Category: Nursing

Describe what you found most interesting or concerning in the study you selected.Critically appraise literature for level and quality of evidence to support practice change. (POs 1, 3, 5, 6, 7) Appraise global healthcare practice problems and DNP practice relevant to advanced nursing practice. (POs 1, 3, 9)

Critically appraise literature for level and quality of evidence to support practice change. (POs 1, 3, 5, 6, 7) Appraise global healthcare practice problems and DNP practice relevant to advanced nursing practice. (POs 1, 3, 9)

Conduct a search of the library to find one quantitative research article related to one of the National Practice Problems. You will use the quantitative article you have selected for your paper. The DNP-prepared nurse uses the most recent (within 5 years) evidence available.

Present the written reference and the permalink to the article you chose.

Attach your completed Johns Hopkins Appraisal Tool to your response.

Describe what you found most interesting or concerning in the study you selected.

When discussing, for the Week 3 Assignment, the Johns Hopkins Appraisal Tool,refer to the Level of Evidence and Quality Grading as:

Level of Evidence is identified as (I, II, or III)

Quality Grade is identified as A, B, or C for quantitative or A/B or C for qualitative.

These eight National Practice Problems include: COPD, mental illness, addiction, heart disease, diabetes, cancer, obesity, and safety. You will successfully demonstrate your library search skills to identify evidence.

Discuss fetal and neonate immunity: How are they protected from infection?How do B cells and T cells differentiate in their part in immunology?What are the roles of antigens, and phagocytes in infection control?

Immunity

Create a table to display the answers to the questions below.

1. Discuss fetal and neonate immunity: How are they protected from infection?

2. How do B cells and T cells differentiate in their part in immunology?

3. What are the roles of antigens, and phagocytes in infection control?

How would you go about handling a difficult situation with a disruptive group member? How would you elicit participation in your group? What would you anticipate finding in the different phases of group therapy? What do you see as the benefits and challenges of group therapy?

Analyzing Group Techniques

To prepare:

Select one of the group therapy video demonstrations from this week’s required media Learning Resources.

The Assignment

In a 3- to 4-page paper, identify the video you selected and address the following:

What group therapy techniques were demonstrated? How well do you believe these techniques were demonstrated?

What evidence from the literature supports the techniques demonstrated?

What did you notice that the therapist did well?

Explain something that you would have handled differently.

What is an insight that you gained from watching the therapist handle the group therapy?

Now imagine you are leading your own group session. How would you go about handling a difficult situation with a disruptive group member? How would you elicit participation in your group? What would you anticipate finding in the different phases of group therapy? What do you see as the benefits and challenges of group therapy?

Support your reasoning with at least three peer-reviewed, evidence-based sources, and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

How would you approach tomorrow’s meeting? Would you bring up your memory to the members of the task force? Would you decide to discuss it in a few days over lunch? What actions would you use so that this previous event does not impact your current work? How would you be fair to the learners who answered correctly as well as to those who answered incorrectly?

Educational Unit Discourse

You are part of an educational unit of four educators. The item analysis of the recent examination is being reviewed. During this process, one test question in particular upsets you.

From the item analysis, you can see that the question has a discrimination index of .15 and several of the upper-level learners selected the same incorrect distractor. You believe that the distractor is worded poorly and is confusing to these students.

You want to remove the item and give the students who missed it credit for the correct answer. You become upset when the majority of the educators vote to leave the test question within the examination. In fact, you become so upset that you raise your voice and the chair of the group calls for a 15-minute break for everyone “to calm down.”

Later that night, while self-reflecting, you suddenly recall that as a student, you were upset over a test question that you thought was confusing and “tricky.” However, the faculty member would not change your score, resulting in you failing the exam. You realize that this experience has impacted your work as an educator in reviewing test questions. Tomorrow, you must work with the same group of individuals on a task force.

How would you approach tomorrow’s meeting? Would you bring up your memory to the members of the task force? Would you decide to discuss it in a few days over lunch? What actions would you use so that this previous event does not impact your current work? How would you be fair to the learners who answered correctly as well as to those who answered incorrectly?

What quantitative and qualitative information would you provide in order to assist these educators to consider the quality of the test questions?

Item Analysis

You are a member of a 3-person educational team that has developed a competency test that uses 50 multiple choice test questions to determine the knowledge and skill level of learners. After 30 learners have completed the competency test, the team conducted an item analysis.

From the results, there are 10 questions that are identified as being problematic. One of the educators wants to consider each of these questions individually to see if one or more of the questions should be removed from the test.

However, a second educator is strongly against this by stating, “This is a competency test; it has validity because we wrote it—the test questions should not be altered. The grade on the examination should stand!” The third educator wants to remove the ten questionable items from the test and raise all learners’ scores.

For the educator in professional nursing development, this will result in staff nurses who have failed the exam being placed on performance improvement plans and possible dismissal from the agency. For the educator in the academic setting, the learner will not be allowed to progress to the next course, must repeat the current course, and may be dismissed from the academic program.

What quantitative and qualitative information would you provide in order to assist these educators to consider the quality of the test questions?

How are all participants protected from the potentially harmful future use of the data collected in this research? Describe measures planned to ensure anonymity or confidentially.

DNP project

How are all participants protected from the potentially harmful
future use of the data collected in this research? Describe measures planned to
ensure anonymity or confidentially.

If audio or video tapes are used, when will
they be erased?

What are the ethical dilemmas identified in this scenario related to Ms B’s care and treatment?What could go wrong with the approach taken by the medical intern who has inadvertently disclosed Ms B’s diagnosis and why?

professional workbook

Consider the following points:
What are the ethical dilemmas identified in this scenario related to Ms B’s care and treatment?

What could go wrong with the approach taken by the medical intern who has inadvertently disclosed Ms B’s diagnosis and why?

What role can the nurse, Susan, play in resolving the ethical dilemmas that have arisen around the possibility of disclosing Ms B’s new health information?

Q4a) 10 Marks

What do the terms aggressive and assertive communicator mean?support your answer with evidence.

Q4b) 5 Marks

Your Practice Assessor asks you to undertake a skill which is outside of your scope of practice.
What is the specific guidance from your discipline (NMC, 2018) around this?

Q4c) 5 Marks

What should you do if something goes wrong whilst you are on clinical placement?
What is the specific guidance from your discipline (NMC) around this?

Q4d) – Associated task 10 Marks

Whilst out on placement, you are attending a patient/relative who is becoming increasingly angry.
Using evidence, discuss how you will deal with this situation?

Approx. 300 words in this section

References

Demonstrate and applie knowledge of a range of mental health and physical health condition in the assessment, planning, implementation and evaluation of person-centered, evidence-based care.

1000 ward case study

1. Demonstrate and applie knowledge of a range of mental health and physical health condition in the assessment, planning, implementation and evaluation of person-centered, evidence-based care.

2. Demonstrates understanding of the contribution of social influences, health literacy, behaviors, and lifestyle choices to the mental health and physical health outcome in people, families, and communities.

3. Accurately undertakes risk assessment demonstrating understanding of risk management and health improvement strategies.

4. Interact and engage confidently with family /carers and members of the multidisciplinary team in coordinating care.

How effective is the management of ventilator settings and breathing trials (Intervention) compared to the use of alternative oxygen therapies such as Bi-PAP and Hi-flow NC (Comparison) in controlling the progression of respiratory failure and possible pneumonia (Outcome) during the ICU stay and recovery time (Time)?

Module 3 Quantitative Research

In adult patients with respiratory failure (Population), how effective is the management of ventilator settings and breathing trials (Intervention) compared to the use of alternative oxygen therapies such as Bi-PAP and Hi-flow NC (Comparison) in controlling the progression of respiratory failure and possible pneumonia (Outcome) during the ICU stay and recovery time (Time)?

 

Discuss how therapeutic communication will help the nurse care for Ronald and his family?Provide 3 examples of how the nurse will employ therapeutic communication skills when caring for Ronald and his family.

Mental Health Nursing Case Study Questions

Discuss 4 factors that place Ronald at risk for developing a mental illness.

List 3 priority nursing assessments. Why are each of these important?

List 3 priority nursing interventions. Why are each of these important?

Discuss how therapeutic communication will help the nurse care for Ronald and his family?

Provide 3 examples of how the nurse will employ therapeutic communication skills when caring for Ronald and his family.

Does Ronald’s behavior warrant involuntary admission to the hospital? Why or why not?

Discuss three legal/ethical considerations related to this case.