2023 According to the Community Coalition Action Theory success in implementing policy changes is dependent on

2023 Nursing 250 words

According to the Community Coalition Action Theory success in implementing policy changes is dependent on 2023

According to the Community Coalition Action Theory, success in implementing policy changes is dependent on the strength of relationship amongst its members, connectedness of the group members to the community, and understanding the social context of the community. Health policy is a significant issue which all nurses need to take interesting order to mobilize change. Select a clinical area of interest and with your knowledge of the public policy, discuss what are the current limitations to practice that hinder nurses from providing more complete and extensive care. What actions can the nurse leader take during the decision-making process to influence outcomes and improve patient care? Give an example of ways the nurse leader get involved at the individual level, organizational level and the political/state level to implement the change.

Instructions: APA style, 250 words.

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2023 Discussion Care Plans for Pregnancy After confirming and dating a pregnancy you must collaborate with patients

2023 Nursing Discussion: Care Plans for Pregnancy

Discussion Care Plans for Pregnancy After confirming and dating a pregnancy you must collaborate with patients 2023

Discussion: Care Plans for Pregnancy

After confirming and dating a pregnancy, you must collaborate with patients to develop a personalized care plan. These pregnancy care plans are integral to prenatal care as they help to ensure the mother and child’s well-being throughout the entire pregnancy. Pregnancy can be a wonderful, yet difficult time for women as a woman’s body goes through many physical, mental, and emotional changes that might be challenging or even overwhelming for some. Whether or not these women share their concerns, as the advanced practice nurse, you must routinely watch for signs and symptoms of any developing physical or mental health issues. By collaborating with patients and discussing concerns, you can modify care plans and often address potential issues before they become a significant health problem. For this Discussion, consider pregnancy care plans for the women in the following case studies:

Case Study 1:

On 1-15-13, you are seeing a 25-year-old Caucasian female in the clinic because she believes she’s pregnant. Her LMP was 12-1-12. Her home pregnancy test was positive, and she has been having nausea and breast tenderness.

Case Study 2:

You are seeing a 28-year-old African American female, G6 P 3115, who is currently on oral combined hormonal contraception. She’s here because she and her partner would like to have another child. She heard “it takes a while to become pregnant after being on the Pill,” so she discontinued them three months ago. They haven’t been using any contraception since then. Upon questioning, she states that on the Pill, sometimes her menstrual periods are very light and once she didn’t have one at all. Her urine pregnancy test in the clinic is positive. Her LMP was 7-14-12. You are seeing her on 12-3-12.

To prepare:

Review Chapter 30 of the Schuiling and Likis text and Chapter 2 of the Tharpe et al. text.

Review and select one of the two provided case studies. Analyze the patient information.

Consider how to date the pregnancy and estimate the date of delivery for the patient in the case study you selected.

Based on the dating of the pregnancy, reflect on the appropriate clinical guidelines for procedures and screenings. Think about the implications of any missed procedures or screenings.

 

Determine a plan of care for the patient. Identify procedures, screenings, diagnostic testing, pharmacologic and nonpharmacologic treatments (if appropriate), management strategies, and patient education.

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2023 Week 1 Essentials of Nursing Leadership Discussion Post 300 words APA Format 2 scholarly reviewed

2023 Nursing MASTER’S LEVEL NURSING COURSE – DISCUSSION POST – 300 WORDS

Week 1 Essentials of Nursing Leadership Discussion Post 300 words APA Format 2 scholarly reviewed 2023

Week 1: Essentials of Nursing Leadership – Discussion Post

300 words – APA Format

2 scholarly reviewed articles no more than 5 years old

A leader has the ability to combine commitment for improvement with knowledge regarding how to exercise influence and engage support (Dickson & Tholl, 2014). In the areas of nursing and public health, the focus is on improving health. Porter-O’Grady and Malloch (2015) noted several major tasks of 21st-century healthcare leaders. Applying essentials of leadership select two (2) tasks from the following list of tasks and discuss how you would exercise influence and engage support for each of your selected tasks.

 

  • Deconstructing the barriers and structures of the 20th century
  • Alerting staff about the implications of changing what they do
  • Establishing safety around taking risks and experimenting
  • Embracing new technologies as a way of doing work
  • Reading the signposts along the road to the future
  • Translating the emerging reality of health reform into language that the staff can use
  • Demonstrating personal engagement with health reform
  • Helping others adapt to the demands of a value-driven health system
  • Creating a safe milieu for the struggles and pain of changing practice and service
  • Enumerating small successes as a basis for supporting staff

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2023 150 words 1 reference nursing journals this is a response to a peer Article 1 Vianna P

2023 Nursing Nursing response #3_sr

150 words 1 reference nursing journals this is a response to a peer Article 1 Vianna P 2023

150 words 1 reference (nursing journals), this is a response to a peer. 

 

Article: 1  

 

Vianna, P. G., Jr Dale, C. R., Simmons, S., Stibich, M., & Licitra, C. M. (2016). Impact of pulsed xenon ultraviolet light on hospital-acquired infection rates in a community hospital. American Journal of Infection Control, 44(3), 299-303. doi:10.1016/j.ajic.2015.10.009

 

            Hospital associated infections are attributed to extended hospital stays or death. Patients are at increased risk of acquiring infections after being admitted to rooms with previously contaminated MDRO-positive patients (Vianna, Jr Dale, Simmons, Stibich, & Licitra, 2016). Therefore, environmental personnel play a pivotal role in decontaminating infected rooms.  Problem arises when there are variation in cleaning methods.  The study published by the American Journal of Infection Control, reported that the use of xenon ultraviolet light technology in conjunction with standard cleaning measures greatly decreased hospital-wide and ICU infection rates.  Based on the Rating System of the Hierarchy of Evidence, this particular study is a  Level III, evidence obtained from well-designed controlled trail without randomization  (Melnyk & Fineout-Overholt, 2014).  Unlike, Level II there is a lack of randomization.   Level III is befitting as the study has a well-controlled trail, for instance: all ICU rooms have no touch cleaning before ultraviolet emission and non-ICU c. diff rooms were no touch cleaning before ultraviolet use. Although, one should note that results differ from ICU rooms and non-ICU rooms because of lack of control in cleaning procedures, hand washing compliance, and antimicrobial stewardship. 

 

Article 2:

 

Humphrey, J. (2015). Primary cesarean delivery results in emergency hysterectomy due to placenta accreta: A case study. AANA Journal, 83(1),28-34.

 

            High risk pregnancy complication such as placenta accreta has become more common as the rate of c-section increase (Humphrey, 2015). Placenta accreta is when the placenta remain attached to the uterine wall, which, can consequently result in severe bleeding and maternal morbidity and mortality. Humphrey (2015) described a scenario in which a 35 year old female with gravida 3, para 0 presented with ruptured membrane and breech presentation that required a primary  c-section. Her hospitalization was complicated by postpartum  hemorrhage  hours after delivery, which  eventually,  led to the patient receiving a hysterectomy  in order to control bleeding. Risk factors such as increase maternal age, history of placenta previa,  and primary c-section can potentially increase  postpartum hemorrhage. In summary, Humphrey expressed the importance of quickly recognizing and identifying those at risk of postpartum hemorrhage as a result of placenta accreta , in order, to control bleeding.  The article made  it a point, to express,  that these patient require close monitoring even if there vital signs are stable  because continued bleeding might me undetectable. The author recommended, initiating protocols that aides in identifying at risk mothers.  Institution of such protocol,  will alert staff of these life threatening situations in order to provide the appropriate intervention.  Upon review of this article, it is a Level VI on the Rating System of the Hierarchy of Evidence. This article was presented in a case study format that identified patients with primary c-section which resulted in placenta accreta. The author exposed the topic of interest and provided recommendation for practice.  In addition , Level VI evidence is good for addressing questions related to harm and can provide circumstantial evidence and not provide definitive proof of the causes of a disease. It is slightly reliable but there is a potential for bias when recalling information (Ingham-Broomfield,  2016).

 

            The advanced practice nurse evaluate evidence through research by critical appraisal.  This means assessing the validity and usefulness of evidence (Melnyk & Fineout-Overholt, 2014).  In addition, determining the type of method of research  such as quantitative or qualitative. The research methodology is also important for determining the appropriateness of the research, such as the use of systematic reviews or clinical trials. Rigor or the validity of the result is also crucial of evaluation of evidence (Melnyk & Fineout-Overholt, 2014).  For instance, this means determining if the research question is focused. Furthermore, the results of the research determine if there were any significant findings or data. Lastly,  the advanced practice nurse must determine the relevancy  of the research, meaning how applicable is it for practice (Melnyk & Fineout-Overholt, 2014). 

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