Describe a nursing admission/assessment or patient care/preparation process or procedure currently found in your practice setting.

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Select a nursing admission/assessment or patient care/preparation process or procedure (e.g., routine shaving of the surgical site) that is commonly found in your practice setting that you and your colleagues question. You will gather evidence to determine the basis for this process or procedure, provide suggestions based on evidence on how this process or procedure should be changed, and determine possible barriers to implementation of a revised clinical practice guideline.

Requirements:

A. Describe a nursing admission/assessment or patient care/preparation process or procedure currently found in your practice setting.

Note: You must choose a process or procedure that was already in place and you can recommend changes to.

1. Discuss why the present process or procedure needs to be changed, based on the evidence you have gathered.
2. Based on your initial investigation of the situation, do the following:

Note: You may need to ask workplace personnel to complete the following.

a. Explain who determined the basis for the current process or procedure in your practice setting.
b. Explain the decision makers™ rationale for instituting or supporting the current process or procedure.
c. Explain why the decision makers decided to implement the current process or procedure.

3. Recommend a practice change for the process or procedure you selected.
a. List five relevant and credible sources to support your suggested practice change.

Note: Credible sources are less than five years old and may include professional journals, research reports, professional websites, governmental reports, current texts less than five years old, and presentations from professional meetings.

4. Explain the clinical implications your recommended change might have on patients, based on the relevant and credible sources you listed in part A3a.
5. Explain the implications your recommended change might have on the practice setting, based on the relevant and credible sources you listed in part A3a.
6. Discuss how you would involve key stakeholders in the decision to change the process or procedure or to comply with the recommended change.

B. Write an essay (suggested length of 2“3 pages) in which you do the following:
1. Discuss the specific barriers you may encounter in applying research to processes and procedures in your practice setting.

Note: You should distinguish between difficulties you would have interpreting what the research says and synthesizing it into a practice guideline or procedure, rather than just the outside barriers to change.

2. Identify at least two strategies that you and your team could use to overcome the barriers you discussed in part B1.
3. Explain how you would implement your recommended process or procedure based on research findings.

C. When you use sources, include all in-text citations and references in APA format.

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State an overview of the patient™s condition and identify TWO priority nursing problems.

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You are working as a student nurse in a metropolitan hospital. Steven Smith is a 32 year old man admitted to the medical ward with bacterial pneumonia. Steven appears to be asleep on his side when you enter the room and his face seems pale. You can?t see the rest of him as the bedclothes are pulled up to his neck. You can however see his chest rising and falling under the bedclothes. You check the documentation and his vital signs 2 hours ago were BP 135/80mmHg and pulse 96b/min. His respiratory rate is recorded as 28 respirations/min and the comments column on the observation chart reads: moderate recession/working hard, decreased air entry in both lung bases, scattered coarse crackles and wheezes upon auscultation and oxygen saturations 92% in room air. The sputum cup next to his bed contains yellowy-green sputum. His temperature is recorded as 38.1oC He has intravenous (IV) therapy ordered & running N/Saline 0.9% 1000ml/12 hours and is ordered IV antibiotics. Other i nformation in the chart gives the following details: 2 week history of žflu? like illness with productive cough, presented to hospital following GP referral for chest X-ray, experiencing intermittent chest pain worsened by coughing and deep breathing, smoker 30/day, works in the building & construction industry as a labourer and divorced 5 years ago. After Steven finishes his rest, you need to perform certain nursing-based interventions to aid his recovery.The 1800- word essay should cover the points below:¢ Introduction (100 words): State an overview of the patient™s condition and identify TWO priority nursing problems. Give a brief plan for the essay topics.¢ For the first problem (800 words): Briefly explain how it relates to the patient™s assessment data. Identify TWO priority nursing interventions to address the problem. Discuss briefly the nursing interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant positive or negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature. Outline the evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.¢ For the second problem (800 words): Briefly explain how it relates to the patient™s assessment data. Identify TWO priority nursing interventions to address the problem. Discuss briefly the nursing interventions you will implement (explain what is involved in implementing the intervention, why it is suitable, any relevant positive or negative aspects/considerations) and support/justify the use of these interventions with reference to current evidence-based literature. Outline the evaluation criteria/data that would indicate that each intervention is improving or resolving the identified problem.¢ Conclusion (100 words): Briefly restate the patient™s condition and problems

Evaluate the process of on boarding and training Hubbs.

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INSTRUCTIONS: Read the entire case study carefully and then respond to the seven Discussion Questions on page 5. Answer all questions and all parts of each question. Develop each answer to the fullest extent possible, including citations from outside resources and course resources, where applicable, to support your arguments. Submit your assignment as a separate MS Word document in your assignments folder. Do not type your answers into the case study document. Include a Cover Page with Name, Date, and Title of Assignment. Do not include the original question. Use the following format: Question 1, Question 2, etc. Each response should be written in complete sentences, double-spaced and spell-checked. Use 12-point Times New Roman font with 1-inch margins on all sides. Include page numbers according to APA formatting guidelines. Include citations in APA format at the end of each answer. You must submit to the assignment link by the due date. A missing assignment will be assigned a grade of 0. Answer the following: 1. Evaluate the process of on boarding and training Hubbs. Did it appear to be sufficient? Why or why not? If not, what other training opportunities could have helped him prepare for his role? What elements of the new hire orientation process would be particularly important to his successful performance? 2. Assume the role of the manager in this case. How do you handle a new employee who lacks the specific skills that were presented during the selection process? How do you determine if training is the solution and how much training is reasonable or expected? 3. Do you agree with the managers decision to have Hamrick mentor Hubbs? Why or why not? 4. Evaluate the managers process of handling Hubbs performance problems. Was it effective or could it have been handled differently? Was anything overlooked? What other factors besides lack of skills or ability could have contributed to Hubbs poor performance? How could the manager have mitigated some of these factors? 5. Consider the performance issue with the marketing department. What happens when poor performance affects a departments reputation and credibility? What must the manager do to first improve that performance and secondly, control the damage from poor performance? 6. The manager needs to act. What are her options and what factors and/or additional information must she consider before making a decision? 7. Review Case A and reflect on the recruiting and selection processes used to hire Hubbs. How could the recruiting and/or selection processes been improved to mitigate the new hires performance issues? What effect could the recruiting and/or selection processes have had on Hubbss subsequent performance and his teams perceptions of his performance?