Compare and contrast the advantages and disadvantages of a root cause analysis versus developing a solution for a problem.

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Chamberlain College of Nursing NR- 504 Leadership/Nursing Practice
Discussion-The Leader Affects the Outcome of an Ethical Situation (graded)
Identify a situation (from healthcare or business) within the last two years that illustrates an ethical principle. Describe how the leader affected the outcome. As a nurse leader, what changes would you make in a similar situation?
Students,
Please identify a situation, from healthcare or business, within the last two years that illustrates an ethical principle. Describe how the leader affected the outcome. As a nurse leader, what changes would you make in a similar situation?
Course Outcomes
5 Incorporate professional role development, values, and ethical principles into the role of the nurse leader in education and healthcare systems. (PO #2, 5, 10)
Weekly Objectives
Compare and contrast the advantages and disadvantages of a root cause analysis versus developing a solution for a problem.
Discuss the interconnectedness between ethics and the mission of an organization

How difficult was it for you to locate quality, relevant, timely evidence?

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Appendix B
Nursing 314
Evidence Based Practice (EBP) Clinical Paper
OBJECTIVES:
1. The purpose of this exercise is for students to have the opportunity to see in the clinical setting how hospital RN’s relate to EBP interventions in their practice and then compare with research supported literature the practice intervention chosen.
2. Learn how to conduct EBP research and find EBP guidelines.
3. Write observations and express ideas in APA format.
SKILLS TO DEVELOP:
Observation, oral communication skills (interview), EBP research, and written communication skills using logic and critical thinking.
DIRECTIONS:
1. Identify a staff RN with whom you have worked in a clinical setting.
2. Explain to the RN that you would like to complete an assignment by observing him/her performing a nursing practice intervention then asking a few questions about how and why it was performed that way – note that individual RNs will not be identified in class discussions, only observation and interview themes.
3. Observe the RN performing a discrete intervention (e.g. changing a dressing, educating a patient on a specific module, assessing one or more vital signs). Students are encouraged to NOT make medication administration a focus of this activity.
4. As soon as possible after the observation, ask the RN the questions listed in the boxes below. Be sure to be non-judgmental and thank the RN for assisting you with this activity. Please write your answers in complete sentences with explanations. A yes or no answer will not receive credit.
ACTIVITY 1: Write Up (from interview questions) Clinical Setting
• A. Why did you perform the [intervention] in this manner?
• B. From what source(s) did you learn do perform it this way?
• C. What other acceptable ways are there to perform this intervention?
ACTIVITY 2: Locate and answer -Clinical setting. Locate and review the policies, protocols, procedures or standards (on TCBC website or Mosby’s) available in that clinical setting related to the intervention you observed, and answer the second set of questions listed below with explanations.
• D. Are there policies/protocols/procedures that define practice standards for this intervention? Were there any references used to support the policy/procedure?
• E. Do the written standards include dates of development and review or modification and when was the last review or revision?
• F. Did the RN you observed perform the intervention according to those standards?
ACTIVITY 3: Research and write (outside clinical setting). Using the information search strategies you have learned previously, locate the best published evidence regarding recommendations related to the intervention you observed and complete the third set of questions below. Be sure to cite at least 3 peer reviewed medical or nursing journals in your evidence that are published within the last 5 years.
• G. How difficult was it for you to locate quality, relevant, timely evidence?
• H. How do the policies/protocols/procedures compare with the best evidence you located?
• I. How does the observed RN’s performance compare with the best evidence you located?
• J. Critically thinks by giving a detailed plan to how they should change if needed or how they can update practice.
ACTIVITY 4: Reflect and write (outside clinical setting). Finally, include a reflective journal entry of no more than one page describing your conclusions and reactions to this exercise.

Describe two (2) common classes of drugs used for patients with the identified condition including physiological effect of each class on the body

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The following questions relates to the patient within the first 24 hours since admission to the emergency department (ED):
Outline the causes, incidence and risk factors of the identified condition and how it can impact on the patient and family (400 words)
List five (5) common signs and symptoms of the identified condition; for each provide a link to the underlying pathophysiology (350 words)
This can be done in the form of a table – each point needs to be appropriately referenced
Describe two (2) common classes of drugs used for patients with the identified condition including physiological effect of each class on the body (350 words)
This does not mean specific drugs but rather the class that these drugs belong to.
Identify and explain, in order of priority the nursing care strategies you, as the registered nurse, should use within the first 24 hours post admission for this patient (500 words).

outline at least 2 actual and 2 potential nursing complications relating to his current presentations at 10am and why?

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Alex Simpson is a 40 year old male roof tiler who was admitted to the emergency department via ambulance following a high fall from the roof. He is complaining of pain in his abdomen, L) shoulder region and L) femur. He has just been admitted to your ward at 9am.
You have been asked to admit Alex, undertake a comprehensive physical assessment.
His past history includes; ( IDDM, HT, Obesity, Hyperlipidaemia, IHD, Angina, Ex-Smoker ) and he enjoys two cans of beer every day.
Part 1.
Using the system based assessment outline the following:
1. Your system assessment approach and the rationales supporting your assessment. Your rationales must be supported by evidence based current nursing literature.
2. Priorities your system assessments approach with supporting rationales.
Part 2.
One hour at 10am following your initial assessment, you re-assessed Mr Simpson’s vital signs. You find he is distressed, and complaining of L) sided chest pain. He tells you `I feel terrible and I think I might be dying here`.
1. Based on Mr Alex presentation please identify additional physical assessment required and why?
2. The rationales behind your examination. This must be supported by current and reliable nursing evidence based literature.
3. Also outline at least 2 actual and 2 potential nursing complications relating to his current presentations at 10am and why?
For example: Washes hand prior to commencement of physical examination.
Rationale: Hand washing reduces the risk of infection transmission (Crisp and Taylor p.595).
Part 3.
Based on your findings, develop a comprehensive holistic nursing care plan for Mr Simpson. This nursing care plan should include the information gained in Part 1 the patient initial reason for admission to ED take into consideration his past history of your assessments. It must include 5 NANDA diagnoses (3 actual and 2 potential), with 3 interventions and rationales for each nursing diagnosis.
Care plan must be provided in the format used in nursing units HLTEN503B/504B.
Minimum of 6 (six) references (3 current nursing text books and 3 current nursing journals).
Current meaning text books or Journals no older than 2011.
Minimum 1500 words.
Please do not Use any information gathered from ; Wikipedia, Better Health Channel or any other unreliable online resources.
Referencing: Use the Harvard referencing system.
Presentation: Typed. Font: Times New Roman; Font size: 12, Spacing: Double; Sided: Single