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2023 In each week s entry the Students are required to maintain weekly Reflective Narratives

2023 Nursing NARRATIVE 4

In each week s entry the Students are required to maintain weekly Reflective Narratives 2023

In each week’s entry the Students are required to maintain weekly Reflective Narratives (no more than 350 words is necessary), you should reflect on the personal knowledge and skills gained. Your entry should address a variable combination of the following, dependent on the specific practice immersion clinical experiences you encountered that week based on an example of clinical practice learned about the right of the Psyquiatrist patients

1.New practice approaches

2.Intraprofessional collaboration

3.Health care delivery and clinical systems

4.Ethical considerations in health care

5.Population health concerns

6.The role of technology in improving health care outcomes

7.Health policy

8.Leadership and economic models

9.Health disparities

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2023 For the next newsletter you have been asked to write a 700 to 1 050 word

2023 Nursing Need within 8 HOURS! 700 words on Facility Spectrum

For the next newsletter you have been asked to write a 700 to 1 050 word 2023

For the next newsletter, you have been asked to write a 700- to 1,050-word article about the spectrum of health care facilities. In your article:

  • Analyze the spectrum of health care facilities that exist in the U.S.
  • Analyze the purpose and goals of each of the different types of health care facilities in the U.S.
  • Analyze how the different types of facilities work together.
  • Analyze who is responsible for the oversight of the facilities.
  • Analyze the similarities and differences of the health care facilities.

Format your paper according to APA guidelines.

Cite 3 peer-reviewed, scholarly, or similar references to support your paper.

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2023 I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT BETWEEN 100 120 WORDS Early Mobilization Changing the mindset Summary In the

2023 Nursing COMMENT ANDRE

I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT BETWEEN 100 120 WORDS Early Mobilization Changing the mindset Summary In the 2023

I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT..BETWEEN 100-120 WORDS

Early Mobilization: Changing the mindset

Summary: In the surgical ICU, staff has several concern regarding mobilization of intubated patients. In order to assess and improve the staff’s mindset on early mobility a Plan-Do-Study-Act model was creating using a multidisciplinary team. Surveys indicate that the after the plan was implemented, the staff changed their mindset regarding early mobility and the perceived barriers. Implementing an interdisciplinary approach with multimodal education and operational support increases the staff’s use and mindset of

early mobility protocols. 

Strength: Discusses potential barriers to early mobility and the methods used to decrease them.

Weakness: Does not focus on measurable outcomes such as hospital length of stay.

Castro, E., Turcinovic, M., Platz, J., & Law, I. (2015, August 1). Early mobilization: Changing the mindset. Critical Care Nurse, 35, 1-6. Retrieved from

http://eds.a.ebscohost.com.lopes.idm.oclc.org/ehost/pdfviewer/pdfviewer?vid=23&sid=f14b6510-032e-4352-b994-cc415edae47f%40sessionmgr4009&hid=4110

Effectiveness of an early mobilization protocol in a trauma and burns intensive care unit: A retrospective cohort study

Summary: Bedrest and immobility of patients in ICU can have detrimental effects. Studies have shown that early mobility does not pose a risk for patients or increase costs, and it can decrease the length of stay in the ICU and the hospital. This retrospective cohort study of an interdisciplinary quality improvement study evaluated patients pre and post early mobility program. The study revealed no adverse effects due to early mobility and a decrease in complications associated with immobility. 

Strength: Discusses measurable outcomes such as a reduction in pneumonia, DVT, and hospital length of stay.

Weakness: Focus is specifically on trauma and burn patients.

Clark, D. E., Lowman, J. D., Griffin, R. L., Matthews, H. M., & Reiff, D. A. (2013, February, 1). Effectiveness of an early mobilization protocol in a trauma and burns intensive care unit: A retrospective cohort study. Physical Therapy, 93, 186-195. Retrieved from

http://eds.a.ebscohost.com.lopes.idm.oclc.org/ehost/pdfviewer/pdfviewer?sid=996f332c-cfff-46f3-b20d-bf16a75858b7%40sessionmgr4006&vid=34&hid=411

Move to improve: The feasibility of using an early mobility protocol to increase ambulation in the intensive care unit

Summary: Increased bedrest and lack of mobility can lead to deconditioning and longer hospital stays for patients. This study determines the effectiveness of a nurse-driven mobility protocol implemented within the first 72 hours of the patient’s stay in ICU or MOSU. A multidisciplinary team developed a protocol to guide nursing in mobility assessment. This gave the nurse the ability to order physical or occupational therapy when appropriate. This approach showed an increase in the amount of patients participating in early mobility within the first 72 hours.

Strength: Discusses specifics regarding how early mobility protocol was implemented such as how to overcome barriers.

Weakness: Focus is on number of patients participating in early mobility, not on other measurable outcomes such as length of stay.  

Drolet, A., DeJuilio, P., Harkless, S., Henricks, S., Kamin, E., Leddy, E. A., … Williams, S. (2013, February 1). Move to improve: The feasibility of using an early mobility protocol to increase ambulation in the intensive care and intermediate care settings. Physical Therapy, 93, 197-207. Retrieved from http://eds.a.ebscohost.com.lopes.idm.oclc.org/ehost/pdfviewer/pdfviewer?vid=57&sid=996f332c-cfff-46f3-b20d-bf16a75858b7%40sessionmgr4006&hid=4110

Physical therapy-driven quality improvement to promote early mobility in the intensive care unit.

Summary: Evidence shows that early mobility of ICU patients is a safe and cost-effective strategy to improve patient outcomes. For ICUs that have not implemented early mobility, a multidisciplinary approach, including nurses, physical therapists, respiratory therapists, and physicians, is needed. In this study a lead physical therapist was appointed to develop solutions to overcome the barriers of early mobility. Due to the interventions, the number of patients receiving early mobility increased from 364 to 542. 21 patients were interviewed and also describe their experiences and outcomes of earlymobility.

Strength: Discusses specific guidelines for patient criteria to be eligible in physical therapy.

Weakness: Discussed form a physical therapist point of view regarding interventions.

Harris, C. L., & Shahid, S. (2014, July 1). Physical therapy-driven quality improvement to promote early mobility in the intensive care unit. Baylor University Medical Center Proceedings, 203-207. Retrieved from

http://eds.a.ebscohost.com.lopes.idm.oclc.org/ehost/pdfviewer/pdfviewer?vid=38&sid=996f332c-cfff-46f3-b20d-bf16a75858b7%40sessionmgr4006&hid=4110

Earlier Mobilization decreases the length of stay in the intensive care unit.

Summary: Early mobility in the ICU has shown to improve outcomes and decrease length of hospital stay. Many facilities do not implement early mobility due to safety concerns of critically ill patients. This study compared the effectiveness of an early mobility protocol and the standard physical therapy treatment of patients diagnosed with respiratory failure in the ICU. There 

was a retrospective study of 28 patients with the respiratory distress and qualifying patients that received early mobility protocol were compared to

traditional physical therapy in regards to time spent on ventilator and total days spent in ICU. The results indicated that the use of an early mobility protocol decreased length of time spent on a ventilator and in ICU, resulting in a savings of $22,000 per patient.

Strength: Discusses specific data such as length of stay in ICU and the cost reduction for patients.

Weakness: Study is specific for ventilator dependent patients.

Ronnebaum, J. A., Weir, J. P., & Hilsabeck, T. A. (2012, June 1). Earlier mobilization decreases the length of stay in the intensive care unit. Journal of Acute Care Physical Therapy, 3, 204-210. Retrieved from

http://eds.a.ebscohost.com.lopes.idm.oclc.org/ehost/pdfviewer/pdfviewer?vid=14&sid=996f332c-cfff-46f3-b20d-bf16a75858b7%40sessionmgr4006&hid=4110

Examining the positive effects of exercise in intubated adults in ICU: A retrospective repeated measures clinical study

Summary: This study compared standard care versus early mobility and the effects of inflammatory markers, vital signs, and length of stay of intubated ICU patients. This prospective study included a control period, run-in period, and an intervention period of patients ventilated more than 48 hours. Less than 5% of exercise periods were associated with concerning vitals, reinforcing evidence that mobility of intubated patients is safe. Findings suggest that even a 20 minute intervention two or more days a week can significantly reduce the ICU length of stay. Daily exercise of 20 minutes can decrease inflammation markers suggesting that early mobility can also decrease inflammatory dysregulation of critically ill patients.

Strength: Discusses specific measurable data such as inflammatory markers and length of stay in ICU.

Weakness: Specific for ventilated patients in ICU.

Winkelman, C., Johnson, K. D., Hejal, R., Gordon, N. H., Rowbottom, J., Daly, J., … Levine, A. D. (2012). Examining the positive effects of exercise in intubated adults in ICU: A retrospective repeated measures clinical study. Intensive and Critical Care Nursing, 28, 307-320. Retrieved from http://eds.a.ebscohost.com.lopes.idm.oclc.org/ehost/pdfviewer/pdfviewer?sid=49e07136-cece-4872-9f3a-4b6899025d34%40sessionmgr4010&vid=11&hid=4110

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Assignment 2 Nursing Theory Analysis Paper Overview Description The purpose of this assignment is to describe evaluate

2023 Nursing Assignment- Kristen Tutor

Assignment 2 Nursing Theory Analysis Paper Overview Description The purpose of this assignment is to describe evaluate 2023

Assignment 2: Nursing Theory Analysis Paper

Overview/Description:

The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below.

Theory/Author Name and Background

  1. Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
  2. Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.
  3. Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
  4. Identify the phenomenonof concernor problems addressed by the theory.

Theory Description

  1. Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
  2. Describe the major concepts of the theory.  How are they defined? (theoretically and/or operationally) Is the author consistentin the use of the concepts and other terms in the theory?
  3. Interpret how the concepts are defined.  Implicitly or explicitly?
  4. Examine the relationships (propositions) among the major concepts.

Evaluation

  1. Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
  2. Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
  3. Discuss the clarity of the theory.  Did it have lucidness and consistency?

Application

  1. Examine how the theory would guide nursing actions.
  2. Describe specificallyhow you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).

APA Style/Format

CRITERIA
WEIGHT

Theory/Author Name and Background:

  1. Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
  2. Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.
  3. Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
  4. Identify the phenomenonof concernor problems addressed by the theory.
10

10

10

10

Theory Description:

  1. Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
  2. Describe the major concepts of the theory.  How are they defined? (theoretically and/or operationally) Is the author consistentin the use of the concepts and other terms in the theory?
  3. Interpret how the concepts are defined.  Implicitly or explicitly?
  4. Examine the relationships (propositions) among the major concepts.

14

18

14

14

Evaluation:

  1. Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
  2. Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
  3. Discuss the clarity of the theory.  Did it have lucidness and consistency?
20

20

20

Application:

  1. Examine how the theory would guide nursing actions.
  2. Describe specificallyhow you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).
10

10

APA Style/Format:

Free of grammatical, spelling or punctuation errors. Citations and references are written in correct APA Style.
20

Total:
200

 

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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