated with substance use treatment and to identify potential barriers to accessing mental health services. By considering both personal and marginalized perspectives, you will gain insights into the challenges faced by individuals seeking help for substance use-related issues.

    **Assignment Instructions:**

    **Introduction:**

    – **Contextualize the Issue:**
    – Begin by discussing the significant stigma surrounding receiving treatment for substance use-related issues. Reference relevant studies or reports that highlight how stigma can impact individuals seeking help and the broader implications for public health.

    **1. Personal Reflection:**

    – **Reflect on Your Social Circle and Community:**
    – **Receptivity and Support:**
    – Reflect on your personal experiences and consider whether your friends and family would be receptive and supportive if you sought treatment for drug use issues. Discuss factors that might influence their reactions, such as cultural beliefs, awareness of substance use issues, and prior experiences with mental health treatment.
    – **Questions to Consider:**
    – Would your loved ones understand the importance of seeking treatment, or might there be misunderstandings or judgments?
    – How might your social circle's values and attitudes shape their support or lack thereof?
    – **Barriers to Accessing Treatment:**
    – Identify potential barriers you might experience when attempting to schedule an appointment with a behavioral health treatment center or provider. Consider logistical, financial, and social factors.

    – **Questions to Consider:**
    – Are there long wait times for appointments in your area?
    – Are there financial constraints, such as a lack of insurance coverage or high out-of-pocket costs?
    – Are there cultural or societal stigmas that might deter you from seeking help?

    **2. Empathetic Perspective:**

    – **Putting Yourself in the Shoes of Someone Marginalized:**
    – **Identifying Additional Barriers:**
    – Imagine being someone who is marginalized in your social circle or community. Discuss additional barriers they might experience when attempting to access mental health services.
    – **Factors to Consider:**
    – **Socioeconomic Status:** How might limited financial resources and lack of insurance exacerbate barriers to treatment?
    – **Cultural and Linguistic Barriers:** How might language differences and cultural misunderstandings hinder access to care?
    – **Social Isolation:** How might a lack of social support and networks contribute to feelings of helplessness and prevent individuals from seeking help?
    – **Discrimination and Prejudice:** How might experiences of discrimination or prejudice in healthcare settings discourage marginalized individuals from pursuing treatment?
    – **Questions to Consider:**
    – What specific challenges might someone face if they belong to a racial or ethnic minority group, LGBTQ+ community, or are living with a disability?
    – How can systemic issues, such as institutional biases or lack of culturally competent care, impact their ability to access services?

    **3. Critical Analysis and Solutions:**

    – **Analyze the Impact of Stigma and Barriers:**
    – Critically analyze how stigma and barriers to accessing treatment can affect the health outcomes and well-being of individuals with substance use-related issues. Use evidence from scholarly sources to support your analysis.
    – **Consider Broader Implications:**
    – Discuss how addressing stigma and improving access to treatment can benefit public health and reduce the overall burden of substance use disorders in communities.
    – **Propose Solutions:**
    – Suggest strategies to overcome the identified barriers and reduce stigma associated with substance use treatment. Consider the roles of healthcare providers, policymakers, and community organizations.
    – **Examples of Strategies:**
    – **Education and Awareness Campaigns:** Promote understanding and acceptance of substance use treatment through public education initiatives.
    – **Culturally Competent Care:** Advocate for training healthcare providers in cultural competency to better serve diverse populations.
    – **Policy Changes:** Support policies that increase funding for mental health services, reduce financial barriers, and ensure equitable access to care.

    **Conclusion:**

    – **Summarize Key Points:**
    – Recap the main insights gained from reflecting on personal and marginalized perspectives regarding the stigma and barriers to substance use treatment.

    As a reminder, all discussion posts must be a minimum of 350 words initial ,references must be cited in APA format 7th Edition, and must include a minimum of 2 scholarly resources published within the past 5 years.

    DUE DATE MARCH 28. 2025

    – 2 years ago

  • [Solved] Unit 1 DB: SDLC Process

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    **Primary Task Response:** Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas….

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    Assignment Prompt & Instructions

    **Primary Task Response:** Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

    Agile development methodologies have become very common in software development and information technology (IT) departments. Agile methodologies provide many advantages in terms of flexibility and adaptability. Complete the following for this assignment:

    – Explore agile development and agile IT approaches that are specific to healthcare organizations.
    – Explain 3 advantages of using an agile approach, and identify 2 challenges of an agile approach.
    – Explain the differences between using agile for project-based work and operational-based IT work.

    **Note:** Use APA style, 7th Edition, to cite at least 2 scholarly sources from the last 5 years.

    – 2 years ago

  • [Solved] SOAP NOTE PEDIATRIC PATIENT

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    MUST FOLLOW TEMPLATE A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhanc…

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    Assignment Prompt & Instructions

    MUST FOLLOW TEMPLATE

    A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.

    #### **Instructions:**

    SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.

    For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:

    **S** =Subjective data: Patient’s Chief Complaint (CC). **O** =Objective data: Including client behavior, physical assessment, vital signs, and meds. **A** =Assessment: Diagnosis of the patient's condition. Include differential diagnosis. **P** =Plan: Treatment, diagnostic testing, and follow up

    [Click here to access and download the SOAP Note Template](https://stu.instructure.com/courses/44799/files/3407778?wrap=1) [Download Click here to access and download the SOAP Note Template](https://stu.instructure.com/courses/44799/files/3407778/download?download_frd=1)

    #### **Submission Instructions:**

    – Your SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspellings.

    – [\
    \
    SOAPNoteTemplate-1.docx](https://www.sweetstudy.com/files/soapnotetemplate-1-docx-10239633 "SOAPNoteTemplate-1.docx")

    – 2 years ago