Category: Nursing > Clinical Nursing & Patient Care

  • [Solved] Summarize why you believe this nursing practice problem (pressure injury) is an issue in your current or past area of practice.

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    In-depth study guidance and analytical solution covering Summarize why you believe this nursing practice problem (pressure injury) is an issue in your current or past area of practice..

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  • [Solved] Summarize why you believe this nursing practice (pressure injury) problem is an issue in your current or past area of practice.

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    In-depth study guidance and analytical solution covering Summarize why you believe this nursing practice (pressure injury) problem is an issue in your current or past area of practice..

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  • [Solved] Provide a reply as aDNP student to the following post, use APA 7 format and at least 2 different scholarly references.

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    To will In today’s complex healthcare environment, nurses are increasingly expected to do more than provide bedside care; we are being called to lead change. As a nurse working toward achieving a Doctor of Nursing Practice (DNP) role, I see these expectations as a chance to help close the gap betwee…

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    To will

    In today’s complex healthcare environment, nurses are increasingly expected to do more than provide bedside care; we are being called to lead change. As a nurse working toward achieving a Doctor of Nursing Practice (DNP) role, I see these expectations as a chance to help close the gap between what we know from research and what happens in practice. The DNP is not just about learning new skills but about a mindset change from carrying out orders to supporting the design of better care systems. It has not been an easy transition, especially coming from an FNP background, where the focus has often been on direct clinical care rather than systems-level change. However, with the proper education, support, and leadership, it will become possible to step into that larger role.

    The DNP Matters in Making Evidence Real

    There is much research out there showing what works in patient care, but too often it never makes it to the bedside. That is where the DNP comes in. We are trained to take the evidence and translate it into real-world change. Melnyk and colleagues (2022) emphasize how DNP-prepared nurses are uniquely positioned to lead improvements in safety, quality, and outcomes. This focus on applying evidence aligns directly with DNP Essential III, which uses data and scholarship to drive practice (AACN, 2006). Moreover, none of that happens in a vacuum; we also need leadership tools from DNP Essentials II to drive those changes within real healthcare systems (AACN, 2006).

    As I plan my DNP project, I am grounding it in Dr. Katie Love’s Empowered Holistic Nursing Education (EHNE) theory. Her work emphasizes the importance of supporting nurses in thinking critically, reflecting, and leading, not just following orders (Love, 2014). That kind of empowerment doesn’t stop in the classroom. It has to be present in the workplace, too.

    That’s where Transformational Leadership comes in. This leadership style is about more than managing. It’s about inspiring. Transformational leaders support their teams, encourage innovation, and make space for autonomy (Boamah et al., 2018). Research shows that transformational leadership improves job satisfaction, reduces burnout, and improves patient outcomes (Boamah et al., 2018). If we want empowered nurses, we need leaders who create the kind of culture where empowerment is possible. That is the vision I want to carry into my project.

    Career Goals and Uncertainty

    In the short term, I am still working out the details of my DNP project, and I will be honest, there is some uncertainty there. However, that is part of the journey. Coming from an FNP role where everything is protocol-driven, it is a shift to think more independently and design solutions myself. That’s exactly what the DNP is helping me develop. My practicum will be key in shaping the direction of my project, which I hope will focus on a practice change initiative within a healthcare setting.

    In the long term, I am not certain if I will stay in my current organization or move into a leadership role as someone who supports bedside nurses the way I wish I had been supported early in my career. There is plenty of evidence that when nurses are empowered and supported to think and act autonomously, job satisfaction goes up, turnover goes down, and patients do better (Spence Laschinger & Read, 2016). That is what I want to help create.

    Conclusion

    The DNP is not just a degree. It is a transformation. It is about becoming the kind of nurse who does not just participate in the system, but helps redesign it. While my project is still taking shape, I know that grounding it in empowerment, strong leadership, and evidence-based practice will set a foundation for the project and the kind of nurse leader I want to become. I hope that implementing this kind of leadership will help me make nursing better, for the patients, and for nurses, too.

    **References**

    American Association of Colleges of Nursing. (2006). _The essentials of doctoral education for advanced nursing practice_. [https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf](https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf)

    Boamah, S. A., Spence Laschinger, H. K., Wong, C., & Clarke, S. (2018). Effect of transformational leadership on job satisfaction and patient safety outcomes. _Nursing Outlook, 66_(2), 180–189. https://doi.org/10.1016/j.outlook.2017.10.004

    Love, K. (2014). A midrange theory of Empowered Holistic Nursing Education: A pedagogy for a student-centered classroom. _Creative Nursing, 20_(1), 47–58. https://doi.org/10.1891/1078-4535.20.1.47

    Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2022). _Evidence-based practice in nursing & healthcare: A guide to best practice_ (5th ed.). Wolters Kluwer.

    Spence Laschinger, H. K., & Read, E. A. (2016). The effect of authentic leadership, person-job fit, and civility norms on new graduate nurses’ experiences of coworker incivility and burnout. _Journal of Nursing Administration, 46_(11), 574–580. https://doi.org/10.1097/NNA.0000000000000403

    – a year ago

  • [Solved] Provide a reply as a DNP student to the following post, use APA78 7 format and at least 2 different scholarly references no older than 5 years old.

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    To Dinorah: Building a culture that supports and recognizes Evidence-Based Practice (EBP) is critical to facilitating effective choices, achieving better outcomes, and spurring innovation in healthcare and public policy. EBP combines the best evidence obtained from research, practical expertise, and…

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    To Dinorah:

    Building a culture that supports and recognizes Evidence-Based Practice (EBP) is critical to facilitating effective choices, achieving better outcomes, and spurring innovation in healthcare and public policy. EBP combines the best evidence obtained from research, practical expertise, and stakeholder preferences in a way that made actions evidence-based instead of based on tradition or intuition. Developing such a culture demands conscious efforts to emphasize critical thinking, data literacy, and collaborative practices while eradicating systemic obstacles deterring evidence-informed practices.

    One of the cornerstones of EBP is its capacity to improve outcomes by diminishing the use of outdated or inefficient practices. For example, in healthcare, hospitals that value EBP tend to implement clinical guidelines based on rigorous research, such as standardized protocols for treating sepsis, leading to a decrease in mortality rates (Cullen et al., 2022). Likewise, in education, schools that integrate evidence-based teaching practices such as formative assessments or structured literacy interventions report significant gains in student achievement. On the contrary, neglecting EBP in organizations may lead them to continue these inefficiencies, such as businesses that stick to unproven marketing strategies and policymakers that implement programs without pilot testing. When institutions encourage EBP, they convey that decisions should be driven by data, promoting accountability and constant advancement.

    The significance of leadership in introducing EBP into organizational DNA cannot be underestimated. Leaders must demonstrate evidence-informed behaviors, such as assuming assumptions or requiring data before approving initiatives. In healthcare, the success of Kaiser Permanente in integrating EBP can be attributed to the leadership mandates in which clinicians must practice evidence-based care pathways with the assistance of electronic health records to highlight deviations (Rockette, 2021). To imitate such success, organizations can make EBP training compulsory, offer access to research databases, and reward staff who promote data-driven initiatives.

    Rewarding EBP also requires structural supports that reduce the barriers to accessing and implementing evidence. This involves investing in programs for training to enhance data literacy, like workshops on statistical analysis or critical appraisal. Organizations such as Johns Hopkins University collaborate with hospitals to train healthcare professionals to translate research to practice, thus closing the distance between the academic world and the real frontline environment (Cullen et al., 2022). Also, organizations can establish interdisciplinary EBP hubs where practitioners work alongside researchers to solve real-world problems. For instance, the education sector has experienced success with initiatives such as the Regional Educational Laboratory (REL) network in the U.S. that links schools with researchers to measure interventions such as tutoring programs or behavioral supports.

    Additionally, there is a need to balance incentives with EBP. Performance evaluations should be given to employees who exhibit evidence-based decision making, and cost savings can indicate this, better patient outcomes, and innovative solutions. In the corporate world, Amazon, for example, links executive bonuses to verified metrics using data analytics, helping to establish a culture that supports strategic aims based on evidence. Similarly, the public acknowledgment, like awards for excellence in EBP, reinforces its value as demonstrated by such initiatives as the awards given to nurses working towards advancing clinical practices by application of research by the American Nurses Association.

    In conclusion, appreciation and remuneration of EBP are not just a technical adjustment; it is a cultural change that requires leadership buy-in, structural support, and aligned incentives. Organizations open avenues to innovation, equity, and sustainability when EBP is integrated into routine business operations, from healthcare protocols to educational reforms. As global challenges increase, institutions that nurture curiosity, rigor, and collaboration will be best equipped to succeed. This is in line with DNP Essential II, which recognizes the essential role of leadership in shaping cultures that promote evidence-based decision-making, systems thinking, and quality improvement (Giddens et al., 2022). This imperative emphasizes that Doctor of Nursing Practice (DNP)-prepared nurses must spearhead efforts to transform healthcare systems through evidence-based integration, optimized outcomes, and the removal of systemic obstacles to innovation.

    **References**

    Cullen, L., Hanrahan, K., Farrington, M., Tucker, S., & Edmonds, S. (2022). _Evidence-based practice in action: Comprehensive strategies, tools, and tips from University of Iowa Hospitals & Clinics_. Sigma Theta Tau.

    Giddens, J., Douglas, J. P., & Conroy, S. (2022). The revised AACN essentials: Implications for nursing regulation. _Journal of Nursing Regulation_, _12_(4), 16-22. https://doi.org/10.1016/S2155-8256(22)00009-6

    Rockette, E. D. (2021). _Exploring Frontline Care Management Organization Leaders’ Evidence-Based Practice Implementation and Facilitation Strategies: A Qualitative Descriptive Study_ (Doctoral dissertation, Grand Canyon University).

    – a year ago

  • [Solved] Pharm week 2 Reply to Peer 2

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    **Initial Post: Eye Conditions – AM Case Study** Concerning pharmacologic treatment for AM, initiating a topical broad-spectrum antibiotic to avoid bacterial superinfection is appropriate, and his marred contact lens history should be considered. The fluoroquinolone eye drops, including moxifloxacin…

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    **Initial Post: Eye Conditions – AM Case Study**

    Concerning pharmacologic treatment for AM, initiating a topical broad-spectrum antibiotic to avoid bacterial superinfection is appropriate, and his marred contact lens history should be considered. The fluoroquinolone eye drops, including moxifloxacin or ciprofloxacin, are widely used for their effectiveness against Pseudomonas aeruginosa, which is one of the most common causes of contact lens-related infections (Drago, 2024). These should be given regularly- generally one drop every hour while awake during the first 24-48 hours, then titrated according to clinical response. Furthermore, lubricating eye drops have symptomatic relief, whereas cycloplegic agents such as cyclopentolate can be prescribed to alleviate ciliary spasms and attendant pain if photophobia is present. Oral analgesics like acetaminophen or NSAIDs can also be used to alleviate discomfort.

    AM should receive immediate follow-up care within 24 hours after initiating treatment. This follow-up is crucial here to confirm that the abrasion is healing and there is no microbial keratitis progression that causes corneal ulcers and vision loss if left untreated. If there is no improvement or the lesion worsens, then AM should be referred to an ophthalmologist for further diagnosis, possible corneal cultures, and more aggressive therapy. Further follow-up may be required until the symptoms are completely resolved and corneal healing is confirmed.

    AM also requires adequate counseling on safe contact lens practices to avoid future episodes. He should be warned against sleeping in contact lenses, even occasionally, because this heightens the risk of corneal hypoxia and infection (Rhee et al., 2024). He should wash and dry his hands before dealing with lenses, strictly follow the schedule for cleaning and replacement, and keep lenses protected from water, for example, showering or swimming. Education in detecting early signs of eye irritation or infection, along with a cessation of lens use at the first sensation of discomfort, will help keep his ocular health intact in the long term.

    **References**

    Drago, L. (2024). Topical Antibiotic Therapy in the Ocular Environment: The Benefits of Using Moxifloxacin Eyedrops. Microorganisms, 12(4), 649. [https://doi.org/10.3390/microorganisms12040649](https://doi.org/10.3390/microorganisms12040649)

    Rhee, M. K., Ahmad, S., Amescua, G., Cheung, A. Y., Choi, D. S., Jhanji, V., … & Varu, D. M. (2024). Bacterial keratitis preferred practice pattern®. Ophthalmology, 131(4), P87-P133. [https://www.aaojournal.org/article/S0161-6420(24)00007-1/abstract](https://www.aaojournal.org/article/S0161-6420(24)00007-1/abstract)

    – a year ago

  • [Solved] Physical assessment

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    Physical asssement assignment – a year ago **files (1)** – ## Physicalassessmentpaper.docx **## Physicalassessmentpaper.docx** NUR2180 APA Writing Assignment (100 points) Write a 3–5-page paper using a minimum of 5 peer reviewed resources from the past 5 years. Reviews from doctors and nurses Guidel…

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    Physical asssement assignment

    – a year ago

    **files (1)**

    – ## Physicalassessmentpaper.docx

    **## Physicalassessmentpaper.docx**

    NUR2180 APA Writing Assignment (100 points)

    Write a 3–5-page paper using a minimum of 5 peer reviewed resources from the past 5 years. Reviews from doctors and nurses

    Guidelines

    · Select an assessment tool from the list provided.

    · Overview of Tool (10 points): Provide an overview of the assessment tool including the history and what it was developed to assess for.

    · How was the assessment tool developed?

    · What countries use the assessment tool?

    · Literature Review & Summary[LN1] (20 points): Perform a literature review related to the use of the tool.

    · Scoring of the Tool (20 points): Describe the scoring. How are points assigned? What does the score indicate?

    · Population (20 points): Describe the population that the assessment tool would be used for. Explain why it is important to use the tool with this specific population. Is the tool used in conjunction with other specific assessments?

    · Metrics (10 points): Are there data banks that use the results from the assessment tool? What is the reliability and validity of the assessment tool? Are there legal or ethical reasons to use the assessment tool?

    · Conclusion (10 points): Overall summary and conclusion of the paper.

    · APA formatting (10 points): Must follow APA guidelines and include an APA title page and reference page. Abstract not required.

    **Assessment Tools (other tools may be used with approval from the faculty)**

    · Assessment of a Hospital-Wide CIWA-Ar Protocol for Management of Alcohol Withdrawal Syndrome

    **## Physicalassessmentpaper.docx**

    NUR2180 APA Writing Assignment (100 points)

    Write a 3–5-page paper using a minimum of 5 peer reviewed resources from the past 5 years. Reviews from doctors and nurses

    Guidelines

    · Select an assessment tool from the list provided.

    · Overview of Tool (10 points): Provide an overview of the assessment tool including the history and what it was developed to assess for.

    · How was the assessment tool developed?

    · What countries use the assessment tool?

    · Literature Review & Summary[LN1] (20 points): Perform a literature review related to the use of the tool.

    · Scoring of the Tool (20 points): Describe the scoring. How are points assigned? What does the score indicate?

    · Population (20 points): Describe the population that the assessment tool would be used for. Explain why it is important to use the tool with this specific population. Is the tool used in conjunction with other specific assessments?

    · Metrics (10 points): Are there data banks that use the results from the assessment tool? What is the reliability and validity of the assessment tool? Are there legal or ethical reasons to use the assessment tool?

    · Conclusion (10 points): Overall summary and conclusion of the paper.

    · APA formatting (10 points): Must follow APA guidelines and include an APA title page and reference page. Abstract not required.

    **Assessment Tools (other tools may be used with approval from the faculty)**

    · Assessment of a Hospital-Wide CIWA-Ar Protocol for Management of Alcohol Withdrawal Syndrome

  • [Solved] discussion

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    ## Red Bead Experiment Discussion ### Purpose This assignment is intended to help you learn to assess quality, safety, and information systems to improve patient outcomes. ### Action Items **Complete the following:** – Watch the videos about the [Red Bead Experiment.Links to an external site.](https…

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    ## Red Bead Experiment Discussion

    ### Purpose

    This assignment is intended to help you learn to assess quality, safety, and information systems to improve patient outcomes.

    ### Action Items

    **Complete the following:**

    – Watch the videos about the [Red Bead Experiment.Links to an external site.](https://www.youtube.com/watch?v=oMb_UKYHvto "Link")![](https://franklin.instructure.com/images/play_overlay.png)

    ### Initial Response

    Your initial response should address all of the elements below, in depth and breadth.  A minimum of 350 words is expected in your initial response.  Citations and references are included, in correct APA format.

    **Answer the following discussion questions:**

    – What are some of the management techniques Dr. Berwick uses to try to improve employee performance?
    – Do you think these management techniques are effective? Why or why not?
    – If you were the head of the Red Bead Company, what would you do to try to improve quality?
    – Do you think the management style in the Red Bead Company has any similarities to the way health care is managed? Explain your thinking and give an example, if possible.

    – [\
    \
    redbead.docx](https://www.sweetstudy.com/files/redbead-docx "redbead.docx")

    – a year ago

  • [Solved] Nursing Dnp Essentials

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    ### Formative Assessment How does the role of the DNP-prepared nurse compare to other non-nursing advanced practice healthcare providers in the clinical setting? 300 words ### Document Type/Template – Word Document – [\ \ Rubric.pdf](https://www.sweetstudy.com/files/rubric-pdf-10294197 "Rubric.pdf…

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    ### Formative Assessment

    How does the role of the DNP-prepared nurse compare to other non-nursing advanced practice healthcare providers in the clinical setting? 300 words

    ### Document Type/Template

    – Word Document

    – [\
    \
    Rubric.pdf](https://www.sweetstudy.com/files/rubric-pdf-10294197 "Rubric.pdf")

    – a year ago

  • [Solved] Health Care Delivery

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    **The landscape of healthcare delivery is constantly evolving due to changes in population needs, technology, and policy reforms. Discuss various healthcare delivery models (e.g., patient-centered care, value-based care, integrated care models) and their potential to improve healthcare outcomes.** *…

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    **The landscape of healthcare delivery is constantly evolving due to changes in population needs, technology, and policy reforms. Discuss various healthcare delivery models (e.g., patient-centered care, value-based care, integrated care models) and their potential to improve healthcare outcomes.**

    **Consider the following:**

    – **How do these models promote efficiency, cost-effectiveness, and patient outcomes?**
    – **What role do advanced practice nurses play in implementing or supporting these models?**
    – **Discuss a healthcare delivery model that you believe will have the most significant impact on the future of care and why.**

    **APA style,** 250-350 words and include at least one scholarly source, NO AI

    – a year ago

  • [Solved] creative

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    In this creative writing, you will take on the role of an advocate and analyze how federal and state powers interact in addressing public, health, and environmental issues. Utilize the First Amendment, your state constitution, and any other documents needed. Select a topic from the list below and cr…

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    In this creative writing, you will take on the role of an advocate and analyze how federal and state powers interact in addressing public, health, and environmental issues. Utilize the First Amendment, your state constitution, and any other documents needed. Select a topic from the list below and create a (one-page) visual representation—such as a brochure, a flyer, or infographic—that shows how your state’s government shares power with the federal government on your chosen topic.

    **Topics:**

    – COVID-19

    – Vaccine policies

    – Regulation of substances such as tobacco and cannabis

    – Human trafficking

    – Environment: The right to clean air and water

    – Regulation of Class IV drug policies: Legal (ex. opioids) v. illegal (fentanyl, methamphetamine, etc.)

    – OR choose your own relevant topic of interest

    **Visual and Informational Media Design Method**

    **Tips!** It is recommended that you use one of the following:

    – An MS Word document template for flyers or brochures

    – A PowerPoint slide

    – A Canva infographic

    – A posterboard that you talk through by creating an MP4 video on your phone

    Canva and Word templates provide colors and other visual elements. Just your written text will need to be inserted. [Example document mentioned here.]

    **Prompts**

    Your (one-page) flyer or brochure should include the following elements and respond to the following prompts:

    – A clear title

    – A short introduction about your topic

    – Then use any of the Amendments from the Bill of Rights, your state constitution, or any federal policy to answer the following questions:

    – How does your topic relate to your state constitution?

    – How does your topic relate to federal government policies?

    – Describe how your state shares power with the federal government pertaining to your chosen topic.

    – Would you advocate for any type of change to your state or federal policies regarding your topic?

    **Writing Requirements**

    – One page in length.

    – Integrate at least one source. All material within the course room can be cited and referenced as needed.

    – At the bottom of your flyer, add references.

    – Follow appropriate APA citation guidelines. Here are two excellent resources: Crediting Sources Made Simple and the Writing Center.

    Let me know if you’d like it formatted into a specific type of visual or template!

    – a year ago