What has been your experience with participating in the evidence-based practice/research initiatives in your agency or practice? How is EBP operationalized in your practice? Who (e.g., manager, resource nurse) is responsible for identifying the problem, collecting and evaluating the research articles relevant to the problem, rating the evidence, and implementing change? What are the barriers and facilitators to this process in your agency? Give an example of an EBP project that you have participated in or observed in your practice. Was it successful? Why or why not? What role could you take as a nurse practitioner in this process?
In September 2000, 189 nations made a joint pledge to eradicate extreme poverty from the world through the eight Millennium Development goals. 1) Identify the three of the Millennium Development Goals of greatest interest to you. 2) Assess our progress in achieving these goals. What can be done to accelerate progress in the achievement of these goals?
Molly, the coding supervisor of Homer General Hospital, has a problem. Her Discharged Not Final Billed (DNFB) report is staying significantly over the limit that administration desires. She is also behind in some of the compliance monitoring that needs to be completed. Molly has been given the mandate to determine what needs to be done to bring the DNFB down and still maintain quality, as well as keep current in the compliance monitoring. She pulled together the information shown in the table below. Analyze this situation from every aspect, including but not limited to quality, legal, and management, and answer […]
Clinical judgment in our daily practice can influence how we (nurses) take care of our patients. Our everyday care of our patients also incorporate ethical care and charting. Why should nursing include evidence-based practice into their daily routine?
A brief description of the four nursing homes you selected from your community and/or neighboring communities. Compare these four nursing homes based on the reported cases of new pressure ulcers. Then, explain factors in the nursing home setting that might contribute to incidence of pressure ulcer issues. Finally, based on guidelines for the prevention of pressure ulcers, explain how you might increase awareness among nursing home staff about the incidence and consequences of pressure ulcers in patients
Explain how to properly diagnose skin wounds in frail elders, including how to distinguish between a colonization and infection. Describe the type of skin wound you selected. Explain how you would treat and/or dress this wound based on guidelines for treatment. Explain factors that might contribute to the development of the skin wound you selected. Include strategies for the prevention and improvement of this type of wound.
Reflect on geriatric patients from your practicum site. Consider frail elder patients that you have assessed for skin wounds such as bumps, bruises, shingles, herpes, bullous pemphigoid, Stevens-Johnson syndrome, etc. Explain the consequences of these types of wounds for frail elders. Then, describe a patient case including the care plan for assessment, diagnoses, treatment, management, and patient education. Explain whether the patient’s care plan was effective. Include how you might proceed differently in the future. If you did not have an opportunity to evaluate a patient with this background during the last 8 weeks, you can select a related case […]