Question Description
1———Skin-to-skin contact has a multitude of researched benefits for an infant including, thermoregulation, cardiac regulation, neurostimulation, stabilization of blood glucose levels and encouraging the initiation on breastfeeding. Breastfeeding also has been proven to have extensive benefits such as a decreased risk of cancer, diabetes, childhood obesity, development of allergies and an increase in overall intelligence just to name a few. For my EBP I am suggesting that all maternity units should implement immediate skin-to-skin contact (SSC) between mother and infant (or father and infant if mother not stable to do so) as standard newborn care in order to promote breastfeeding along with the additional health benefits.

One obstacle of initiating SSC is lack of infant stabilization, especially in neonates. Many neonates are very unstable from minute to minute, hour to hour and day to day and due to this instability, it is hard to implement skin-to-skin contact at any point in their recovery because of the need to continuously monitor their vitals. Currently, “sensors that measure a premature newborn’s heart rate, breathing rate and other vital signs in the neonatal intensive care unit require electrodes whose glue can hurt and scar a preemie’s delicate skin, and wires that can prevent cuddles and other skin-to-skin contact babies need” (McCartney, N. & Pawlowski A., 2019).

Researchers at Northwestern University have recently “unveiled wireless soft, ultra-thin, flexible skin-like sensors” in hopes that this will be a suitable alternative for monitoring neonates’ vital signs. Wireless sensors are placed both on the baby’s chest and foot and then data is transmitted using near-field communication. Near-field communication is a technology that resembles that used to make a wireless payment from a smartphone. This technology could allow for infants to be placed skin-to-skin with their mothers, receiving the above-mentioned benefits of SSC and hopefully encouraging the process of breastfeeding or even mothers milk to come in (McCartney, N. & Pawlowski A., 2019).

While the article discusses the use of this technology within the NICU, there is no reason why it couldn’t be useful for full-term, healthy newborns within a maternity unit as well. When SSC is initiated for any newborn the nurse still needs to assess the infant’s vitals regularly to assure that their vitals remain stable. In order to complete this assessment, the RN needs to disrupt the independent SSC between mother and infant. While SSC isn’t discontinued, the manipulation required by the nurse in order to accurately assess the infant’s vitals does cause slight discontinuation of infant contentment on his/her mothers’ chest. There are also many instances when a nurse needs to disrupt an infant breastfeeding in order to get their assessment. This can all be avoided if there were an easier way to monitor the infant’s vitals independently from physical touch and intervention. Overall, I believe this would only enhance the mother/infant bonding and skin-to-skin experience and benefits!

Assignment: Healthcare Capstone Academy

Assignment: Healthcare Capstone Academy

2———–Healthcare technology includes bedside physiologic monitors, pulse oximetry devices, electrocardiogram machines, bedside telemetry, infusion pumps, ventilators, and electronic medical records (EMRs) as well as electronic health records (EHRs). It is used to improve delivery of safe patient care by providing tools for early diagnosis, ongoing monitoring, and treatment of patients. Healthcare technology also plays an important role in projects’ implementation. In my capstone project, I am using cloud based/web based EMR that can improve the implementation process and the outcomes of the EBP.

Cloud-based software technology was introduced to replace the paper. The EMR technology “gives health care providers information in formats that were not possible with paper charts” (Manca, 2015). For instance, the EMR technology enables viewing and printing graphs of values such as weight, cholesterol levels, and blood pressure, tracking changes over time; improves attainment of chronic disease management, prevention, and screening targets (Manca, 2015). Also, EMRs can provide treatment goals or alerts to remind providers when certain prevention and screening maneuvers are due or out of date. For instance, as in case of CAUTIs prevention, which is the topic of my project, EMR system with physician order entry and nursing documentation builds charting modules that reinforce the appropriateness of catheter use, reducing CAUTIs incidences and hence improving patient outcomes. A physician order for a catheter requires criteria for catheter insertion “mapped to the nursing checklist, which triggers a “foley maintenance protocol” (Pharmacy OneSource Blog, 2014). A device-specific charting module provides for nursing documentation of patient voiding method and serves as a physician reminder of the catheter’s presence (Pharmacy OneSource Blog, 2014). Thus, the EMR technology assists in driving evidence-based care and improves its outcomes.

3——Use of information and communication technology (ICT) can improve the implementation process and the outcomes of EBP project. This is because through ICT, systematic research can be carried out that can provide adequate evidence about the EBP project. ICT allows for internet search for relevant information that can enhance Evidence Based Practice. I therefore plan to use this technology especially in research so as to obtain enough evidence from systematic research. Additionally, through ICT I can be able to obtain a lot of relevant information through internet search on all the aspects of the EBP project.

A survey conducted in 2017 reports that of nurses surveyed, 63 percent report that their work has caused them to feel burned out. One of the most significant contributors to nurse satisfaction is their perceived control over their work environment — particularly their schedule and patient assignments ( Marcus, M 2018).

In my project, I believe that technology is being used to help me in finding more easy way to complete my task, but it is not considering much on solving the issues or helps in replacing nurses in count. Technologies are making it easier for nurses to remotely monitor patients while performing other duties, such as electronic health records, have cut down on paperwork, and telehealth services with remote nursing are keeping patients out of the hospital, reducing the time-consuming duties of full time care.

The most common barrier which we find usually in most of the technologies would be failing in addressing the real problem, but helping in some other ways for eradicating the problems. Our hospital use lots of learning modules where we need to enroll for it and complete each module with the post test and certification, which really helps me in adding up my knowledge and to carry out the work in an efficiency manner.

MINIMUM OF 60 WORDS FOR EACH ANSWER WITH PROPER CITATION AND REFERENCES

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.