Category: Nursing

Please see attached that was completed but needs revised… See professor comments below…
***Please be sure to label each module reflection with the module number and separate each module’s reflection (each should be at least 4 sentences). For example – Module 1.01 In this section I learned…***

Promoting therapeutic relationships with children and their families through verbal and nonverbal communication is vital. How can cultural differences impact verbal and non-verbal communication, and what strategies can nurses use to navigate these differences effectively?
Please use this text book as a reference.
Duderstadt, K. G., & Keeton, V.F. (2023). Pediatric Physical Examination: Pediatric Physical Examination . Elsevier Health Sciences: St. Louis: MO.
please include title and reference page.

Journaling provides a valuable tool for recording, reflecting on, and reviewing your learning. This approach provides an opportunity for you to “connect the dots” and observe the relationships between and among activities, interactions, and outcomes.
Unlike a personal journal of thoughts and feelings, this leadership journal is a record of your activities, assessments, and learning related to this academic experience.
Journal entries should include a record of the number of hours spent with your nurse leader each week.
Write a journal entry of 750-1,500 words on the subject of authority, including the following:
Practicum Activities Reflection: Provide observations and thoughts on the activities in your practicum setting during Weeks 3-4.
Application of Leadership: Reflect on how change management is handled in your professional life. How is this related to strategic management principles? Explain your answer and provide an example.
Practicum Project Preparation: Explain how your project goals align with the mission and vision of your organization, as well as with the organizational needs. Is it important that these align? Provide your rationale.
Leadership Video Reflection: Reflect on at least two things you learned from the “Servant Leadership – Issue of Authority” video.
Use the “Leadership Journal Template,” located in Class Resources, to complete this assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
LINK TO VIDEO

**Paper received high similarity score via Turnitin. Can you edit and cite sources appropriately?
For this assessment, you will analyze a safety quality issue in a health care setting and identify a quality improvement (QI) initiative.
Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you know what is needed for a distinguished score.
Explain factors leading to a specific patient-safety risk in a health care setting.
Explain evidence-based and best-practice solutions to improve patient safety and reduce costs.
Explain how nurses can help coordinate care to increase patient safety and reduce costs.
Identify stakeholders with whom nurses would coordinate to drive safety enhancements with a specific safety quality issue.
Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

I work in women’s and infants services. We help navigate women wellness through out their pregnancy.

Technology Trends
In the world of health care, technology trends are rapidly evolving, especially when it comes to data management and information systems. Since I have started working in health care, electronic health records have been used, but they are constantly evolving and improving to better enhance the way our providers are able to care for patients. Electronic Health Records (EHRs) are key to health care operations and enable sharing of patient data across different departments and care providers. According to the International Organizaiton for Standardization website (n.d.) electronic health records are “a comprehensive digital compilation of a patient’s health data. The real benefit of EHRs over traditional paper charts is ease of access… An EHRs system can revolutionize healthcare for both patients and providers. By centralizing information and promoting seamless collaboration between different professionals, EHRs foster a more patient-centered approach to healthcare delivery.” These electronic health records are able to store comprehensive patient information, that includes medical history, medications, allergies, lab results, and treatment plans. Having all this information in one health record allows health care providers to make more informed decisions when caring for their patients. Electronic health records have revolutionized the health care industry by making patient data and records more accessible and easier to manage and will continue to play a critical role in advancing health care delivery.
Challenges
Although there are many beneficial points to using electronic health records in health care, there are also some challenges that arise from using them also. In the journal written by Keshta and Odeh (2020) there are many challenges or issues that arise from using electronic health records in health care but states “The common issues that needs to be addressed in electronic medical record system are privacy, security and confidentiality… Transfering or sharing sensitive health data when not authority can lead to data breach.” As patient information is increasingly digitized and shared across platforms, there becomes an increased risk of data breaches and unauthorized user access. When a health care organization uses an electronic health record system, it is important for them to implement strong cybersecurity measures in order to protect sensitive health information because breaches have the potential to lead to identity theft, legal liabilities, and loss of trust because patient and health care providers. Addressing this challenge, and other challenges, will require an ongoing investment in technology infrastructure, user training, and developing policies to ensure security, privacy, and efficiency within the health care organization.
Potential benefit and risk
There are many benefits to using the electronic health records in the clinical setting and one of the potential benefits is improved patient safety through enhanced data sharing and access. The Centers for Medicare & Medicaid Services (n.d.) states “EHRs are the next step in the continued progress of healthcare that can strengthen the relationship between patients and clinicians. The data, and the timeliness and availability of it, will enable providers to make better decisions and provide better care. For example, the EHR can improve patient care by: reducing the incidence of medical error by improving the accuracy and clarity of medical records… making health information available, reducing duplication of tests, reducing delays in treatment, and patients well informed to make better decisions… reducing medical error by improving the accuracy and clarity of medical records.” EHRs enable providers to access real-time, comprehensive patient data, which helps reduce the risk of medical errors. Providers are able to quickly see a patient’s full medical history, medication lists, and allergies, which will help the provider make a more accurate diagnoses. This enhanced data sharing promotes continuity of care, especially for patients seeing multiple providers or moving between health care settings.
The potential risks of using electronic health records in health care are data breaches and privacy violations. With increased digitization, patient health data is put an increased risk for cyberattacks, breaches, and unauthorized access. A data breach can expose sensitive personal information, which can lead to identity theft or the misuse of medical information. Such incidents not only compromise patient privacy but also result in legal liabilities for health care organizations. Legislation like HIPPA imposes strict penalties for non-compliance with data protection standards, adding further risk to health care providers if they fail to adequately safeguard patient information.
Ensuring that health care organizations balance the benefits of electronic health records with the risks associated with data security and privacy is critical for maintaining both patient trust and regulatory compliance.
Technology trends that enhance nursing practice
One technology trend that I believe will enhance the nursing practice is telehealth and remote monitoring. Telehealth allows nurses to deliver care remotely, which can be particularly useful in managing chronic disease, post-operative follow-ups, or providing care in rural areas. Rutledge and Gustin (2021) states “The nurse practicing telehealth promotes patient wellness; assesses patients and provides care in remote or disadvantaged settings; manages chronic conditions; provides transition of care; and supports end of life care.” Remote monitoring devices, such as wearable sensors, allow nurses to track patients’ vitals, glucose levels, and other critical health indicators in real time, ensuring timely interventions without the need for physical visits. This trend expands the nurses’ ability to monitor and support patients outside traditional clinical settings, providing continuity of care. Telehealth is promising to enhancing nursing practice by the increased access to care. Telehealth improves access to health for patients in remote areas or those with mobility issues. It also helps nurses catch issues early, enabling proactive care and reducing hospital readmissions. Telehealth is transforming nursing practice by enhancing efficiency, improving patient safety, and expanding access to care. It allows nurses to leverage data-driven insights, reduce manual tasks, and ultimately improves patient outcomes.
Promises to improve health care
The promise of health care technology trends will contribute significantly to improvements in patient care outcomes, efficiencies, and data management. The trends will increase efficiency in care delivery by streamlining nursing workflows, freeing up time for more critical tasks and reducing delays in care delivery. In the example of telehealth, this allows nurses to conduct virtual visits, which can be beneficial for chronic disease management, where frequent monitoring is essential. Patients are able to be monitored from home, reducing hospital visits and minimizing the burden on health care facilities. An example: In rural or underserved areas, telehealth platforms allow nurses to provide ongoing care and follow-ups without the need for patients to travel long distances, improving access to care and optimizing resource allocations.
References
Keshta , I., & Odeh , A. (2021). Security and privacy of electronic health records: Concerns and challenges. Egyptian Informatics Journal, 22(2). https://doi.org/HTTPS://doi.org/10.1016/j.eij.2020.07.003 Links to an external site.
International Organization for Standardization. (N.d.). Electronic health records. ISO. HTTPS://www/iso.org/healthcare/electronic-health-records Links to an external site.
Centers for Medicare & Medicaid Services. (N.d.). Electronic health records. CMS. HTTPS://www.cms.gov/priorities/key-initiatives/e-health/records Links to an external site.

Main Post
Observed Healthcare Technology Trends
As a nurse at a County hospital, I have observed significant growth for integrating digital health technologies to enhance patient care and improve patient data management. These trends encompass a range of tools, such as Electronic Health Records (EHRs), telehealth services, and digital patient portals. The expansion of EHRs has streamlined patient data collection, storage, and sharing, making it accessible to healthcare providers across different settings. These records contain essential patient data, enable real-time updates, and facilitate evidence-based decision-making (HealthIT.gov, 2018)​. Additionally, mobile health applications and remote monitoring devices have increased, mainly as telehealth emerged as a crucial service during the COVID-19 pandemic, addressing gaps in in-person care delivery (Sharma & Patten, 2022)​.
Potential Challenges and Risks
While these technologies have provided numerous benefits, several challenges exist. One challenge is the digital divide, disproportionately affecting rural and underserved populations due to limited broadband access, lack of smart devices, and low digital literacy (Sieck et al., 2021)​. This challenge can create barriers to healthcare access, exacerbating health disparities. Moreover, maintaining data privacy and security is a critical issue, as the increased digitization of patient data makes it susceptible to breaches, as seen with third-party health apps (Sharma & Patten, 2022)​. In an era of increased cyberattacks on healthcare systems, safeguarding patient data remains a top priority.
Potential Benefits and Risks
One notable benefit of integrating digital health technologies is improved patient engagement and satisfaction. For example, the use of EHR-integrated patient portals allows patients and caregivers to access their health information, participate in care planning, and communicate with their providers (Dykes et al., 2017)​. This can lead to higher satisfaction scores and better adherence to care plans. However, a potential risk associated with this level of accessibility is data privacy concerns, especially when sensitive health information is shared or accessed on unsecured networks. Furthermore, legislative frameworks such as the Health Insurance Portability and Accountability Act (HIPAA) define data-sharing boundaries, which, if not adhered to, can result in legal repercussions for healthcare organizations.
Promising Healthcare Technology Trends
Among the current trends, Artificial Intelligence (AI) and Machine Learning (ML) hold significant promise for enhancing healthcare delivery. AI-driven tools can analyze large datasets to predict patient outcomes, identify at-risk populations, and support clinical decision-making. For example, AI algorithms could be integrated into existing EHR systems to flag patients who may be at risk for specific conditions, allowing for earlier intervention and better management of chronic diseases (Dykes et al., 2017)​. In my organization, there is clear potential for AI and ML to improve patient outcomes and enhance operational efficiencies by automating routine tasks such as scheduling and data entry. This integration has the potential to reduce provider burnout and improve the accuracy of clinical documentation.
In conclusion, while healthcare technology trends like EHRs, telehealth, and AI offer numerous benefits, they also bring challenges related to digital inclusion and data security. Addressing these issues will be crucial as healthcare evolves in a technology-driven direction.

References
Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S., Donze, J., Fagan, M., Gazarian, P., Hanna, J., Lehmann, L., Leone, K., Lipsitz, S., McNally, K., Morrison, C., Samal, L., Mlaver, E., Schnock, K., & Stade, D. (2017). Prospective Evaluation of a Multifaceted Intervention to Improve Outcomes in Intensive Care. Critical Care Medicine, 45(8), e806–e813. https://doi.org/10.1097/ccm.0000000000002449
HealthIT.gov. (2018). What Are Electronic Health Records (EHRs)? | HealthIT.gov. Healthit.gov. https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/what-are-electronic-health-records-ehrs
Sharma, P., & Patten, C. A. (2022). A Need for Digitally Inclusive Health Care Service in the United States: Recommendations for Clinicians and Health Care Systems. The Permanente Journal, 26(3), 149–153. https://doi.org/10.7812/tpp/21.156
Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). Digital inclusion as a social determinant of health. NPJ Digital Medicine, 4(1). https://doi.org/10.1038/s41746-021-00413-

Discuss from your nursing experience an intervention you used with a family using each of the 4 types of approaches:
1. Family as Context
Focuses on the assessment and care of an individual patient in which the family is the context.
Traditional
Individual is in the foreground and the family is in the background
Family serves as context for the individual as a resource or stressor (so the family can be either anegative or positive context).
An example of this would be in the care of children under 18. Physician rounds are generally “family centered” and done with the focus on the patient, but with discussion with both the patient and the parents or caregivers.
** For the Approaches to Family Nursing Assignment, think of a time in your clinical practice or with your own particular family when one of the members of the family needed health care and other members of the family were involved in that person’s health care needs. Explain who the family member in need of health care was, what was the condition of the family member, health problem, and health care needs. What roles did each family member take in helping care for the individual family member?2. Family as Client
Assesses all family members
The nurse is interested in the way all the family members are individually affected by the health/hospitalization of one member of the family unit.
The family is in the foreground.
Focus is on every member of the family.
An example of could be when a beloved matriarch of the family gets a grave diagnosis, the nurse would ask the patient how her family was dealing with the diagnosis? How are the members of your family adjusting to this news? Will the care you will need be a problem for your family?
**For the Approaches to Family Nursing Assignment, think of a time in your clinical practice or with your own particular family when one family member suffered from a health care problem and as a result other members of the family developed health care needs. Describe the health needs of all of the family members and the overall affects of the family members’ illness on the rest of the family.
3. Family as System
The family as a whole is the patient. The focus is on the individual and the family simultaneously.
Interactions between family members become the target for nursing interventions.
Emphasis is on the interactions between the family members.
Runs on the theory that when something happens to one part of the system, the other parts of the system are affected as well (if one member of the family becomes ill, then the other members of the family are affected as well).
For example, when a child is diagnosed with cancer, the nurse may ask the father, what has changed between you and your wife since the diagnosis? How has this devastating diagnosis affected this child’s siblings?
**For the Approaches to Family Nursing Assignment, describe how the family interacts with one another when one family member becomes ill. Describe the types of interactions that occur such as one family member is in denial, one family member is crying and panicking, one family member becomes the caregiver, and so forth. Base your answer on your practice or your personal experience.
4. Family as Component of Society
Looks at the family as a component of society.
The family as a whole interacts with other institutions to receive, exchange, or give communication or services.
This is a major aspect of Community Health nursing.
Examples of this may include suggesting a support group for a patient/family for their disease, or asking how “society” (those outside of their family) have reacted to their diagnosis.
**For the Approaches to Family Nursing Assignment, describe how one family used a variety of community resources to help them care for a family member who has become ill or who has been diagnosed with a health care problem. What resources did the family use or seek? What were the results? How effective were the healthcare resources for the family and the ill family member? What problems were encountered when the family tried to obtain community resources? Minimum of three (3) total references: one (1) reference from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)
Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.Unless otherwise specified, all the written assignment must follow APA 7th edition formatting, citations and references. View or download the Microsoft Word APA template. Review this annotated student sample paper guide which draws attention to relevant content and formatting in 7th edition APA style. Make sure you cross-reference the APA 7th edition book as well before submitting the assignment. Refer to the ‘LEARNER SUPPORT’ tab for more information regarding APA 7th edition with comparisons to 6th edition.Unless otherwise specified all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title and reference pages.Robinson, M., Coehlo, D. P., & Smith, P. S. (2022). Family Health Care Nursing: Theory, Practice, and Research. FA Davis.
Read Chapters 1, 2, 3, 4, 5
use this book as a course reference and beside this use additional 3 peer reviewed reference that are not no longer than 5 years.Start with good introduction,purpose of the paper at the end conclusion .no direct copy paste, ai free.

For this discussion, consider a family you have encountered in your nursing practice. Discuss from page 6 Box 1-1 in the textbook, what traits of a healthy family they exhibited and what roles you used as a family nurse caring for the patient and family.
Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.
Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.
Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.Initial Post: Minimum 200 words excluding references (approximately one).Robinson, M., Coehlo, D. P., & Smith, P. S. (2022). Family Health Care Nursing: Theory, Practice, and Research. FA Davis.
Read Chapters 1, 2, 3, 4, 5 use this as a required reference and this is a book for the course. and use another additional references as well beside this make sure you write in your own word no direct copy paste, or AI free. Start with in a good introduction and purpose of the paper, at the end conclusion. In APA format.

Hi, this is a response to a case study posted by Professor.
FYI: @least 2 scholarly reviewed references that is not over 5 years old.
Paper will be run via Turnitin. Rubrics enclosed! Thanks for your help!