Qualitative data collection?

Which of the following is true regarding qualitative data collection? Researchers can probe deeper using a questionnaire than an interview.

It is relatively inexpensive to use questionnaires to collect anonymous data.

No interaction with study’s participants is required when researchers are observing them.

Anyone with strong interest in the topic can lead a focus group

Code of Ethics for Nurses

From the International Council of Nurses (ICN) Code of Ethics for Nurses, Element1 is ‘Nurses and People’.  In addition to the information given in the scenario, you are also aware that recovery staffs in the healthcare facility regularly administer narcotic analgesia as part of their pain management protocol.

Provide two (2) examples of how EN Baxter can apply Element 1 in this scenario. In your response, include reference to Mr Smythe’s cultural beliefs about analgesia.

The Research team’s findings

Review the following article from the Reuters:  the research team’s findings, October 13, 2017 :

https://www.reuters.com/article/us-health-medicalerrors/after-medical-errors-patients-want-doctors-to-hear-them-out-idUSKBN1CI2ZH (Links to an external site.)

  1. Based on the research team’s findings do you think doctors are doing a good job notifying patients in regards to medical errors?
  2. Do you think a good Risk Management strategy is to Deny and Defend or to simply approach the patient and say “I’m very sorry”?
  3. How does accepting responsibility rather than denying fault change the “culture” of healthcare and the relationship between patients and clinicians?

Procedure affecting EN practice

QUESTION 7″Functions in accordance with the law, policies and procedure affecting EN practice”. The Standards for Practice: Enrolled Nurses, Standard 1, states;

Identify how the Enrolled Nurse applied the Standards for Practice: Enrolled Nurses, Standard 1 in the scenario.  Include at least three (3) of the relevant indicators in your response

Prolaspe Cord

Prolaspe Cord. All labor and delivery team members must be able to recognize the signs of a prolapsed cord and initiate appropriate emergency interventions to relieve pressure on the cord until emergency delivery, usually, a cesarean delivery, can be accomplished.

Prolonged cord compression (occlusion of blood flow to and from the fetus for longer than 5 minutes) leads to fetal hypoxia, usually resulting in central nervous system (CNS) damage or fetal death.

List 6 steps you would take to relieve pressure on the umbilical cord.

Please include the following steps

  1. Perform hand hygiene before patient contact.
  2. Introduce yourself to the mother and support person.
  3. Verify the correct patient using two identifiers
  4. Assess the presentation, position, and station of the fetus.
  5. Determine if factors that increase the risk of a prolapsed umbilical cord are present.
  6. Ensure that adult and neonatal resuscitation equipment is readily available.
  7. Ensure that supplies and equipment are available and prepare for an emergency cesarean delivery.
  8. Perform hand hygiene and don gloves

10.

Scope of practice

Identify if EN Baxter was working within her scope of practice during this scenario. Explain how you came to this conclusion, based on her actions.

Remember the scope of practice for an Enrolled Nurse includes:

·       Implementing planned nursing care to achieve identified outcomes

·       Recognising and reporting changes in the health and functional status of individuals/ groups to the registered nurse

·       Ensuring communication, reporting and documentation are timely and accurate

·       Organising work load to facilitate planned nursing care for groups and individuals

A spontaneous Left pneumothorax

A 30-year-old woman with a history of cystic fibrosis was admitted to the hospital for management of a spontaneous left pneumothorax (collapse of her lung). She required urgent thoracostomy (chest tube) placement in the emergency department.

The chest tube was connected to wall suction in order to promote re-expansion of her lung.

Over the next 2 days, the patient improved, and repeat imaging showed re-expansion of her lung.

The consulting pulmonary team felt that the chest tube might be able to be removed, so they requested that the tube be disconnected from suction and clamped.

The plan was to obtain a chest radiograph 1 hour after clamping the tube, and if the pneumothorax had not recurred, the tube would be removed.

About 45 minutes after the tube was clamped, the patient complained of acute, sharp pain radiating to her left arm. The nurse gave the patient pain medication.

She noted that the radiograph had not yet been done but assumed that it would be done soon. Unfortunately, the radiograph was not done, and the nurse became busy with another acutely deteriorating patient.

Approximately 2 hours later (3 hours after the tube was clamped), the nurse found the patient unresponsive, in cardiac arrest with a rhythm of pulseless electrical activity.

A code blue was called. The code team recognized that the arrest could have been due to a tension pneumothorax, reconnected the chest tube to suction, and eventually performed needle decompression.

Despite these measures, the patient did not recover spontaneous circulation for more than 30 minutes and sustained severe anoxic brain injury as a result.

The patient required tracheostomy and feeding tube placement, and she was eventually transferred to a long-term care facility with a poor neurologic prognosis.

 

 

The hospital conducted a root cause analysis (RCA). The RCA committee found that there was considerable variation around chest tube removal practices between services. For example, the trauma surgery service did not routinely perform a clamping trial before chest tube removal.

Although other services did perform such a trial, there was variation in when the radiograph was performed after clamping the tube.

The committee noted that this variation led to confusion among bedside nurses about how to monitor patients and communicate with physicians immediately after chest tube removal.

As a result, the committee felt the complication might still have occurred even if the radiograph had been performed.

The Healthcare Facility Environment

Case Study, Chapter 38, The Healthcare Facility Environment Mr. Simms has been admitted to your extended care facility (ECF). He was transported directly from the hospital. Mr. Simms is highly functional but has been diagnosed with chronic obstructive pulmonary disease (COPD), r

The Healthcare Facility Environment heumatoid arthritis, and type 2diabetes. He can no longer live alone and he feels the ECF is his only option. He voices anxiety about his new surroundings, his new routine, and the invasion of his privacy.

The following questions pertain to Mr. Simms. (Learning Objectives 1, 2, 5, 6) 1. While orienting Mr. Simms to his environment, what items will you be sure to show him in his "client unit"?

2.Mr. Simms is concerned about his privacy since he now has a semi-private room in the ECF. In the hospital he had a private room and had asked for limited visitors.

How can you assure him that his privacy will be respected in the ECF as it was in the hospital? 3.Mr. Simms voices fears about losing his ability to ambulate due to his arthritis.

How can an ECF help Mr. Simms maintain mobility? 4.Mr. Simms asks about his special dietary limitations.

He is concerned that if he doesn’t follow his regular diabetic diet that his blood sugar may rise. How do you respond to his I concerns?

Sources of information about Healthcare trends

Research news and other sources of information about healthcare trends in the United States. Describe one trend and at least 3 implications the trend could have for financial planning within a healthcare organization, such as a hospital or clinic.

include why the trend could have these implications. Support with researches and cited statements.

How does buspirone differ from The benzodiazepines?

 What is buspirone? How does buspirone differ from the benzodiazepines?

3.     Is buspirone appropriate for the treatment of dental anxiety?

4.     What are the adverse effects associated with buspirone?

5.     Would there be a problem if a dentist had to prescribe a sedating medication for or use one during treatment while taking buspirone?

6.     Would a benzodiazepine be the better choice? How can i deal with the issues surrounding sedation and driving?

7.     What is zolpidem?

8.     What are some of the concerns regarding zolpidem therapy? How have these concerns been addressed by the manufacturer?