Category: Nursing

lease complete the following questions in your reflective journal: Meets Module SLOs 1, 2, 3, 4 & 5
After completing the Sentinel U: Patient Management and Delegation Level 3-
First while looking at the report sheets- what do you glean to know you have a low, medium, or high acuity patient?
While looking at the report sheets, what tells you an expert nurse needs to do something? The nurse with a medium amount of experience needs to do something.
While looking at the report what tells you if I was taking care of this patient I need to see them right out of the report because of?
What helpful suggestions can you as a charge nurse or nursing manager provide a new staff nurse to improve time management with a patient assignment? (Use your suggested reading for suggestions to improve time management: Leis, Sheila J., and Amanda Anderson. 2020. “Time Management Strategies for New Nurses.” American Journal of Nursing 120 (12): 63. doi:10.1097/01.NAJ.0000724260.01363.a3. ).
Describe the workload tool used where you have practiced to efficiently meet the patient staffing needs. If you are not currently working as a nurse, find a tool online and describe it. (See Chapter 8 in your textbook).
Calculate the nursing care hours per patient-day (NCH/PPD) based upon the same number of patients (10) staying for 24 hours and during the 0700-1500 shift, 3 RNs and 1 nursing assistant (NA); 1500-2300 shift, 3 RNs; 2300-0700 shift, 2 RNs, and 1NA. The formula is NCH/PPD = Nursing hours worked in 24 hours divided by Patient Census. Where nursing care hours per patient day is (NCH)/PPD.
How does the nursing care hours per patient day formula compare to other workload measurement tools you discussed in question 2?
Review the staffing and scheduling policy where you currently work and explain it in a short summary. If you are not currently working as a nurse, find a policy online and use it to answer the question. (See Chapter 8 in your textbook). Explore the American Nurses Association statement regarding nursing staffing advocacy, https://www.nursingworld.org/practice-policy/nurse-staffing/nurse-staffing-advocacy/Links to an external site. and determine if the policy you reviewed meets the state minimum staffing guidelines for the state you currently work- does your state have guidelines? Why or why not?
Short case: The outpatient surgical unit is experiencing various unfinished nursing care, including patient teaching, review of current medications and reconciliation of the medications, and emotional support for the patient and family. There has been an increase in hospital-acquired infections and medication errors. The patient satisfaction scores have declined. Staff state they are feeling stressed and feel they don’t have enough time to complete everything that needs to be done in a timely manner. The facility is at the proper staffing ratios. There are some new nurses hired recently. In nursing management, what is a possible solution to improve the completion of needed nursing care and to improve the satisfaction of the patients? (Use your assigned reading articles to address the question: Bryant, S., & Yoder, L. (2021). Implementing the Lean Management System to Influence Unfinished Nursing Care. MEDSURG Nursing, 30(3), 181–217. and Al-Abri, R. K., & Al-Hashmi, I. S. (2007). The learning organization and health care education. Sultan Qaboos University medical journal, 7(3), 207–214).
Describe the nursing budget model used at the facility where you currently work. What are the budget goals? What plans have been made to carry out the goals for the place you work in the budget? (If you are not currently working use the provided budget to discuss: El Camino Hospital FY 19 Budget- https://www.elcaminohealth.org/sites/default/files/migrated-content/page/3436/body-pdf-Board-FY2019-Budget.pdfLinks to an external site.

APA, 3 Scholarly articles, No government sources please.
Instructions
Follow the steps to complete your journal response assignment for Module 3.
gastrointestinal conditions:
Acute abdominal pain
A specific form of gastroenteritis
Acute pancreatitis
Helicobacter pylori infection
Peptic ulcer disease
Module focus: Consider adult gastrointestinal conditions as you reflect on the following prompts:
Reflective Journal Assignment:
Think about what information you reviewed in this module that you deem most important. What material resonated most with you?
Describe how you can apply this content to your future practice as a healthcare professional.
How has this module contributed to your growth toward becoming a competent nurse practitioner?
Summarize your thoughts using 250–300 words. You should cite online literature or articles that you find in the library to support your ideas.

APA, 3 scholarly articles, no government sources,
instructions
Write a 1- to 2- page paper in APA (7th ed.) format comparing the nursing process to the five steps of evidence-based practice.
Include the following:
Identify the five steps of the evidence-based practice model.
In your own words, explain what each of the five steps entails.
Use a real or fictitious clinical problem and discuss how to approach the problem using each of the five steps. Provide details about precisely how you would find the information, critically appraise the evidence, integrate the appraised information, and evaluate the effectiveness of the previous steps.
Explain how this process will look at your facility as an ongoing process to improve nursing care associated with your identified problem.

clinical problem would be nurse burnout

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
A summary of the critical appraisal of the peer-reviewed articles you previously submitted
An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
Alternate Submission Method
You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media Uploader guideLinks to an external site.. This guide will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only “Screen” and “Audio” are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the “Posting Your Video in the Classroom Guide” found on the Kaltura Media Uploader page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.
By Day 7 of Week 10
Submit Part 4 of your Evidence-Based Project. Review the following submission instructions for the type of submission you choose.
submission information – Narrated PowerPOint

The attached personal statement for university admission was detected for similarities, hence the reason for editing. Thank you.

Please read the assignment criteria. – Please no AI as our uni is big on academic integrity at moment.
2 * blogs on two different standards, 500 Words each blog with references (Australian standards to be included and nursing references 4 to 5 each blog)
– 1st Blog, I have attached the National Safety Standards, (please chose one of the standards that can be an informative blog to “public” – has to be written as a nurse perspective
– 2nd Blog is Age Care Quality Standards https://www.agedcarequality.gov.au/providers/quality-standards (can we please write on Standard 1 – Right to Dignity “Confidentiality and Privacy in Aged Care)
It is Blog and can be done in different ways – the criteria on assignment attached had examples below as what can be done – the target of the Blog has options.
1st Blog one be an information blog to “consumer” , more informative kind
2nd Blog with the aged care one (standard 1)to peers (so reflective blog but making reference to standards. I had a 2 week placement at an age care at a student nurse and could use this as my reflective blog for a nursing journal for others students going on placement at an aged care and needing to understand standard 1)

Social Change is at the core of Walden’s mission as a university. The sociological definition of social change is the “transformation of culture, behavior, social institutions, and social structure over time (University of Minnesota, 2016).” However, Walden University’s mission of social change is even more succinct. It is “people working to improve the lives of others (Walden University, n.d.).” As a DNP-prepared nurse, examples of the kinds of positive social change you might advocate for include implementation of policy that decreases infection rates in a vulnerable population, organizational change to provide immunizations for older adults with limited access to insurance, or respite activities for the staff during work hours.
As an advanced practice nurse, you are and will continue to serve as an agent of change in all you do. Think about the positive impacts you have on patient care, the organization for which you work, the communities you serve, and even the field of nursing in the largest sense. Consider the ways in which earning the DNP degree will support you in your advocacy for positive social change and your commitment to fostering innovation for change in nursing practice.
References
University of Minnesota. (2016). Sociology: 20.1 understanding social change. https://open.lib.umn.edu/sociology/chapter/20-1-understanding-social-change/
Walden University. (n.d.). 5 things that everyone should know about social change. https://www.waldenu.edu/why-walden/social-change/resource/five-things-that-everyone-should-know-about-social-change
To prepare:
Review the Learning Resources that address the importance and value of being an agent of social change.
Reflect on your personal and professional commitment to advocacy for patients, communities, and the nursing profession.
Think about the role of the DNP-prepared nurse as an agent of positive social change.
Consider how, as a DNP-prepared nurse, you will advocate for positive social change and have a positive impact on your patients, communities, and the nursing profession.
Address the following in your Blog entry:
Describe the role of the DNP-prepared nurse as an agent of positive social change.
Describe how you intend to demonstrate your commitment to positive social change as a DNP-prepared nurse.
Explain how you will be an agent of social change and have a positive impact on your patients, communities, and the nursing profession. Be specific and provide examples.

Instructions
Read the instructions for the final project in the course Syllabus. Module 8 will also have the information and the grading rubric. Begin to research and gather information about part two of the project: Creating an electronic media message. Review the list of app building and social networking tools included within the Reading and Resource section of this module.
Include within the outline 3 to 4 sentences describing:
• The issue your media message will address and why you chose it.
• What outcome that you intend to achieve with the message.
• Who will benefit from the information (targeted audience).
• An overview of the message you will be crafting.
• Which media tool will be used and how it will be formatted.
• Potential strategies you will use to achieve the expected outcome.
• How privacy or security issues of concern will be mitigated.
Use the APA 7th edition to format the paper in a Word document. Use at least 3 relevant, contemporary, and scholarly references. Synthesize the information gleaned using reference citations as appropriate. Avoid using the words of others as direct quotes. Add section headers in the paper to assure all the required components of the assignment are included.

The social determinates of health include factors other than access to health care, such as socioeconomic status, economic stability, access to quality education, physical environment, support networks, employment, etc. Although efforts to improve healthcare within the United States usually point to responsibilities within the healthcare system, there is a growing recognition that these social determinants of health are also critical—from the individual to the population level.
As a DNP-prepared nurse, you will consider and address the social determinants of health when working with patients. Think about the ways in which this will positively impact your patients’ experiences and outcomes, as well as the communities you serve.
Review the Learning Resources that address the importance and value of taking the SDoH into consideration as a DNP-prepared nurse.
Consider why and how you intend to begin shifting your thinking and practice related to the SDoH from the relatively smaller scope of patient care to the broader perspective of organizations, communities, and the larger field of nursing (e.g., advocating at the policy level, meeting with stakeholders, utilizing esearch and data, etc.).
Select one SDoH Domain that is of particular interest to you on which to focus for this Discussion.
Using Walden Library and the internet, search for and identify three scholarly, peer-reviewed articles (within the last 5 years) that address the SDoH Domain you selected from the broader perspective of organizations, communities, and the larger field of nursing.
Post the following:
An explanation of the importance and value of taking the SDoH into consideration as a DNP-prepared nurse.
Identify the one SDoH Domain you selected and explain why it is particularly important to you.
An explanation of why and how you intend to shift your thinking and practice related to the SDoH from the patient-level to the organizational, community, and/or larger field of nursing levels. Be specific, provide examples, and cite the three scholarly resources you identified to support your points.
Note: Your posts should be substantial (500 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful post but cannot stand alone as the entire post.

How have your life and professional experiences prepared you for the WGU B.S. Nursing Prelicensure program? 
-Previous experience : Been a nurse for 10 yeas and currently serves as a licensed practical nurse for Dept of VA
-Educational background: Acquired a Master’s in Healthcare Administration and recently Certified in Remote Patient Monitoring for Home Telehealth
-Community involvement : Volunteer at various community outreach programs for veterans. Providing resources, establishing rapport and developing local partnerships
How can the WGU nursing program prepare you to deliver and/or support healthcare to the community in which you live? 
-I will be able to use new skillset to provide advanced care to high acuity patients and further facilitate policy changes in VA healthcare.
Tell us about the characteristics, abilities, and skills you would bring to the nursing profession. 
-Electronic Health Record Management
-Dedication and Patience
-Critical Thinking
-Collaboration
Reflect on your decision to become a nurse and tell us about any concerns that surfaced and how you overcame those concerns.  
-I became a nurse to fulfill my purpose of helping those in need. A concern I had while pursuing this goal was work/life balance because the commitment would require a lot of researching, studying and clinical time. I overcame my work/life balance concern by establishing a schedule and accepting support from peers, family and friends.