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Tag: Experimental Data & Applied Methodology

  • [Solved] discussion response

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    ONLY RESPONSE NEEDED X2 -LISTED TO DIFFERENT PEERS ### Initial Response- #### Instructions: When developing new clinical interventions or practice changes, a systems approach can help maintain a culture of safety and minimize liability. For this discussion, answer the following question prompts: 1. …

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    Assignment Prompt & Instructions

    ONLY RESPONSE NEEDED X2 -LISTED TO DIFFERENT PEERS

    ### Initial Response-

    #### Instructions:

    When developing new clinical interventions or practice changes, a systems approach can help maintain a culture of safety and minimize liability. For this discussion, answer the following question prompts:

    1. Outline the potential risks associated with the one of the proposed practice changes examined in your Unit 3 Gap Analysis.
    2. When harm does occur, what is your organization's/system's policy on disclosure?
    3. Locate and discuss your state's apology law and provide an overview of what it encompasses.
    4. Are there formal policies within your organization/system about what to do when harm occurs? Are these aligned with your state's apology law?

    Please be sure to validate your opinions and ideas with citations and references in APA format.

    Your initial response is due by Wednesday at 11:59 pm CT.

    Estimated time to complete: 2 – 4 hours

    ### Peer Response

    #### Instructions:

    Please read and respond to at least two of your peers' initial postings. You may want to consider the following questions in your responses to your peers:

    – Compare and contrast your initial posting with those of your peers.
    – How are they similar or how are they different?
    – What information can you add that would help support the responses of your peers?
    – Ask your peers a question for clarification about their post.
    – What most interests you about their responses?

    Please be sure to validate your opinions and ideas with citations and references in APA format.

    All peer responses are due by Sunday at 11:59 pm CT.

    Estimated time to complete:  1 hour

    ### Reply from Zemen Aberra

    Zemen Aberra

    Herzing University

    Professionalism and Leadership for Advanced Practice (NU726-7K)

    Dr. Sandra Chen-Walta

    **Maintaining a Culture of Safety Discussion**

    Prolonged antibiotic delivery in patients with suspected sepsis has a considerable impact on patient outcomes, making it a serious safety issue. One recommended practice improvement from my Unit 3 Gap Analysis is the use of Electronic Health Record (EHR)-based sepsis notifications to encourage early detection and treatment. While this strategy has the potential to significantly reduce delays, it is not without risk.

    **Possible Risks of Recommended Practice Changes**

    Incorporating EHR-based sepsis alerts carries concerns such as alert fatigue, which occurs when clinicians start disregarding or overriding alerts due to frequent or nonspecific warnings (Hwang et al., 2020). Furthermore, if the alarm system fails to detect early sepsis or produces false positives, it may result in unnecessary antibiotic administration, elevated resistance, or missed intervention opportunities. Integration challenges and reliance on EHR data accuracy may further restrict the tool's effectiveness, potentially harming patients if key clinical indicators are missed (Shappell & Rhee, 2020).

    **Disclosure Policies in My Organization**

    When harm occurs, Dignity Health – Sacramento adheres to the CommonSpirit Health system-wide Disclosure of Unanticipated Outcomes policy. When unexpected complications occur, this policy promotes timely, empathetic, and honest communication with patients and their loved ones. The organization advocates for complete disclosure, which is consistent with Just Culture values, and provides openness while supporting healthcare professionals involved in the event (CommonSpirit Health, 2024).

    **California's Apology Law Overview**

    California's apology legislation is detailed in California Evidence Code Section 1160, which states that any expression of compassion, empathy, or general generosity offered by a medical professional to a patient or family is inadmissible as proof in a civil lawsuit. However, declarations admitting mistakes or negligence may still be admissible ( _California Code, EVID 1160_, n.d.). This statute enables healthcare workers to express compassion without fear of legal repercussions, but warns against expressing direct admissions of fault.

    **Alignment of Organizational Policies and State Law**

    Dignity Health's disclosure procedures are consistent with California's apology law, enabling healthcare professionals to provide patients with empathic communication and support following unfortunate occurrences without expressly admitting fault ( _California Code, EVID 1160_, n.d.). Training in efficient communication throughout disclosures ensures that providers adhere to legal and ethical limitations while preserving confidence with patients and families. These policies demonstrate a dedication to a safety environment that balances transparency and legal safeguards (Kwame & Petrucka, 2021).

    **References:**

    _California Code, EVID 1160_. (n.d.). **Division 9. Evidence affected or excluded by extrinsic policies [1100 – 1162]** https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=1160&lawCode=EVID

    CommonSpirit Health. (2024). _Commonspirit h_ ealth _Governance policy addendum_ [Report]. https://www.dignityhealth.org/content/dam/dignity-health/documents/california-december-2024/CA-Addendum.pdf

    Hwang, M., Bond, W., & Powell, E. (2020). Sepsis alerts in Emergency Departments: A Systematic review of accuracy and quality measure impact. _Western Journal of Emergency Medicine_, _21_(5). [https://pmc.ncbi.nlm.nih.gov/articles/PMC7514413/Links to an external site.](https://pmc.ncbi.nlm.nih.gov/articles/PMC7514413/)

    Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. _BMC Nursing_, _20_(1). https://pmc.ncbi.nlm.nih.gov/articles/PMC8414690/

    Shappell, C. N., & Rhee, C. (2020). Leveraging electronic health record data to improve sepsis surveillance. _BMJ Quality & Safety_, _29_(9), 706–710. https://pmc.ncbi.nlm.nih.gov/articles/PMC9011359/

    [**Natalie Scriboni**](https://herzing.instructure.com/courses/46683/users/94250) May 28 8:32pmManage Discussion by Natalie Scriboni

    ### Reply from Natalie Scriboni

    **NU 726: Unit 4 Discussion Examination of Policies and Regulations – Maintaining a Culture of Safety – Natalie Scriboni**

    One of the proposed changes from my Unit 3 Gap Analysis involves ensuring consistent reassessment and documentation of pain after interventions, including both pharmacologic and nonpharmacologic approaches. This change addresses a critical gap in practice, as pain is often reassessed verbally but not consistently charted. Failure to document pain reassessment poses several risks. The most vital risk is inadequate pain management (Dach et al., 2024). Risks also include missed signs of complications, communication issues, and incomplete charting (Dach et al., 2024). The literature emphasizes the importance of documenting reassessments to support continuity of care and reduce harm (Samara et al., 2024; Rowe & Best, 2024).

    When harm does occur at my organization, MedStar Union Memorial Hospital (MUMH) follows a formal Sentinel Event Policy that reflects a systems-based approach. The policy mandates immediate notification of the supervisor and Risk Management (Medstar Union Memorial, 2023). Then, a thorough analysis of the event occurs, and the Patient Communication Consult Service (PCCS) is notified. The PCCS helps to support and inform patients and their families (Medstar Union Memorial Hospital, 2023). This structured process ensures transparency while supporting staff.

    Maryland’s apology law allows healthcare providers to express sympathy, compassion, or apology without these words to be used as an admission of guilt in court (Thomson Reuters Westlaw, 2025). However, if a provider admits fault, such as saying they made a mistake, that statement can be used in legal court (Thomson Reuters Westlaw, 2025). The law helps to encourage emotional support and communication for patients and providers.

    In addition, MUMH has formal procedures in place when harm occurs, including disclosure processes and a system-wide promise for safety through risk management (Medstar Union Memorial, 2025). The Risk Assessment Plan is a key part of the organization that helps identify and resolve potential hazards. This procedure is aligned with Maryland’s apology law as it reduces the likelihood of harm and ensures staff are prepared to communicate compassionately.

    **References**

    Dach, A., Anderson, R., & Borandi, J. A. (2024). An Integrative, Non-Pharmacological Pain Management Approach In Severe Lumbar Spine Degeneration: A Case Report. _Integrative Medicine: A Clinician’s Journal_, _23_(6), 14–20.

    MedStar Union Memorial. (2025). _Environment of care: Risk assessment_ [Internal hospital policy document]

    MedStar Union Memorial Hospital. (2023). _Sentinel event policy: MedStar Union Memorial Hospital and MedStar Samaritan Hospital._ [Internal hospital policy document].

    Rowe, S., & Best, K. M. (2024). Individualized numeric rating scale to assess pain in critically ill children with neurodevelopmental disabilities. _American Journal of Critical Care_, _33_(4), 280–288. [https://doi.org/10.4037/ajcc2024343Links to an external site.](https://doi.org/10.4037/ajcc2024343)

    Samara, H., O’Hara, L., & Singh, K. (2024). Nurses' knowledge and attitudes about adult post-operative pain assessment and management: Cross sectional study in Qatar. _Nursing Reports_, _14_(3), 2061–2071. [https://doi.org/10.3390/nursrep14030153Links to an external site.](https://doi.org/10.3390/nursrep14030153)

    Thomson Reuters Westlaw. (2025). _Maryland code and court rules: Apologies or expressions of regret by health care providers._ [https://govt.westlaw.com/mdc/Document/Links to an external site.](https://govt.westlaw.com/mdc/Document/) N744BF500A64911 DBB5DDAC3692B918BCviewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)

    – a year ago

  • [Solved] SLPStrike

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    – a year ago **files (1)** – ## MODULE4SLPMGT516.docx **## MODULE4SLPMGT516.docx** **Disputes in a unionized workplace** Before you start this assignment, be sure that you have read the background readings for this module. **Read the following scenario:** Jocko and Thomas are both hourly employees w…

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## MODULE4SLPMGT516.docx

    **## MODULE4SLPMGT516.docx**

    **Disputes in a unionized workplace**

    Before you start this assignment, be sure that you have read the background readings for this module.

    **Read the following scenario:**

    Jocko and Thomas are both hourly employees working as forklift drivers in a large grocery chain’s central California warehouse. Their workplace is unionized. They work in the same warehouse section under Bert, the second shift supervisor.

    Jocko has always found the job difficult, because the job was fast-paced, but repetitive; and even though the forklifts and machines do the heavy lifting and moving, there were situations in which a driver had to deal with slightly misplaced pallets or otherwise use ingenuity and “muscle” to keep things moving smoothly through the shift. Jocko was small in stature and obviously not as physically strong as his co-workers. Thomas made a point of never helping Jocko with these adjustments, even though he helped other drivers when such situations arose. Jocko was gay, and he thought Thomas resented having him there – Thomas never seemed to want to talk with Jocko on breaks, for example.

    Jocko thought Thomas was being a bad colleague, especially on those days when Jocko could have really used Thomas’s help. Jocko mentioned to Bert, the supervisor, that he wished Thomas would help him once in a while. After all, he would be willing to help Thomas if he asked. Bert replied that he did not think that was going to happen.

    It was not only Thomas who would never help Jocko. All of the other forklift drivers seemed to look the other way when Jocko found himself in a situation where there was “muscle” needed to keep things going.

    Recently, the company implemented a new stacking protocol. Soon thereafter, Jocko was not meeting his production numbers on some days. He thought it was because he could not get any help from his colleagues when needed and his supervisor, Bert, did not seem to care.

    Bert, his supervisor, did carefully record Jocko’s production numbers to highlight the shifts when he had underperformed. After a while, Jocko started skipping breaks and shortening his lunch break on some days so he could spend a little more time on the forklift and try to meet his production for the shift. No one seemed to care or notice.

    As Jocko came to realize that he was going to get a bad performance review if the situation continued, he asked Bert if he could order his co-workers to help him when situations arose where he needed help. Bert said he could not give Jocko any special treatment.

    Jocko grew more frustrated, especially by the lack of communication and what he considered to be the stubbornness of his co-workers in refusing to help him when he needed it. He reasoned that he had a family to feed, just as they did, and he had to do something about the unfair treatment he was receiving.

    Jocko told Bert that he was going to tell the union that he wanted to file a grievance, because he thought the way he was being treated was not right.

    Bert told Jocko that he’d never known a grievance to work out for the person who filed it, but Jocko should do what he thought he needed to do.

    Jocko felt very upset about what he perceived as Bert’s indifference. He filed a formal grievance with the union about the situation.

    Prepare a 2- to 3-page (not counting title and reference pages) paper that addresses the following:

    ·
    **What do you think will happen next? Why?**

    ·
    **Discuss the important steps in a grievance process that might take place to resolve this issue if Jocko files a grievance.**

    Discuss a plan of action to resolve an employee conflict in a unionized workplace.

    ·
    **If you were the HR manager in this warehouse, what would you do to get to the root of the issue? Why?**

    Use at least two Trident Online Library sources plus any applicable background readings to help strengthen your discussion.

    **SLP Assignment Expectations**

    _Your paper will be evaluated using the criteria as stated in the SLP rubric. The following is a review of the rubric criteria:_

    ·
    **Assignment-Driven:** Does the paper fully address all aspects of the assignment? Is the assignment addressed accurately and precisely using sound logic? Does the paper meet minimum length requirements?

    ·
    **Critical Thinking:** Does the paper demonstrate graduate-level analysis, in which information derived from multiple sources, expert opinions, and assumptions has been critically evaluated and synthesized in the formulation of a logical set of conclusions? Does the paper address the topic with sufficient depth of discussion and analysis?

    ·
    **Business Writing:** Is the essay logical, well organized, and well written? Are the grammar, spelling, and vocabulary appropriate for graduate-level work? Are section headings included? Are paraphrasing and synthesis of concepts the primary means of responding, or is justification/support instead conveyed through excessive use of direct quotations?

    ·
    **Effective Use of Information:** Does the submission demonstrate that the student has read, understood and can apply the background materials for the module? If required, has the student demonstrated effective research, as evidenced by student’s use of relevant and quality sources? Do additional sources used provide strong support for conclusions drawn, and do they help in shaping the overall paper?

    ·
    **Citing Sources:** Does the student demonstrate understanding of APA Style of referencing by inclusion of proper citations (for paraphrased text and direct quotations) as appropriate? Have all sources (e.g., references used from the Background page, the assignment readings, and outside research) been included, and are these properly cited? Have all sources cited in the paper been included on the References page?

    ·
    **Timeliness**: Has the assignment been submitted to TLC on or before the module’s due date?

    **## MODULE4SLPMGT516.docx**

    **Disputes in a unionized workplace**

    Before you start this assignment, be sure that you have read the background readings for this module.

    **Read the following scenario:**

    Jocko and Thomas are both hourly employees working as forklift drivers in a large grocery chain’s central California warehouse. Their workplace is unionized. They work in the same warehouse section under Bert, the second shift supervisor.

    Jocko has always found the job difficult, because the job was fast-paced, but repetitive; and even though the forklifts and machines do the heavy lifting and moving, there were situations in which a driver had to deal with slightly misplaced pallets or otherwise use ingenuity and “muscle” to keep things moving smoothly through the shift. Jocko was small in stature and obviously not as physically strong as his co-workers. Thomas made a point of never helping Jocko with these adjustments, even though he helped other drivers when such situations arose. Jocko was gay, and he thought Thomas resented having him there – Thomas never seemed to want to talk with Jocko on breaks, for example.

    Jocko thought Thomas was being a bad colleague, especially on those days when Jocko could have really used Thomas’s help. Jocko mentioned to Bert, the supervisor, that he wished Thomas would help him once in a while. After all, he would be willing to help Thomas if he asked. Bert replied that he did not think that was going to happen.

    It was not only Thomas who would never help Jocko. All of the other forklift drivers seemed to look the other way when Jocko found himself in a situation where there was “muscle” needed to keep things going.

    Recently, the company implemented a new stacking protocol. Soon thereafter, Jocko was not meeting his production numbers on some days. He thought it was because he could not get any help from his colleagues when needed and his supervisor, Bert, did not seem to care.

    Bert, his supervisor, did carefully record Jocko’s production numbers to highlight the shifts when he had underperformed. After a while, Jocko started skipping breaks and shortening his lunch break on some days so he could spend a little more time on the forklift and try to meet his production for the shift. No one seemed to care or notice.

    As Jocko came to realize that he was going to get a bad performance review if the situation continued, he asked Bert if he could order his co-workers to help him when situations arose where he needed help. Bert said he could not give Jocko any special treatment.

    Jocko grew more frustrated, especially by the lack of communication and what he considered to be the stubbornness of his co-workers in refusing to help him when he needed it. He reasoned that he had a family to feed, just as they did, and he had to do something about the unfair treatment he was receiving.

    Jocko told Bert that he was going to tell the union that he wanted to file a grievance, because he thought the way he was being treated was not right.

    Bert told Jocko that he’d never known a grievance to work out for the person who filed it, but Jocko should do what he thought he needed to do.

    Jocko felt very upset about what he perceived as Bert’s indifference. He filed a formal grievance with the union about the situation.

    Prepare a 2- to 3-page (not counting title and reference pages) paper that addresses the following:

    ·
    **What do you think will happen next? Why?**

    ·
    **Discuss the important steps in a grievance process that might take place to resolve this issue if Jocko files a grievance.**

    Discuss a plan of action to resolve an employee conflict in a unionized workplace.

    ·
    **If you were the HR manager in this warehouse, what would you do to get to the root of the issue? Why?**

    Use at least two Trident Online Library sources plus any applicable background readings to help strengthen your discussion.

    **SLP Assignment Expectations**

    _Your paper will be evaluated using the criteria as stated in the SLP rubric. The following is a review of the rubric criteria:_

    ·
    **Assignment-Driven:** Does the paper fully address all aspects of the assignment? Is the assignment addressed accurately and precisely using sound logic? Does the paper meet minimum length requirements?

    ·
    **Critical Thinking:** Does the paper demonstrate graduate-level analysis, in which information derived from multiple sources, expert opinions, and assumptions has been critically evaluated and synthesized in the formulation of a logical set of conclusions? Does the paper address the topic with sufficient depth of discussion and analysis?

    ·
    **Business Writing:** Is the essay logical, well organized, and well written? Are the grammar, spelling, and vocabulary appropriate for graduate-level work? Are section headings included? Are paraphrasing and synthesis of concepts the primary means of responding, or is justification/support instead conveyed through excessive use of direct quotations?

    ·
    **Effective Use of Information:** Does the submission demonstrate that the student has read, understood and can apply the background materials for the module? If required, has the student demonstrated effective research, as evidenced by student’s use of relevant and quality sources? Do additional sources used provide strong support for conclusions drawn, and do they help in shaping the overall paper?

    ·
    **Citing Sources:** Does the student demonstrate understanding of APA Style of referencing by inclusion of proper citations (for paraphrased text and direct quotations) as appropriate? Have all sources (e.g., references used from the Background page, the assignment readings, and outside research) been included, and are these properly cited? Have all sources cited in the paper been included on the References page?

    ·
    **Timeliness**: Has the assignment been submitted to TLC on or before the module’s due date?

  • [Solved] 55

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    In-depth study guidance and analytical solution covering 55.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Disease screening methodology

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    – **Review the information on prostate screening at the National Cancer Institute's** [**Prostate Cancer Screening**](https://progressreport.cancer.gov/detection/prostate_cancer) **web page.** – **Choose one of the following scenarios below and recommend a course of action for screening for prostate…

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    Assignment Prompt & Instructions

    – **Review the information on prostate screening at the National Cancer Institute's** [**Prostate Cancer Screening**](https://progressreport.cancer.gov/detection/prostate_cancer) **web page.**
    – **Choose one of the following scenarios below and recommend a course of action for screening for prostate cancer.**
    – **Bill is a 41-year-old male with a family history of prostate cancer. His father and both grandfathers had prostate cancer. Based on the information provided at cancer.gov, should he be screened before the age of 55 for prostate cancer? Why or why not?**
    – **Jose is a 70-year-old male with Diabetes Mellitus but otherwise very healthy. Based on the information provided at cancer.gov, should he be screened this year for prostate cancer? Why or why not?**
    – **Be sure to respond to at least one of your classmates' posts.**

    – [\
    \
    IMG_3594.png](https://www.sweetstudy.com/files/img-3594-png-10307439 "IMG_3594.png")

    – a year ago

  • [Solved] Safe medication administration reflection

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    The purpose of this reflection is to help students recognize and understand the importance of safe medication administration practices and provide a heightened awareness of the outcomes when an error has occurred. **Course outcomes:** This assignment enables the student to meet the following course …

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    Assignment Prompt & Instructions

    The purpose of this reflection is to help students recognize and understand the importance of safe medication administration practices and provide a heightened awareness of the outcomes when an error has occurred.

    **Course outcomes:** This assignment enables the student to meet the following course outcomes:

    CO2: Identify characteristics of professional behavior, including emotional intelligence, communication, and conflict resolution. (POs 3, 5, and 6)

    CO3: Demonstrate information literacy and the ability to utilize resources. (POs 3, 5, and 8)

    **Due** **date:** Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

    **Total points possible:** 75 points

    ## Preparing the assignment:

    Follow these guidelines when completing this assignment. The paper should be 2-3 pages excluding the title page. Speak with your faculty member if you have questions.

    1. Click on the video link “Nurse Gwen Cox Learns from Her Patient Safety Mistake.” [https://www.youtube.com/watch?v=2ZVO4qqpiH4](https://www.youtube.com/watch?v=2ZVO4qqpiH4)

    2. As you watch the video, imagine you are Gwen Cox, RN, or consider someone you love deeply as that patient.

    3. Think about how the medication error occurred, beginning in the med room, to the bedside, to the event that occurred after the medication was administered. Then think about the long-term consequences for both the nurse, Gwen, and her patient.

    – a year ago