Describe anticipated opportunities for ARPNs on the emerging health care delivery system and areas of resistance that APRNs may encounter. How ARPNs…

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Question Answered step-by-step Describe anticipated opportunities for ARPNs on the emerging healthcare delivery system and areas of resistance that APRNs may encounter. How ARPNs could address these potential areas of resistance. Health Science Science Nursing NSG 506 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Week 6 Assignment:  EBP Change Process form ACE Star Model of Knowledge TransformationFollow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson. Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project.  Nurse Daniel serves as an example only to illustrate the change process. Name: ___Darline Mainillo__________________ Star Point 1: Discovery (Identify topic and practice issue)Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.)The topic staffing ratio in relationship to the nursing practice Standard 18 Environmental health. Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.  Nurses need a healthy environment to work.  A set safe patient to team member ratio will provide the nurse with a safe environment and have positive patient outaomes.          Star Point 2: Summary (Evidence to support need for a change)Describe the practice problem in your own words and formulate your PICOT question.   List the systematic review chosen from the CCN Library databases. Type the complete APA reference for the systematic review selected.    List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format.  Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence.   Outline one or two evidence-based solutions you will consider for the trial project.      Star Point 3: Translation (Action Plan)Identify care standards, practice guidelines, or protocols that may be in place to support your intervention planning (These may come from your organization or from the other sources listed in your Summary section in Star Point 2).    List your stakeholders (by title and not names; include yourself) and describe their roles and responsibilities in the change process (no more than 5).     What specifically is your nursing role in the change process? Other nursing roles?   List your stakeholders by position titles (charge nurse, pharmacist, etc.).Why are the members chosen (stakeholders) important to your project?    What type of cost analysis will be needed prior to a trial?  Who needs to be involved with this?      Star Point 4: (Implementation)Describe the process for gaining permission to plan and begin a trial.  Is there a specific group, committee, or nurse leader involved?   Describe the plan for educating the staff about the change process trial and how they will be impacted or asked to participate.      Outline the implementation timeline for the change process (start time/end time, what steps are to occur along the timeline).    List the measurable outcomes based on the PICOT. How will these be measured?  What forms, if any, might be used for recording purposes during the pilot change process. Describe. What resources are available to staff (include yourself) during the change pilot? Will there be meetings of certain stakeholders throughout the trial? If so, who and when will they meet?  Health Science Science Nursing NUR 451 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Situation: Dolores Wellbeing, a 35 yr old sales lady, reports weakness, and flu-like symptoms for 3-4 days. Although thirsty, she is unable to tolerate fluids because of nausea and vomiting, and she has liquid stools 2-4 times per day.Physical ExaminationHt: 5'3Wt: 166lbsTemp: 38.6PR: 86BPMRR: 24CPMBP: 130/90Diagnostic DataUrine specific gravity: 1.0357Serum Sodium: 155meq/ LCXR: negative Formulate a Nursing Care Plan based on this situation. Give rationale to every intervention. You can use NANDA as your guide in formulating.  USE THE SAMPLE FORMAT BELOWNURSING CARE PLAN SAMPLEMR. BOWICK HAS HAD A SUCCESSFUL REPAIR OF A FRACTURED HIP AND IS RECOVERING, WITH A PROBLEM OF ACUTE PAIN. HE IS WAITING FOR DISCHARGE AND NEEDS CLIENT EDUCATION IN THIS REGARD. MR. BOWICK WILL NEED DIRECTION AS TO WHETHER HE IS ABLE TO GO HOME WITH HOME HEALTH NURSING SUPERVISION AND ASSISTANCE OR IF HE WILL NEED TO BE ADMITTED TO A CONVALESCENT SETTING.  ASSESSMENTNURSING DIAGNOSISEXPECTED OUTCOMEPLANNING/INTERVENTIONRATIONALEEVALUATIONSUBJECTIVE SYMPTOMACUTE PAIN ACUTE PAIN RELATED TO RECENT REPAIR OF THE FRACTURED LEFT HIP NOC (NURSING OUTCOME CLASSIFICATION): PAIN LEVEL, PAIN CONTROL, COMFORT LEVEL, PAIN; DISRUPTIVE EFFECTNIC (NURSING INTERVENTION CLASSIFICATION)PAIN MANAGEMENT, ANALGESIS ADMINISTRATION, PATIENT - CONTROLLED ANALGESIATHE CLIENT WILL:STATE HE HAS DECREASED LEVEL OF PAIN (SCALE OF 1-10) WITHIN 48 HOURSVERBALIZE SUCCESSFUL MEASURES THAT IMPROVE HIS COMFORT LEVEL BEFORE DISCHARGECOLLABORATE WITH CLIENT IN DETERMINING WHAT METHODS CAN BE USED TO REDUCE THE PAIN LEVELPREDICATE THE CLIENT 30 -60 MINUTES PRIOR TO AMBULATINGINCREASES THE SELF-EFFICACY OF THE CLIENT IN PAIN RELIEF METHODS.PREVENT PAIN LEVELS FROM INCREASING BEYOND THE PAIN THRESHOLD. THE CLIENT STATES THAT HIS PAIN LEVEL HAS DECREASED FROM   6-3 ON THE PAIN MANAGEMENT SCALE OF 1-10 AND HE IS ABLE TP AMBULATE WITH LESS DISCOMFORT. INEFFECTIVE HEALTH MAINTENANCE FROM RECENT SURGERY, ASA RELATED TO IMPENDING DISCHARGE.NOC; HEALTH BELIEFS, PERCEIVED RESOURCES; HEALTH-PROMOTING BEHAVIOR, HEALTH SEEKING BEHAVIOR NIC; HEALTH SYSTEM GUIDANCE, SUPPORT SYSTEM ENHANCEMENT, HEALTH EDUCATIONTHE CLIENT WILL:IDENTIFY THE BARRIERS IN HEALTH MAINTENANCE IN WHICHEVER ENVIRONMENT HE IS DISCHARGED TO WITHIN 3 DAYS OF RELOCATINGENGAGE IN HEALTH MAINTENANCE BEHAVIORS, SUCH AS PERSONAL HYGIENE, WITHIN 3 DAYS OR RELOCATING   THE CLIENT WILL ASSESS BARRIERS TO HEALTH MAINTENANCE      ASSIST THE CLIENT IN IDENTIFYING HEALTH BEHAVIORS THAT ARE COMPATIBLE WITH HIS LIFESTYLE AFTER THE SURGICAL REPAIR OF THE LEFT HIP  ENCOURAGE PATIENT TO DISCOVER METHODS OF IMPROVING HIS STATE OF HEALTH   ALLOWS REALISTIC PLAN FOR THE CLIENT TO ADAPT TO HIS LIMITATIONS CREATED FROM THE RECENT SURGERY       THE CLIENT IDENTIFIED THE HEALTH BARRIERS OF HIS RECENT SURGERY AND DEVELOPED A PLAN FOR OVERCOMING THE DEFICIENCIES Health Science Science Nursing NCMA 111 Share QuestionEmailCopy link Comments (0)