Tag: Clinical-Nursing

Brief overview of the nursing conceptual model selected. WATSON

Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts.

Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.

Provide current reliable sources to establish credibility for the presentation.

Requirements for PowerPoint are as follows:

6 slides for content.

1 slide for references.

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.

Kurt Lewin’s Change Theory in Nursing Essay

Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move, as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.

For this Kurt Lewin’s Change Theory in Nursing Essay Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort.

To prepare:

Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.

Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.

Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.

Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.

To complete:

Write a 3- to 5-page Kurt Lewin’s Change Theory in Nursing Essay paper that addresses the following:

Identify a problem, inefficiency, or issue within a specific department/unit.

Describe a specific, realistic change that could be made to address the issue.

Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.

Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.

Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Writing Center provides an example of those required elements. All papers submitted must use this formatting.

Note: This Kurt Lewin’s Change Theory in Nursing Essay Assignment will serve as your Portfolio Assignment for this course.

What is a research proposal?

The purpose of the research proposal is to identify and formulate questions that arise from

nursing practice and to design a research project to study the identified problem. The goal of

a research proposal is to present and justify a research idea you have and to present the

practical ways in which you think this research should be conducted. Research proposals

contain extensive literature reviews and must provide persuasive evidence that there is a need

for the proposed research study. In addition to providing rationale for the proposed research,

a proposal describes detailed methodology for conducting the research consistent with

requirements of the professional or academic field and a statement on anticipated outcomes

and/or benefits derived from the study.

Directions:

You will be required to write a research proposal to be submitted in week 7. This may be

either a qualitative or quantitative research proposal. The proposal should be a 6–10 pages

plus appendices, cover page, and reference page. In week 8, you will present your proposal to

your classmates via video presentation.

This week, you will submit a topic for your research proposal and presentation as well as the

research questions you will be utilizing for your proposal and presentation. Your instructor

must approve your research questions and topic for your proposal.

Submit your journal assignment and include the following:

Research topic for the proposal and presentation

Research questions for the proposal and presentation

Note: Once approved, any changes to your topic or research questions should be approved by

your instructor.

Part II: Research Proposal Paper—Due Week 7

Directions

Write a research proposal using your clinical question formulated earlier in the course that was

approved by your instructor. This may be either a qualitative or quantitative research proposal.

Your proposal must include APA formatting. The proposal should be a 6–10 in length plus

appendices, cover page, and reference page.

Introduction

Clearly stated problem and purpose of the study

Independent and dependent variables

Definition of terms

Assumptions, hypothesis, or questions (depending on research type)

Theoretical Framework

Description of the theoretical framework to be utilized

Identification of the concepts to be explored

Rationale for choosing framework

Review of the literature

At least 4 scholarly sources included

Appropriateness of the review and the proposal focus

Inclusion of primary or secondary sources

Methodology

Description of study type (quantitative or qualitative)

Description of study design

Rationale for the use of the selected design

Inclusion of sample size, type, sampling method, inclusion/exclusion criteria,

setting, data collection method (instrument), and data collection process

Method for Protection of Human Subjects (consent)

Questionnaire and consent forms must be included as appendices

Data Analysis

Data analysis method is appropriate for study design.

Method of data analysis is clearly stated.

Method for displaying findings is stated.

Applicability to Nursing

Research focuses on a problem significant to nursing.

Research would contribute to nursing knowledge.

Proposal is complete so that another researcher could replicate the study.

Statement about areas of nursing that would benefit from this study.

Part III: Research Proposal Presentation—Due Week 8

Directions:

This week, you will submit your presentation using the Kaltura recording tool within

Blackboard. See the Getting Started with Kaltura link listed under the Resources area in

your course menu to learn how to use this tool. Record a 6–8 minute presentation to give a

summary, explanation, and rationale of your research proposal. In your presentation, be sure to

include the following:

Introduction

Theoretical framework

Review of the literature

Methodology

Data analysis

Applicability to nursing

Conclusion

References slide

Your presentation must include both audio and visual components and be professional in nature

Part I: Submit Topic and Research Questions—Due Week 2 What is a research proposal?

Directions:

Part II: Research Proposal Paper—Due Week 7

Directions

Introduction

Theoretical Framework

Review of the literature

Methodology

Data Analysis

Applicability to Nursing

Part III: Research Proposal Presentation—Due Week 8 Directions:

PICOT question and Literature review

The literature review is a critical piece in the research process because it helps a researcher determine what is currently known about a topic and identify gaps or further questions. Conducting a thorough literature review can be a time-consuming process, but the effort helps establish the foundation for everything that will follow. For this part of your Course Project, you will conduct a brief literature review to find information on the question you developed in Week 2. This will provide you with experience in searching databases and identifying applicable resources.

To prepare:

· Review the steps for conducting a literature review and for compiling your findings.

· Using the question you selected in your Week 2 Project (Part 1 of the Course Project), locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least 3 of these articles are available as full-text versions through Walden Library’s databases.

· Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to include a minimum of five articles. Complete a literature review summary table using the Literature Review Summary.
 

· Prepare to summarize and synthesize the literature using the information on writing a literature review.

To complete:

Write a 3- to 4-page literature review that includes the following:

· A synthesis of what the studies reveal about the current state of knowledge on the question that you developed

o Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.

· Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry

· Your literature review summary table with all references formatted in correct APA style

The literature review is a critical piece in the research process because it helps a researcher determine what is currently known about a topic and identify gaps or further questions. Conducting a thorough literature review can be a time-consuming process, but the effort helps establish the foundation for everything that will follow. For this part of your Course Project, you will conduct a brief literature review to find information on the question you developed in Week 2. This will provide you with experience in searching databases and identifying applicable resources.

To prepare:

· Review the steps for conducting a literature review and for compiling your findings.

· Using the question you selected in your Week 2 Project (PICOT Question), locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least 3 of these articles are available as full-text versions through Library databases.

· Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to include a minimum of five articles. Complete a literature review summary table using the 
Literature Review Summary. 

· Prepare to summarize and synthesize the literature using the information on writing a literature review.

To complete:

Write a 3- to 4-page literature review that includes the following:

· A synthesis of what the studies reveal about the current state of knowledge on the question that you developed

o Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.

· Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry

· Your literature review summary table with all references formatted in correct APA style

Note: Certain aspects of conducting a standard review of literature have not yet been covered in this course. Therefore, while you are invited to critically examine any aspect of the studies (e.g., a study’s design, appropriateness of the theoretic framework, data sampling methods), your conclusion should be considered preliminary. Bear in mind that five studies are typically not enough to reflect the full range of knowledge on a particular question and you are not expected to be familiar enough with research methodology to conduct a comprehensive evaluation of all aspects of the studies.PICOT Question.

To dissect the background of guidance and coaching we should first review why this topic is of such great importance.  Registered Nurses and Advanced Practice Nurses are now charged with focusing on prevention and early interventions to promote healthy lifestyles, prevent chronic diseases (Hamric, Hanson, Tracy & O’Grady, 2014). The six characteristics of the Advanced Practice Nurse (APN) are based on the historical values of nursing care taught in nursing school.  Taking a holistic approach in caring teaches Advanced Practice Nurses to look at the patient’s life with a wider lens, to incorporate the environmental attributes into plan for wellness.  This approach allows for insight on how to guide the patients plan of care.  The Advanced Practice Nurse must consider that a cookie cutter plan for each patient will not work for all patients, it must be individualized.  The APN should form a therapeutic relationship with the patient so that trust can be built, this will allow for the patient to open up more during the assessment.  One should also remember to be sensitive to cultural differences during this approach.  The difference in the APN coaching and guidance from the Registered Nurse (RN) are, the Advanced Practice Nurse will incorporate more evidence-based practice (Hamric et.al., 2014).

Every ten years the Healthy People initiative develops new objectives for the promotion of prevention in health. One of the objectives for Healthy People 2020 is health communication (Office of Disease Prevention and Health Promotion, 2017).  For individuals, effective health communication can help raise their awareness  of health risks and solutions, provide motivation and skills needed to reduce these risks (Healthy People 2010).   This focus on prevention and outcomes is why the six characteristics of direct clinical care by APN’s are important to develop.  It allows for improved communication with patients, which improves outcomes according to Healthy People 2020.  Improved communications can allow Advanced Practice Nurse to guide and coach their patients with more success.

Students may select one of the chapters included in Health Care Policy and answer the following questions:

What interested you most about Health Care Policy and why did you select it?

How does it relate to what you understand or have learned so far about the role of nurses and advanced practice nurses in policy and politics?

How does it relate to your current clinical practice? Give at least one specific example.

How does it relate to what you hope to accomplish as an advanced practice nurse?

A
ll discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.

Guidance and coaching in the role of a registered nurse (RN) is about teaching the patient about their disease and how to treat it by following the doctors’ orders and coaching them into a healthy lifestyle. According to Hamric, guidance is typically done by a nurse while coaching is something done by an advanced practice nurse (APN) because it is resolute, multipart, and collective process in which the APN works with the patient and their families to achieve attainable goals which are thought of together (2014). An APN will go back and forth between coaching and guidance depending on the assessment of the patient and how they best learn, coaching as an APN can also be called an intervention (Hamric et al., 2014). As APN, we take a specific set of classes to learn to how best communicate with the patient.

Interpersonal competence is the most important element of this competency. It not only occurs when the APN comprehends and assimilates the information obtained from the patient but when the patient recognizes the thorough message being passed on (Boyd & Carter, 2012).  The ability to create therapeutic partnerships is important as well and a part of interpersonal competence, this demands the APN to be present with the patient, to have empathy (Hamric et al., 2014). The APN must represent themselves openly and genuinely care for the patient and get to know them so the patient has a reason to follow the directions they’re given otherwise they prognosis is grim. In the same regards it is important to note cultural differences with communication, it is important that the APN is aware of her tone, volume, quality, and even vocabulary because what is appropriate for some cultures may not be for others and that could immediately close the communication doors (Boyd & Carter, 2012).

Teaching and coaching fits in the wellness vs sickness model because it is like previously stated patients respond better when their APN takes the time to get to know them, and that is where wellness medicine starts, when the APN gets to know the patient when disease hasn’t set in, (Chandma, 2013), while nurses do the general education when the patient is already ill.

Nursing Theory

Locate one nursing theory and one non-nursing theory. Describe how two practitioners can bring these separate theories together to provide meaningful patient care.

Discussion post is at least 200 words.

Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

3 References, try to find resources that are 5 years or less

No errors with APA format 6thEdition

Opinion Leader Perspectives

Consider some of the situations that motivated you to return to graduate school. Describe one in which you were (or wished you could have been) an opinion leader. What are the characteristics of opinion leaders? In what ways do you see yourself being an opinion leader?

Discussion post is at least 200 words.

Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

3 References, try to find resources that are 5 years or less

No errors with APA format 6thEdition

Reflect on a patient who presented with a vaginal discharge during your Practicum Experience. Describe key signs and symptoms that were consistent with a sexually transmitted infection (STI) versus a non-STI related infection. If you diagnosed the patient with an STI, describe your experience in telling the patient that she had an STI, as well as the patient’s reaction to the diagnosis. Explain how the diagnosis might impact the patient’s life short-term and long-term. Include an explanation of the patient’s medical history, drug therapy and treatments, and follow-up care. If you did not have an opportunity to evaluate a patient with this background during the last four weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.