The Purnell Model For Cultural Competence
1. In your own words and using the appropriated evidence based references discuss The Purnell Model for Cultural Competence.
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2. Discuss at least 3 assumptions and variant cultural characteristics of The Purnell Model for Cultural Competence. Give at least 1 example.
APA format word document, a minimum of 2 evidence based references no older than 5 years, and a minimum of 500 words are required.
A hospital is looking to implement an EHR. It has been suggested that an INS be hired. This position does not involve direct patient care and the administration is struggling with how to justify the position. How can this position be justified?
Using reference:
McGonigle, D., & Mastrian, K. (2015).
Nursing informatics and the foundation of knowledge
(3rd ed.)
.
Burlington, MA: Jones & Bartlett. (ISBN 978-1-284-04351-8)
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HERE IS THE RESOURCES GIVEN
:
Nursing Informatics Learning Goals/Outcomes
Upon completion, the student will be able to:
Analyze the sciences underpinning nursing informatics and their relationship to nursing informatics practice.
Discuss the evolving roles and competencies of nursing informatics practice.
Describe how clinical information technologies are and will impact nursing practice.
Explore how nurses can create and derive clinical knowledge from information systems.
Speculate on the future of nursing in the context of health informatics.
Required Resource
View Youtube video:
Interview with a Nurse Informatics Specialists (Links to an external site.)
Read
Nursing Informaticist (Links to an external site.)
RECOMMENDED RESOURCES- WEBQUESTS
http://www.allianceni.org/
(Links to an external site.)
http://www.ahima.org/
(Links to an external site.)
https://www.amia.org/
(Links to an external site.)
https://www.ania.org/
(Links to an external site.)
http://www.himss.org/
(Links to an external site.)
http://www.imia-medinfo.org/new2/
(Links to an external site.)
http://www.imia.org/ni/
(Links to an external site.)
Nursing Informatics Mini Lecture
The IMIA-NI (Nursing Informatics: Special Interest Group of International Medical Informatics Association)definition, agreed at their General Assembly in Stockholm in 1997, and amended for clarity at the General Assembly in Seoul, 1998 defined Nursing Informatics as the integration of nursing, its information, and information management with information processing and communication technology, to support the health of people world-wide.
Evolution
The term “medical informatics” has its foundation with the French term “informatique” which concerns all the aspects of the computer as a tool for use in processing of information. The term “medical informatics” was used before “nursing informatics” and “health informatics”. Medical informatics is the use of computers for classification and retrieval of data and for the management health care information, enabling use to explore and better understand the informational and cognitive foundations of medicine3 (Blois, 1986).
In 1985 Hannah defined nursing informatics as the use of information technology by nurses carrying out their duties and which are in relation in relation to any function in the purview of nursing (as cited in Ball et al, 2000).
Graves and Corcoran (1989) state that nursing informatics is a “combination of computer science, information science, and nursing designed to assist in the management and processing of nursing data, information, and knowledge to support the practice of nursing and the delivery of nursing care.”
Romano (as cited in Ball et al., 2000) adds a further dimension to this definition by asserting that nursing informatics is “the application of the principles of information science and theory to the study, scientific analysis, and management of nursing information for the purpose of establishing a body of nursing knowledge”.
The ANA definition of nursing informatics. Nursing informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice.(ANA, 2008) Nursing informatics facilitates the integration of data, information, and knowledge to support patients, nurses, and other providers in their decision-making all roles and settings (ANA, 2008 p. 1). Aiding in their roles is what makes this definition role-oriented. Role oriented definitions seem to be the most complete of these NI definitions. They describe how the NI specialty functions under the broader scope of health informatics yet has specific components such as: differentiated practice, defined research, organizational representation, educational development, and credentialing (2008). As the definition has evolved, it has become more specific to nursing.
In summary, several definitions of nursing informatics have been proposed. The definition can be categorized as:
Technology-focused (Ball)
Conceptual-focused (Graves and Corcoran)
Role-orientated (ANA)
While the specialty of Nursing Informatics typically requires master’s level preparation, it is important for every nurse to have a good understanding and awareness of the concepts underlying nursing informatics. Both the ANA and the Essentials for Baccalaureate Education from AACN state that nursing students must have an understanding of nursing informatics.
According to ANA (2008), Nursing Informatics is a discipline-specific practice within the broader perspective of health informatics. NI has been recognized as a specialty for registered nurses in 1992. The focus of NI is on representation of nursing data, information, and knowledge; and the management and communication of nursing information within the broader context of health informatics.
Nursing informatics:
is nursing practice
adheres nursing values and beliefs
provides a practice base of the specialty of NI
produces new nursing knowledge
distinguishes a group of nursing practitioners
focuses on the phenomena of interest to nursing (patient, environment, health, nursing)
provide a domain-specific language, terminology and knowledge representation system.
Nursing Informatics is a specialty in nursing through it’s:
differentiated practice. In addition to the four phenomena of interest to the discipline of nursing, NI focuses on structure and algorithm of data, information, and knowledge used by nurses.
defined research program. Priorities for NI research are development of nursing languages and terminologies, databases for clinical information, patient as users of information technology, Telehealth, and issues of data privacy and confidentially.
organizational representation in international (e.g., IMIA) national (e.g., AMIA), regional, local level organizations providing opportunities for networking and professional development.
educational programs such as emerging NI graduate programs.
credentialing through ANCC
In addition the differentiation of NI as a specialty in nursing is also supported by:
NI’s own scientific nursing underpinnings
integration of concepts and tools from information science and computer science
application of Human computer Interaction (HCI) and ergonomics principles
The goals of Nursing Informatics are to improve health worldwide by optimizing nursing information management and communication.
The Informatics Nurse Specialist has at least a master’s degree in nursing informatics (system degree) and functions in the role of project manager, consultant, educator, researcher, development support, policy development or entrepreneurs related to nursing information technology application.
Although NI is considered a specialty practice within the discipline of nursing, some informatics competencies are required for all nurses. So is expected that a beginning nurse has fundamental computer literacy skills and information literacy skills related to patient care; the experienced nurse has proficiency in information management and communications in their area of practice such as community health, patient education, etc. The informatics Nurse Specialist is expected to have all the competencies outlined in the beginning and experienced nurse, and to demonstrate the competencies enumerated in the Standard of Practice (ANA, 2001), collaborate with other informaticists, and function within interdisciplinary environments such as health care, HCI, information science, and computer science.
Standards of Informatics
The American Nurses Association published the third iteration of its nursing informatics scope and standards of practice in 2008. This work reflects the significant evolution of the specialty from the original scope of practice statement published in 1994 and the first nursing informatics standards of practice in 1995. Although the definition of nursing informatics remains essentially unchanged from that presented in 2001, the inclusion of “wisdom” reflects today’s emerging mandate for evidence-based practice and decision support resources for the knowledge worker and emphasizes nursing informatics competencies and functional areas. Overall, it articulates the essentials of nursing informatics, its accountabilities and activities for both nursing informatics specialists and generalists. Its standards are those by which all nurses practice nursing informatics, and reflect and specify practice priorities and perspectives.
Purpose:
Discussion
Comment
on Florence Nightingale Environmental Theory of Nursing Essay
Instructions:
Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.
1 References, find resources that are 5 years or less
No errors with APA format 6 Edition
To Comment on the following.
NB: This Florence Nightingale Environmental Theory of Nursing Essay is written by as student and NOT one of our writers.
Florence Nightingale “the lady with the lamp” the founder of the environmental theory. The Environmental theory focuses on taking care of the patient’s environment such as “fresh air, pure water, sufficient food supplies, efficient drainage, cleanliness of the patient, environment and light (particularly direct sunlight)” Nursing Theory. (2016). Florence Nightingale believes that having a clean environment will prevent illness and promote health to patients’. As of today, Florence Nightingale environmental theory continues to guide nurses, physicians, advanced registered nurse practitioner and other health care team members. Florence Nightingale environmental theory and my principles of nursing, are the foundation of my personal beliefs and the essence of nursing.
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As an advanced registered nurse practitioner, I will incorporate Florence Nightingale theory my goal is to emphasis on compassion, caring, dignity and respect toward my patients’. While collaborating with other members of the health care team, I will implement the environmental theory to achieve optimum results for the patient. As an advanced registered nurse practitioner, I will advocate for each patient needs, clean environment, respect and dignity.
The role of the nurse is to assist the patients’, sick or well, contributing to health, recovery, or to peaceful death. I prefer to take a holistic and environmental approach to nursing because it allows me allows me to understand the values, concerns, emotions, spiritual, and mental well-being of a patient.
The environment is the combination of what the patient experiences in their community and in the health care facility. For example, in the patient’s community, does the patient have access to clean water and a warm home? Is the patient exposed to environment hazards at home or at work? In the health care facility, is the patient’s room comfortable (room temperature adjusted for patient comfort, bed adjusted for safety, clean bedding, etc.).
My nursing theory is composed of a set of values that I have obtained from lectures, interactions with patients, family members, and healthcare professionals. My personal theory reveals the evolution I have made from the role of a registered nurse to the role of an advanced registered nurse practitioner. Using the tools provided by Florence Nightingale nursing theory, I examine the patient’s health and environment. I use education to enhance my tools through consideration of my nursing theory. Florence Nightingale Environmental Theory of Nursing Essay.
Assignment Purpose:
Comment
on the Discussion on King’s Conceptual System Model of Nursing Essay below
Thing to Remember:
Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.
1 References, find resources that are 5 years or less
No errors with APA format 6 Edition
Students King’s Conceptual System Model of Nursing Essay To Comment on
Q. Which theory speaks to your advanced nursing practice? Explain why it speaks directly to your future practice and give specific examples of how you see it fitting into your new role.
Personally, King’s Conceptual System Model spoke the most to my practice both currently as a registered nurse in a Family Practice setting and a future advanced practice nurse (Whetsell, Gonzalez & Moreno-Fergusson, 2018). Her goal of accomplishing with this model was for “happiness and flourishing” (Whetsell et al., 2018). Therefore, she had a more holistic approach considering, human beings and their surrounding circumstances (Whetsell et al., 2018). She concluded that a conceptual model included: “conceptual systems, personal system, interpersonal system, social system, …authority, body image, decision making, growth and development, etc…”(Whetsell et al., 2018).
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An article I came across in my search for learning more about this theory, studied the interpersonal relationship as it applies to King’s model with nurses and adult patients (Pereira Borges, Magalhaes Moreira, Braz da Silva, Oliveira Loureiro, & Bezerra de Meneses, 2017). This study concluded that by the nurse and client interacting more allowed the patient/client to be more at ease with their care (Periera Borges et al., 2017). It showed particularly, great results in patients who were agitated with bedrest and felt like social outcast, this theory helped them feel valued, desired and heard (Periera Borges et al., 2017). Another similar case study, with Alzheimers patients reports similar results in their outcomes with nurse to patient interaction using King’s Conceptual Model (Ugur, Orak, Agacdiken, & Yuksel, 2017).
The way I would apply this theory to practice, would to take a holistic approach with my patients. This would include, considering all of the issues addressed in this model: body, mind, heart, image, social issues, surrounding stressor, etc (Whetsell et al., 2018). I will take time to listen to my patients as much as time allows, helping them to feel a valued part of their care. Help them to make well informed decisions. This is how I will apply King’s Conceptual system.
Stress and Conflict Management Essay
Conflict may occur in any work environment, whether it is in the clinical setting, another department, or another organization. It is important to understand how conflict arises and how conflict is managed through effective communication.
The behavior of a leader has a direct impact on the motivation of his or her team. It is crucial for a leader to understand how his or her behavior and conflict-handling ability impact the care of patients.
Here is a scenario of a leader who is willing to handle conflicts in his or her workplace.
You are promoted to a management position in a small organization. There are four full-time members and three part-time members. You have a department manager currently overseeing the operations. You are excited to begin with your new assignment and have completed orientation. You heard some rumblings from the staff development team, “You have your work cut out for you in this department!” It does not sound promising, yet you are filled with energy, a positive attitude but a bit concerned as you do not want to appear bossy. You lack a bit of confidence since they are seasoned team members and you are new to the organization.
Once you begin your first day, you decide to meet with everyone as a group and individually over the next few days. What you are uncovering is disturbing and you quickly realize that the team members have lots of conflicts within the department. In a nutshell, this is what you have discovered:
The department manager thinks she is in charge since clients, customers, or patients have specialized needs. She is stern faced and does not seem to smile, yet she does not admit it is her or her department’s fault if there is an error. She seems to enjoy the increasing conflict among the unit as it takes any “pressure” off her and she can continue to “tell people what to do.”
Two full-time administrative staff members do not like each other and refuse to work together. One feels the other cooks “strange food” and cannot understand her when she speaks, and she is too quiet. The other staff member feels the first one is too outspoken and not gracious and hurries through her assignments. They share a small office and their work is critical to the success of the organization as they oversee all billing, accounts payable and receivable, and schedule the large projects and services to other organizations. The rest of the staff members avoid going to this office as the tension is clearly increased in this room.
The part-time staff feel they are not being offered any extra shifts and sometimes they are asked not to come to work if the day is slow. They feel they are not valued and are demotivated by less pay. This is a critical time for them due to the economy crisis. When they are at work, they often bring their home problems with them and seem stressed when they have to work with the other team members.
Answer the following questions:
How will you address each area and improve understanding, collaboration, motivation, and positive attitude?
How does emotional intelligence play a role in encouraging the staff to cooperate and to be willing to make behavior changes?
What behavior theory will you research to develop your thoughts when you speak to each staff member?
How important is decreasing overall conflict in the workplace?
How can you develop a win-win approach?
Note
: Substantive comments should be included in your thoughts and responses for all class participation.
To comment on Dorothea Orem Self-Care Theory Student Essay…
Dorothea Orem’s Self-Care Theory speaks to my future advanced nursing practice. Some of the assumptions in this theory are that people need a nurse when their illness is greater than their self-care capabilities, that people need to know about possible health problems to be able to provide self-care, that people have a responsibility to care for themselves and their family, and that each person is unique (Current Nursing, 2012). This theory speaks to me in several ways. I will be using these assumptions to give specific examples of how this theory will fit in my new role, possibly as a palliative care APN.
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As an APN, I will continually be interacting with people whose illnesses are greater than their self-care capabilities. This is when people are most vulnerable. Using Dorothea Orem Self-Care Theory, these are the people who need a nurse, a competent nurse. The best service I can offer them is competent nursing care. Nursing competence has been described as skills learned through training and clinical experience, which research has shown to provide a base for quality palliative care. (Dobrina, Tenze, & Palese, 2014). I plan to provide competent care by keeping up to date with my skills and knowledge by attending educational meetings in the Austin area, regularly reading APN journals, and gleaning the latest information from other qualified healthcare professionals.
Another assumption that I will put into practice, is that people need to know about possible health problems to be able to provide self-care. This is where I will provide education to help my patients and their families develop a plan of care and be prepared for possible health problems. A study done discussing the contributions of Dorothea Orem Self-Care Theory in ALS patients, showed that a big part of the nurse’s role is developing the plan of care, and, in this instance, the goal of the self-care plan was to slow the symptoms of ALS (de Medeiros Nobrega, Pessoa, & de Miranda, 2012). The article pointed out that in creating this plan of self-care it must be supported by the nurse-patient-family relationship. The only way patients and families can be prepared for possible health problems is through education. I plan develop healthy nurse-patient-family relationships to create a good learning environment to reach these goals of patient and family self-care.
This brings me to another assumption that people have a responsibility to care for themselves and for others in their family. Family responsibility is a requirement for hospice at home and is one of the reasons hospice provided me with such job satisfaction. I see myself putting this into practice by providing patients and families with education about pain control, personal care, what to expect throughout the dying process, and spiritual and emotional resources. This education will lead them to be competent and confident to take responsibility for themselves and their loved ones.
Another assumption found in the Dorothea Orem Self-Care Theory that I am going to incorporate in my practice, is the fact that each person in unique. This uniqueness plays a critical role in reaching the goal of self-care. Patients abilities to provide self-care are directly affected by their life circumstances, depression, feelings of worthlessness, character traits, beliefs, culture, relationships with the healthcare team, politics, economics, and education (Hasanpour-Dehkordi, 2016). No two people are alike. As an APN, I will need to ask the right questions, not make assumptions, be a good listener, be patient, be curious, and be willing to see things from their perspective. I will need to delve into their complex history to make an appropriate plan of care to help them reach their self-care potential.
Effective Use of Technology Across the Care Continuum in a Health Care Setting
How to Manage Change and Technology to Improve Positive Outcomes
Effective Patient Care with Current Nursing and Informatics Theoretical Ideas
Nurse organization membership recruitment flyer designing assignment
Choose a professional nursing organization that relates to the nursing profession or your clinical practice area. Assuming that you are the chairperson of membership for the organization, create a full-page flyer designed to recruit new members to the professional organization. In your flyer, include:
The function of the organization, as well as its mission and vision.
Potential advantages of membership in the organization.
Provide resource information for new members, including contact information, membership requirements, and organizational endorsements (i.e., what other members or other organizations are saying about the selected organization).
Create a topic for an upcoming meeting that would appeal to your target audience.
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.
Describe The US Legal System’s Involvement Regarding Competency Decisions And The Impact On The Healthcare System.
One of the leading health indicators from the Healthy People website is obesity. How could you as a health educator include the topic of obesity to a group of nurses on a pediatric unit? Defend in 400 words. With at least 2 references and citations