As the nurse executive of your organization, you must reexamine your current nursing care delivery model (your current model is total-patient-care) and propose a new model to reduce costs and improve the quality of healthcare for your organization

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Preparing the paper- Instructions As the nurse executive of your organization, you must reexamine your current nursing care delivery model (your current model is total-patient-care) and propose a new model to reduce costs and improve the quality of healthcare for your organization. Your staffing budget will remain fixed next year, and you had a recent visit by The Joint Commission which revealed some patient safety goal issues, which you must address. You are considering switching from a total-patient-care delivery model to a new patient care delivery model.Use the suggested format and headings to organize your assignment:
a. Include introduction (do not label as a heading in APA format)
b. New Nursing Care Delivery Model and Patient Safety Goals
c. Key Concepts
d. Supporting Evidence
e. Conclusion

1. Clearly introduce your quality of healthcare assignment in the introduction paragraph. Include a sentence that states the purpose of your assignment.

2. Clearly identify and articulate a new nursing care delivery model to increase the economic (reduce costs) and quality outcomes for your organization. Discuss at least two patient safety goals to focus on, that you feel are needed, for your organization.

3. Clearly articulate how the key concepts of your new nursing care delivery model will reduce costs and improve the quality of healthcare in the organization you have chosen. Discuss how these key concepts relate to the contextual domain of the person-centred nursing leadership framework by McCormack and McCance (2017).

4. Include a minimum of three sources of scholarly, empirical evidence to support the nursing care delivery model to be implemented.

5. Provide concluding statements that should summarize your overall assignment content.
The paper will be three pages maximum, excluding title and reference page(s).

6. Title and reference page(s) must be in APA format (current edition).

7. Use 12 Times New Roman font and one-inch margins on all sides o

Ethical and Legal Implications of Prescribing Drugs

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Ethical and Legal Implications of Prescribing Drugs The scenario is about an elder patient who was given medication with an incorrect dosage. The administered dose was too high.

  • Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and family.
  • Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
  • Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
  • Explain the process of writing prescriptions, including strategies to minimize medication errors.
  • The College of Nursing requires that all papers s

Pharmacotherapy for cardiovascular disorders

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Pharmacotherapy for cardiovascular disorders

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:  Atenolol 12.5 mg daily, Doxazosin 8 mg daily, Hydralazine 10 mg qid, Sertraline 25 mg daily, Simvastatin 80 mg daily

Write a 2- to 3-page paper that addresses the following:

  • Select one of the following factors: genetics, gender, ethnicity, age, or behaviour factors.
  • Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
  • Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
  • Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

Analyze a current quality improvement initiative in a health care or practice setting according to strategic organizational initiatives

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Analyze a current quality improvement initiative in a health care or practice setting according to strategic organizational initiatives. Explain the rationale behind the QI improvement initiative. What prompted the initiative Detail problems that were not addressed and any issues that arose from the initiative.

Evaluate the success of a current quality improvement initiative according to recognized national benchmarks.
Analyze the benchmarks used to evaluate success. Which aspects of the initiative were most successful? What outcome measures are missing or could be added?

Incorporate one appropriate supporting visual (such as a graph or chart) that showcases the most critical aspect of this presentation. Incorporate interprofessional perspectives related to initiative functionality and outcomes.
Integrate the perspectives of interprofessional team members involved in the initiative. Who did you talk to? What are their professions? How did their perspectives impact your analysis?

Recommend additional indicators and protocols to improve and expand outcomes of a quality initiative.
Identify specific process or protocol changes as well as technologies that would improve quality outcomes.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
Recommend additional indicators and protocols to improve and expand the quality outcomes of a quality initiative.

Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
Analyze a current quality improvement initiative in a health care or practice setting according to strategic organizational initiatives. Evaluate the success of a current quality improvement initiative according to recognized national benchmarks.

Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost-effectiveness, and work-life quality. Incorporate interprofessional perspectives related to initiative functionality and outcomes.

Competency 5: Apply effective communication strategies to promote quality improvement of in

Development of leadership skills throughout the bachelor’s program

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Development of leadership skills throughout the bachelor’s program

Think about work situations that you have been involved in during this program and how you acted differently because of something you learned in the program. Write a story about this situation and explain how it demonstrates the way you have changed because of knowledge, experience, insight, or experience gained while you were involved in this program.

The exemplar should also demonstrate evidence of value-based nursing and good communication. Your philosophy of nursing could be included here. It would be interesting to see if the values stated in your philosophy were evident in your exemplar. I would like for the write to talk about how my leadership skills have developed and how I am now a certified nurse manager through sigma theta tau because of this program. This is a reflection of the bachelor’s bridge program in nursing that focuses on nursing leadership and research and developme

Pathophysiology of Depression

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Pathophysiology of Depression

Describe the pathophysiology of depression
Discuss the phenomenon of depression’s effects on appetite and Describe from a pathophysiologic basis why some people with depression experience a lack of appetite resulting in weight loss while others will experience increased food intake and have weight gain
Expand on your own post. Discuss two additional clinical findings of depression and present the pathophysiologic basis of these symptoms.

NB: Please add this to the list of resources/ references
McCance, S.H. K. (2018). Study Guide for Pathophysiology (8th Edition). Elsevier Health Sciences (US). https://pageburstls.elsevier.com/books/9780323413091

Define Complementary and Alternative Medicine (CAM) Describe the patient who uses CAM the most

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Define Complementary and Alternative Medicine (CAM) Describe the patient who uses CAM the most
List some common misconceptions about CAM
Identify methods of including the use of CAM in patient education
Discuss the safe use of Complementary and Alternative Medicine (CAM)
List ways in which conventional medicine and CAM can be integrated
Define ethical theories, ethical principles, and values
Provide examples of ethical issues in patient education and compliance, and describe ways in which an effective professional/patient relationship and a poor health professional/patient relationship can impact these issues.
Explain what is meant by “ethical patient education practices”
Explain the purpose of informed consent.
Discuss what factors determine the patient’s ability to give informed consent
Compose a sample informed consent form
Discuss the process of communication to use with the patient and the family when obtaining informed consent

Write a 500-750-word essay on the influence patient education has in health care using the experiences of a patient

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Write a 500-750-word essay on the influence patient education has in health care using the experiences of a patient. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions.

Suggested interview questions:
Did a patient education representative give you instructions on how to care for yourself after your illness or operation?
Did a health care professional, pharmacist, nurse, doctor, or elder counselor advise you on your medication, diet, or exercise?
Who assisted you at home after your illness or operation?
Do you know of any assistance services, i.e., food, transportation, medication, that would help you stay in your home as you get older?

Explain what happens physiologically with chronic renal failure and the GFR

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Chronic Renal Failure and the GFR
Explain what happens physiologically with chronic renal failure and the GFR. Support with evidence. Include important labs that are monitored in the process.

Explain the role of Angiotensin II and proteinuria as they relate to advancing renal disease. List at least three other body systems that are impacted by chronic kidney disease and why.

Please add to the Reference list; McCance, S.H. K. (2018). Pathophysiology (8th Edition). Elsevier Health Sciences (US). https://pageburstls.elsevier.com/books/9780323583473

Theory-Guided Practice Paper AssAssignment

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Theory-Guided Practice Paper AssAssignment

The Theory-Guided Practice Paper Assignment provides you the opportunity to identify and present an actual practice experience, retrospectively evaluated through the lens of middle-range theory. You will describe nursing and borrowed middle-range theory and discuss the application of each theory to the identified practice experience. You will evaluate selected theories for substantive foundation, structural integrity, and functional adequacy. Furthermore, you will discuss the implications of the selected theories on nursing practice within the Christian worldview.The grading rubric serves as a guideline for the Theory-Guided Practice: Paper Assignment.

Actual practice experience

Alfredo is a 45-years-old Hispanic man rushed to hospital after collapsing at work. His vital signs show elevated blood sugar levels and obesity. According to his wife, he was diagnosed with type 2 diabetes mellitus (T2DM) one year ago.

Outline

  1. Daily Lifestyle- Alfredo works two jobs- a waiter and cleaner at night. According to the wife, they have three children, and Alfredo spends his income taking care of the different family needs, like household bills and school fees.
  2. Medication Compliance- due to the enormous responsibility burden on Alfredo’s shoulders, he has not bought the recommended medications for two weeks. The money he had set aside for the prescription purchase was used to pay the house’s water bill.
  3. Middle-Range Nursing Theory- Nola Pender’s Health Promotion Theory.
  4. The theory’s primary objective is to promote Alfredo’s health through behavioral changes (Karataş & Polat, 2021).
  5. There is the need to examine Alfredo’s pat actions attributed to the onset of T2DM (Karataş & Polat, 2021). It also includes personal factors, such as psychological, sociocultural, and biological variables.
  6. The next step is identifying specific aspects that limit medication compliance, including perceived action barriers, self-efficacy, situational and interpersonal influences.
  • The analysis, as mentioned above, will help determine his commitment to any developed behavior change intervention plan.
  1. Most importantly, an examination of competing demands and preferences must be performed (Khoshnood et al., 2020). The analysis will aid in identifying the behavioral outcomes.
  2. Borrowed Theory – The social cognitive theory (SCT) by Albert Bandura
  3. a) The theory describes a person’s health behaviors through various aspects, such as personal experiences influence, other people’s actions, and environmental variables (Luszczynska & Schwarzer, 2015).
  4. Self-efficacy- Alfredo must display a belief that he has control over any behavior, including health promotion habits (Luszczynska & Schwarzer, 2015).
  5. Behavioral Capability- Alfredo needs to apprehend and have the skills required to perform health promotion behavioral changes.
  • Self-Control- The patient must regulate and monitor their behaviors.
  1. The theory’s four stages comprise attention, retention, reproduction, and motivation; they will help Alfredo develop and integrate health-promoting behaviors in his daily life to help manage T2DM.
  • Evaluation of Selected Theories- both theories align with the need to adjust Alfredo’s behavior to help manage T2DM’s negative symptoms. They also incorporate various biblical worldviews.
  1. Nola Pender’s HPM
  2. The paradigm describes various factors supporting or hindering Alfredo’s health promotion behavior change. Most inherently, any identified barrier is mitigated through incorporating ideal interventions.
  3. The theory aligns with various ideologies in the bible. For instance, different bible quotes describe the need to adopt healthy behaviors. In 1 Corinthians 6:19-20, Apostle Paul explains that Christians’ bodies are the Holy Spirit’s temple (Mackie, 2013). Therefore, they must maintain a healthy lifestyle to ensure their bodies are well, consequently honoring God.
  4. SCT
  5. The concept also highlights facilitators and barriers to health promotion behavioral change in Alfredo’s life.
  6. The Psalms and Proverbs describe different scriptures emphasizing changing habits to align with God’s laws and commandments. More so, they describe how community, including friends, influences a person’s behavior.
  7. Implications to Nursing Practice- both theories, directly and indirectly, impact advanced nursing practices.
  8. Nola Pender’s HPM
  9. The theory describes crucial health determinants that advanced practice registered nurses (APRNs) must understand, primarily because they offer community-based setting services (Khoshnood et al., 2020). Thus, they can modify their routine operations to cater to the health determinants, leading to high-quality patient care and health outcomes in society.
  10. SCT
  11. APRNs have continually adopted the paradigm to promote health outcomes through teaching new habits to patients with chronic ailments (Desbiens et al., 2012). Hence, the model enables the emergence of unique lifestyles that lead to the nursing profession’s transformation by promoting health outcomes.

 

 

 

 

 

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