Roles genetics play in Cystic Fibrosis

Roles genetics play in Cystic Fibrosis  why do patients present with the specific symptoms like chronic congestion, salty skin and no weight gain  how other characteristic (e.g., gender, genetics) affect patients with cystic fibrosis

Review of Current Healthcare Issues

If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.To Prepare:Review the Resources and select one current national healthcare issue/stressor to focus on.Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.By Day 3 of Week 1Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.Resources

The Philosophy of Nursing

Define Philosophy of nursing. Thinking about philosophy, what unique characteristics do you have that you will bring to your practice?   write 500 words

Professional Issues

For this week, you are submitting a rough draft of your Final PowerPoint Presentation.  It should include:  A title slide, an introduction, at least 1-2 slides for each of the 12 weeks (some had 2 topics–you can combine or separate), what you would do differently if you were teaching this class slide,  a summary slide, and a reference slide (minimum total of 17 slides).  You should voice-over and introduce yourself, your title, your presentation, and what you have learned about each topic, what you would change, along with a summary/review at the end.  This is your opportunity to share what you have learned in this class this semester and what you would do differently if you were teaching the same online class.  There is a checklist included here to help make sure you have included all the necessary content.  Use this when reviewing your peer’s post as well.  This FINAL post should be posted to Dropbox.

Evidence Based Practice

The assignment is asking to respond to the below discussion a 1/2-3/4 page and 2 APA reference will surfice. Nursing has evolved into more than just beside care.  It is now recognized as one of the most prestigious professions globally.  The responsibility of this, in part, is due to evidence-based practice.  Discovering new and innovative ways to serve the patient for the most beneficial outcome is the foundated goal.  As stated by Melnyk, B. M., & Fineout-Overholt, E. , (2018) “Evidence based practice enhances healthcare quality, improves patient outcomes, reduces costs, and empowers clinicians: this is known as the quadruple aim in healthcare (p. 7).  The patient comes first.   The healthcare organization I reviewed is Christiana Care Hospital, located in Delaware.  Upon venturing to Christiana’s website one first sees information regarding, the flu, covid-19 and vaccination information.  Across the top of the page there are designated areas for specific information.  Upon scrolling down there is information about the different facilities, having a baby, research, and risk assessments.  In the about us tab, there is information about who they serve, news about the hospital, love your health, quality and patient safety, and who are we.  Christiana Care includes an extensive network of outpatient services, home health care, urgent care centers, three hospitals (1,299 beds), a free-standing emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women’s health. Christiana Care. (n.d.). They also have a gene editing institute.  It can be considered that the entire website exemplifies evidence-based practice in how it is entirely outlined with resources, educational materials, and updated new and information.  As Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016) notes “ Best practice only occurs when staff continually ask questions about treatment and care, have the resources and skills necessary to search for and appraise research evidence, implement the evidence in practice, and evaluate its effectiveness.” (p. 172).  With over 13,000 employees, and an abundance of resources, advancements, patient safety and education are important at Christiana Hospital.  In conclusion, my perception of Christiana Care Hospital has always been the same as is now.  I am a former employee and know firsthand how amazing of an organization is it.  Christiana is a teaching hospital where doctors and nurses take pride in teaching students and staff new things.  For example, the residents are placed on team based on colors, red, green, blue etc..  On those teams are handpicked and trained physicians with expertise in their specialty.  The residents are tested and encouraged to ask questions in learning.  If a code sounds, they are to run to it for experience.  Critical thinking is a must and rewarded upon successful hypothesis.  Too, if a student is in college, physicians and nurses will pull the student aside if something interesting is happening on the floor, and they believe is a good experience for the student.  There is much to learn at Christiana and growth sisters’ endless positive possibilities.  Overall, this is a wonderful organization to work for.

Interprofessional Organizational and Systems Leadership

Please respond to the below discussion post, 1/2-3/4 page will surfice with 2 references 7th APA edition. Thanks. Week 1 Main Post Discussion Nursing Shortage          This health care issue selected for this discussion is the overwhelming nursing shortage. The Nursing profession is rapidly growing in the United States; however, with normal attrition and many baby boomers fading into retirement, there is a huge deficit of qualified nurses to fill the available vacant positions.  According to Marc, Bartosiewicz, Burzynska, Chimiel & Januszewicz (2018, p. 10), Human resources for Health estimates that by 2035 the nursing deficit will reach an astounding 12.9 million mark.            This deficit will progress because of our aging population, and the absence of nursing instructors, high turnovers due to an overly taxed workforce. As a growing concern of the American health care system and the supply of available nurses, they cannot meet the growing demand. This will also expand the pressure on medical schools to increase their output of qualified medical professionals. Another aspect is the increased health care costs. In the 1990s, many hospitals tried to cut costs by reducing staff and instituting mandatory overtime policies to meet community needs; in turn, there was an increase in nursing workloads.          The unfortunate aspect of these mandatory overtime policies is that it ultimately brings about injury, job dissatisfaction, increased pressures, and stress, which leads to nursing errors and mistakes that result in a reduction in patient quality of care and satisfaction. According to the American Nurses Association (ANA), the growing nursing shortage has resulted in being a contributing factor of cases that have resulted in injury, death, and /or permanent loss of function.          Many institutions have implemented large sign-on bonuses and advertised generous salary increases to entice qualified nurses to apply to their institutions and fill their needs. Unfortunately, this is not always beneficial because nurses after the baby boomer age tend to follow the money and lack loyalty to their present facility. So, nurses from one hospital in town will transfer to another hospital in town for financial gain and wait for the next offering to move again and makes these short-term solutions.          A more effective measure to address these issues would be to review internal policies and procedures for improved productivity, improved utilization of medical assistants, and upgrading new and innovative technologies to improve efficiency. Organizations may also offer paid training opportunities, tuition reimbursement, comprehensive compensation packages, and increasing advancement and growth opportunities. Marshal and Broome (2017, p.72) stated that “the nursing supply between 2013 and 2025 is expected to exceed demand within a projected 3,849.000 nurses available for 3,509,000 positions and excess of 340,000 nurses.” As nurses, we must work together to remedy the nursing shortage issue, and dangling carrots is fine for a short-term fix; however, this situation requires a long-term sustainable fix.  The key is becoming innovative with our nursing practices and be creative with streamlining quality policies that will help nurses do their jobs better with improved patient outcomes and reduced costs.                                                                                                                                                                                                                                                                                                       References: American Nurses Association (ANA) (n. d.). Workforce. Retrieved from Marc, M., Bartosiewicz, A., Burzynska, J., Chimiel, Z., & Januszewicz, P. (2918). A nursing shortage – a prospect of global and local policies. International Nursing Review, 66(1), 9-16. Retrieved from Marshall, E. S., & Broome, M. E. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer

The Broadening Scope

The field of nursing has changed over time. In a 750?1,000 word paper, discuss nursing practice today by addressing the following:Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.Identify a patient care situation and describe how nursing care, or approaches to decision?making, differ between the BSN?prepared nurse and the ADN nurse.Discuss the significance of applying evidence?based practice to nursing care and explain how the academic preparation of the RN?BSN nurse supports its application.Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined? Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency. To Prepare: Review the concepts of technology application as presented in the Resources. Reflect on how emerging technologies such as artificial intelligence may help fortify  nursing informatics as a specialty by leading to increased impact on patient outcomes  or patient care efficiencies. The Assignment: (4-5 pages not including the title and reference page) In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following: Describe the project you propose. Identify the stakeholders impacted by this project. Explain the patient outcome(s) or patient-care efficiencies this project is aimed at  improving and explain how this improvement would occur. Be specific and provide examples. Identify the technologies required to implement this project and explain why. Identify the project team (by roles) and explain how you would incorporate the nurse  informaticist in the project team. Use APA format and include a title page and reference page. Use the Safe Assign Drafts to check your match percentage before submitting your work. Rubric: The response accurately and thoroughly describes in detail the project proposed. The response accurately and clearly identifies the stakeholders impacted by the project proposed. The response accurately and thoroughly explains in detail the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an accurate and detailed explanation, with sufficient supporting evidence of how this improvement would occur. The response accurately and clearly identifies the technologies required to implement the project proposed with a detailed explanation why. The response accurately and clearly identifies the project team (by roles) and thoroughly explains in detail how to incorporate the nurse informaticist in the project team. Includes: 3 or more peer-reviewed sources and 2 or more course resources.

Nursing Education

1.      Explain how continuing nursing education improves patient outcome. (100 words, 1 source) 2.      Why nurses with a BSN typically offer better patient care. (100 words, 1 source) 3.      Lifelong learning and continuing education are extremely important processes in the nursing field (please comment on that) (100 words, 1 source). 4.      Discuss the difference between a DNP and a PhD in nursing. (100 words, 1 source) 5.      I would pursue a DNP degree over PhD because of direct patient contact. (please comment on that) (100 words, 1 source) 6.      By 2033 the Association of American Medical Colleges predicts the shortage to grow anywhere from 54 thousand to 133 thousand. (please comment on that) (100 words, 1 source)

Different Roles of the Nurse Practitioner

Write a brief introduction including your professional interests (cutting-edge therapies, new guidelines and holistic patient care) and explain why these are topics interest. Your post should include how the ANA guidelines, competencies, and code of ethics address these issues and topics. Also include a brief explanation about the differences in roles related to Certified Professional Mid-Wife (CPM), Certified Nurse Mid-wife (CNM), Certified Mid-Wives (non-nurse who follows same criteria as a CNM, CM, APR-Ns, and  PAs) and how each of these roles might impact the way you work as a Nurse Practitioner. Be specific and provide examples.