December 2021

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NURS 6550 Final Exam 2

NURS 6550 Final Exam

  1. A 21-year-old woman requests hormonal emergency contraception after a condom break during intercourse approximately 16 hours ago. Today is day 14 of her normally 27–29 day menstrual cycle. You advise her that:
  1. A quality improvement plan characterized by limiting variability and removing defects in a process best describes:
  1. A 38-year-old woman comes to the emergency department complaining of a rapid heartbeat, tremors, and chest tightness. She reports earlier in the day she was feeling a migraine starting so she took a pill given to her by her friend who also experiences migraines. Her medical history reveals that she is currently taking a monoamine oxidase inhibitor for depression. Which migraine medication did she most likely take?
  1. You are seeing a 68-year-old woman for treatment of an uncomplicated urinary tract infection (UTI). She has well-controlled hypertension, type 2 diabetes mellitus, and dyslipidemia and takes an angiotensin-converting enzyme inhibitor (ACEI), statin, biguanide, and low-dose aspirin (ASA). She worked in a dry cleaning facility until approximately 8 years ago. During her evaluation, she mentions that she sometimes has difficulty understanding conversation, especially in noisy environments. This is likely a:
  1. While evaluating a 33-year-old female with a 2-day history of dysuria, which of the following findings in urinalysis is most suggestive of urinary tract infection (UTI) caused by a Gram-negative organism?

Nitrites

  1. All of the following are examples of primary prevention strategies except:
  1. A 23-year-old woman is being evaluated for an upper respiratory tract infection. As you prepare for auscultation, the patient states “I have a benign murmur that has been with me my whole life”. Anticipating a physiologic murmur, you would expect which of the following characteristics?

Usually obliterates S2.

  1. When evaluating the value of a test, the proportion of negative results that are truly negative best describes:
  1. A 16-year-old male presents for evaluation after a syncopal episode at school. He reports that he has recently been experiencing bouts of lightheadedness. His blood pressure is 126/76 mm Hg and his BMI=33 kg/m 2 . You notice velvet-like plaques at the nape of the neck. Laboratory assessment should include which of the following tests?
  1. A 48-year-old woman is being evaluated with chief complaints of fatigue, weakness, lethargy, and decreased concentration. She also mentions a notable increase in facial hair over the past 6 months as well as unexplained weight gain (about 25 lbs [11.3 kg]) over the past 2 months. Her past medical history is notable for moderate persistent asthma with multiple exacerbations over the past 8 months requiring treatment with prednisone. The most likely diagnosis is:
  1. You see a 73-year-old woman with a 40 pack-year smoking history, chronic obstructive pulmonary disease (COPD) and peripheral arterial disease (PAD) who presents with an ulcer on the sole of her left foot. The ulcer has an irregular edge and pale base and a punched out appearance, with the surrounding skin white and shiny. The patient states that the pain is worse at night in bed and when the legs are elevated. The most likely diagnosis is:
  1. In evaluating a 62-year-old male with ischemic heart disease and mitral incompetency, you expect to find the murmur that is:
  1. You see a 76-year-old woman living at home who is accompanied by her home care provider. She has COPD and type 2 diabetes mellitus. An example of a secondary prevention strategy is:
  1. A 43-year-old woman is being evaluated in the emergency department with a complaint of a severe headache. She describes a unilateral, pulsing headache that was preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm. The patient stated she noticed a “funny smell” prior to the symptoms starting. This description is most typical of:
  1. You see a 54-year-old man living in subsidized housing with a history of hypertension. He states that he stopped taking his blood pressure medication about 4 months ago because of costs. He is concerned because his blood pressure is high whenever he checks it, though he does not report any symptoms. His BP at this visit is 196/104 mm Hg. Upon examination of this patient, you would expect to detect an S 4 sound heard during:
  1. 32-year-old man requires evaluation for hepatitis infection prior to taking a job as a restaurant cook. He presents with the following laboratory results:
  1. When evaluating illness symptoms in older patients, the disease will often present differently from younger adults due to:
  1. When prioritizing risk factors for bacterial endocarditis, the nurse practitioner knows who among the following patients has the highest risk.
  1. The legal authority for NPs to perform healthcare services as defined by state law is called:
  1. A patient who was seen for an upper respiratory tract infection has an abnormal blood test result and requires a follow-up visit. The patient repeatedly fails to show up for the follow-up visit. Which of the following is the best approach to inform the patient of the need and urgency for a repeat test?
  1. When developing a management plan for patients with genitourinary infections, which of the following would you most likely recommend for follow-up imaging following resolution of their infection?
  1. The NP is called to evaluate Jane, a 43-year-old woman, who presents with a diffuse maculopapular rash that began on the trunk but now covers the entire body, including the palms and soles. The rash is not itchy but wart- like sores are present in the mouth and genital area as well as skin folds. Initial evaluation reveals generalized lymphadenopathy and a low-grade fever, and she complains of lethargy and headache. The patient reports that she had a painless genital ulcer that healed on its own about 3 weeks earlier. Which of the following is the most likely diagnosis?
  1. A 27-year-old man presents with a chief concern of an abnormal mass within his left scrotum. He describes it as feeling like a “bag of worms” and is present when he is standing but disappears when he lies down. His past medical history is unremarkable and his BMI is 29 kg/m 2 . He has been in a monogamous relationship for the past 4months. The most likely diagnosis is:
  1. A 67-year-old man is being evaluated for shortness of breath. His medical history reveals that he experienced a myocardial infarction about 2 years ago and a history of hypertension, which is well controlled by diet..

    Otherwise, his medical history is unremarkable. Which of the following would you expect to find on electrocardiogram (ECG)?

  1. A 74-year-old male with asymptomatic atrial fibrillation underwent electrical cardioversion that successfully restored the heart’s rhythm. Which of the following medications can be considered for the purpose of maintaining the heart’s rhythm?
  1. A 14-year-old male is brought in for evaluation after he reportedly collapsed during a tennis match, though he quickly regained consciousness. His medical history is otherwise unremarkable. You suspect hypertrophic cardiomyopathy. Which of the following heart murmur characteristics would support the diagnosis?
  1. You see a 64-year-old man with an area of erythema concentrated on the left side of his neck with clusters of vesicles forming a line. He reported pain in the area a couple of days before the eruption of the lesions. He states that he recently initiated biologic therapy for rheumatoid arthritis. Which of the following is the most likely diagnosis?
  1. An NP’s duty of care can be established:
  1. A 49-year-old woman presents with a 3-day history of burning during urination, a thin and grayish-white vaginal discharge, and vagina itching. On laboratory examination, you expect to find all of the following except:
  1. The NP is called to evaluate a 34-year-old nonpregnant woman who complains of a 4-week history of anxiety, palpitations, diarrhea, unexplained weight loss, and sensitivity to heat. Her medical history is unremarkable and she is not taking any medications. Physical examination reveals warm, moist skin and exaggerated deep tendon reflexes. The NP suspects Graves’ disease. Which of the following laboratory results would best support this diagnosis?
  1. In managing a 58-year-old woman who is admitted for deep vein thrombosis, caution should be used with which of the following medications due to a risk of drug-induced thrombocytopenia?
  1. A 27-year-old woman with a known sulfa allergy presents with an uncomplicated UTI. She has not received any systemic antimicrobials in the past 6 months. She is currently not pregnant and is using norelgestromin/ethinyl estradiol patch (Ortho Evra ® ) for birth control. You recommend treatment with:
  1. You are examining a 64-year-old woman with a history of rheumatic heart disease. In assessing the patient for mitral stenosis, you expect to find a heart murmur characterized as:
  1. 21-year-old female student presents at the university clinic with a nosebleed. This is her third bleeding episode in the past week. She is otherwise healthy with no history of bleeding disorders. The NP advises that the appropriate first-line intervention for anterior epistaxis is:
  1. Which of the following examples describes a potential malpractice scenario?
  1. An 84-year-old female patient is admitted from a local long-term care facility (illnes). The patient is normally awake, alert, and oriented. She resides in the LTCF because she has not fully recovered from a broken hip resulting from a fall 4 months ago; otherwise she is in relatively good health. She can walk short distances with a walker, though she primarily stays in a wheelchair. Today, however, the nursing staff found her to be acutely confused and unable to ambulate without falling. She was transferred to the emergency department for evaluation. Initial laboratory testing must include:
  1. The NP is called to evaluate a 56-year-old man complaining of severe pain in the upper right abdomen that radiates to the right shoulder, nausea and vomiting, which started soon after dinner. The NP suspects acute cholecystitis. All of the following findings would be consistent with the diagnosis except:
  1. A 23-year-old college student presents with a 2-day history of severe sore throat and difficulty eating or drinking due to trouble swallowing. A physical examination reveals exudative pharyngitis and minimally tender anterior and posterior cervical lymphadenopathy. The NP suspects infectious mononucleosis and would expect which of the following laboratory findings?
  1. A 45-year-old male is being prepared for release after receiving analgesic treatment for low back pain due to an acute lumbosacral strain. He is in otherwise good health and typically exercises on a daily basis. He asks when he will be able to start exercising again. The most appropriate response is:
  1. “Incident-to” services are defined as those which are “an integral, although incidental, part of the physician’s personal professional services in the course of diagnosis or treatment of an injury or illness”. As long as certain criteria are met, “incident to” billing is an option in all of the following settings except:
  1. A 78-year-old male is being treated for a hypoglycemic episode. He has a long history of type 2 diabetes mellitus as well as congestive heart failure and COPD. He is currently taking basal insulin with a sulfonylurea. What is the acceptable A1C goal for this patient?
  1. A 47-year-old woman reports that her long-time boyfriend was recently diagnosed with liver cancer possibly caused by a chronic hepatitis B infection. Though she does not have any symptoms, she wants to be checked for hepatitis B. She can’t recall if she has ever been vaccinated for hepatitis B. The laboratory results are as follows:
  1. You see a 74-year-old male who is accompanied by his granddaughter who lives with him. He has hypertension, a prior myocardial infarction, long-standing type 2 diabetes, and recently underwent a lower limb amputation secondary to diabetes. He is currently taking an ACE inhibitor, statin, low-dose aspirin, biguanide, and insulin. The granddaughter reports that since the amputation, her grandfather sometimes becomes withdrawn, irritable and moody for no apparent reason, does not want to participate in the typical activities he enjoys, and often does not appear to eat much during the day. She also states that he often complains of being tired but normally wakes up in the early morning hours. The most appropriate action is to evaluate the patient for:
  1. A 15-year-old male is brought in to the emergency department by his parents following a 12-hour history of nausea, vomiting, and abdominal pain. Physical examination reveals obturator and psoas signs and a temperature of 102.6ºF (39.2ºC). Anticipated white blood cell (WBC) with differential results are as follows:
  1. You see a 58-year-old man who complains of a persistent dry, hacking cough. He reports that he recently started taking a medication to treat high blood pressure. He is most likely taking a(n):
  1. A 77-year-old woman is accompanied by her husband for evaluation. She is currently being treated with metoprolol (Lopressor ® ) for hypertension and digoxin (Lanoxin ® ) for atrial fibrillation. He reports that his wife is becoming increasingly forgetful over the past year, failing to note important family events such as birthdays, and sometimes becomes confused with driving directions to familiar locations. She has no previous psychiatric history. The most likely diagnosis is:
  1. The NP is called to evaluate a 51-year-old man with acute bacterial rhinosinusitis. He currently smokes 1 PPD and has a 30 pack-year cigarette smoking history. His medical history shows that he is allergic to penicillin.
  1. Mrs. Conner is a 76-year-old woman living in a long-term care facility and has been bedridden with a respiratory infection for the past 4 days. She is brought in for evaluation and you note signs of dehydration as well as a section of epidermal skin loss about 3 cm in diameter on her right hip. The dermal layer appears intact. This would be considered a pressure ulcer of Stage:
  1. Which of the following represents the highest level of scientific evidence when evaluating clinical research?
  1. A 64-year-old woman with chronic kidney disease presents with a chief complaint of lethargy. His hemogram is as follows:
  1. The NP is called to evaluate a 57-year-old man who reports episodes of acute angina with physical exertion. He is currently taking an ACE inhibitor and low-dose aspirin. The NP considers which of the following approaches at the start of anginal symptoms?
  1. You see a 68-year-old woman who is being treated for moderate depression. She complains that her medication is causing symptoms of dry mouth and constipation. She is most likely taking which of the following medications?
  1. All of the following persons are eligible for Medicare services except:
  1. A 35-year-old woman presents with a chief complaint of being unable to close her right eyelid tightly, frown, or smile on the right side. She is otherwise healthy with no significant prior medical history. An appropriate diagnostic test for this patient would be:
  1. When initiating therapy with spironolactone for a patient who is also on an ACE inhibitor, you advise the patient to return in 5 days to check which of the following laboratory parameters?
  1. A 27-year-old male is rushed to the emergency department after experiencing a series of seizures. He has no history of neurologic disorder. His girlfriend states that he was taking multiple medications for mood disorder but recently stopped taking one of them. The most likely medication the patient discontinued is a:
  1. When considering an end-of-life decision for a terminally ill person with Alzheimer-type dementia who can no longer communicate, all of the following can be used as an advanced directive except:
  1. Which of the following types of clinical studies represents the lowest level of evidence used to guide medical decisions?
  1. Which of the following electrocardiogram (ECG) changes do you expect to find in a person with myocardial ischemia?
  1. A 17-year-old male with intermittent asthma presents for routine follow-up. He explains that he experiences asthma symptoms once or twice each week, usually during physical activity. Symptoms are promptly relieved each time with albuterol per MDI with spacer. He does not report any nighttime awakenings due to his asthma. His ACT score is 24 and vital signs are all within normal limits. According to the NAEPP EPR-3, what is the next step in the management of his asthma?
  1. A 41-year-old woman is diagnosed with hypertension that requires medication. She is otherwise healthy but currently taking drospirenone/ethinyl estradiol (Yasmin ® ) for birth control. Which of the following antihypertensive medications would be least preferred for this patient?
  1. Which of the following statements is false regarding end-of-life decision-making for a patient that is hopelessly and terminally ill?
  1. The nurse practitioner is evaluating a 19-year-old male suffering from a severe headache. He has a history of headaches that tend to occur in clusters over a few days. He has unsuccessfully tried several therapeutic modalities. A positive response to which of the following interventions supports the diagnosis of cluster headache?
  1. A 68-year-old woman who resides in a long-term care facility is being treated for a urinary tract infection. Her medical history includes hypertension, peripheral artery disease, and a 35 pack-year smoking history. During the evaluation, she brings to your attention a painless, pearly nodule on the upper lip. This clinical presentation most likely represents a(n):
  1. All of the following are required Medicare terms and conditions for paying NP services except: The services are within the NP’s scope of practice as defined by state law.

    The services performed are those for which a physician would be able to bill Medicare. The services are performed in collaboration with a physician.

  1. A 17-year-old male is admitted after experiencing sudden, severe pain in the scrotum during the night. Physical examination reveals swelling of the scrotum and the loss of the cremasteric reflex. His heart rate is 110 bpm, blood pressure 150/80 mm Hg, and temperature 99.8ºF (37.7ºC). This most likely represents:

Testicular neoplasia

  1. According to the Consolidated Omnibus Reconciliation Act (COBRA), the spouse of an eligible employee will be eligible for COBRA coverage in all of the following circumstances except when the eligible employee:
  1. A 28-year-old male with asthma presents with a chief complaint that he has to use his rescue inhaler multiple times each day. An evaluation reveals that he has moderate-to-severe asthma and requires Step 4 treatment. An appropriate regimen would include:
  1. A 62-year-old woman presents in the emergency department complaining of severe toe pain that originated overnight. She has a history of renal disease and is currently taking a thiazide diuretic. Her BMI is 37 kg/m 2 . In considering a diagnosis of acute gouty arthritis, the nurse practitioner knows that the best diagnostic indicator is:
  1. While taking the history on a 61-year-old female patient, the nurse practitioner learns that she has a 15-year history of poorly-controlled hypertension. The patient admits that another provider had told her that the high blood pressure had affected her eyes. As a result, the nurse practitioner expects that funduscopic examination will likely reveal:
  1. A 28-year-old woman presents who complains of tugging chest pain unrelated to physical activity. She is generally in good health, a non-smoker, has a BMI of 23 kg/m², and denies dyspnea or dizziness. Physical examination reveals a grade 2/6 late systolic murmur that follows a midsystolic click at the 5th intercostal space, mid-clavicular line. An echocardiogram fails to reveal mitral valve tissue redundancy. This clinical presentation is most consistent with:
  1. A physician employs an NP to provide services at a satellite acute care clinic. If the physician is never present at the clinic, which of the following statements is true?
  1. Which of the following describes the ethical principle of beneficence?


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NURS 6550 Acute Care Study Guide for Midterm 1

NURS 6550 Acute Care Midterm Study Guide

Psychosocial

* Diagnostic criteria for generalised anxiety disorders

* Treatment of panic attacks that are severe

* Depression treatment on an inpatient basis

* At what point does serotonin norepinephrine reuptake become inhibited

or denoted

* Dosage of venlafaxine

* Pathophysiology of endogenous depression

* Distinguishing panic attacks from panic disorder

* Symptoms of depressive disorder

* The primary neurotransmitter in post-traumatic stress disorder

* Diagnosis and treatment of PTSD

* Adverse effects of lithium

* The most frequently reported adverse effects of atypical antipsychotics

* Mental status changes associated with urinary tract infection in the elderly

* Delirium in the elderly

* Method for Assessing Confusion in a Succinct Manner (Short CAM)

* Dementia classifications (Lewy body, vascular, Alzheimer’s, and Parkinson’s)

Aricept *

* Disinhibition management in the elderly

* Physical manifestations of impending death

* Constraints on the use of pain medication in terminally ill patients

* Suggestions for successful ageing…

(Those of Erikson, Levinson, Peck, and Butler)

* Elder abuse on a psychological level

* Model of change on a transtheoretical level

* Fear of death

* Evaluating elderly driver safety

* Screening for Geriatric Depression

EENT

* Medication-induced eye pain

* Keratoconus

* Prolonged uveitis

* Conjunctivitis caused by Gonococcus gonorrhoeae

* Conjunctivitis caused by viruses, allergies, or bacteria

* Macular edoema

* Cystitis dacrocystitis

* Glaucoma with an open angle

* Metal FB in the pupil

* Injury to the penetrating eye

* Abrasions to the cornea

* Cellulitis of the orbit

* Fractures of the orbit

* Auditory sensorineural deafness

* Conductive hearing impairment

* Hearing loss associated with advanced age

* Temporary hearing loss

* Medial otitis acute

* Dizziness (acute or central)

* Ecstasy

* Sinusitis caused by bacteria

Tonsillitis *

Epiglottitis is a condition that affects the epiglottis.

* Wood’s lamp, slit lamps, Snellen chart, Amsler grid

* Antagonists of the beta adrenergic system

* Cholinergic agonist

* Analogs of prostaglandins

* Diuretics with osmotic action

Cardiovascular complications

* ACS protocol: low-risk vs. high-risk myocardial infarction

* Thrombolytic therapy contraindications

MONA

* Infective endocarditis according to the Duke criteria

* Cardiac murmurs

* Treatment of endocarditis

* Pericarditis s/sx and treatment: pericardial sac inflammation

* Acute anterior wall MI treatment and findings

* Observation of wedge pressures

* Medications for congestive heart failure

* Aortic stenosis: a narrowing of the aortic opening, which restricts blood flow from the left ventricle to the aorta and may affect the left atrial pressure.

* Diastolic dysfunction

* Aneurysm of the thoracic aorta

* Medications used to treat acute descending aortic aneurysms include the following:

* Treatment strategies for Parkinson’s disease

* DVT risk factors

* Risk factors for PE

* Hypertension: a matter of urgency vs. a matter of crisis

* Treatment of chronic venous insufficiency

* Cardiac rehabilitation

* Guidelines for stroke treatment

* Coumadin dosing recommendations

* How to read electrocardiograms



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Nursing Case Study

Nursing case study

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Reflective: This type of nursing Assignment case study reflects the University’s teaching outcomes. The report discusses the overall understanding of the learning outcome, which summarises the students’ level of knowledge of the course. With this type of case study assignment, professors and assessors evaluate the success of teaching and learning.

Constructive: This type of nursing assignment aids in comprehending nursing students’ overall understanding. The student is given a case study to help them understand the scenario and, using previous findings and existing learning outcomes. They are required to construct a case study in which the study informs students’ ability to handle a case.

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Nursing is a scientific healthcare profession that assists physicians and healthcare and social care institutions in providing care to patients. Previously, nursing service was considered a vocational course; however, with the increase in demand in medical industries, nursing service has developed into a critical component and is now considered a full-fledged profession.

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Physiology and Anatomy

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Public Health

Once you enter the field of health care, you are ethically obligated to consider community health and wellness. Numerous nurses pursue careers in community health and social care, and our experts will educate you on the critical nature of community services. It requires considerable care, including psychological and physical influence, to achieve successful community awareness.

Nursing Care in Surgery

Surgical Nursing is a critical aspect of a nursing career, as nurses must understand surgical procedures and policies to succeed academically. Our surgical case study experts will guide you through every step of the process and method necessary to write a successful professional case study.

Nursing Care for Children

Taking care of children requires extra caution and precision. Case studies involving pediatric nursing are extremely delicate and must be extremely thorough. A single error can jeopardize your entire career. Our experts will walk you through each step necessary to complete before you begin writing your case study.

Nursing Care in Obstetrics

Also known as perinatal nursing, this specialty focuses exclusively on patients trying to conceive, are pregnant, or have recently delivered. Obstetrical nurses are responsible for providing intensive parental care and testing, labor and delivery care, and post-delivery assistance to patients.

Nursing in Psychiatry

Nursing for psychiatric care is distinct from other types of physical care. It necessitates comprehension, self-control, and psychological pity. Each case study is unique, and it can be difficult for students to comprehend the necessity of the situations. Before you begin writing your assignment, our experts will ensure that you understand the situational differences.

Observation and Assessment of Health

Health observation and assessment are components of community and general wellness, with the case study highlighting commonly observed medical conditions that require medical attention.

Nursing Administration

Each profession has its management structure and research. Nursing management is an emergency management service that requires a thorough understanding of all medical facets before taking on management cases.

Classification and Administration of Drugs

Understanding prescription medications and their administration are also critical for nurses, as they must be familiar with the various drug classes and the administration process. It is critical to administer medications to patients, and nurses who lack adequate knowledge of administration will be unable to administer them. Our experts will assist you in comprehending the drug administration process, ensuring that you are not concerned about your professional life.

Clinical Ethical Standards

Clinical ethics practices are critical components of essential services, as nurses must be both professional and compassionate while on duty. Before beginning your academic career, it is necessary to understand basic ethical principles such as confidentiality, clinical fair practices, and maintaining professional services.

Whatever the subject, if you require assistance with a nursing assignment, we can always provide the highest quality services.

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The Most Frequently Asked Questions by Students:

Q.1. What Is A Case Study In Nursing?

A nursing case study delves deeply into a patient’s condition. To develop an accurate diagnostic process, you must evaluate the patient’s symptoms and medical history. Additionally, you must research pertinent cases and provide evidence to support your treatment process. Additionally, you must provide a comprehensive plan of care.

Q.2. How Do I Write A Case Study Essay In Nursing?

If you want to write an engaging nursing case study essay, you must choose a currently popular topic. Then you must amass sufficient examples and information. These include statistics, medical facts, and quotations, among other things. Following that, you must begin with an attention-grabbing introduction. Create subheadings for the essay’s body and conclude with a succinct conclusion.

Q.3. What Is The Best Way To Write Nursing Case Studies?

In a nursing case study, you must begin by introducing your case. You must present a case to the class, emphasizing the patient’s symptoms and medical history. Following that, you must write a narrative-style clinical examination in which you detail the management and outcome. Finally, you discuss the case and include citations and acknowledgments.

Q.4. What Is A Case Study In Nursing?

Recent nursing case study examples include patients with type 2 diabetes treated by a skilled pharmacist and patients with comorbidities treated by a skilled pharmacist. Then you can write about patients who are recovering from cancer or undergoing chemotherapy, or about how nurses should treat Alzheimer’s patients. Additionally, you can discuss the importance of closely monitoring a patient who has undergone cardiothoracic surgery.



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Walden

NURS 6200 – The Nurse Administrator: Leading and Managing for Excellence

The primary objective of nursing leaders is to achieve excellence in patient service delivery. Students in this course work to develop the knowledge and skills necessary to lead and manage in the nursing profession. They assess organizational, managerial, and leadership theories and discuss nursing administration standards of practice. Additionally, they look at roles and responsibilities, quality control, strategic planning and management, regulations, and the function of information systems. Through field experiences in clinical settings, students observe practical applications of nursing administration. Additionally, they hone their writing and critical thinking abilities through application-based writing projects such as a business plan proposal, journal entries, and a reflection from the perspective of a nurse administrator.

 



NURS 6200 – The Nurse Administrator: Leading and Managing for Excellence Assignment

The Responsibilities of a Nurse Manager

A nurse manager’s fast-paced, multitasking role is never dull. Fortunately, you will always be prepared with the skills, training, and talent you will gain through the RN to BSN or Master of Science in Nursing programs at the University of Saint Mary.

Administration

Nursing administration can come in a variety of shapes and sizes. Your hospital, clinic, school, or other institution will rely on your expertise to screen, interview, and hire nursing staff. You might also have to deal with medical records and regulatory requirements. In some cases, you will be able to use your diplomatic skills to address labor and union issues in the workplace.

Budgeting and Planning

You probably completed your nursing studies because you have a knack for numbers and an eye for detail, and that same ability will come in handy as a nurse manager. You will review and manage your department’s finances, including salary and supplies.

Personnel Management

When you assume the responsibilities of leading and supervising a staff, which typically consists of any combination of licensed practical nurses (LPN), registered nurses (RN), certified nursing assistants, medical clerks, and aides, the “manager” part of a nurse manager comes to the fore. You also work with other departments to ensure the best possible patient outcomes. Reviewing case loads, going over assignments, discussing overall patient care, reinforcing patient care standards, reviewing transfer protocols, or other general and specific clinical duties may begin or end your day. Staff meetings are excellent places to share experiences, reveal problems, brainstorm solutions, and propose solutions.

Simultaneously, you will schedule regular one-on-one meetings with your staff members to discuss individual issues, goals, and performance and training opportunities. You will inspire and motivate your staff to become better health care professionals as a mentor, and you will advocate for them among the more extensive clinical team.

Types of Nurse Managers

Clinical Nurse Managers

As a professional in a hospital, clinic, nursing home, acute care center, or other institution, you would have a wide range of responsibilities and be regarded as an essential member of a large, well-coordinated team. You may be in charge of nursing staffs in ICU, ER, Pediatrics, or other departments, depending on your specialty and training.

Case Managers in Nursing

You can become certified as a Nursing Case Manager after completing a one-year training course. You will be working closely with individual patients, coordinating treatment, tracking outcomes, and conducting research in this role. Some Case Managers also work with insurance companies, advocating for the patient and developing a feasible treatment plan.

Nurse Manager of Geriatric Care

A Geriatric Care Manager, as opposed to a Case Manager, focuses on senior adults and their care. In this role, you would assess the patient’s home, consult with family and physicians, develop a care plan, and supervise the hiring of home health aides and other support personnel.

Special Skills of a Nurse Manager

Collaboration and communication

Every nursing job relies on communication, from correctly outlining the treatment to responding to questions and concerns from patients, family members, and clinical staff. Your communication skills as a nurse manager will help you explain policies to your nurses and represent your staff in cross-functional meetings.

Organization

Knowing what needs to be done and when it needs to be done applies not only to your role, but also to the roles of your nursing staff. Your ability to schedule and follow-up as a nurse manager will help make daily processes run more smoothly.

Empathy

As a nurse manager, you will see the health care profession from a variety of perspectives, and you should be able to demonstrate your ability to find common ground and foster cooperation in your workplace and with family members.

The Roles of a Nurse Manager: Taking the Nursing Profession Forward

“The nurse manager is in charge of creating safe, healthy environments that support the work of the health care team and promote patient engagement.” According to the American Organization of Nurse Executives, “the role is influential in creating a professional environment and fostering a culture where interdisciplinary team members are able to contribute to optimal patient outcomes and grow professionally.”

The online Master of Science in Nursing (MSN) degree program at Duquesne University provides registered nurses with the skills to advance in their careers as well as the opportunity to contribute to the advancement of healthcare for future generations. The MSN program builds on baccalaureate-level practices to prepare graduates for positions in advanced training and management. Registered nurses can choose between three MSN specializations at Duquesne: Family (Individual Across the Lifespan) Nurse Practitioner, Forensic Nursing, and Nursing Education and Faculty Role.

Nurse Manager and Leader Responsibilities

Nurses in management positions are expected to not only make critical decisions to aid in patient care, but also to carry out specific duties such as the following:

  • Personnel management
  • Case administration
  • Treatment preparation
  • Recruitment
  • Budgeting
  • Scheduling
  • Discharge planning
  • Mentoring
  • Developing educational plans
  • Records management

Nurse managers need strong communication and leadership skills. They should be adept at coordinating resources and personnel and meeting goals and objectives. They must be effective leaders who can strike a balance between working with the nursing staff and the administrators of the healthcare facility.

According to the Agency for Healthcare Research and Quality, a division of the United States Department of Health and Human Services, nurse managers are change agents. They collaborate with staff to identify and implement beneficial changes that will improve patient wellness and safety outcomes. Nurse managers must also follow patient safety regulations established by state and federal agencies such as the Centers for Disease Control and Prevention, the Joint Commission, and the Centers for Medicare & Medicaid Services. They must ensure that the staff is educated on care standards and that they can implement them as needed.

Nurse managers work in a variety of clinical settings, such as hospitals, doctor’s offices, schools, and psychiatric facilities.

According to the agency, “nurse managers lead their unit staff in preventing patient harm in their unit, empowering nurses to be the first line of defense against patient harm.”

Successful Nurse Manager Characteristics

Working as a nurse manager necessitates skills that go beyond clinical care. The position necessitates management abilities, budgeting and business acumen, as well as leadership qualities. Communication and interpersonal abilities are also essential. Successful nurse managers share the following characteristics:

  • Communication Skills that Work – Listening to staff and patient concerns and communicating needs is part of being an effective leader. Nurse managers must be able to establish solid rapports with all staff members, from janitors to head administrators, as well as patients, in order to foster teamwork.
  • Advocacy – In some cases, nurse leaders may need to advocate on behalf of their staff in order to ensure a safe and reasonable practice environment. In other cases, they may be required to advocate for patient safety and access to high-quality healthcare. Nurse managers should not be afraid to speak up or use their position.
  • Participation – With so many administrative demands, nurse managers must balance business and patient care. To ensure patient safety and well-being, nurse managers must have exceptional clinical skills.
  • Mentoring – Effective nurse leaders do not micromanage their employees. They inspire, empower, mentor, and identify strengths. They improve both creativity and mindfulness.
  • Maturity – Nurse managers do not take sides in squabbles or assign blame before gathering all of the facts. They don’t allow simmering emotions to explode. Instead, they confront and resolve conflict.
  • Professionalism entails following one’s moral compass to ensure that all aspects of the profession are met with honesty and integrity. They treat others with dignity and do not bully.
  • Professionalism – Nurse managers use their moral compass to ensure that all aspects of their profession are handled with honesty and integrity. They treat others with dignity and do not bully.
  • Supportive – They don’t set unrealistically high expectations. Instead, they use encouraging words to motivate employees to succeed. They mentor and coach.

The Future of Nurse Managers

The anticipated shortage of nurses will create opportunities for newly minted nurse managers as the current nursing workforce ages and retires. Researchers discovered that nurse managers are critical to overall nurse retention because they influence work quality and workplace stability.

“Strong leadership qualities in the nursing unit manager have been linked to higher job satisfaction, lower turnover intention among nursing staff, and better patient outcomes.” “Nurse leaders need to be supported in their efforts to retain nurses given ongoing workforce issues and to ensure high-quality patient care,” researchers wrote in the 2014 study “Leadership skills for nursing unit managers to decrease intention to leave.”

Researchers discovered that in order for nurse managers to do a better job in the future, there must be cohesive relationships among staff members and better communication with staff. Continual changes in healthcare, as well as a focus on costs, are among the many factors that make the role of nurse manager difficult.

Nurses at Florida Atlantic University urged leaders to “challenge their thinking and practices to recognize that the crux of leadership is in the power of relationships.”

“Growing future nurse leaders is a long-term quest that necessitates both planning and action,” researchers discovered in their study “Growing Nurse Leaders: Their Perspectives on Nursing Leadership and Today’s Practice Environment.” “Our emerging leaders will eventually succeed our current leaders and carry on the critical work of improving nursing practice environments and, most importantly, patient outcomes.” However, succession planning is difficult in today’s fast-paced and ever-changing healthcare environment.”

Duquesne University students pursuing an online MSN degree are prepared for the role of nursing leader. The program provides students with a broad-based nursing education that prepares them to take on managerial roles and effect future changes in the profession. The online MSN program allows students to continue their careers as registered nurses while taking nursing classes remotely and learning from industry leaders.

The Nurse Manager’s Financial Role

Nurse managers are essential to hospital operations. Nurses are in charge of patient safety and well-being and provide the majority of inpatient care. As a result, nurse managers must ensure that their units live up to their enormous responsibilities. At the same time, hospitals are commercial enterprises with financial concerns. Nurse managers have a fiduciary duty to their organizations and play an important role in ensuring hospitals stay within their budgets.

Scheduling

Nursing labor is one of the most expensive aspects of patient care in a hospital. Nursing services, unlike certain medical services such as rehabilitation therapy, do not generate revenue — nursing is classified as a cost center. As a result, hospitals strive to keep enough nurses on staff to provide proper care and safety while not incurring excessive costs. Nurse managers are responsible for determining how to responsibly and cost-effectively staff their departments on a weekly, biweekly, and monthly basis.

Payroll

Despite the fact that some hospitals use computer systems to monitor employee activity, nurse managers are frequently required to submit payroll for their departments. Even in facilities with advanced timekeeping systems, nurse managers must review and validate payroll reports as well as coordinate employee leaves, vacations, and illnesses with human resource departments. This is critical for controlling labor costs.

Supplies

Nurses have unrestricted access to medical supplies. Every syringe, IV bag, and tongue depressor, on the other hand, costs money. When it comes to supplies, hospitals rely on nurses’ discretion. Nurse managers are responsible for keeping an eye on supplies, encouraging responsible use, and carefully allocating or rationing them when necessary. Nurse managers must ensure that nurses have everything they need to do their jobs while also encouraging fiscal responsibility.

Utilization of Insurance

Hospitals must be mindful of what their patients’ medical insurance plans cover. When providing services and making patient care decisions, nurse managers must consider which interventions are covered and which may incur significant costs for the patient or the facility. Nurse managers, among other things, review patient cases with nurse case managers and floor nurses to ensure that the care provided is as aligned with hospital and patient financial considerations as possible.

Nurse managers at all levels collaborate to address new trends, implement innovative ideas, and work toward the common goals of quality, efficiency, and excellence in practice. they guide and lead front-line nurses while also contributing to the success of an organization.

On the front lines, some of the most rewarding experiences occur. The nurse manager is in charge of nursing practice and quality of care among front-line nurses or nurses in a single unit or department, as well as supervising all personnel and budget issues and creating an environment that promotes professional practice and employee engagement. Traditionally, the title of head nurse was assigned to the role of front-line manager. Nurse manager or director is a more common title nowadays.

Nurse managers bridge the gap between staff and middle-to-upper management, ensuring two-way communication. They translate and promote organizational goals to front-line employees, as well as remove roadblocks to their performance. Managers must stay current with advances in care and technology, as well as regulatory and legal requirements.

Command and control center

Most nurse managers serve as command central, offering assistance, recognition, just-in-time information, a steady hand and cool head in emergencies, and advocacy for patients, families, and staff. They also have the opportunity to promote personal and professional development among their employees. Above all, managers see the impact of the care provided by their nurses on patients and families. Managers set the tone and expectations for caring excellence, quality optimization, and a “just culture”—one that does not hold practitioners accountable for system failures but does not tolerate reckless behavior. Nurse managers instill hope and determination in their teams so that they can do their best work.

The larger the organization, the more important it is to maintain a unified approach to achieving goals and objectives. Directors or administrators in charge of more than one department work with managers in a systematic manner, setting clear expectations and providing clear direction so that employees understand their roles and responsibilities.

Beyond Nursing

Nurse managers may be in charge of personnel from other disciplines in addition to nursing. Nurses, assistive personnel, social workers, therapists, technicians, teachers, fiscal and front-office staff, chaplains, pharmacists, and others who contribute to patient care make up many teams in many settings. Nurse managers also work with ancillary staff who care for the environment, provide nutritional services, maintain physical facilities, and assist the nursing staff in providing care. Nurse managers have the knowledge and experience to manage complex operations as well as a diverse workforce.

Nurse management teams, along with front-line managers and clinical leaders, help to set the organization’s direction and goals. These groups work to ensure that policies and procedures are followed consistently throughout an organization. The team sets goals to support the organization’s overall direction, encourages and monitors performance at the unit or department level, and evaluates results that accumulate across the organization.

Nurse managers may choose to advance to the position of nurse executive. The executive is in charge of practice, fiscal matters, strategic planning, human resource advocacy, promoting professional achievement, and ensuring a clinically excellent environment. As liaisons, nurse executives collaborate with multidisciplinary colleagues, set the vision, and serve as leaders for the organization as a whole. They also serve as external ambassadors, establishing collaborative relationships with the general public, legislators, academic partners, and other nursing organizations.

The nurse manager’s role in fostering a healthy workplace

One of the most difficult roles in healthcare today is that of nurse manager of an acute or critical care unit. This person must balance patient care issues, staff concerns, medical staff relationships, supply inadequacies, and organizational initiatives, as well as a personal life. All of this is only remotely possible if the patient care unit provides a supportive environment for patients, families, and staff. The nurse manager is critical to this effort: studies show that people don’t leave their jobs; they leave their managers. This article describes how the nurse manager of an acute neurosciences unit collaborated with her staff to define, create, and sustain a work environment in which patient care improved, people enjoyed coming to work, and staff retention increased.

A Nurse Manager’s Role

A nurse manager supervises the nursing staff and handles administrative tasks to ensure the health-care facility runs smoothly. A nurse manager is in charge of personnel and coordinates staffing and all patient care needs. This position acts as a liaison between front-line employees, physicians, and other administrators. To excel in this role, you must have strong communication skills, clinical experience, and the ability to lead others.

Job Description

A nurse manager is the nursing organizational mastermind for a hospital or clinical setting’s health-care unit. A nurse manager hires, trains, and evaluates nurses while supervising all nurses on the unit to ensure patient care runs smoothly.

This position necessitates excellent organizational abilities. A nurse manager must constantly see the big picture and schedule nurses based on the patient load, which varies at any given time. A nurse manager is also responsible for budgetary oversight. Working with top administration, the person in this position is responsible for meeting the unit’s staffing and supply needs within the constraints of the allocated budget. If there is a disparity, a nurse manager must make a case for additional funding in order to provide the best possible care for patients. A nurse manager, as the unit’s leader, responds to patient and family concerns as they arise. This position also has important responsibilities for risk management and policy enforcement. Finally, when the unit is understaffed, a nurse manager steps in to assist.

Nursing is a dynamic and demanding profession that necessitates engaging and motivating role models and leaders. Identifying and developing nurse leaders is one of the most difficult challenges the nursing profession faces in today’s ever-changing and demanding healthcare environment. Leadership is a complex and multi-dimensional phenomenon; research conducted over a century concludes that, despite being one of the most observed concepts, there is no universally accepted definition or theory of leadership. There is a growing understanding of what true nursing leadership is and how it differs from management.

This discussion will outline the nature of nursing leadership and the importance of nurse leaders in advancing the profession; clarify definitions and distinguish between nurse managers and nurse leaders; describe the evolution of nurse leadership by identifying theories and styles of leadership relevant to nursing practice; and emphasize the importance of identifying nursing leaders. In addition, the paper serves as a warning to recognize, avoid, and discourage “negative” leaders in the pursuit of a bright future for the nursing profession.

The main objective of the nursing profession – excellent in person-centered care – can be achieved with appropriate identification, support, and development of future nurse leaders, as well as recognition of the shifting paradigm of leadership theory and the context in which future nurse leaders are destined to grow. It is critical for the nursing profession’s future success that informal, negative “leaders” be discouraged and positive leaders with evidence-based leadership qualities be identified and nurtured to lead the profession.

The role of nurse leaders in the workforce is rapidly evolving as the healthcare industry shifts from volume to value. Quality leadership skills, on the other hand, are timeless. So, what exactly does it take to be a great nurse manager? Natalie O., BSN, RN, Clinical Nurse Manager at Medical Solutions, shares her top 5 successful nurse manager traits below: .

  1. Clinical expert and astute business professional: Excellent nurse managers quickly learn to wear multiple hats. This is due to the fact that they must constantly balance business decisions with the clinical needs of their unit. It is no longer sufficient to simply ensure that the nursing department is adequately staffed in today’s ever-changing healthcare system. Effective nurse managers also implement cost-cutting measures and process efficiencies to ensure the smooth operation of their unit.
  2. Strategic decision-maker and conflict-resolution expert: A skilled nurse manager must balance short-term needs with long-term goals. Similarly, the nursing staff will look to their manager to resolve any conflicts that arise. Confrontations are never easy, but ignoring a problem will only breed discontent among their staff. A nurse manager who handles a problem with open and honest communication, on the other hand, will always be appreciated. Most hospital administrators agree that the ability of a nurse manager to make effective decisions is critical to the unit’s success.
  3. Effective communicator: A nurse manager’s decisions and choices are not always easy or popular. A successful nurse manager understands the importance of explaining the reasoning behind these decisions to their staff when necessary. Active listening skills are also required for effective communication. Front-line employees will respect a nurse manager who listens to their concerns and collaborates with them to achieve their objectives.
  4. Motivating leader: A great nurse manager motivates their staff to do their best. A nurse manager is frequently tasked with creating an empowering culture by mentoring younger nurses and encouraging collaboration between nurses and other hospital staff members. Furthermore, successful nurse managers do not bully or allow others to bully them. They understand that fostering a healthy work environment can have a positive impact not only on patient care outcomes, but also on nurse staff recruitment, retention, and engagement efforts.
  5. Adaptive game changer: An active nurse manager understands that life happens. As a result, they must be able to change staffing or care decisions in response to changing needs. For example, a team member may need to switch shifts with another nurse to accommodate a special family gathering, such as a wedding or birthday. When exceptional leaders demonstrate understanding and compassion for their employees, they instill trust in them. .

Characteristics of an Effective Nurse Manager

  1. They motivate their team and set a good example.
  2. They still enjoy working on the floor and taking care of patients.
  3. They are accommodating when it comes to your vacation time.
  4. They’ll jump right in when the shift gets busy!
  5. They are excellent listeners. They even take you aside to work out whatever is bothering you, and when you leave their office, you feel ready to face the day!
  6. They are strong, stable, and caring
  7. They know how to take charge and how to deal with it!
  8. They do not use “medical jargon” to communicate with people who are deaf.
  9. They provide patient care in the same way that an RN, LPN, or CNA would.
  10. Unless they are informed, the patients are unaware that they are the manager.

The Qualities of a Nurse Manager

A nurse manager’s job is complex and demanding because it entails coordinating the efforts of people with diverse skills, education, and personalities in order to provide safe, high-quality patient care. Nurse managers must be accountable for staff performance, financial management, resource utilization, and patient outcomes, in addition to ensuring that care is delivered in accordance with best practices and organizational policy. A good nurse manager should be a professional role model for her staff, provide leadership, and ensure the unit or department runs smoothly.

Clinical Knowledge

Clinical abilities are essential in a nurse manager. When a problem arises on a unit, the staff turns to the nurse manager for clinical expertise and advice. The nurse manager should be able to demonstrate how to change a dressing or start an intravenous line, as well as make recommendations for how to handle a specific situation. To maintain clinical expertise, the nurse manager must be committed to ongoing education through reading, formal education, and regular clinical practice.

Communication Skills

A nurse manager must be able to communicate effectively. A nursing unit’s staff may include nurse aides with limited education as well as nursing professionals with baccalaureate degrees or higher. Nurse managers also interact with doctors, social workers, patients, families, other hospital employees such as respiratory therapists and lab technicians, and senior hospital administration personnel. Some people who work in hospitals or seek care from them may have limited English skills. The nurse manager must be able to establish rapport, ensure clear communication, and listen carefully for potential problems or miscommunication in each case.

Flexibility

A flexible attitude is required of a nurse manager. Priorities in a healthcare setting can shift quickly as patients develop problems. As patients are admitted or discharged, the census of most inpatient hospital units changes on a daily or even hourly basis. Medical technology also evolves on a regular basis, and the absence of a specific item may necessitate a change in supplies or equipment. The nurse manager must be able to respond to changing needs by adjusting staffing or care decisions while also being decisive when necessary.

People Management

Nurse managers must be able to manage people. Because the majority of a nurse manager’s work is done by others, the nurse manager must be able to educate and supervise without micromanaging. A nurse manager promotes collaboration among staff, physicians, and hospital leaders by using conflict resolution and negotiating skills. Nurse managers must be able to coach and mentor staff at all levels, as well as work with the unit’s diverse strengths and weaknesses.

Other Capabilities

According to an article in the August 2009 issue of “Nursing Management,” other important skills for nurse managers include a focus on quality and patient safety, attention to patient satisfaction, and a strong understanding of customer service. According to the article, senior leaders should look for a nurse manager who has financial acumen, strong physician relationships, collegiality and networking skills, and the ability to use power appropriately. Nurse managers must also be creative, innovative, and capable of multitasking, prioritization, and self-direction.

Characteristics of a successful nurse manager

What characteristics would you attribute to the ideal nurse manager if you had to describe them? Scrubbed In has weighed in on what we believe are the five most important qualities of a successful nurse manager.

  1. They have one foot in the clinical world and one foot in the academic world.

One of the most difficult challenges for nurse managers is balancing fiscal and clinical responsibilities. With so many demands on tightening budgets and consolidating resources today, it’s easy to lose sight of the unit’s day-to-day realities. Skilled nurse managers can balance business decisions with clinical requirements. It’s not an easy task to complete!

  1. They make sound strategic choices.

As a bedside nurse, it can be difficult to recognize this skill because it is not always visible. However, this does not diminish its worth. Successful managers must strike a balance between short-term and long-term objectives. These are frequently the decisions made behind the scenes. And the unit’s long-term success is dependent on it.

  1. They place a premium on working relationships.

Effective managers understand that developing and maintaining healthy work relationships is critical to their own and the unit’s success. These managers practice shared governance and are open to staff input. They address conflicts directly and honestly as they arise. They encourage both nurse-to-nurse and multidisciplinary collaboration. They also understand that a healthy work environment results in better patient outcomes as well as a happier and more fulfilled nursing staff.

  1. They are trustworthy leaders.

Those who lead with integrity hold themselves professionally accountable. “What role am I playing in this situation?” they ask themselves. They define their values and then use those values as a guidepost to stay on track. And they are truthful. Leading with integrity does not always imply doing what your team expects of you. However, it does imply being forthright when explaining the reasoning behind a decision.

  1. They do not bully (or tolerate bullying)

Nurse managers who rule through fear or passive-aggression will not be successful in the long run. Nurses who do not feel supported have lower job satisfaction and are more likely to leave their job (or the profession!). Great nurse managers use their authority to set the bar high, to challenge employees to perform at their peak, and to coach and mentor their employees. They do not abuse their power, and they have zero tolerance for workplace abuse at any level.

 

Characteristics of an Effective Nurse Manager

A nurse manager is one of the leadership positions that an RN with a BSN can take on. A nurse manager oversees a team of nurses and medical assistants who care for patients around the clock in a hospital or assisted living facility. It’s a critical role, with the nurse manager’s leadership influencing the unit’s functionality, flexibility, and morale.

First and foremost, a nurse manager must be able to collaborate with others. Hiring, conducting performance reviews, connecting higher levels of administration to the staff, and ensuring clear and complete communication are all part of the job. In other words, “people skills” are required.

However, every aspect of working with people as a nurse manager necessitates the ability to assess needs and priorities and effectively communicate them. While being friendly and welcoming is a skill that helps with morale, nurse managers must also ensure that everyone is where they need to be and doing what they need to do in order for the unit to take care of its patients.

According to Bob Dent, president of the American Organization of Nurse Executives, nurse managers are critical to fostering a sense of teamwork within the unit. It’s not just about ensuring that nurses work well together; nurse managers can foster a culture that allows them to function as a team.

The nurse manager must also be well-versed in nursing. Even if the nursing unit does not provide specialized care, prior experience with the patients the unit treats is essential. If a nurse manager is in charge of a specialty unit, they will want to stay up to date on the latest research by taking certification classes, reading peer-reviewed journals, and speaking with other doctors and nurses in the specialty area.

Nurse managers may not be directly involved in patient care, but they are expected to be a resource for the other nurses on the unit and to educate patients and their families.

In addition, having been a nurse will help a nurse manager better understand how to advocate for the nurses on the unit, patient safety, and the bottom line of the healthcare facility. All of those factors are important, but they are difficult to balance.

Nurse managers must also assist their units in being adaptable. According to Beth Greenwood of the Houston Chronicle, “Priorities in a healthcare setting can shift quickly as patients develop problems. As patients are admitted or discharged, the census of most inpatient hospital units changes on a daily or even hourly basis. Medical technology also evolves on a regular basis, and the absence of a specific item may necessitate a change in supplies or equipment. The nurse manager must be able to respond to changing needs by adjusting staffing or care decisions while also being decisive when necessary.”

Arkansas State University’s RN to BSN program is geared toward nurse managers. In addition to courses that prepare a nurse for the rigors of a modern healthcare setting, the program includes a nursing management course. Nurse managers will be prepared to lead healthcare teams after completing the seven-week course. If you believe you have the skills and desire to be a nurse manager, A-State can assist you in preparing for this difficult and important position.

What exactly is a nurse manager?

In a medical facility, a nurse manager directs and coordinates a team of nurses. These managers typically focus on nurse recruitment and retention, as well as daily supervision of a team of nurses. Nurse managers are in charge of everything related to the nursing unit, including resources, personnel, patient care issues, and budgetary concerns. A nurse manager may work with doctors on patient care and treatment, as well as bridge the communication gap between a patient’s family and their doctor. A nurse manager also represents the nursing team and communicates the team’s ideas, concerns, and needs to hospital management.

A nurse manager’s roles and responsibilities

Nurse managers are responsible for recruiting, mentoring, and evaluating employees, developing new nurse orientation, maintaining a healthy work environment, and monitoring and improving patient care. A nurse manager also serves as a nurse’s representative and is frequently expected to speak with top management on behalf of the nurses they supervise.

Furthermore, nurse managers are expected to establish and maintain proper inventories of medical supplies and equipment, maintain a healthy and safe working environment, stay constantly updated on the health status of patients, and incorporate new and proven health care practices to improve patient care.

Top abilities are required for effective nurse managers.

A nurse manager frequently has a broad knowledge of their field. Because of this expertise, nurse managers are frequently in charge of planning, interacting with patients and families, managing nurses, and a variety of other responsibilities throughout the course of their day. These managers are also skilled at working under pressure. Because of this broad skill set, nurse managers are not limited to the medical industry but can also work in other fields. If you want to become a nurse manager, make sure you have the following skills:

Communication

Nurse managers understand how to communicate effectively with their staff and patients, as well as the doctors and administrators with whom they collaborate. They are expected to act as liaisons between the management and nursing teams while also ensuring the comfort of their patients.

Team Player

Nurse managers are familiar with team dynamics and know how to support them — even when there is conflict effectively. Managers must work to instill a sense of trust and unity among their nurses and staff in order to ensure the team’s effectiveness. Nurses and staff will be far more likely to work without conflict if a strong bond of trust and coordination is established.

Positive Attitude

The medical field is no stranger to tense and stressful work environments. If needed, a nurse manager provides support and strength to team members.

Leadership

Nurse managers understand how to confidently and decisively lead a team of professionals, especially in times of high stress and tight deadlines.

Mentoring

A nurse manager is always willing to mentor nurses. Because mentoring is so important in the development of a nursing team, managers must encourage their teams to strive for leadership positions. If another nurse expresses an interest in a nurse management position, current managers have the unique opportunity to mentor those nurses and teach them how to advance and manage a group of health care professionals successfully.

According to a 2014 survey conducted by chief executive.net on leadership skills, the ability to change is the most desired leadership trait. Sixty percent of current business leaders believe that a successful manager and leader should be adaptable to changes in the workplace. Strategic thinking is important, according to 55% of respondents. The other most important leadership skills were integrity (48 percent), effective communication (40 percent), and trustworthiness (38 percent). Because the role of a nurse manager is similar to that of a business leader, it is critical for current or aspiring nurse managers to acquire these skills in addition to their medical training in order to thrive in their careers.



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NURS 6052 – Essentials of Evidence-Based Practice

To ensure patient care’s safety, high quality, and cost-effectiveness, nurses base their practice on sound and tested evidence. Students will better understand evidence-based practice (EBP) and how it interacts with and is aligned with research and quality improvement in this course. Students will learn how to search for evidence using databases and apply their knowledge of research methodologies to critically appraise literature. Additionally, they will look for ways to improve their synthesis and integration skills to determine whether a change in practice is necessary based on evidence. Students will examine the complexities of leading and mentoring change within an organization to improve nursing practice by analyzing implementation, evaluation, and dissemination strategies.

Prerequisites

MSN Nurse Practitioner Specializations

NURS 6002N or NURS 6003N

MSN Other Specializations

NURS 6002 or NURS 6003



Are you a Walden University student enrolled in the aforementioned course? Do you want to find the best NURS 6052 Essentials Of Evidence-Based Practice Assignment Help service provider? You’ve come to the right place, because Nursing Papers Market is the best online platform that will never give you anything less than an A++ in your grades!

The NURS 6052 Essentials of Evidence-Based Practice course was created to help nurses base their practice on an acceptable evidence-based and cost-effective approach to patient care. Participants will have the opportunity to learn more about the relationship and development of the course’s three pillars, which are theory, research, and practice. The NURS 6052 Essentials Of Evidence-Based Practice course will conclude with students learning research literature to differentiate various research designs.

Every student wishes to be the class leader. However, if the student does not improve certain aspects of their assignments and homework, this will remain a pipe dream. Writing a high-quality paper and submitting it on time can have a significant impact on your grades. What evidence do you have that the assignment was properly written? There are numerous indicators that the assignment is of high quality. Here are a few examples:

  1. When the assignment is written from scratch, generic solutions rarely earn the student the highest grade.
  2. When all of the lecturer’s instructions are followed.
  3. A paper with few or no grammatical or spelling errors.
  4. A paper that contains no plagiarism.
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NURS 6052 - Essentials of Evidence-Based Practice
NURS 6052 – Essentials of Evidence-Based Practice

 

Question of interest: “For critically ill patients, does monitoring Stoke Volume yield more accurate or more appropriate diagnostic/ assessment information than Central Venous Pressure during fluid resuscitation?”

To Complete:

Write a 3- to 4-page paper that includes the following information:

A synopsis of your area of interest, identification of the problem you’ve chosen, and explanation of the significance of this problem for nursing practice

The five questions you generated, as well as a description of how you evaluated their feasibility.

Your preliminary PICOT question, as well as a description of each PICOT variable pertinent to your inquiry

At least 10 keywords that could be used to conduct a literature search for your PICOT question, as well as a rationale for your choices

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Nurses base practice on sound and tested evidence to ensure the safety, high quality, and cost-effectiveness of patient care. This course provides students the opportunity to gain a better understanding of the development and relationship of nursing theory, research, and practice. Through a variety of online activities and coursework, students explore the role of nursing theory in both research and practice. They examine research literature to differentiate and critique various research designs, including quantitative, qualitative, and mixed-method models; appraise statistical data; and analyze evidence. Acquired knowledge helps students to critically evaluate research to make decisions about use of findings to enhance practice.

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 1 Assignment

Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience

Population health

Costs

Work life of healthcare providers

 

Week 2 & 3 Assignment

Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.

Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you used keywords to search on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

The full citation of each peer-reviewed article in APA format.

A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

 

Week 5 Assignment

Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Develop a PICO(T) question to address the clinical issue of interest for the Assignment.

Use the key words from the PICO(T) question you developed and search at least four different databases in the Library to identify at least four relevant peer-reviewed articles at the systematic-reviews level related to your research question.

Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Week 7 Assignment

Evidence-Based Project, Part 4: Critical Appraisal of Research

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use appraisal tools to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

Review the Resources and consider the importance of critically appraising research evidence.

Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

Review and download the Critical Appraisal Tools document provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tools document. Be sure to include:

An evaluation table

A levels of evidence table

An outcomes synthesis table

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

 

Week 9 Assignment

Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

Reflect on the four peer-reviewed articles you critically appraised in Module 4.

Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.

The Assignment: (Evidence-Based Project)

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

Add a lessons learned section that includes the following:

A summary of the critical appraisal of the peer-reviewed articles you previously submitted

An explanation about what you learned from completing the evaluation table (1 slide)

An explanation about what you learned from completing the levels of evidence table (1 slide)

An explanation about what you learned from completing the outcomes synthesis table (1 slide)

 

Week 11 Assignment

Evidence-Based Capstone Project, Part 6: Disseminating Results

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.

To Prepare:

Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.

Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

Be sure to incorporate any feedback or changes from your presentation submission in Module 5.

Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.



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NURS 6030 – The Practice of Population-Based Care

The primary objective of public/community health nursing is to maintain and improve populations’ overall health by promoting and assisting populations in making positive behavioral changes. Students in this course take an interdisciplinary approach to gaining an understanding of population-based care practice. They examine health concepts, levels of prevention, the epidemiology of wellness, global health issues, and disease control, as well as interdisciplinary care principles. Students gain knowledge and skills in planning, intervening, and evaluating care in communities. Additionally, they examine integrative approaches to working with community groups to positively influence health behaviors. Additionally, students complete a group project in which they conduct a literature review and synthesize information about a specific health problem and target population, followed by an investigation of an appropriate intervention program.



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NURS 6030 – Population Health, Human Diversity, & Social Issues

This course will advance interprofessional understanding of population health in the United States and globally. Students will use a variety of conceptual frameworks, models, and theories to investigate the determinants of health and health care disparities. We will analyze the distributions and patterns of health outcomes across populations. The master’s prepared nurse’s responsibilities in addressing health policy issues and advocating for optimal health outcomes will be examined. Previously, this course was designated as NUR 50500.



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NURS 6050 – Policy and Advocacy for Improving Population Health

In today’s rapidly changing healthcare system, political decisions affect the future of health delivery systems, healthcare professionals, and the populations they serve. Students will examine the policy-making process and its effect on healthcare delivery, cost, quality, and access. Students consider the importance of bringing healthcare issues to the forefront of the federal and state agendas, the governmental response through legislation and regulation, and the areas in which they can advocate for positive outcomes in program/policy design, implementation, and evaluation. Global health issues are analyzed for their relevance and impact on the nurse advocate’s development. Students demonstrate the integration of policy decision-making into professional nurse practice for the benefit of individuals and populations through discussions, reflection, case studies, and professional communications techniques as political tactics to influence policy outcomes.

Prerequisites
MSN Nurse Practitioner Specializations

  • NURS 6002N or NURS 6003N

MSN Other Specializations

  • NURS 6002 or NURS 6003

 

NURS 6050  Curriculum & Program Development  (3 Credits)

Curriculum development and program development in nursing are dynamic and ever-changing processes. Individual courses in a nursing program of study represent a whole integrative curriculum responsive to internal and external stakeholders. This graduate-level course examines the history, development, and future trends in the nursing education curriculum. The course focuses on curriculum development, which includes the creation of an undergraduate or graduate nursing program of study. An in-depth examination of professional nurses’ evaluation and accreditation processes is provided. Asynchronous discussions and collaborative learning activities will facilitate dialogue about curriculum development and evaluation. This course was previously NUR-560000

NURS 6050 - Policy and Advocacy for Improving Population Health
NURS 6050 – Policy and Advocacy for Improving Population Health

 

Policy and Advocacy for Improving Population Health Care (NURS 6050)

To Get Ready:

  • Examine the resources and consider the mission of state/regional boards of nursing, which is to protect the public through the regulation of the nursing practice.
  • Consider how essential regulations may affect nursing practice.
  • Examine key nursing practice regulations from your state’s/board region’s of nursing and those from at least one other state/region, and choose at least two APRN regulations to focus on for this Discussion.

 

Compare at least two APRN boards of nursing regulations in your state/region to those in at least one other state/region. Explain how they may differ. Provide specifics and examples. Then, please explain how the regulations you chose might apply to Advanced Practice Registered Nurses (APRNs) who have the legal authority to practice within their education and experience. Give at least one example of how APRNs can follow the two regulations you chose. Policy and Advocacy for Improving Population Health Care (NURS 6050)

NURS – 6050N Policy and Advocacy for Improving Population Health

Each state board of nursing has the authority to impose regulatory restrictions to protect the public. It was interesting to look through the state regulations and how they differed while deciding to return to school for an advanced practice degree. I live in rural Northwest Missouri, about thirty minutes from the Iowa border. The nurse licensure compact, which all states surrounding Missouri are a part of, allows nurses to practice in multiple states as an RN (Nurse Licensure Compact, 2020). Unfortunately, after obtaining my PMHNP, I discovered that the regulations in Missouri and Iowa differ quite a bit.

To begin, Iowa allows nurse practitioners to practice independently within the scope of their degree specialty, which is known as full-scope practice. In Iowa, an APRN may prescribe medications to patients with the nurses’ specialty and independently prescribe controlled substances up to level two as long as they have a current license and are registered with the controlled substance acts (Iowa Board of Nursing, 2020). The APRN must have a collaborative practice agreement with a physician to see patients in Missouri. Furthermore, unless stated explicitly in the joint practice agreement, nurse practitioners are not permitted to prescribe controlled substances. The APRN must have prescription authority, proof of 300 hours of precepted pharmacological experience, and 1,000 practice hours if specified (Board of Nursing, 2020).

Another distinction between Iowa and Missouri is the authorization signature required for a patient to obtain a medical marijuana identification card. The medical diagnosis requirements for the use of medical marijuana remain consistent across states. However, in Missouri, a nurse practitioner cannot sign the authorization form (Board of Nursing, 2020). Nurse practitioners, physician assistants, MD/DOs, and podiatrists are permitted by Iowa law to sign the health care practitioner attestation (Iowa Board of Nursing, 2020).

 

References

(2020). Retrieved from Iowa Board of Nursing : https://nursing.iowa.gov/

Board of Nursing . (2020). Retrieved from Missouri Division of Professional Registration: https://www.pr.mo.gov/nursing.asp

Nurse Licensure Compact. (2020). Retrieved from NCSBN: https://www.ncsbn.org/nurse-licensure-compact.htm.

 

NURS 6050: Improving Population Health Through Policy and Advocacy

Regulations of the Board of Nursing

For a long time, advanced practice registered nurses (APRNs) in Michigan have been fighting for full prescribing authority. The state of Michigan does not have a nursing practice act. Instead, APRNs are governed by the Public Health Code 1978, which also governs 25 other health professions (Nurse Practitioner Schools, 2020). With the passage of MI HB 5400 in 2017, Michigan nurses celebrated a victory. This bill empowers Michigan APRNs to prescribe non-scheduled medications, perform hospital rounds, make independent house calls, and order speech and physical therapy without the involvement of a collaborating physician. They still require the collaboration of a collaborating physician to prescribe controlled substances in schedules two through five. As a delegated act, controlled prescriptions require the physician’s and APRN’s names and their DEA registration numbers (Michigan Legislature, 2017). On the other hand, Minnesota’s APRNs have full prescribing authority (Minnesota Board of Nursing, n.d.). They can prescribe any medication, controlled or not, without the involvement of a collaborating physician. They also have complete freedom to practice without the supervision of a collaborating physician. A collaborating practice agreement is not required.

Giving APRNs the legal authority to practice within their education and experience will help alleviate the healthcare provider shortage, lower healthcare costs, increase patient access to care, and allow APRNs to fully utilize their knowledge and skills (Nurse Practitioner Schools, 2020). As members of the collaborative healthcare team, APRNs must continue to fight for their rights. To ensure continued progress toward this goal, APRNs must participate in the political process (Milstead & Short, 2019).

APRNs in Michigan can comply with MI HB 5400 by learning about the specific changes to the regulations. They must renew their collaborating agreement on an annual basis or whenever there are changes to the agreement. It is critical to understand which medications are considered controlled and uncontrolled and the schedules. To combat the opioid epidemic, Michigan, for example, made gabapentin a schedule five controlled substance in 2019. (Department of Licensing and Regulatory Affairs, 2019).

References

Department of Licensing and Regulatory Affairs. (2019, January 9). Gabapentin scheduled as

controlled substance to help with state’s opioid epidemic. https://michigan.gov/lara/

4601,7-154-11472-487050-00.html

Michigan Legislature. (2017, April 9). Public Health Code Act 368 of 1978: 333.17211a

Advanced practice registered nurse; authority to prescribe nonscheduled prescription

drug or controlled substance. https://legislature.mi.gov/(S(au34kb10nbx0fbhmhac50qc))/

Milstead, J.A., & Short, N.M. (2019). Health policy and politics: A nurse’s guide (6th ed.).

Burlington, MA: Jones & Bartlett Learning

Minnesota Board of Nursing. (n.d.). Advanced practice registered nurse (APRN) licensed

general information. https://mn.gov/boards/nursing/advanced-practice/-practice-registered-nurse-(aprn)-licensure-general-information/

Nurse Practitioner Schools. (2020, October 26). Michigan nurse practitioners: The fight for full

practice authority. https://nursepractitionerschools.com/blog/michigan-np-practice-

authority/

 

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NURSING 6051:

To Get Ready:

  • Examine the resources and think about the web article Big Data Means Big Potential, Big Challenges for Nurse Executives.
  • Consider your own experience with complex health information access and management and potential challenges and risks you may have encountered or witnessed.

BY DAY 3 OF WEEK 5

Post an explanation of at least one potential benefit of using big data as part of a clinical system. Then, explain why you believe at least one potential challenge or risk of using big data as part of a clinical system exists. Propose at least one strategy that you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using the big data you described. Provide specifics and examples.

 

RE: Discussion – Week 5

Big Data Risks and Rewards

Data interpretation occurs at all times of the day, whether a person is aware of it or not. If a large pool of data is integrated in a meaningful way, it can be extremely useful. According to Wang et al. (2018), Pooling big data can “improve the quality and accuracy of clinical decisions.” Profit is always the goal where I work, and probably in any healthcare facility. When our chief financial officer (CFO) and admissions team send out their weekly forecast, I see data that they use. This chart displays how many patients are being discharged, how many new patients are expected, and our current census. Having the data organized is critical because it shows the admission coordinator if more outreach is needed to bring in new patients. It also shows them whether we have enough beds to accommodate the influx of new patients. It is directly relevant to me because it is used for staffing requirements. This data is critical to the operation, but it wouldn’t be as useful if it hadn’t been aggregated into a concise template for quick access to the information (Thew, 2016).

However, there are risks to combining large amounts of data. As more data is collected, the organization’s storage requirements will grow. Storage has a cost, and lowering those costs may jeopardize patient privacy (Wang et al., 2018). Our company’s computer system was recently infected with ransomware. Having all of our data in one place turned out to be a bad idea. The confidentiality of our patients’ and employees’ information had been jeopardized. It is critical to have proper IT security in place when dealing with large amounts of data. An intriguing idea for reducing the risk of ransomware recurrence is to divide data into blocks that are distributed across multiple virtual servers (Levitin, 2019). By hacking into a single database or server, the attacker would not have access to the data. In addition to dividing the data, an early warning detection system would be helpful in detecting a breach (Levitin, 2019).

The risks and benefits of big data aggregation are well documented. Data can be collected and stored securely, ensuring patient and user confidentiality by mitigating some risks by increasing security protocols.

 

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References

Levitin, G., Xing, L., & Huang, H.-Z. (2019). Security of Separated Data in Cloud Systems with Competing Attack Detection and Data Theft Processes. Risk Analysis : An Official Publication of the Society for Risk Analysis, 39(4), 846–858. https://doi-org.ezp.waldenulibrary.org/10.1111/ris…

Thew, J. (2016). Big data means big potential, challenges for nurse execs. Retrieved December 27, 2020 from https://www.healthleadersmedia.com/nursing/big-dat…

Wang, Y., Kung, L., & Byrd, T.A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3-13.

 

RE: Discussion – Week 5

Big data sets are examined by information professionals, particularly in the hospital setting, for budgeting, staffing, patient admissions and discharges, etc. Data can be computed for all areas that aid inefficient operation. According to Tishgart (2012), more data means more knowledge and opportunities for organizations to use and benefit from that data. McGonigle and Mastrian (2018) This is partially true because the goal of storing this data is to learn and improve, but there are always risks when dealing with technology and large amounts of data.

Some advantages of using big data in a clinical system include improved patient outcomes, as big data allows us to see what is working well for our patients and where we are falling short. If med errors or patient incidents occur frequently, big data sets can help see a bigger picture of what is causing these issues, such as noticing that these incidents occur on days when the floor is understaffed. Another advantage of big data is that it helps with budgeting because even though we are there to care for patients, we are still a business that needs to profit. Big data sets can show where budget cuts are required and which departments require more funding to run efficiently.

Errors and setbacks are possible whenever technology is involved. One disadvantage of big data sets is the possibility of a security breach. In 2016, my workplace was the victim of a cyber attack in which patient and employee information was compromised. In exchange for the computer system, the hackers demanded a ransom. We operated under the Emergency Operations Plan during this time, and paper charting was used. Since then, the organization has upgraded security measures and made changes to email and internet access to accommodate the transition. All employees received training on how to avoid phishing and ransomware and how to identify potential threats. Homomorphic encryption can be used to prevent third parties from accessing data and storing data across multiple servers to make sensitive information more difficult to access. Policy and Advocacy for Improving Population Health Care (NURS 6050)

 

 

 

References

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-dat…

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understand its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3-13.

 



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