Archive for month: March, 2018

Advancing Nursing Practice
Paper, Order, or Assignment Requirements

Why is evidence-based practice (EBP) important to the nursing profession? Discuss how evidence-based practice is being integrated into clinical practice. Provide an example from your nursing practice, experiences, or the literature. What are clinical guidelines and why are they important to clinical nursing practice? How do you believe the use of evidence-based practice and clinical guidelines are changing nursing practice? In what ways do patients benefit from the use of EBP? Reply to other students (at least two) and describe your current practice related to their clinical question and evidence-based practice findings/conclusions

Challenging presentation and mental health nursing
Paper, Order, or Assignment Requirements

3000 words essay.
Care analysis of a service user experiencing acute and challenging mental health problems:
Demonstrate a biopsychosocial understanding of a service users experience and an evidence based approach to your suggested intervention. The service user should have complex needs, which can offer challenges to services. An example of this might be:
A service user who is admitted informally to an acute in patient unit where the doors are locked. The service user may be presenting with depression, alcohol withdrawal and ideas of self-harm.
Care analysis should identify:
– Service users presenting problems, from the biopsychosocial perspective
– Risk assessment and management
– Recovery principles and engagement processes
– Legal and ethical dimensions, such as deprivation of liberty
– Role and responsibilities of the mental health nurse

The client history and presentation should be put in as an appendix
Module aims:
• Identify and explore the biological, psychological, social and cultural factors that impact on mental health
• Enable the student to demonstrate expertise in eliciting a full biological, psychological and social history and to critically examine the links between causation, symptomology, treatment and management of challenging mental health presentations
• Facilitate the exploration of the experience of acute and challenging presentations and critically analyse knowledge and experience to make clinical judgments
Demonstrate competence in the use of care planning to promote service user independence and recovery
Knowledge and Understanding
• Understand the biological explanations of mental health problems addressed with psychological and social perspectives of human responses and behaviour
• Evaluate data to identify and define acute / challenging presentations, analyse the use of specific nursing interventions and, informed by best available evidence, utilise a collaborative approach when formulating and evaluating assessment and interventions used

Intellectual Skills
• Analyse the legislative frameworks, ethical dimensions and policy context in relation to complex mental health presentations
• Analyse and apply a variety of assessment tools and frameworks in relation to challenging mental health needs and presentations
• Analyse and apply research to clinical practice

Document Layout:
• Front page including your student number and word count
• Double line spacing
• Size 12 font
• A margin of at least 2.54 cm on all sides of A4 paper
• Candidate number as header on all pages
• Page number as footer on all pages

Personality Disorder
• A bio-psycho social perspective on personality development
• Understanding of diagnostic criteria for personality disorder
• Engaging with the service user
• Assessing risk, including the risk of self-harm, attempted suicide and risk to others
• Legal and ethical frameworks for care
• Nursing intervention and the use of ‘self’ in engaging with this client group
• Development and documentation of care plans to achieve optimal health, habitation and rehabilitation, based on assessment and current nursing knowledge

Risk Management
• Understanding risk – the use of positive risk taking
• Collaborative approaches to risk management – clinical decision making
• Selection and application of appropriate assessment tools
• Promoting the use of nurturing, psychologically and environmentally safe environments
• Prioritisation of need
• Empowering service users – maximising choice and decision making wherever possible
• Developing communication skills, written and verbal
• Legal and ethical frameworks for care

Dual Diagnosis
• Selection and application of appropriate risk assessment tools and specific techniques in assessing substance misuse and co existing mental health problems
• Assessment of physical health needs in relation to substance use
• Collaborative approaches to care and care planning
• Understanding the impact of specific substances on the service users physical and mental well-being (during use and detoxification regimes)
• Promoting service user understanding and ownership of care and treatm

Understanding Professional Nursing Standards in Australia
Paper , Order, or Assignment Requirements

ESSAY QUESTION:

Research the nursing work of one of the nurses mentioned in chapter two of your prescribed text. Based on this research how would your chosen nurse measure up against the current Australian Competency Standards for the Registered Nurse?

It is expected that your essay will address/contain the following information:

1. The name of your chosen nurse.
2. An overview of the nursing work carried out by your chosen nurse.
3. A discussion and/or evaluation of how your chosen nurse would measure up against the current Australian Competency Standards for the Registered Nurse.

REFERENCES:………………

Please note:

1. A minimum of four peer reviewed journal articles must required. Rest can be from other trusted and relevant sources.

Remember, your in-text citations consist of author and date. So in regards to eg. the nursing standard, your very first citation would be:(Nursing and Midwifery Board of Australia [NMBA], 2006). Now you have explained what NMBA stands for and you can simply use NMBA in your citations: (NMBA, 2006)

When referring to a specific section in your standard, there are two options. You could say something along the lines of: According to Standard 2.1 ………………. (NMBA, 2006). If you don’t refer to the specific standard number in your sentence, your citation would be (NMBA, 2006, Standard 2.1). That would clearly pinpoint where you got the information from and what you are referring to.

-Peer reviewed journal articles are your best sources. Avoid non-refereed sources such as editorials, monthly columns or non-refereed journals.
-It is useful to include your set text as a reference but otherwise keep the number of books to a minimum.
-Your reference list should contain a minimum of 4 scholarly journal articles that are no older than 5-8 years. Do not use Wikipedia or dictionaries.
-Information gained from Internet sites varies greatly in depth and quality of content.
-Internet sites should be avoided and if used then thy must be relevant and reputable, for example, the NMBA website.
-To find appropriate sources, use the CDU library online journal databases.

WRITING requirements:

-Write in the third person; avoid personal pronouns such as ‘I’ and ‘you’.
-Avoid long, confusing sentences and check that your tenses (past, present and future) are consistent within the same sentence.
-Avoid posing questions; work the information into the paragraph.
-Use plain English. It is essential your meaning is clear and that you demonstrate your understanding of the nature of the topic.
-Write your essay according to the marking rubric/criteria file attached, as this is where lecturers mark from.
– use double spacing;
-Justify left and right:
-Hit enter twice between paragraphs:
-Do not use headings or dot points;

Writing Tips: Must follow:
As you construct your essay you need to:

-Use correct punctuation, spelling and syntax (sentence structure)
-Paraphrase ideas from your reading/research, don’t just copy them
-Avoid use of direct quotations.
-Ensure you use correct APA 6th referencing style.

The NUR 120 Learning Outcomes addressed by this assignment include:

On completion of this unit a student should be able to:

1. Identify ways in which history, language and culture have shaped nursing as a practice and as a scholarly discipline;

2. Articulate the key principles underlying ethical, legal and professional guidelines and codes that underpin the practice of registered nurses in Australia.

3. Demonstrate developing skills in academic and information literacy that provide a foundation for evidence based nursing.

4. Articulate and define the NMBA Competency Standards, Codes of Ethics and Codes of Practice for the Registered Nurse.

Tele nursing: is it in my Future?
Paper , Order, or Assignment Requirements

COURSE OUTCOMES
This assignment enables the student to meet the following Course Outcomes.
CO #4: Investigate safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO #4)
CO #6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and clients right to privacy. (PO #6)
POINTS
This assignment is worth a total of 200 points.

BACKGROUND
Our text (Hebda, 2013) provides us with a broad perspective on telehealth. However, the specialty of telenursing is only briefly discussed. Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and lower costs. This technology includes the use of various applications based in various environments where registered nurses indirectly provide professional nursing care.
SCENARIO
The following scenario serves as the basis for your paper.

You have worked with Tomika for the past 5 years. Tomika shares with you that she has resigned and plans to work in an agency that installs telemonitoring equipment into the homes of those with chronic illnesses. Nurses monitor the patients using the equipment with the goal of detecting problems before patients need to be readmitted to the hospital. Tomika will be working from her own home, with occasional meetings at the agency. She would not be visiting her patients in their homes, but rather would be assessing and interacting with them via videoconferencing. She tells you that there are still job openings and encourages you to apply.
You are intrigued by this, and decide to investigate whether telenursing would be a good choice for you, too. Is telenursing in your future?
DIRECTIONS
1.You are to research (find evidence), compose, and type a scholarly paper that describes telenursing as described above, and whether it is a good fit for you. Reflect on what you have learned in this class to date about technology, privacy rights, ethical issues, interoperability, patient satisfaction, consumer education, and other topics. Your text by Hebda (2013, Chapter 25) discusses telehealth in detail. However, your focus should be from the professional nurses role in telenursing. Do not limit your review of the literature to only what you read in your text. Nurses in various specialties need to know about the advantages and disadvantages of telenursing as it applies to their patients. For example, when you discharge a patient from an acute care setting, will a telenursing service assist that individual with staying out of the hospital? You may need to apply critical-thinking skills to development of your paper.
2.Use Microsoft Word and APA formatting to develop your paper. Consult the Publication manual of the APA, 6th edition if you have questions, for example, margin size, font type and size (point), use of third person, and so forth. Also, review and use the various documents in Doc Sharing related to APA.
3.The length of the paper should be four pages, excluding the title page and the reference page. Limit your references to key sources.
4.The paper should contain an introduction that catches the attention of the reader with interesting facts and supporting sources of evidence, which need to be mentioned as in-text citations. Keep in mind that APA guidelines state you are not to call this an Introduction, but you should include it at the beginning of your paper. The Body should present the advantages and disadvantages of telenursing from your perspective as an employee, and the patients perspective as a recipient of the care nurses provide. The Conclusion and Recommendations should summarize your findings and state your position on whether you will apply for a position with the agency.
NOTE: All work must be original (in your own words) unless properly cited. This assignment will automatically be submitted through Turnitin, a plagiarism detection system.

Review the following nursing scenario from the Agency for Healthcare Research and Quality:

A 60-year-old female is admitted to the ward with a 2-day history of severe left lower abdominal pain and leukocytosis. Her white count is 13,000, and she has WBCs in her urinalysis. Two hours after admission, she begins to experience an acute exacerbation of her abdominal pain and is believed to have a diverticular perforation and acute abdomen. At this point, her physician decides to send her to the OR. The unit clerk is aware of the plan, but the patient’s nurse is not. The patient is transported to the OR. Moments later, the OR calls to report that the patient has no permits signed, nor have any other pre-op protocols been completed.

Create a plan using Lewin’s change model, documenting strategies needed to support followership and empowerment.