1. Investigate what Evidence-Based Practice changes have been implemented on Clinical Unit over the past 12 months. Discuss the changes with the nursing staff/manager. 2. Choose one change to explore. Describe the change and what problem/issue prompted the need for a change. 3. Find a nursing research article from a professional journal related to this change. 4. Cite the article in APA format. 5. Briefly describe the focus of the research and the outcome(s) of the research. 6. Describe how the research outcomes will influence your nursing care. 7. List at least two suggestions for further research studies that you would like to see done in this area of health care. Collated Sources of Evidence: Hospital Acquired Conditions HC Improvement Website https://www.ihi.org/topics/bundles/Pages/default.aspx
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Do you think animals need a “Bill of Rights”?
Considering the Writing Task—Essay Assignment An organization called the Animal Legal Defense Fund has sponsored a petition that calls for increased protection for the rights of animals. It says the following: “Deprived of legal protection, animals are defenseless against exploitation and abuse by humans. Through the Animal Bill of Rights, the Animal Legal Defense Fund is working to show Congress a groundswell of support for legislation that protects animals and recognizes that, like all sentient beings, animals are entitled to basic legal rights in our society. The petition calls for the right of all animals to be free from exploitation, cruelty, neglect, and abuse and enumerates further rights for laboratory animals, farm animals, companion animals, and wildlife.” Do you think animals need a “Bill of Rights”? Would such a law go against centuries of human culture? Would it increase the cost of food? Would it hinder medical research? Would it cause other problems? Write a well-organized essay explaining the extent to which you agree or disagree with the idea of creating a Bill of Rights for animals. Develop your points by giving reasons and examples from the articles we read throughout the unit. All of the readings are on one google document. Reference the articles to support your argument. Must consist of 5 paragraphs or more. Note: The entire petition can be seen at https://org2.
Describe an ethical dilemma you have encountered in your health care experiences that “kept you up at night” – something that weighed on your conscience, morals or values.
Please respond to 2 students
1. I have been employed at a correctional facility for 3 years now and have encountered many ethical dilemmas. I work as a licensed practical nurse there. Many times I experience difficulties caring for patients due to security concerns. I understand that security and my protection is most important but as a nurse I have a duty to care for the best interests of my patient.
I remember there was a situation where one of the patients was involved with a use of force with officers. He received injuries that needed to more intensive care than the equipment we are supplied with at the correctional facility. The healthcare provider deemed it necessary to sent patient out of the facility to hospital. Patient was deemed stable enough to be escorted to hospital by correctional facility personnel instead of emergency vehicle like EMS or ambulance. However, it was approaching tour change for officers and they would be able to sent patients out until 5 pm. It was currently 2 pm. This is a severe delay in care. As medical professionals, we have a code of ethics principles of nonmaleficence (Taylor et al., 2019). This principle is the obligation to do no harm or inflict harm intentionally (Taylor et al., 2019). Allowing this patient experience this delay can be very harmful to patient. We must provide care that avoids or minimize risk to patients (Taylor et al., 2019). Our obligation to patient is to act on the principle of beneficence which is to do good, contribute to welfare of patients and provide benefits to patients (Taylor et al., 2019). By using the principle the Charge nurse and I advocated for patient and suggest to healthcare provider to send patient by EMS to avoid risk to patient and delay in care.
References
Taylor, C., Lynn, P., & Bartlett, J. L. (2019). Fundamentals of Nursing: The Art and Science of Person-Centered Care 9th edition. Wolters Kluwer
2. Module 5 Discussion:
In your initial discussion post, please address the following questions, based on your readings and research:
Describe an ethical dilemma you have encountered in your health care experiences that “kept you up at night” – something that weighed on your conscience, morals or values.
Identify what ethical principles relate to the situation you described.
Describe how you would use the American Nurses Association Code for Nurses (p. 105, Taylor) to help you resolve the ethical dilemma
Responses:
Most of my nursing career was one with little to no bumps in the road, thankfully. A dilemma I face that weighed heavily on my conscience would be at my first nursing job. I had just passed my boards and three months later I was working full-time on a dementia unit at a nursing home .I worked with some very great individuals. There was a CNA who would out-work all of her co-workers, she was the best .What you needed , she would have done probably before you even asked .Unfortunately , she was addicted to drugs . She was caught nodding out at work as well as doing drugs in the employee bathrooms. I began to worry about her safety and the safety of my patients when they were in her care but I didn’t want her to lose her job , so you can understand the dilemma that I faced. I just wanted her to get help. She was eventually fired due to her behavior but it certainly “kept me up at night” .
2.The healthcare industry can often be demanding and stressful to its members. In attempts to cope, some may begin to engage in dysfunctional behaviors, such as drinking or drug use .When healthcare workers provide care while under the influence , it threatens patient safety .In health care we have ethical responsibilities to apply with all patients, families and health care professional interactions. We are to address anything that may threaten the delivery of safe and competent care .
3.The ANA Code of Ethics for Nurses explains the nurses primary commitment is to the patient and family.The patients safety , needs and concerns must take priority over a person or act that may threaten these values.Always remembering this point can help a nurse when faced with ethical dilemmas.We at times must be advocates for change, when faced with dilemmas that may disrupt a patient’s health status.After evaluating the code of ethics I would know and value my role as a professional nurse and the impact I have on the care of my patient’s and this will allow me to take any necessary steps to ensure this value is held high.
References:
Nursing under the influence: A relational ethics perspective. (n.d.). Retrieved February 7, 2022, from
Ana Code of ethics for nurses – rutgers school of nursing. (n.d.). Retrieved February 7, 2022, from
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Discuss about exploring the differences between teacher and coach beliefs towards the holistic development of children post covid 19 in sport and physical education.
Discuss about exploring the differences between teacher and coach beliefs towards the holistic development of children post covid 19 in sport and physical education.
Cowie, H., & Myers, C. (2021), smoll and Curtis (1979), Fiedler’s (1967)
Good luck 😉
Compare and contrast Pollock’s work with another work of your choice—visually, physically, or in media used.
The Time and Motion of Jackson Pollock
Jackson Pollock’s paintings were described by Pollock himself as “energy and motion/made visible.” In a300 word essay, compare and contrast Pollock’s work with another work of your choice—visually, physically, or in media used.
Discuss the impact of the COVID-19 Pandemic on American Trade Policies.
I would like for this paper to describe and show examples related to American trading policy during the pandemic. For example, how the the U.S.Congress, previous and current Presidents (Trump and Biden) and cabinet departments took action to deal with any impacts to American imports and exports that we impacted by the COVID-19 pandemic.
Here are a couple of resource that I found that are interesting but there are countless others…
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8013749/
https://www.wto.org/english/tratop_e/covid19_e/covid_details_by_country_e.htm?country=USA
What would be the right attribute size (independent variable) seems most appropriate to lead you in the expense range of $55–$75 million?
In Phase One of your work as a consultant for a large hospital chain, you performed a current trend analysis and developed an initial hypothesis about which facility size option to recommend. For Phase Two, the hospital’s vice president has asked you to create a two-page report that summarizes the trends you see and what you predict based on several regressions. The regressions will inform whether you confirm or reject the initial hypothesis that you arrived at in Phase One.
The steps you take in Phase Two will also help with identifying future trends, confirming which option to choose, and determining which attributes the hospital chain should be aware of.
It is important to provide your stakeholders with the background of how and why you chose specific ways to identify trends and make predictions. As a consultant, you must be able to articulate this kind of information to people who may not have the background in statistics that you do; after all, you were hired for your expertise. Specifically, you need the ability to explain which regressions were used and why.
Your detailed goals for this phase of your work are as follows:
Use current data and analyses to identify future trends and attributes that can have an impact on expenses and admissions using regressions.
Use the Hospital Data Set to complete this step.
Perform two linear bivariate regressions and two multiple regressions to provide specific recommendations.
Choose three key hospital attributes out of the following five for regressions: number of beds, admissions, personnel, payroll expense, and outpatient visits.
Use the hypothesis from Milestone One to validate and predict using regressions, keeping in mind the expenses range of $55–$75 million.
Dependent and independent variables for your analyses should come from the provided data only.
Prompt
Your task is to identify future trends and attributes that impact expenses and admissions. As per the descriiptions below, you will add new sheets to the Data Analysis Workbook you created in Milestone One. You will then use this information to create a written predictions and trends report. You will submit both the workbook and the written report in this milestone.
Data Analysis Workbook
Add new sheets to your Data Analysis Workbook per the descriiptions below.
Perform two bivariate regressions to provide recommendations.
For the first bivariate regression, the dependent variable should be Total Expense. Choose an independent variable from one of the remaining attributes.
Create a sheet titled P2_1st_Bivariate_Regression in your Data Analysis Workbook.
For the second bivariate regression, the dependent variable should be Admissions. Choose an independent variable from one of the remaining variables.
Create a sheet titled P2_2nd_Bivariate_Regression in your Data Analysis Workbook.
What would be the right attribute size (independent variable) seems most appropriate to lead you in the expense range of $55–$75 million?
Perform two multivariate regressions to provide recommendations.
For the first multivariate regression, the dependent variable should be Total Expense (the column in the data set). Choose two independent variables from one of the remaining attributes.
Within your Data Analysis Workbook, create a sheet titled P2_1st_Multi_Regression.
Which combination of the attributes seems most appropriate to lead you in the expense range of $55–$75 million?
For the second multivariate regression, the dependent variable should be Admissions (the column name in the data set). You should choose two independent variables from one of the remaining attributes.
Within your Data Analysis Workbook, create a sheet titled P2_2nd_Multi_Regression.
Which combination of the attributes would seem appropriate that would lead you in the expense range of $55–$75 million?
Validate or reject your initial hypothesis based on your analysis of the regressions.
You will also need to qualify in the predictions and trends report what the rationale is behind using that attribute towards regression. Identify the right attribute size (independent variable) that would lead you in the expense range of $55–$75 million?
Predictions and Trends Report
Section One: Overview
What does your analysis tell you about your initial hypothesis—the option chosen in Phase One? Did you confirm it? Support your reasoning with your analysis results.
Section Two: Findings from Regression Analysis
Briefly describe the key elements for each regression presented in Excel. Cite the regression coefficient, regression line equation, p–value, and significance F in your descriiption.
Which of the independent variables are impactful, and why?
Overall, what is your conclusion about the option to be recommended and the key attributes that the hospital chain should be alert to?
Guidelines for Submission
1. Data Analysis Workbook: Submit the same Data Analysis Workbook Excel document that was submitted in Milestone One, with new sheets added as directed above.
2. Predictions and Trends Report: Submit a Word document using double spacing, 12-point Times New Roman font, and one-inch margins. This assignment should be two pages in length. Any sources should be cited in APA format. Consult the Shapiro Library APA Style Guide for more information on citations.
Write a book report on “After Action” by Dan Sheehan.
Write a book report on “After Action” by Dan Sheehan. Details and requirements will be an attached file.
Discuss how social media causes mental and emotional trauma to teenagers.
Discuss how social media causes mental and emotional trauma to teenagers.
Explain what makes the issue a problem and tell how the problem can possibly be fixed.
Choose a civil rights issue—a problem in the world today. Explain what makes the issue a problem and tell how the problem can possibly be fixed.