Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing.

Concept analysis of patient centered care Project description Concept Analysis Guidelines & Scoring Rubric Purpose: This assignment provides the opportunity for the student to conduct a formal concept analysis of one concept found in a nursing theory using an identified framework. Course Outcomes Through this assignment, the student will demonstrate the ability to: (CO#1) Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO1) (CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7, 10) (CO#4) Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4. 7) Due Date: Sunday 11:59 PM MT at the end of Week 4 Total Points Possible: 200 Requirements: Description of the Assignment The purpose of this 6-8 page paper (not including the title page or reference page in the page count) is a formal concept analysis of one concept found in a nursing theory, adapting the methodology of Walker and Avant (2010, pp. 157 “ 179). The book by Walker and Avant is not available electronically. This book is not needed in order to succeed with this assignment. A summary of the steps in this method is found at the end of this document. Any nursing theory may be used to find a concept for analysis. Only one concept is analyzed. As part of the concept analysis, a focused review of scholarly literature is conducted, using a minimum of 3(three) scholarly sources related to the selected concept. A formal literature review can be extensive in critiquing all the relevant literature about a specific topic or area of knowledge. In this assignment, that level of effort is not required. What is expected is an integrated discussion of at least three articles on the concept selected for this assignment. Themes, ideas, or facts about the concept found in the reviewed literature are presented in an organized fashion. Note: research articles about the concept are the best kind of article for a literature review. The steps in a concept analysis include: 1. selection of a concept used in a nursing theory 2. identification of the aims or purposes of the analysis 3. a review of selected scholarly literature on the concept 4. identification of possible use of the selected concept 5. determination of defining attributes 6. identification of model cases 7. identification of alternate cases (borderline, related, contrary, invented, and illegitimate cases) 8. identification of antecedents and consequences 9. definition of empirical referents The paper concludes with a synthesis of the student’s new knowledge about the concept. The scholarly literature is incorporated throughout the analysis. Criteria for Content 1. Introduction includes statements on the process of concept analysis, identifies the nursing concept and nursing theory from which it was obtained, and relates the main topics of the paper. A list of possible concepts is provided below. A substantive discussion of each of the following elements is present. All elements are supported by scholarly literature a. One aim or purpose of the analysis b. A review of scholarly literature (minimum of three articles) c. Two possible uses of the concept d. Two defining attributes e. Two model cases f. Two of the following alternative cases: borderline, related, contrary, invented, or illegitimate g. One antecedent and one consequence h. Two empirical referents 2. Concluding statements present the writer’s new knowledge on the concept acquired as a result of writing the paper Criteria for Format and Special Instructions 1. One of the textbooks required for this course may be used as one of the required references for this assignment. 2. Title page, body of paper, and reference page must be in APA format (6th edition) 3. A minimum of 3 scholarly sources on the concept are required. 4. The paper (excludes the title page and reference page) must be a minimum of 6 pages and no longer than 8 pages. 5. Ideas and information from professional sources must be cited correctly. 6. Grammar, spelling, punctuation, and citations are consistent with the writing style specified in the 6th edition of the APA manual. Walker, L. O & Avant, K. C. (2010). Strategies for theory construction in nursing (5th ed.). Upper Saddle River, NJ: Prentice Hall Possible Concepts (These concepts are not required; students may select one of these concepts or find another concept in any nursing theory) ¢ Noise ¢ Cleanliness of environment ¢ Patient Assessment ¢ Self-care deficit ¢ Self-care ¢ Homeostasis ¢ Behavioral system ¢ Boundary lines ¢ Open system ¢ Patient Centered Care ¢ Empowerment ¢ Resources ¢ Caring ¢ Adaptation ¢ Energy conservation ¢ Meaningfulness ¢ Modeling ¢ Transaction ¢ Activities of living ¢ Actual caring occasion ¢ Energy field ¢ Pain ¢ Pattern ¢ Leadership ¢ Engagement ¢ Comfort All of these concepts were selected from grand and middle-range theories presented in the course texts. Directions and Grading Criteria Category Points % Description Introduction 12 6 Introduction clearly includes all three elements: statements on the process of concept analysis, identifies the selected nursing concept and nursing theory from which it was obtained, and names the sections of the paper Aims or Purpose 18 9.0 One aim or purpose of the concept analysis is substantively discussed and is supported by scholarly literature Literature Review 24 12.0 A substantive integrated discussion of at least three scholarly sources on the selected concept: ¢ themes, ideas, or facts about the concept found in the reviewed sources are presented in an organized fashion; ¢ Student’s new knowledge on validity of the methods used by the different sources’ authors to learn about the concept ¢ Strengths and weaknesses of those authors’ conclusions Uses 18 9.0 2 possible uses of the selected concept are substantively discussed and supported by scholarly literature Defining Attributes 18 9.0 2 defining attributes of the selected concept are discussed substantively and supported by the scholarly literature Model Cases 20 10.0 2 model cases are discussed substantively and supported by the scholarly literature Alternative Cases 20 10.0 2 alternative cases are discussed substantively (borderline, related, contrary, invented, or illegitimate), and each case has support from the scholarly literature Antecedents & Consequences 18 9.0 1 antecedent and 1 consequence of the selected concept are discussed substantively and supported by the scholarly literature Empirical Referents 18 9.0 2 empirical referents for the selected concept are discussed substantively and supported with scholarly literature Conclusion 12 6.0 Concluding content includes clear presentation of the writer’s new knowledge gained from writing the paper Paper Specifications 12 6.0 Paper is at least 6 pages and not more than 8 pages in length

What did you see as the difference between leadership activities and management activities?

Leadership Theories and Personal Identification of Style and Strengths

Resources

Media

Course Media: Laureate Education, Inc. (Executive Producer). (2010).Leadership competencies in nursing and healthcare.Baltimore: Author.

“Leadership in Nursing and Healthcare,” featuring Dr. Kenneth J. Rempher, Dr. Diane Mancino, Dr. Don Arthur, Dr. David Nash, Dr. Cecilia K. Wooden, and Dr. Leslie Mancuso
Required Readings

Course Text: Sullivan, E. J., & Decker, P. J. (2013).Effective leadership and management in nursing(8th ed.). Upper Saddle River: Pearson Prentice Hall.

Chapter 4, “Leading, Managing, Following”
Course Text: American Nursing Association. (2010).Nursing: Scope & standards of practice.Silver Springs, MD: Nursesbooks.org. Retrieved from.waldenulibrary.org/limited/ANA.htm”>http://ezp.waldenulibrary.org/limited/ANA.htm

Course Text: Fowler, M. (2008).Guide to the Code of Ethics for Nurses: Interpretation and application.Silver Springs, MD: Nursesbooks.org. Retrieved from
.waldenulibrary.org/limited/ANA.htm”>http://ezp.waldenulibrary.org/limited/ANA.htm

Articles:

Jackson, J. R., Clements P. T., Averill J. B., & Zimbro K. (2009). Patterns of knowing: Proposing a theory for nursing leadership.Nursing Economic$,27(3), 149-159.
Kerfoot, K. M. (2009). Denial and immunity to change: It starts with the leader.Nursing Economic$,27(6), 422-423.
Optional Resources are listed in the Week 1 Learning Resources.

Threaded Discussion

Leadership Theory and Health Care

Reflect on the information presented this week and on your own work environment. Then, respond to the following:

Which theory of leadership do you think is most effective in today’s health care environment? Why?
How does ANA’sNursing: Scope & Standards of Practiceinfluence nursing leadership?
Support your response with references from the professional nursing literature.

Post your response byDay 3of this week. Respond byDay 7to at leasttwoof your colleagues’ postings. See the Week 1 Discussion area for details.

Application

Leadership Theory Paper

Throughout this degree program, you have been exposed to many great leaders in nursing and health care. Reflect on the leadership demonstrated by individuals such as Dr. Maggi McClure, Dr. Diane Mancino, Dr. Karen Drenkard, Ms. Joan Marren, Dr. Leslie Mancuso, Maria Manna, and Dr. Kenneth Rempher. Great leaders share common characteristics. As you have heard in this week’s media presentation, leadership skills can be learned and developed. The first step in developing leadership skills is increasing your self-awareness of your leadership qualities and abilities. In order to be an effective leader, you must find a style, or styles, that meet both your needs and those of the institution. Complete at least one of the following assessment inventories.

Gallup Strength Finders
Myers-Briggs
DiSC
Review your assessment results, and determine your leadership style, strengths, and growing edges. Consider how your leadership strengths are demonstrated in your nursing practice. Then, review the list of leaders presented below.

Winston Churchill
Margaret Thatcher
Eleanor Roosevelt
John F. Kennedy
Martin Luther King, Jr.
Mahatma Ghandi
Rudy Guiliani
Abraham Lincoln
César Chavéz
Mao Tse Tung
Lillian Wald
Mother Teresa
Select one person from the list. Research that individual, and write a 2–3 page summary of the selected leader’s leadership style and specific leadership characteristics demonstrated. Include in your summary any strengths or characteristics you have in common with the leader you selected. Also include how your identified strengths demonstrate mastery of ANA’sNursing:Scope & Standards of Practice, Standard of Professional Performance: Standard 12: Leadership as evidenced in your nursing practice.

Due byDay 7. See the Week 1 Application area for complete instructions.

Virtual
Practicum
Team
Discussion

Practicum Activities: Identify a Change Project
This week introduced the concepts of leadership and leadership theories. In addition, the media presentation and textbook readings discussed the difference between leadership and management. As you begin your practicum this week discuss with your manager possible change projects needed in the agency. Observe your manager and other leaders at your location. Identify how management and leadership activities contribute to successful change initiatives. Informally discuss options with your manager
Please address the following:

What did you see as the difference between leadership activities and management activities?
How do management and leadership activities contribute to the success of change initiatives
What change projects are needed in your agency at this time.
Post your response to this Discussion byDay 5. Respond to at leasttwocolleagues’ postings byDay 7

Week 2

Organizational Behavior and Change Theory

Resources

Media

Course Media:Leadership Competencies in Nursing and Healthcare

“Implementing Organizational Change,” featuring Dr. Brenda Freshman, Dr. Cecelia K. Wooden, Kevin F. Smith, Maria Manna, Dr. Karen Drenkard, and Dr. Leslie Mancuso
Required Readings

Course Text:Effective Leadership and Management in Nursing(8th ed.)

Chapter 2, “Designing Organizations”
Chapter 5, “Initiating and Managing Change”
Course Text:Nursing: Scope & Standards of PracticeRetrieved from.waldenulibrary.org/limited/ANA.htm”>http://ezp.waldenulibrary.org/limited/ANA.htm

Course Text:Guide to the Code of Ethics for Nurses: Interpretation and ApplicationRetrieved from.waldenulibrary.org/limited/ANA.htm”>http://ezp.waldenulibrary.org/limited/ANA.htm
Articles:

Holden, L. M. (2005). Complex adaptive systems: Concept analysis.Journal of Advanced Nursing, 52, 651–657.
Optional Resources are listed in the Week 2 Learning Resources.

Threaded Discussion

Chaos and Complexity Theory in Health Care

Based on this week’s readings and what has been presented on organizational theory, respond to the following:

Do chaos theory and complexity theory have any place in health care systems? Why or why not?
Support your response with references from the professional nursing literature.

Post your response byDay 3of this week. Respond byDay 7to at leasttwocolleagues’ postings. See the Week 2 Discussion area for details.

Application Assignment

Organizational and Change Theory Paper

Based on the theories of organizational and change management presented in the text and this week’s readings, analyze a change that has happened at your place of employment, including how effectively this change was handled. Write a 2–3 page paper addressing how well the change process worked. As a nurse leader, what would you have done differently to make the change more effective?

Due byDay 7ofWeek 3. See the Week 2 Application area for complete instructions.

Virtual Practicum Team Discussion

Practicum Activities:Apply Change Theory to the Proposed Change

In week one, you formulated some initial ideas about a Leadership Change Project. You discussed possible change projects with your manager.

This week has presented information on change, change management, and how an organization’s mission, vision, and values are reflected in its strategic plan. Using the information presented in the resources, complete the following two activities with the guidance of your instructor.

Your instructor has assigned you to apply change theory to the proposed change. Check for consistency between the proposed change and the mission/vision/values/strategic plan for the agency. Read more about change theory in your textbook.

Please address the following:

Which theory will you use as a framework for your change project and why?
Is there consistency between the proposed change and the mission, vision, and values of the agency?
If so, describe.
If not, how will you address the inconsistencies?
Post your response to this Discussion byDay 5. Respond to at leasttwocolleagues’ postings byDay 7

Week 3

Translating Strategic Vision Into Action: Communication Skills

Resources

Media

Course Media:Leadership Competencies in Nursing and Healthcare

“Communication, Teamwork, and Managing Conflict,” featuring Kevin F. Smith, Dr. Leslie Mancuso, Dr. Don Arthur, Dr. Louis Rubino, Maria Manna, and Dr. Cecelia K. Wooden
Required Readings

Course Text:Effective Leadership and Management in Nursing(8th ed.)

Chapter 8, “Thinking Critically, Making Decisions, Solving Problems”
Chapter 9, “Communicating Effectively”
Chapter 11, “Building and Managing Teams”
Chapter 12, “Handling Conflict”
Articles:

Baldwin, D., & Daugherty, S. (2008). Interprofessional conflict and medical errors: Results of a national multi-specialty survey of hospital residents in the US.Journal of Interprofessional Care, 22, 573–586.
Michaels, C. L. (2002). Circle communication: An old form of communication useful for 21st century leadership.Nursing Administration Quarterly,26(5), 1–10.
Shirley, M. R. (2006). Authentic leaders creating healthy work environments for nursing practice.American Journal of Critical Care,15(3), 256-268.
Institute of Medicine Shaping the Future for Health (2000).Crossing the quality chasm: A new health system for the 21st century. Retrieved from.iom.edu/

In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.

Due Date: Sep 03, 2016 23:59:59 Max Points: 150
Details:
The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline, and their local communities.
As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.
1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4. A minimum of three scholarly references are required for this assignment.
In addition to submitting this assignment in the LoudCloud dropbox, e-mail a copy of your submission
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
APPLY RUBRIC
Evolving Practice of Nursing and Patient Care Delivery Models
1
Unsatisfactory
0.00% 2
Less than Satisfactory
75.00% 3
Satisfactory
79.00% 4
Good
89.00% 5
Excellent
100.00%
80.0 %Content
40.0 % Clearly States How the Practice of Nursing and Patient Delivery Will Evolve, While Addressing Relevant Concepts That Include Continuity or Continuum of Care, Accountable Care Organizations, Medical Homes, and Nurse-Managed Health Clinics Main concept is not clearly identified, and subconcepts do not consistently branch from the main idea. Does not address any issues related to the evolving practice of nursing and patient care delivery. Main concept is not clearly identified, and few subconcepts branch appropriately. Addresses at least one issue related to the evolving practice of nursing and patient care delivery. Main concept is identified, and a few subconcepts branch from the main idea. Addresses many of the issues related to the evolving practice of nursing and patient delivery and patient care delivery. Main concept is easily identified and most subconcepts branch from the main idea. Addresses all of the issues related to the evolving practice of nursing and patient care delivery. Main concept is easily identified, and subconcepts branch appropriately from the main idea. Addresses all of the issues related to the evolving practice of nursing and patient care delivery.
20.0 % Evidence of Feedback and Forecasting of Nursing Role From Colleagues No evidence of feedback and forecasting of the nursing role from colleagues is included. Evidence of feedback and forecasting of the nursing role from colleagues may be incomplete or lack relevant scope. Evidence of feedback and forecasting of the nursing role from colleagues is included. Evidence of feedback and forecasting of the nursing role from colleagues is described in detail. Evidence of feedback and forecasting of the nursing role from colleagues is described in detail, with relevant personal insight, reflection, or analysis.
20.0 % Use of Vocabulary Regarding Evolving Practice of Nursing and Patient Care Delivery No recommended terms have been included in the correct context. Few recommended terms have been included in the correct context. Some recommended terms have been included in the correct context. Most recommended terms have been included in the correct context. All of the recommended terms have been included in the correct context.
15.0 %Organization and Effectiveness
10.0 % Originality Content is an extensive collection and rehash of other people’s ideas, products, images, or inventions. There is no evidence of new thought or inventiveness. Content is a minimal collection or rehash of other people’s ideas, products, images, or inventions. There is no evidence of new thought. Content shows evidence of originality. While based on other people’s ideas, products, images, or inventions, the work does offer some new insights. Content shows evidence of originality and inventiveness. While based on an extensive collection of other people’s ideas, products, images, or inventions, the work extends beyond that collection to offer new insights. Content shows significant evidence of originality and inventiveness. The majority of the content and many of the ideas are fresh, original, inventive, and based upon logical conclusions and sound research.
15.0 %Organization and Effectiveness
5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, and language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are employed. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present. Some mechanical errors or typos are present, but are not overly distracting to the reader. Audience-appropriate language is employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of sentence structures and effective figures of speech. The writer is clearly in command of standard, written academic English.
5.0 %Format
2.0 % Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
3.0 % Research Citations (in-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment) No reference page is included. No citations are used. Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and style is usually correct. In-text citations and a reference page are complete. The documentation of cited sources is free of error.
100 % Total Weightage

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

Key Features of the Affordable Care Act
Health Care Transformation: the Affordable Care Act and More
What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

How does each article describe the nature of the problem issue or deficit you have identified?

s part 1 and the third attachment is part 2.
Human Resource and Organisational Development. The first assignment consists of 2 parts. The first part is Description of Learning Event and the second Part is Critical Evaluation of Learning Event. So I have got the assignment from my friend and I need you to make a comprehensive paraphrase for the two parts. Also I need you to use another references where possible in part 2. Additional file
Criticaldocx 0.02 Mb None 04:38 07 Sep 2015
Client Additional file
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Identifying a problem
Introduction
Each day around the globe there is a soaring number of individuals that often demand various responsive services as measures to counter various medical conditions that often require prompt and radical responses. These may include acute exacerbation of chronic illness and pressure ulcers among others (Goodman Schindler & Washington 2014).
Description of the problem
Pressure ulcer (PU) is a localized injury to the skin and underlying tissue usually over a bony prominence as a result of pressure friction and shear and sometimes combination of all (Glasgow et al. 2014). The development of pressure ulcerdepends on various factors such as age mobility status length of stay in the health care facility continence initial skin state and other medical conditions. For instance an elderly incontinent person with limited mobility is more likely to develop a pressure ulcer.
Moreover based on the study held in Germany in 2009findings suggest that immobile patients in hospitals have a higher probability to develop pressure ulcers than immobile residents in nursing home.(Kottner et al. 2010). Hence it is important to determine why the patients with limited mobility are at higher risk of developing pressure ulcer in acute care settings rather than long-term care facilities. Furthermore it is vital to find the best approach in preventing and/or avoiding pressure ulcer development in these population.
Impact of the problem in the work environment quality of care and patient outcome
Patients tend to develop PU within the first week of hospital admission (Barton 2009).Patients in acute care settings have a higher risk of developing pressure ulcer as compared to patients in long term care facilities. One of the reasons can be the prioritization of tasks. According to Newham & Hudgell (2015) in intensive care units (ICUs) stabilizing patient medically administering medications and monitoring vital-signs come before repositioning patients.
Different factors facilitate in increasing the risk of developing pressure ulcers.The risk of the patient to develop PU also increases with the time spent in the hospital especially those in the intensive care unit.Patients using respiratory equipment sequential compression devices and urinary catheters among others are at higher risk of developing PU as they limit the ability to reposition them frequently. Mechanical ventilation also increases the risk of developing Pressure Ulcers in patients. Pressure ulcers secondary to medical devices present a significant health burden (Glasgow et al. 2014).
In addition according to Goodman Schindler Washington Bogie and Ho (2014) pressure ulcer is very common in patients with spinal injuries leading to repeat hospitalization. The duration of injury plays a significant role in increasing the risk of developing Pressure Ulcer in patients. The heel sacrum and ears are the most vulnerable parts to develop Pressure Ulcer (Cooper 2013).
Proposed Solution
Pressure ulcers are most of the time avoidable or preventable. In order to implement pressureulcer prevention in patients with limited mobility thorough initial assessment is imperative. Nurses who spend the most time at the patients bedside must identify the risk factors for each individual and adopt the most appropriate method of preventing pressure ulcer development. The clinical judgment of the nurses is considered to be very important in the assessment of the risk of developing PU (Balzer et al. 2014).
Different units take different measures in the assessment and prevention of development of pressure ulcers in patients. According to Sving Idvall Hgberg and Gunningberg (2014) nurses in some hospitals concentrate on helping patients recover quickly and pay little or no attention to the pressure ulcers. Nurses need to have adequate awareness about the pressure ulcers for them to provide the most appropriate care to the patients.
According to Waugh (2014) pressure ulcers can be prevented by providing pressure-redistributing surfaces to patients at risk and ensuring that they receive frequent repositioning. Furthermore it is advisable to ensure that the patients skin is protected from moisture and excessive dryness. Different guidelines have been developed to assist nurses take part in the prevention of PU development in patients.
According to Cooper (2013) alongside the pressure redistribution mattresses lifting the heel with a pillow or with the heel lift boots are necessary for the prevention of the development of PU. Furthermore it is also important to ensure that the nutrition of the patient is closely monitored to prevent PU as undernourished patients are found to be at a higher risk.
Earlier it was also mentioned that frequently patient suffer from pressure ulcers secondary to medical devices. Dyer (2015) in her article on how to prevent device-related pressure ulcers suggests ten tips. It begins with the risk assessment includes patient education and ends with recommendations of collaborative work among multidisciplinary teams and shared learning (Dyer 2015). The goal is first of all to identify the risk factors and then focus on preventing the pressure ulcer development.
Gravity of the problem
Pressure ulcers have become very common and challenging issue which represent expensive adverse events and are a significant cause of pain and distress to patients (Keen & Gaudario 2014).Patients in different care settings have varying risks of developing PU. From the discussion it is clear that patients in acute care setting are at higher risk of developing pressure ulcers as compared to those in long-term care setting. There were different reasons mentioned above such as nursing prioritization when it comes to patients in acute care settings as well as use of medical devices on acute patients which also increase the chances of developing pressure ulcers. Since PU is preventable in most cases it remains imperative to implement the importance of skin assessment and appropriate care involve other disciplines for example the department who supplies with special mattresses and other assistive devices along with providing continuous education to staff so that nurses can translate their knowledge to practice for a better patient outcome.
Rapid appraisal of each article
1. How does each article describe the nature of the problem issue or deficit you have identified?
The articles address the problems at hand in a comprehensive manner and are up-to-date. They are based on certain studies and are evidence-based. In addition some articles propose different solutions to prevent the identified problem.
2. Does each article provide statistical information to demonstrate the gravity of the issue problem or deficit?
No. Not all articles provide statistical data to demonstrate the gravity of the problem. Some are only limited to certain geographical locations.
3. What are example(s) of morbidity mortality and rate of incidence or rate of occurrence in the general population?
The general incidences of such factors as morbidity and mortality are relatively fair among the different articles.
4. Does each article support your proposed change?
No. Not all articles support the proposed change but the majority of the articles do. In this case some articles address the issue with some specificity.