Category: Nursing

Patient-Centered Outcomes Research Institute (PCORI) and the Center for Medicare & Medicaid Innovation (CMMI)

1. Do you feel it is better to allow individuals the freedom to choose any type of  (or no) health insurance coverage available to them or to increase government involvement in a person’s/family’s healthcare via mandates, such as the ACA and/or the government as a single insurer for all residents.  Why?

2. Discuss the mission of the Patient-Centered Outcomes Research Institute (PCORI) and the Center for Medicare & Medicaid Innovation (CMMI).

3.  If you could reform the malpractice or tort laws, what types of changes would you make? When do you feel it is   appropriate for someone to claim damages from medical procedures or treatment? Do you feel there should be a cap on  the payments, and if so, how would you decide what that cap would be? What are all the different costs involved in medical malpractice suites? Is it easier to talk about tort reform than to actually try to define it?

4.  Based in your windshield survey and/or community assessment, did you find any environmental hazards while doing the  assessment.   If yes, What was the origin of the hazards? How could they be addressed? Is/was the community doing   anything to deal with the problems?

Patient-Centered Outcomes Research Institute (PCORI) and the Center for Medicare & Medicaid Innovation (CMMI)

Healthcare Quality Issue Paper

As this is a scholarly initiative, this assignment must adhere to all APA requirements and formatting and include peer-reviewed and evidence-based sources to support any and all claims. As you develop this first part of the assignment, consider the following prompts to formulate your paper.

Patient Medication Errors is the topic, articles to use below, will need one more scholarly article.

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)31047-4/fulltext

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/212740

I. What Is the Organizational Problem?

A. Provide a contextual basis for the organizational problem that you have chosen. How does this problem fail to meet quality or other regulatory requirements?

B. Articulate organizational challenges posed by the problem (e.g., interdepartmental conflicts, communication failure, budgeting issues).

II. Evidence-Based Support

A. Provide data that supports the existence of the problem. You may utilize public sources to find data related to your selected problem.

B. How has this problem been addressed in the past? What information management systems or patient care technologies have been utilized when addressing this problem? Be sure to use peer-reviewed literature to support your answer.

C. Discuss relevant accreditation standards, safety standards, compliance standards, and quality initiatives. How do these standards promote a culture of safety within the department? Be sure to cite the appropriate standards within your answer.

Guidelines for Submission: Submit Healthcare Quality Issue Paper assignment as a Word document 2-3 pages long, with double spacing, 12-point Times New Roman font, and one-inch margins.
Healthcare Quality Issue Paper

Health care market organizations – Benchmarking in financial decision making

In order to be competitive in health care markets, organizations must ensure that the services they provide are consistent in pricing and quality with other comparable organizations. In this Discussion, you will examine how the process of benchmarking, or comparing organizations, is important in financial decision making.

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To prepare:

Review the information on benchmarking found in this week’s Learning Resources.

Search the Walden Library or other reliable resources on the Internet and locate a journal article discussing how a health care organization has used the principle of benchmarking.

How could the concept of benchmarking be used in your own organization (or one with which you are familiar), regardless of size?

Consider how benchmarking could be useful to you in decision making.

Analyze the potential risks of making a faulty comparison.

By Day 3

Post
 a summary of the article you found (including the APA reference) and explain how it informed your understanding of benchmarking. Discuss how benchmarking could be used for financial decision making in your own organization (or one with which you are familiar). Also analyze the potential risks of making comparisons with an organization that is not a credible match with your own.

Health care market organizations – Benchmarking in financial decision making

NR511: Differential Diagnosis and Primary Care

Week 3: Discussion Part One

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Date of visit: October 20, 2017

A 25 year old male freshman college student presents to the student health center today with complaints of bilateral eye discomfort. Upon further questioning you discover the following subjective information regarding the chief complaint.

History of Present Illness

Onset

2-3 days ago

Location

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Both eyes

Duration

Constant

Characteristics

Both eyes feel “gritty” with mild to moderate amount of discomfort. Further describes the gritty sensation “like sand caught in your eye”

Aggravating factors

None identified

Relieving factors

None identified

Treatments

Tried OTC visine drops yesterday which temporarily improved the redness but the gritty sensation, tearing and itching remained.

Severity

Level of discomfort is 2/10 on pain scale

Review of Systems (ROS)

Constitutional

Denies fever, chills, or recent illnesses

Eyes

Denies contact lenses or glasses, has never experienced these symptoms previously. Last eye exam was “a few years ago”. Denies recent trauma or eye injury. Denies crusting of lids or mucoid or purulent drainage. Bilateral symptoms of +redness, +itching, +tearing + FB sensation.

Ears

-otalgia, -otorrhea

Nose

+occasional runny nose with intermittent nasal congestion, denies sneezing. History of seasonal nasal allergies which is aggravated in the spring but is well controlled on loratadine and fluticasone nasal spray taken during peak season.

Throat

Denies ST and redness

Neck

Denies lymph node tenderness or swelling

Chest

Denies cough, SOB and wheezing

Heart

Denies chest pain

History

Medications

Loratadine 10mg daily (only takes during the spring months when nasal allergies flare)

PMH

Seasonal allergic rhinitis with springtime triggers

PSH

None

Allergies

None

Social

Freshman student at the University of Awesome located in central Illinois. Home is in Phoenix.

Habits

Denies cigarettes +recreational marijuana use +drinks 3-6 beers per weekend

FH

Adopted, does not know biological parents history

Physical exam reveals the following.

Physical Exam

Constitutional

Young adult male in NAD, alert and oriented, cooperative

VS

Temp-97.9, P-68, R-16, BP 120/75, Height 6’0, Weight 195 pounds

Head

Normocephalic

Eyes

Visual Acuity 20/20 (uncorrected) OU. PERRL with white sclera bilaterally. + photosensitivity. No crusting, lesions or masses on lids noted. Bilateral conjunctiva with diffuse redness and tearing but no mucoid or purulent drainage noted. No visible FBs under lids or on cornea to gross examination. NR511: Differential Diagnosis and Primary Care

Fundiscopic examination: Discs flat with sharp margins. Vessels present in all quadrants without crossing defects. Retinal background has even color, no hemorrhages noted. Macula has even color.

Ears

Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender.

Nose

Nares patent. Nasal turbinates are pale and boggy with mild to moderate swelling. Nasal drainage is clear.

Throat

Oropharynx moist, no lesions or exudate. Tonsils ¼ bilaterally. Teeth in good repair, no cavities noted.

Neck

Neck supple. No lymphadenopathy. Thyroid midline, small and firm without palpable masses.

Cardiopulmonary

Heart S1 and S2 noted, no murmurs, noted. Lungs clear to auscultation bilaterally. Respirations unlabored.

· Briefly and concisely summarize the history and physical (H&P) findings as if you were presenting it to your preceptor using the pertinent facts from the case. Use shorthand where possible and approved medical abbreviations. Avoid redundancy and irrelevant information.

· Provide a differential diagnosis (minimum of 3) which might explain the patient’s chief complaint along with a brief statement of pathophysiology for each. NR511: Differential Diagnosis and Primary Care

· Analyze the differential by using the pertinent findings from the history and physical to argue for or against a diagnosis. Rank the differential in order of most likely to least likely.

· Identify any additional tests and/or procedures that you feel is necessary or needed to help you narrow your differential. IF you ordered a test or performed a procedure, identify the corresponding Current Procedural Terminology (CPT) code(s). If not applicable, list n/a. All testing decisions must be supported with an evidence-based medicine (EBM) argument as to why it is necessary or pertinent in this case. If no testing is indicated or needed, you must also support this decision with EBM evidence. NR511: Differential Diagnosis and Primary Care

Give a positive comment on the following Potential barriers to Evidence Based Practice (EBP) project – Early mobility in the ICU;

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Potential barriers to my EBP project continuing desired results include resistance from staff and waning commitment from staff (Pexton, n.d.). Early mobility of ICU patients involves a lot of work from nurses such as additional assessment and physical demands of mobilizing patients, so I could see how after the initial push the results may decrease. To overcome this, education could be ongoing along with encouragement of staff to express their concerns. Allowing staff to communicate regarding the implementation may bring up points that were not thought of or planned out, leading to improved processes. Waning commitment is another barrier that may reduce the desired outcome of early mobility in the ICU. Many nurses, including myself, feel that we are always given more tasks and asked to do more with less. This may lead to reduced compliance as the program continues. This barrier may be overcome by implementing a communication plan that reaches all ICU staff members and focuses on the positives and “wins” of the project (Pexton, n.d.). Positive feedback from me regarding increased positive patient outcomes due to early mobility would keep the staff motivated and hopefully continue the desired results.  For EBP practices to continue, management also needs to facilitate a culture of improvement and support. Managers and leaders can do this by supporting communication, encouraging staff participations, and establishing priorities (HCPro, 2008). Through education, communication, and management support my EBP project of early mobility of ICU patients could show continued positive results.

References

HCPro. (2008). Nurse managers’ role in evidence-based practice. Retrieved from HCPro:

http://www.hcpro.com/NRS-208146-3238/Nurse-managers-role-in-evidencebased-practice.html

Pexton, C. (n.d.). Overcoming the barriers to change in healthcare system. Retrieved from Six sigma:

Overcoming the Barriers to Change in Healthcare System

Potential barriers to Evidence Based Practice (EBP) project – Early mobility in the ICU

NUR 508 Ethics, Policy, And Finance In The Health Care System Essay Assignment Papers and Discussion Questions

NUR 508 Resource 1: CLC Health Issue Analysis Overview

NUR 508 Week 2 Assignment (Benchmark): Nursing Leadership Health Policy Paper

NUR-508 Week 2 Assignment (CLC): Health Issue Analysis – Topic Identification

NUR 508 Week 3 Assignment (CLC): Health Issue Analysis – Part I

NUR-508 Week 4 Assignment (CLC): Health Issue Analysis – Part II

NUR 508 Week 5 Assignment 1 (CLC): Health Issue Analysis – Part III

NUR-508 Week 5 Assignment 2: Cost and Quality Analysis

NUR 508 Week 6 Assignment (CLC): Health Issue Analysis – Part IV

NUR 508 Week 7 Assignment 1: Health Policy Values

NUR-508 Week 7 Assignment 2 (CLC): Health Issue Analysis – Part V

NUR 508 Week 8 Assignment (CLC): Health Issue Analysis – Part VI

NUR 508 Ethics, Policy, And Finance In The Health Care System Essay Assignment Papers and Discussion Questions

NUR-508 Week 1 Discussion Question 1

What were the major causes of U.S. mortality in the last 100 years, and what public health measures most contributed to improvements in the health of the nation? Include at least two source citations from the readings and/or additional sources to support your answer.

NUR 508 Week 1 Discussion Question 2

What are the major causes of disease and death in the 21st century (e.g., chronic illnesses, communicable diseases, etc.) that continue to affect U.S. citizens in spite of the achievements in public health in the past century? What have been some of the strategies implemented to combat these illnesses on the local and national levels? Have they been successful? Include reference citations where appropriate.

NUR-508 Week 2 Discussion Question 1

Select one of the United Nations’ (U.N.) Millennial Development Goals (MDGs). Visit the website and report on the UN’s progress in achieving this goal? How will meeting this goal positively impact the health of the world? What suggestions would you make to help the UN achieve this goal?

NUR 508 Week 2 Discussion Question 2

Select a global health issue from the World Health Organization (WHO) list of health topics available at http://www.who.int/topics/en/ How has globalization influenced this issue from a positive or negative perspective?

NUR-508 Week 3 Discussion Question 1

Debate the various social factors associated with the situation of the “underinsured.” Respond to two other classmates’ answers with solid reasoning and support your opinions with appropriate reference citations.

NUR 508 Week 3 Discussion Question 2

Review the Agency for Healthcare Research and Quality (AHRQ) report “Priority Populations”:

http://www.ahrq.gov/health-care-information/priority-populations/index.html

Select one of the “priority populations” and explain the disparities this population faces. What strategies have been implemented to combat these disparities on the local and national levels? Have they been successful? Include reference citations where appropriate.

NUR-508 Week 4 Discussion Question 1

Debate the efficacies of public versus private-based quality initiatives. What roles do each play in the quality of U.S. health care? How would the elimination of one aspect affect the other? Respond to two other classmates and counter their answer, citing references as appropriate.

NUR 508 Week 4 Discussion Question 2

After reading the Kaiser Family Foundation summary on the Patient Protection and Affordable Care Act, state why or why not you believe the act should remain in law, or which pieces should be reversed. Then describe two pieces of the act that you were unaware was part of the act and how that may affect you as a citizen.

NUR-508 Week 5 Discussion Question 1

What are the eligibility requirements and coverage of Medicaid for the categories of low-income adults, pregnant women, and the aging/blind/disabled in the state where you live? Do you consider the eligibility requirements reasonable or restrictive? Do you consider the coverage reasonable or liberal? What are the benefits and drawbacks to keeping these populations insured through Medicaid? Consider both direct and indirect factors.

NUR 508 Week 5 Discussion Question 2

Review the CMS.gov 30-Day Mortality and Readmission Data website. Review at least two local hospitals and see how they compare to state and national benchmarks. How and why may a consumer or a health care professional use this data to make decision about their next hospitalization? Will reporting this data have an impact on hospitals bottom line in addition to financial penalties from CMS? Give at least two examples of how this data may be used and what type of impact if may have if at all on the hospitals.

NUR-508 Week 6 Discussion Question 1

Debate the question: “Is health care a basic right in the United States?” Answer this question through the lens of your role as RN. Support your response utilizing ethical theories and principles. Respond to two other classmates using respectful communication and solid reasoning. Support your response with appropriate references.

NUR 508 Week 6 Discussion Question 2

Select an ethical dilemma related to health policy from the categories of moral values, professional regulation, health of individuals in society, or distributive justice. What are the controversies surrounding this issue? What are the opposing ethical principles? How has past or current health policy addressed this dilemma? Support your reasoning with reference citations.

NUR-508 Week 7 Discussion Question 1

How do spiritual beliefs impact political ideologies and the policy process? How have they affected the health policy reform process? Using respectful communication, debate your response with two other classmates. Give examples and support your reasoning with appropriate references.

NUR 508 Week 7 Discussion Question 2

What is the role of a religious ethic in public policy today? Should a religious ethic or theistic worldview take priority over that of others? How can religious policy decision makers remain true to their personal values while respecting the views of individuals with differing cultural and spiritual beliefs? Respond to two other classmates and cite references as appropriate.

NUR-508 Week 8 Discussion Question 1

Select an advanced professional or advanced practice nursing specialty. How has past and current regulation/legislation affected the role and scope of this nursing role? What, if any, discussions are currently underway relative to the scope and role of this specialty? What resources are available to assist nurses in advocating for these roles?

NUR 508 Week 8 Discussion Question 2

Select a professional or specialty nursing association. What impact has this organization had on health care legislation in the past 2 years? Respond to two other classmates and support your answer with appropriate references and specific examples.

NUR 508 Ethics, Policy, And Finance In The Health Care System Essay Assignment Papers and Discussion Questions

 

NUR 508 Resource 1: CLC Health Issue Analysis Overview

NUR-508 Week 2 Assignment (CLC): Health Issue Analysis – Topic Identification

NUR 508 Week 3 Assignment (CLC): Health Issue Analysis – Part I

NUR-508 Week 4 Assignment (CLC): Health Issue Analysis – Part II

NUR 508 Week 5 Assignment 1 (CLC): Health Issue Analysis – Part III

NUR-508 Week 6 Assignment (CLC): Health Issue Analysis – Part IV

NUR 508 Week 7 Assignment 1: Health Policy Values

NUR-508 Week 7 Assignment 2 (CLC): Health Issue Analysis – Part V

NUR 508 Week 8 Assignment (CLC): Health Issue Analysis – Part VI

NUR 508 Ethics, Policy, And Finance In The Health Care System Essay Assignment Papers and Discussion Questions

NUR 504 Healthcare Research Analysis and Utilization Essay Papers and Discussion Questions

NUR 504 Week 1 Discussion Question # 1:

Discuss the differences between research, research utilization, and evidence-based practice. You may want to link this to the historical evolution of research in nursing.

NUR 504 Week 1 Discussion Question # 2:

Identify and discuss two major ways in which qualitative research differs from quantitative research. Is one better than the other? Provide reference(s).

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NUR 504 Week 2 Discussion Question # 1:

Discuss sources of bias for both quantitative and qualitative research. For quantitative research, be sure to address both random and systematic bias. You may use examples from the articles you selected as illustrations of bias and/or preventing bias. NUR 504 Healthcare Research Analysis and Utilization Essay Papers and Discussion Questions

NUR 504 Week 2 Discussion Question # 2:

Researchers often identify the research problem and then go in search of a theory. Discuss the disadvantages of doing this. What does the textbook recommend that researchers do to assure a true fit between theory and designing the study?

NUR 504 Week 3 Discussion Question # 1:

Describe the quantitative design of the article you selected. Present the strengths and limitations of this type of design according to the textbook and how these are reflected in your study. Contrast the design you have selected with at least one design presented by a classmate in one of your responses.

NUR 504 Week 3 Discussion Question # 2:

Describe the qualitative design (or methodology) of the article you selected. ………. Contrast the design you have selected with at least one design presented by a classmate in one of your responses.

NUR 504 Week 4 Discussion Question # 1:

Read the section Questionnaires versus Interviews on pages 305-306 in the textbook. ………..? What principles did you identify that are new to you but could be important in improving your collection of clinical data?

NUR 504 Week 4 Discussion Question # 2:

You are interested in nurses’ attitudes toward EBP. Which method do you think would work best to obtain this information: a questionnaire, a face-to-face interview, or a group interview? Defend your answer.

NUR 504 Week 5 Discussion Question # 1:

Demographic data is collected for every study. What is the purpose of describing the demographic data?

NUR 504 Week 5 Discussion Question # 2:

There is a tendency for novice researchers to develop their own instrument if they cannot readily find one. How might you respond to a peer or manager who asks you to help develop a new tool to collect patient data on anxiety prior to cardiac catheterization?

NUR 504 Week 6 Discussion Question # 1:

State in your own words what is meant by Type I and Type II errors. Why are these important? ……….. improve internal validity of a study.

NUR 504 Week 6 Discussion Question # 2:

An example of a multivariate procedure is analysis of covariance (ANCOVA). Explain what is meant by the following statement: ANCOVA offers post hoc statistical control. Provide an example

NUR 504 Week 7 Discussion Question # 1:

In the final section of study reports, there is a section on implications and recommendations. Describe the difference between these terms. Provide examples from one of the studies that you critiqued.

NUR 504 Week 7 Discussion Question # 2:

Researchers have a responsibility to identify the limitations of a study. ……… by limitation? Provide examples from one of the studies that you critiqued.

NUR 504 Week 8 Discussion Question # 1

Post your group’s CLC EBP project. Critically read two CLC EBP projects (other than your own). Name one barrier for each that could impact the implementation of the guideline in practice and how you would work through this issue.  NUR 504 Healthcare Research Analysis and Utilization Essay Papers and Discussion Questions

NUR 504 Week 8 Discussion Question # 2

Discuss what …. meant by mixed-methods designs. What are the limitations of these designs.

NUR 504 Healthcare Research Analysis and Utilization Essay Papers and Discussion Questions

NUR 504 Week 1 Benchmark Assignment: Evidenced-Based Practice

NUR-504 Week 2 Assignment: Quantitative and Qualitative Research (Version 1)

NUR 504 Week 2 Assignment: Quantitative and Qualitative Research (Version 2)

NUR-504 Week 2 Collaborative Learning Community (CLC): EBP Agreement

NUR 504 Week 3 Assignment: Summarize Research Articles

NUR-504 Week 4 Collaborative Learning Community (CLC): EBP Identification

NUR 504 Week 4 Critique of Research Studies -Part 1

NUR-504 Week 5 Collaborative Learning Community (EPB): EBP Literature

NUR 504 Week 6 Assignment: Critique of Research Studies – Part 2

NUR 504 Week 7 CLC Assignment: EBP Develop Clinical Guideline and Implementation Plan

NUR 504 Week 8 Assignment: Critique of Research Studies – Part 3

NUR 504 Healthcare Research Analysis and Utilization Essay Papers and Discussion Questions

 

NUR 504 Healthcare Research Analysis and Utilization Essay Papers and Discussion Questions

Professional Dynamics NRS-430V Essay Assignment Papers

Discussion Questions
Professional Dynamics NRS-430V- Prof
. Lorilee McAfee

 T
opic 1: Disc
ussion Question 1

Read Lake 
and Von B
aeyer#s article. “For Successful Students. $
Also
review the characteristics of a successful student and as explained in the 
lecture. 
As you consider these which is your strongest characteristic and why, How w
ill this characteristic help you to become a successful student in your p
rogram of study,

 The charact
eristic in which I profoundly use to guide myself through my program of 
study as expressed by the list provided in the “Tips for Successful Students is 
responsible and active! These traits are 
the seed that 
have allowed me to 
create a 
successful path in 
my program of 
choice! “y ta#ing an 
active role in my education 
and holding myself responsible to my academic goals$ I am pursuing the future I
want % outside of the academic community$ these traits have helped me to parta#
e
in a healthy lifestyle th
at will not deter me from the main goals at hand! This 
foundation have help me to not only ma#e it thus far in my studies$ but have allow 
me to re&ect on the struggles I under too# to get to this point in my academic 
career
! ‘s I continue to advance myself$ I continue to learn that these are not only 
traits$ but are morals in which I have built my success on and will continue to follow
throughout my life!
 T
opic 1: Disc
ussion Question (

+’at do you 
loo for&ard to as 
you e*in t’is educational e()erience and
your )ersonal searc’ for 
)ur)ose, +’at is 
your *reatest fear, 
o& can
you o!ercome it, +rite aout one 
s)eci/c educational e()erience 
from
your )ast in &’ic’ you addressed a fear and o!ercame it and ‘o& you 
succeeded in t’is process.

 The things 
I loo# forwar
d to as I embar# on this education experience is learning 
new things about how the human body function$ and completing the requirements 
for the “S* pr
ogram! +y greatest fear is no
t being able to complete my
assignments by t
he due date! It is very di,cult to go to school and wor# a full time
 -ob$ so I pla
n to complete all my assignments 
in a timely manner to overcome this
fear! The feeling on uncertainty in mid semester of a 
class that started out
informative and interactive can create a great deal of stress in addition to other
course wor#! During the fall of my fr
eshman year my anatomy and physiology class 
was one of my favorite classes until my professor shifted the direction in which he
taught his class
! The .rst few wee#s he allow the students to be a part of his
lecture with in class group activities and discussions that were directed to
expanding upon the 
material he was teaching! ‘s mid semester approached he
slowly withdrew from group activities and limited the amount of in class discussion
which served as my way to .r
mly grasp the material that w
as been taught! ‘s his
incentive to teach died down I slowly started to fail his class% as a freshman I
learned that as a student there will be times in which you will have to ta#e upon
yourself play the r
ole of your 
professor and teach yourself the material! /hile some
professors are actively engaged in their students learning$ some will slowly pull
away providing room 
for failure! 0veryone hate to fail$ b
ut sometimes a terrible
experience with a professor will open your eyes to the importance of selfmotivation
and responsibility
!
 T
opic (: Disc
ussion Question 1

o& does no&led*e of t’e foundations and ‘istory of nursin* )ro!ide a
conte(t in &’ic’ 
to understand current )ractice, dentify at least 
t’ree
trends in nursin* )ractice from t’e $Nursin* 1imeline of istorical 2!ents
media )iece. o& ‘a!e 
t’ese trends inuenced your )ers)ecti!e on
nursin* )ractice,

 The dominanc
e of female pr
esence in the nursing .eld directly r
e&ect its history in
terms of the r
ole women play
! “efore nursing became a .eld of practice it started
out as 
women providing care 
for the sic#! 2lorence *ightingale was highly praised
for her wor# in the nursing .eld because she saw the need for improvement%
speci.cally her push for reform of sanitation method practiced by the “ritish military
heal care system was the introduction of change in the entire health care system!
3er innovative implementation of change in the health care brought ma-or
recognition that the 
nursing .eld 
deserve! This recognition allowed for even more
growth in nursing practices allowing growth in education drastically improving
patient outcomes! The willingn
ess of women from the start of patient car
e practice
have allowed nursing to grow within the female population% this growth is not only
re&ective of its past$ but goes to show that anyone can contribute to the movement
of change! ‘s advancements in the 
medical .eld continues to grow more 
extensive
three that have in&uenced my perspective of nursing is my nursing practice is the x
ray machine$ ultras
ound technology$ and the nursing uniform! The xray machine
and ultrasound technolo
gy have allowed a way for physicians with and inside loo# of 
the human body and a 
way to analy4e the normal and 
abnormal structure! This
analysis enable physicians to prescribe proper course of treatment when there is
abnormal .nding$ and the nurse carrying 
out the plan of treatment! 2or example$ a
chest xray can detect pneumonia and the nurse can administer antibiot
ic when
prescribed by the doctor
! The uniform has evolved from 
white caps$ white shoes

and all white uniform to 
colorful print scrubs and designer foot wear
! The nursing
.eld is continuously growing and it will continue to grow as the rears progress!
 T
opic (: Disc
ussion Question (

Descrie t’e de/nition of nursin* as )ut for&ard y t’e American Nurses
Association. o& 
does it 
address t’e 
meta)aradi*m t’eories of nursin*

 The ‘merican 
*urses ‘ssociation de.nition of nursing is a r
e&ection of the )uality of 
care that all nurses 
are to provide to their patient! The .eld s not a practice that
focus on one aspec
t of a patient$ but their entire wellbeing! The metaparadigm
theories of nursing list several entities which includes person$ environment$ nursing
and health5illness! *urses put these 
entities into practice by developing a 
care plan
that includes both the patient and their family
! This can include patient teaching on
a healthy 
life style! The environment aspect includes providing safety while nursing
care is being administered! The nursing aspect is providing optimum care to the
patient$ and the health5illness is attending to the emotional as well as the spiritual
needs of the patient! 6are that is pr
ovided should be e
xtensive and viewed as long
term allowing the road to recovery to be ful.lling!
7eference: 2
iberg$ 0lia4abeth 0$ 6r
easia$ 8oan 9! The 6onceptual 2oundation: The
“ridge to professional *ursing ractice ;

th

 edition!
 T
opic <: Discussi on Question 1 1’e media% and olly&ood in )articular% re)resent one a!enue in &’ic’ t’e *eneral )ulic ecomes familiar &it’  t’e role of  nurses. o& does t’e media )ositi!ely or ne*ati!ely inuence t’e )ulic#s ima*e of nursin*, +’at ot’er a!enues may etter educate t’e *eneral )ulic on t’e role and sco)e of nursin* as &ell as t’e c’an*in* ‘ealt’ care system,  The media port rays nurses in both a negative and a positive manner ! I opt to watch shows that are .lmed in the 07 setting and has a lot of trauma$ by watching these shows I am able to shar pen my critical thin#ing s#ill and my assessment s#ills! I viewed one episode where a patient was allergic to peanuts and had an anaplastic reaction because his girlfriend did not brush her teeth after eating a peanut butter sandwich! This episode taught me  to be  mindful of my contact with latex when handing a patient who has  latex listed as an allergy ! ossible avenues that can better the public =s image of nursing is schools! The media will always .nd creative ways to negatively attest to a particular .eld however$ by nursing programs advertising their success with their students and developing a strong relationship within the commun ities they are located! They are able to show that changes within the health care system can be done simply by better educating the future wor#force! Professional Dynamics NRS-430V Essay Assignment Papers

NURSING NRS-430V Professional Dynamics

What do you look forward to as you begin this educational experience and your personal search for purpose? What is your greatest fear? How can you overcome it? Write about one specific educational experience from your past in which you addressed a fear and overcame it and how you succeeded in this process.

NRS 430V Module 1 Assignment: CLC Group Project Agreement

NRS 430V Module 2 Assignment: Educational Preparation

NRS-430V Module 3 Assignment CLC: Nursing Conceptual Model Presentation

NRS 430V Module 4 Assignment: Professional Development of Nursing Professionals

NRS-430V Module 5 Assignment: Professional Associations Membership (ACCN Flyer)

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NRS 430V Topic 1: Essentials of Baccalaureate Education

Module 1 Assignment: CLC Group Project Agreement
                                                                                                    

Topic 1: Discussion Question 1

Topic 1: Discussion Question 2

NRS 430V Topic 1 – Discussion Question 1: 
Read Lake and von Baeyer’s article, “Tips for Successful Students.” Also, review the characteristics of a successful student as explained in the lecture. As you consider these, which is your strongest characteristic? Why? How will this characteristic help you to become a successful student in your program of study? NURSING NRS-430V Professional Dynamics

NRS 430V Topic 1 – Discussion Question 2: 
What do you look forward to as you begin this educational experience and your personal search for purpose? What is your greatest fear? How can you overcome it? Write about one specific educational experience from your past in which you addressed a fear and overcame it and how you succeeded in this process.

NRS 430V Topic 2: Nursing History, Theories, and Conceptual Model

Module 2 Assignment: Educational Preparation

Topic 2: Discussion Question 1

Topic 2: Discussion Question 2

NURSING NRS-430V Professional Dynamics

NRS’430V Topic 2 – Discussion Question 1: 
How does knowledge of the foundations and history of nursing provide a context in which to understand current practice? Identify at least three trends in nursing practice from the “Nursing Timeline of Historical Events” media piece. How have these trends influenced your perspective of nursing practice?

NRS 430V Topic 2 – Discussion Question 2: 
Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing?

NRS 430V Topic 3: Scope of Practice and Differentiated Practice Competencies

Module 3 Assignment CLC: Nursing Conceptual Model Presentation [12 Slides + Speaker Notes]

Topic 3: Discussion Question 1

Topic 3: Discussion Question 2

NURSING NRS-430V Professional Dynamics

NRS 430V Topic 4: Professional Accountability, Standards of Practice, & Professional Development

Module 4 Assignment: Professional Development of Nursing Professionals

Topic 4: Discussion Question 1

Topic 4: Discussion Question 2

NRS 430V Module 4 Assignment: 
Professional Development of Nursing Professionals

NRS’430V Topic 4 – Discussion Question 1: 
You have ……….. physicians would like nurses to adopt in the hospital. Discuss the process you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses. NURSING NRS-430V Professional Dynamics

NRS.430V Topic 4 – Discussion Question 2: 
Outline the process for developing nursing standards of practice, and identify the different entities that might be involved in developing a standard of practice.

NRS 430V Topic 5: Advocacy and Activism

Module 5 Assignment: Professional Associations Membership (ACCN Flyer)

Topic 5: Discussion Question 1

Topic 5: Discussion Question 2

NRS 430V Module 5 Assignment: Professional Associations Membership (ACCN Flyer)

NRS.430V Topic 5 – Discussion Question 1: 
Discuss how evidence-based practice is applied in your practice setting and describe the desired patient outcome achieved through this approach.

NRS 430V Topic 5 – Discussion Question 2: 
Explain the value that professional nursing organizations have in networking and in the legislative process. Provide a rationale for your response. NURSING NRS-430V Professional Dynamics

 

NRS 430V Topic 1 – Discussion Question 1: 
Read Lake and von Baeyer’s article, “Tips for Successful Students.” Also, review the characteristics of a successful student as explained in the lecture. As you consider these, which is your strongest characteristic? Why? How will this characteristic help you to become a successful student in your program of study?

NRS 430V Topic 1 – Discussion Question 2: 
What do you look forward to as you begin this educational experience and your personal search for purpose? What is your greatest fear? How can you overcome it? Write about one specific educational experience from your past in which you addressed a fear and overcame it and how you succeeded in this process. NURSING NRS-430V Professional Dynamics

NRS’430V Topic 2 – Discussion Question 1: 
How does knowledge of the foundations and history of nursing provide a context in which to understand current practice? Identify at least three trends in nursing practice from the “Nursing Timeline of Historical Events” media piece. How have these trends influenced your perspective of nursing practice?

NRS 430V Topic 2 – Discussion Question 2: 
Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing?

NRS.430V Topic 3 – Discussion Question 1: 
The media, and Hollywood in particular, represent one avenue in which the general public becomes familiar with the role of nurses. How does the media positively or negatively influence the public’s image of nursing? What other avenues may better educate the general public on the role and scope of nursing as well as the changing health care system?

NRS 430V Topic 3 – Discussion Question 2: 
What factors need to be considered when determining whether or not identified actions are within the domain of nursing practice? Be sure to cite current literature in your response

NRS’430V Topic 4 – Discussion Question 1: 
You have ………… to investigate a new procedure that physicians would like nurses to adopt in the hospital. Discuss the process you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses. NURSING NRS-430V Professional Dynamics

NRS.430V Topic 4 – Discussion Question 2: ……….
 the process for developing nursing standards of practice, and identify the different entities that might be involved in developing a standard of practice.

NRS.430V Topic 5 – Discussion Question 1: 
Discuss how evidence-based practice is applied in your practice setting and describe the desired patient outcome achieved through this approach.

NRS 430V Topic 5 – Discussion Question 2: 
Explain the value that professional nursing organizations have in networking and in the legislative process. Provide a rationale for your response. NURSING NRS-430V Professional Dynamics

PICOT Statement Review Rubric

 

1

Unsatisfactory

0.00%

2

Less than Satisfactory

75.00%

3

Satisfactory

79.00%

4

Good

89.00%

5

Excellent

100.00%

Points

Earned

80.0 %Content

 

30.0 %

Identification of Clinical Problem/Issue

Clinical problem/issue is not identified, and resolution is not addressed. PICOT Statement Review Rubric

Clinical problem/issue is identified with little discussion of resolution or patient outcome.

Clinical problem/issue is identified but not supported with clinical observations or evidence. The identified problem/issue can be resolved, or a patient outcome shows minimal improvement.

Clinical problem/issue is identified based on clinical observation experience or evidence in literature. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can be improved using nursing interventions.

Clinical problem/issue is identified based on key concepts that define evidence-based practice or clinical experience. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can show a marked improvement through a nursing intervention.

17.78/22.5

30.0 %

Clinical Problem/Issue, Including Description, Evidence-Based Solution, Nursing Intervention, Patient Care, Health Care Agency, and Nursing Practice

Clinical problem/issue is not described with clarity and the corresponding elements are not included. PICOT Statement Review Rubric

Clinical problem/issue description includes a basic understanding of the problem/issue and setting, with few of the following elements explained: evidence-based solution, nursing intervention, patient care, health care agency, and nursing practice.

Clinical problem/issue description includes a basic understanding of the problem/issue, the setting, and the patient population. The following elements are explained: evidence-based solution, nursing intervention, patient care, health care agency, and nursing practice. Minimal rationale is provided to support the resolution of the clinical problem/issue.

Clinical problem/issue description includes a thorough understanding of the problem/issue, the setting, the patient population, and why it is a problem/issue. The following elements are explained in detail: evidence-based solution, nursing intervention, and patient care consistent with specific health care agency and nursing practice. Sound rationale is provided supporting the clinical problem/issue resolution.

Clinical problem/issue description includes a developed and thorough explanation of the problem/issue, the setting, the patient population, and the rationale for why it is a problem/issue. The identified clinical problem/issue explains the following elements with detail and clarity: evidence-based solution, nursing intervention, and improved patient care consistent with specific health care agency resulting in nursing practice change. Sound rationale is provided in the discussion of the clinical problem/issue resolution.

17.78/22.5

10.0 %

PICOT Statement Focused on Resolution, Improvement, Application, and Intervention

PICOT statement does not focus on resolution of a problem/issue, improvement of patient care or application of a nursing intervention.

PICOT statement discusses a clinical problem/issue without a focus on improvement or intervention.

PICOT statement focuses on the resolution of a clinical problem/issue that improves patient care through the application of a nursing intervention.

PICOT statement focuses on the resolution of a clinical problem/issue, with discussion of improving patient care through the application of an evidenced-based nursing intervention.

PICOT statement clearly focuses on the resolution of a clinical problem/issue and aims at improving patient care through the application of an evidenced-based nursing intervention.

5.93/7.5

10.0 %

PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time

Population, Intervention, Comparison, Outcomes, and Time are not included.

Population, Intervention, Comparison, Outcomes, and Time are present, but lack detail or are incomplete.

Population, Intervention, Comparison, Outcomes, and Time are present.

Population, Intervention, Comparison, Outcomes, and Time are clearly provided and well developed.

Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details.

5.93/7.5

15.0 %Organization and Effectiveness

 PICOT Statement Review Rubric

5.0 %

Presentation

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

2.81/3.75

5.0 %

Argument Logic and Construction

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

2.81/3.75

5.0 %

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English.

0.00/3.75

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.

1.19/1.5

5.0 %Format

 

3.0 %

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

2.00/2.25

100 %

Total Weightage

PICOT Statement Review Rubric

56.21/75

 

PICOT Statement Review Rubric