How Effective is the Recycling of Electronic Trash in Hong Kong?
EXPLORING EBP QUALITY IMPROVEMENT
Continue working on your Module 3 Assignment to complete this week. Keep in mind that the key requirements are to identify a hypothetical practice problem as the focus of an evidence-based quality improvement project; a hypothetical health care setting for the project based on investigating actual sites; stakeholders for project approval and implementation within health care settings; and a presentation outlining the basic steps of a specific framework/model for translating research and evidence to improved practice.
Although “hypothetical” is the watchword for this Assignment, the substantial effort you have invested and the information and insights obtained can pay real dividends as you begin your DNP project in earnest.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
THE ASSIGNMENT
Part 1: Key Project Elements
Complete your paper of 6–8 pages, plus cover page and references page, explaining your investigation of three hypothetical practice sites for an EBP QI project.
Part 2: Implementation Science Presentation
Complete your PowerPoint presentation of 3–5 slides, plus cover and reference slides, to inform hypothetical stakeholders.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at to an external site.).
Background
The Moon and Mercury are geologically dead. In contrast, the larger terrestrial planets—Earth, Venus, and Mars—are more active and interesting worlds. We will observe the inner planets and the moon in this laboratory.
Materials
Laboratory Sheet
Actions
Stellarium
Either run on your own computer
OR
Accessed through the DCCC virtual computer labLinks to an external site.
Procedure:
Open Stellarium and turn off the ground and atmosphere.
Check your “Sky and Viewing Options” and click on “Surveys”. Check Mercury, Venus, the Moon, and Mars:
Use the Search tool to find Mercury and zoom in as far as you can using your trackpad/scroll wheel or ctrl+arrow keys. The planet should fill your Stellarium window. If you lose the planet, a quick search will bring it back into center.
Pause the time controls
How would you describe the surface of Mercury? Record on lab sheet.
Repeat for Venus, the Moon, and Mars. You will need to adjust zoom level to view the entire planet. Complete the lab sheet questions for Part 1
Open the “Sky and Viewing Options” and click on the SSO tab and check “Show Planet Orbits”.
Turn the Ground back on, but leave the Atmosphere turned off. Zoom out until you are back on Earth and the FOV (Field of View) is between 60 and 90.
Advance time until the Sun is in the sky. You should see the Venus and Mercury. You may have to click on each to show their orbits. If you don’t see orbits, check step 7 above.
Main point: Comparative Study of Coaching or Leadership Philosophies
3 Books: (MUST USE THESE)
1. The Score Takes Care of Itself: My Philosophy of Leadership by Bill Walsh
2. Wooden on Leadership: How to Create a Winning Organization
3. Call Sign Chaos: Learning to Lead by Jim Mattis
Within the structure of the pdf that has all the information, there are a few points and notes to consider and follow:
When going through the books to define the key points have a greater list and then reduce it to 5-7 key coaching points that are going to be focused on in the writing for each coach/book
Important to compare principles! NOT characteristics
Each coach/book part should be 6+ pages
Within each part, there is a portion to compare and contrast
Evaluate the principles
It is not about the autobiographical aspect of each coach or their coaching jobs and life but rather it focuses on the actual methods and concept of coaching, which includes the 5-7 finalized key points
For the sources make sure to use only primary sources which include; direct interviews, direct quotes in articles, short articles that are first person, or other books
SECTION 1 BACKGROUND: IDENTIFYING A PROBLEM
Eleanor is a 52-year-old patient who had a hip replacement 1 day ago and is on your assigned patient
care team. You complete patient care rounds and assess Eleanor’s vital signs, comfort level, intravenous
(IV) site and wound dressing. Eleanor has an IV for fluid replacement and medication administration. She
also has an indwelling urinary catheter. She tells you that her pain level is a 4 out of 10 and she is
reluctant to move around because of the pain.
You know that the patient’s pain control is a high priority and that the physician ordered the indwelling
urinary catheter until the patient is able to get out of bed easily and tolerate fluids. The urinary catheter is
convenient in that the patient will not experience pain getting up to the bathroom and it provides an
accurate measurement of output. On the other hand, you know that the longer the indwelling urinary
catheter is in place, the higher the risk of an infection.
You ask a trusted senior nurse when is the right time to remove the catheter since Eleanor is now
tolerating ice chips. The senior nurse tells you that the catheter is usually kept until the patient is able to
get up and ambulate independently. You wonder if there are any contraindications or problems with
removing Eleanor’s indwelling catheter now. You decide to follow the senior nurse’s advice, leaving the
indwelling urinary catheter in place and reevaluate for removal in the morning.
SECTION II BACKGROUND: INTERPROFESSIONAL TEAMS AND STAKEHOLDER
ENGAGEMENT
This section is focused on the identification of a clinical problem and the steps of forming an interprofessional team
to work on fixing the problem. The intent is to understand who are the stakeholders for this problem and the
importance of engaging stakeholders in the quality improvement (QI) project. Examine the problem of CAUTIs
holistically to identify stakeholders.
You return to work the next day to learn that Eleanor has a low-grade fever of 99.8° F that was reported to
the physician. The physician ordered an immediate urine culture and removal of the catheter the previous
afternoon. The urine culture was positive for Escherichia coli, representing the presence of catheterassociated urinary tract infection (CAUTI). During the bedside report, you find that although Eleanor
states she is tired, she is able to get up to the bathroom with a walker independently. She is also tolerating
oral fluids and foods.
The presence of the CAUTI bothered you enough that you spoke to your Unit Director about looking into
evidence-based interventions to reduce CAUTIs. The Unit Director tells you that the rate of CAUTIs for
the medical–surgical unit has steadily risen over the past year and the monthly total is twice the number
from 2 years ago. You volunteer to convene a committee to work on the problem. Your first step is to
identify others who should be on your team. You know that the stakeholders are individuals who
influence or are influenced by the clinical problem under investigation. Review the discussion on
stakeholders in Chapter 15 for guidance on selecting appropriate stakeholders.
SECTION III BACKGROUND: LEADING A QI TEAM
This section is focused on power gradients and leadership styles within an interprofessional team. Consider how to
lead a team consisting of various healthcare professionals.
You identified a variety of interprofessional to include on your committee including two direct-care
nurses from the medical–surgical unit, one nurse from the operating room, two certified nurse assistants, a
nurse supervisor, a physician, the medical–surgical clinical nurse specialist, a pharmacist, a laboratory
representative, and a dietician. You feel that these individuals clearly represent all aspects of patient care.
Review the information on communicating within a team and with different power gradients in Chapter 8.
By working closely with the clinical nurse specialist (CNS), you are able to convene a meeting of the
team
For this week’s assignment, write a 3-paragraph reflection on Chapter 1 of Shifting the Balance by focusing on the four misconceptions presented. In your response, address the following points:
1. Briefly summarize each of the four misconceptions. I know that some words don’t have logical synonym or useful replacements, but where possible, aim to use your own words and phrasing.
2. Provide your thoughts, questions, or concerns regarding each misconception.
3. Discuss any potential implications or consequences of these misconceptions in the context of teaching reading.
Your response should adhere to academic standards and Standard English conventions. You can submit your reflection in the text box below or as an attached file.
Remember, the goal is to reflect on your learning from this module, rather than simply summarizing the content. Use the prompt as a guide to explore your understanding of Chapter 1 and its relevance to the teaching of reading.
Prompt:
Comic book characters have all kinds of exciting and rare anatomical and physiological features that define their storyline. Apply what you have learned in Hands On Lab: Skeletal System to design your own comic book character (superhero or villain). You do not need to be a comic book expert at all!
You will need to describe changes to the skeletal system (Wolverine and Mr. Glass are not allowed to be copied but may certainly be used for inspiration) on a detailed level that gives your character some benefit. Conversely, you will also need to describe a weakness or cost to the body from this change to the skeletal system. This is up to you! Have fun with it but base your choices on evidence. If you could enhance one part of our skeletal system to make us superheroes or supervillains, what would it be?
In your posts to your classmates, evaluate their choices. Is there anything you want to borrow from their design to build a better comic book character? Are you able to offer them advice to how their design could be improved? Is there a weakness that they haven’t realized?
Example: I may want to have a character who can easily move through treetops so I would redesign the bones of the upper body. I would discuss this in correct anatomical terms (Ex: femur, proximal) and include details on a cellular level (Ex: osteoblast). I may also look at the skeletal structure of animals, like an orangutan, to help guide me. The weakness may be how the skeleton may now be off balance so mobility would be affected or could be an issue with the joints now being overworked.
Write a paper outlining the ecosystem service assessment methodology.Produce satellite images for assessing the Ecosystem Health of Monrovia, Liberia, utilizing Earth Observation (EO) data.
1.Changes in Air Quality in Monrovia due to Urbanization
2.Health Issues Caused by Air Pollution
3.Percentage of Notable Water Pollution due to Urbanization
4.Impact of Area Development on Variety of Life and Natural Resource
1.Leverage EO data to capture large-scale environmental information.
Explore various spatial, spectral, and temporal resolutions for comprehensive data collection.
2.Conduct satellite observation analysis to investigate the impact of aerosol loading on air quality.
Provide insights into the correlation between aerosol levels and potential health implications.
3.Map investigation to identify and analyze notable water pollution attributed to urbanization.
Present findings highlighting the spatial distribution and intensity of water pollution in the Monrovia region.
4.Assess the potential impact of area development on the diversity of life and natural resources in the region.
5.Air Pollution Health Impact Analysis: Integrate real-time, historical, and forecast PM2.5 and weather data into the assessment.
Determine and quantify the health issues caused by air pollution, emphasizing the correlation with specific pollutants.