Select a peer-reviewed journal that has a research study [not provided in the course readings]

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Select a peer-reviewed journal that has a research study [not provided in the course readings]

Select a peer-reviewed journal that has a research study [not provided in the course readings] related to quality monitoring (needle stick, falls, etc¦) in health care delivery and: Discuss a brief overview of the article Describe the process indicator or outcome indicator that is used to measure quality Analyze whether the indicator effectively measures the problem – why or why not Discuss the economic, legal, and regulatory processes that affect the quality initiative Identify a way to monitor and measure one aspect of your current practice (turning patients, time spent collaborating with other health care workers, medication delivery, etc…)

Sagherian McNeely C A & Steege L M 2021 Did rest breaks help with acute

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Sagherian McNeely C A & Steege L M 2021 Did rest breaks help with acute

Sagherian, McNeely, C. A., & Steege, L. M. (2021). Did rest breaks help with acute fatigue among nursing staff on 12h shifts during the COVID19 pandemic? A crosssectional study. Journal of Advanced Nursing, 77(12), 4711472https://doi.org/10.1111/jan.14944 Did rest breaks help with acute fatigue among nursing staff on 12h shifts during the COVID19 pandemic? A crosssectional study Creator Sagherian, Knar  McNeely, Clea A  Steege, Linsey M Published In Journal of advanced nursing, 2021-12, Vol.77 (12), p.4711-4721 Subject Acute  Analysis  breaks  COVID-19  Fatigue  Hospitals  Mental health  nurses  Nursing  Nursing care  Pandemics  Patients  Psychological distress  Recovery  Rescue workers  rest  Stress (Psychology) Description Aim This study aimed to explore whether 30min rest breaks were as effective at lowering acute fatigue among 12h shift hospital nursing staff who cared for patients with COVID19 as among those who did not. Design The study was crosssectional in design. Methods Data from the SAFECARE study collected online between May and June 2020 were used. A subsample (N = 338) comprised of nursing staff who reported working 12h shifts, and providing direct patient care in hospitals was used in this study. Data on sociodemographics, work and rest breaks, and subjective measures of fatigue, psychological distress, sleep and health were used. Hierarchical multiple linear regression followed by stratified analyses was conducted to explore the relationships between rest breaks and acute fatigue among nursing staff groups with and without COVID19 patient care. Results The sample, on average, had high acute fatigue. Around 72% reported providing care to patients with COVID19, and 71% reported taking rest breaks ˜sometimes’, ˜often’ or ˜always’. In the group that cared for patients with COVID19, there was no significant relationship between rest breaks and acute fatigue (p = .507). In the group that cared for patients hospitalized for other reasons, rest breaks were associated with lower acute fatigue (p = .010). Conclusion Our findings showed both the importance and inadequacy of rest breaks in reducing acute fatigue. The process of withinwork recovery is complex, and routine rest breaks should be facilitated by nursing management on hospital units during and after the COVID19 pandemic. Impact Rest breaks may present an effective strategy in lowering fatigue. Although rest breaks were not associated with less fatigue among staff caring for patients with COVID19, other coworkers experienced some fatigue recovery. For frontline nursing staff, routine rest breaks are encouraged, and a systematic evaluation pertaining the sufficiency of rest breaks during high work demands in future research is needed. Publisher Oxford: Wiley Subscription Services, Inc Source Wiley Online Library All Journals MEDLINE – Academicevidencebasedweek6worksheet.docx

Samantha Chanel De Vera Posted Date Apr 7 2022 6:24 AMedited UnreadReplies to Maresah Harris

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Samantha Chanel De Vera Posted Date Apr 7 2022 6:24 AMedited UnreadReplies to Maresah Harris

Samantha Chanel De Vera Posted Date Apr 7, 2022, 6:24 AM(edited) UnreadReplies to Maresah Harris Weaning from mechanical ventilation should be considered when the disease process prompting intubation has improved. Daily screening of intubated patients for weaning potential should be performed. Several studies show that most patients on mechanical ventilation should have scheduled spontaneous breathing trials (SBT) following daily sedation breaks(Zakhary & Uppal, 2017). Aside from the improvement of the primary etiology of the disease process, the patient should be alert, following commands, initiating breaths, able to hold their head up, able to cough with the recent PaO2 ‰¥ 60 with FiO2 ‰¤ 40% and PEEP ‰¤ 8 and needs suctioning ‰¤ every 4 hours, and hemodynamically stable with minimal pressor support before considering extubation(Zakhary & Uppal, 2017).  Daily SBT should involve at least 30-120 mins of breathing without significant ventilatory support, specifically the use of either an open T-piece breathing system or minimal amounts of ventilatory support such as pressure support to overcome the resistance of the ETT or low levels of CPAP(Jameson et al., 2020). However, the patient must initiate all breaths and control tidal volume. A successful SBT is where the patient continues to breathe without distress with stable vital signs and a stable arterial or ETCO2 tension. Tachypnea, hypoxemia, tachycardia, bradycardia, hypotension, hypertension, increased anxiety, or diaphoresis are some indications of SBT failure(Jameson et al., 2020). Other risks during the weaning process are unplanned extubation, especially when the patient becomes suddenly very restless and agitated and develops dysrhythmias. If the SBT is successful, rapid shallow breathing index (RSBI) or f/VT, calculated as a respiratory rate per min divided by the TV in liters, should be done at the end of SBT, which can be used to predict weanability. An RSBI of <105 at the end of SBT warrants an extubation trial(Jameson et al., 2020). Despite a thorough weaning trial, patients may still develop respiratory distress after extubation and may require a reintubation. References Jameson, J. L., Fauci, A. S., Kasper, D. L., Hauser, S. L., Longo, D. L., & Loscalzo, J. (2020). Respiratory failure. In Harrison's Manual of Medicine (20th ed., pp. 7576). McGraw Hill. Zakhary, B., & Uppal, A. (2017). Mechanical Ventilation. In S. C. McKean, J. J. Ross, D. D. Dressler, & D. B. Scheurer (Eds.), Principles and practice of hospital medicine (2nd ed., pp. 25242541). McGraw-Hill. REPLY AM

Scenario Healthy Dynamics is a corporate wellness company that provides a broad range of wellness

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Scenario Healthy Dynamics is a corporate wellness company that provides a broad range of wellness

Scenario Healthy Dynamics is a corporate wellness company that provides a broad range of wellness services for clients seeking to improve the health and wellbeing of their employees. One of the clients of Healthy Dynamics is not happy with their employee wellness program participation rates. Healthy Dynamics is not meeting the contract requirements of 60% engagement, resulting in lost revenue for the company and no return on investment (ROI) for the client. According to the contractual agreement, Healthy Dynamics must pay back the client $200,000,000 if the annual participation percentage is not met. Currently the client’s wellness program includes financial incentives for the employees if they complete the following wellness offerings (health assessment, biometric screening, and telephonic health coaching). The Healthy Dynamics CEO is now foreseeing a need to offer other healthcare services. The CEO has asked the Account Manager to create a business plan focused on increasing revenue and identifying risk that might negatively impact their continued relationship with the client. The Account Manager has tasked you, the Strategic Planning Manager, with preparing an internal memo to present to the CEO and to communicate to your internal team what you are envisioning as a desired future focus area to increase the bottom line for Healthy Dynamics and improve current and future client satisfaction rates. Instructions Develop an internal memorandum that includes: A detailed description defining the differences between business planning and strategic planning in healthcare. Identify a specific focus area in the healthcare industry that could increase revenue. Create key questions that you will need to address in the development of your strategic plan for your focus area. Create a workflow analysis flow chart that includes: A list of healthcare leadership team members (e.g., CEO, Strategic Planning Manager, Account Manager, Marketing Manager, Project Manager, Financial Analyst, etc.,) A comprehensive analysis of each team member’s roles and responsibilities in the development of the strategic plan. Your assignment should include a title page, a reference page, and a minimum of three scholarly sources, two of which must be retrieved from the Rasmussen Library (See attached and choice 2 articles).  Rubric: -Detailed description defining the differences between business planning and strategic planning in healthcare in a well-written internal memorandum.  -Clearly identified a specific focus area in the healthcare industry that could increase revenue in a well-written internal memorandum.  -Created detailed questions needed to address the development of a strategic plan in a well-written internal memorandum.  -Created a comprehensive list of healthcare leadership team members in the workflow analysis flow chart.  -Created a comprehensive analysis of each team member’s roles and responsibilities in the development of the strategic plan.  -Used and identified three or more credible sources in the memorandum.

Scenario You work in a gynecological office and your office has been asked to participate

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Scenario You work in a gynecological office and your office has been asked to participate

Scenario You work in a gynecological office, and your office has been asked to participate in a women’s health fair. The focus of the fair is health promotion. Preventative screening for female reproductive disorders is vital to identify and treat rapidly to produce the best patient outcomes. Preventative screening includes mammogram and Pap smear and should be performed based on recommended age and associated risk factors. To promote preventative screening, your office will be creating brochures to distribute at the health fair. Instructions Design a women’s health brochure by choosing one of the female reproductive disorders covered in this module. In the brochure, include the following: Overview of the disease including disease process, signs and symptoms, and risk factors Preventative screening Diagnostics tests Treatment Multidimensional nursing care interventions please give References

Search and find two new health care articles that use quantitative research Do not use

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Search and find two new health care articles that use quantitative research Do not use

Search and find two new health care articles that use quantitative research. Do not use articles from a previous assignment,  Complete an article analysis for each using the ‘Article Analysis: Part 2’ template. 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, HLT-362V-RS3-ArticleAnalysis-2-Template1.docxMedicationerrors.pdfAsylumseekers.pdfAsylumseekers.pdf

Review the requirements of your home state for prescribing privileges and compare them with another

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Review the requirements of your home state for prescribing privileges and compare them with another

Review the requirements of your home state for prescribing privileges and compare them with another state of your choice. Are there similarities and differences with a focus on client safety concerns or initiatives. Are there variations in prescriptive authority among APRN’s? In response to other peers, what are the variations in your state compared to your peer’s state? Provide scholarly literature related to safety concerns that may have been associated with prescribing privileges of an APRN.

Review the various data collection tools associated with your selected research design and select one

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Review the various data collection tools associated with your selected research design and select one

Review the various data collection tools associated with your selected research design and select one data collection tool that would be effective for your research design. Explain how this tool is valid, reliable, and applicable. Select a statistical test for your project and explain why it is best suited for the tool you choose.

Review this week’s assigned case study Overview of the case, target symptoms, main

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Review this week’s assigned case study Overview of the case, target symptoms, main

Review this week’s assigned case study Overview of the case, target symptoms, main diagnosis, differential diagnoses, appropriate laboratory or diagnostic tests, and treatment plan (Medications). Include rationales for each section of the treatment plan. Include one scholarly peer-reviewed reference

Review your problem or issue and the cultural assessment Consider how the findings connect to

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Review your problem or issue and the cultural assessment Consider how the findings connect to

Review your problem or issue and the cultural assessment. Consider how the findings connect to your topic and intervention for your capstone change project. Write a list of three to five objectives for your proposed intervention. Below each objective, provide a one or two sentence rationale. After writing your objectives, provide a rationale for how your proposed project and objectives advocate for autonomy and social justice for individuals and diverse populations. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to LopesWrite. Benchmark Information This benchmark assignment assesses the following programmatic competencies: RN to BSN 1.5:  Advocate for autonomy and social justice for individuals and diverse populations.