Evidence-based change in nursing care

Locate a recent peer-reviewed article (within the past 5 years) that describes an evidence-based change in nursing care. Summarize the following:

  • article,
  • discuss why the change occurred,
  • explain how it will impact the delivery of nursing care to clients and results in improved client safety.

The nursing process

https://joyce.instructure.com/courses/10370/files/2457965/download?wrap=1 Use the nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation) as a guide for your paper.

Describe the ethical theory you used to make your decision.

Provide a rationale for your choice using the ethical principle(s) you used to base your opinion.

Primary health care

You move to a new town and set out to find a family doctor. You find one physician in solo practice who agrees to take you as a patient because he cares for friends of yours. However, you also find a newly formed primary health care group with two physicians taking new patients.

2. Consider the benefits the primary health care group offers versus the close relationship you would be likely to develop with the physician in solo practice. Which would you choose?

Characteristics of a proposed project

Reflect on the determinants of change for the project based on the innovation, organizational, and environmental characteristics of a proposed project.

Clinical autonomy and judgment

Defend the idea that evidenced-based practice enhances clinical decision-making. Tell us how some clinicians believe that EBP can erode clinical autonomy and judgment.

    1. Do you agree?

-Along with Schmidt & Brown, 2019. Kindly cite and provide the appropriate reference and the link if it is online, please. Thank you.

-Schmidt, N. & Brown, J. (2019). Evidence-Based Practice for Nurses: Appraisal and Application of Research. (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Face mask Arterial blood gas

A patient is receiving oxygen 60 % via a simple face mask arterial blood gas results are PH 7.31, Pao2 , 99mmag . Paco2 51 , Bicarb 28 meq/1 . which of the following actions would the nurse implement ? A. Request the lab to repeat the test B. Place the patient on the partial rebreather face mask C. Administer sodium bicarbonate D. Decrease supplementary oxygen

The Goals of Clinical learning experiences at the graduate level

There are several questions on the MSN Essentials. ‘ Identify the goals of clinical learning experiences at the graduate level –  Identify the professional competencies that accompany each MSN essential domain Identify examples of competency-based education ° Identify the Scope of Practice (SOP) for advanced practice registered nurses (FNP/ ACNP, AGACNP, PMHNP). ‘ Who sets the SOP for APRN s? ‘

What are the certification options for FNP, AGNP, AGACNP, and PMHNP? – Purpose of the Consensus Model (LACE) ‘ Identify key aspects of a collaborative agreement. ‘ Identify whether all states require collaborative agreements to practice. ‘

What are typical setbacks and challenges new NPs experience? Where do these challenges (transition inhibitors) come from? ‘ Identify the steps of the role transition from RN to APRN ° what causes anxiety in the new APRN ‘ What does the APRN need to consider when evaluating research? ‘

Identify the patterns of statutory and regulatory authority when it comes to prescription writing ‘ Identity competencies evaluated during the credentialing process ‘ Identify the relationship between the processes and documents required for the APRN credentialing process and the decisions for the scope of practice or clinical privileges made by the employing institution ‘ Describe the difference between clinical judgment and using the best evidence to make decisions. ‘

Describe the basic concepts of advocacy and patient autonomy ‘ Describe the differences between an employee and an independent contractor ‘ What are the liability concerns for an independent contractor ? ‘ Explain a covenant not to compete.

Preparing to administer Fentanyl

A nurse is preparing to administer fentanyl 400 mcg via the buccal route. Which of the following actions should the nurse take?

Mix the medication in 5 mL ()1 tsp) soft food.

Dissolve the tablet in the 118 mL(4oz) liquid.

Have the client chew the medicton before swallowing.

Place the tablet between the client’s cheek and gums.

Social Determinants of health

Describe and define culture in social determinants of health. 2. Provide a brief overview of a vulnerable population. 3. Outline the relationship of SDOH in co of health and wellness of the vulnerable population. For instance, how can gender inequalities influence/impact the health wellness of women or children

Medical-surgical unit of a hospital

You are assigned to a medical-surgical unit of a hospital. The charge nurse has asked you to provide education to an 80yo widow, living alone in her independent apartment. She has just been diagnosed with insulin-dependent diabetes.

  1. List factors you will assess prior to providing education and instruction on diabetes education. What strategies will you consider as you provide written and verbal instructions? What tools or teaching aides may be important to consider? what resources provide insight into your education planning?
  2. How will you know this patient can manage diabetes care (diet, activity, and insulin administration) when she returns home?
  3. Describe how Teachback is an important strategy to determine if your teaching strategies were effective.
  4. Include references.