NUR3805 Dimensions of Professional Practice Essay

Chapter 9 Discussion

Follow the instructions under Discussion Board Rubric and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Internal citations and references are required.

Ladies and gentlemen ~

I believe that the grand theorists were important to getting nursing where it is today ~ I believe that as nurses, we need to understand their contribution and give them a nod of thanks.This module is focused on the utilization and application of nursing theory as a guide for excellence in nursing practice. As a BSN student, it is important that you learn to critique nursing research and become an informed consumer of research relevant to evidence based practice. That’s where the middle range theories come in. NUR3805 Dimensions of Professional Practice Essay. Middle range theories provide the theoretical framework that link grand nursing theories with nursing practice.

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Discussion topic: Middle Range Theories

1. Identify ONE middle-range nursing theory from your text, from the list in the Learning Plan, or one you identify on your own that applies to your area of practice or simply peaks your interest. (I am hopeful that you will all have different ones)

2. Summarize your chosen middle-range theory, including the development of it as a middle-range theory, how to utilize it and the theoretical framework for it. Most middle-range theories have a theoretical framework. For example, the framework for the middle range theory of Unpleasant Symptoms:

Framework for Unpleasant Symptoms MRT

Of course, many have their own designed model for how they perceive the framework should be ~ that’s okay. Which one makes the most sense to YOU? And if you don’t like theirs, design your own framework for the theory!

3. Identify how this middle range theory can help you organize your thoughts for critical thinking and decision making in nursing practice. NUR3805 Dimensions of Professional Practice Essay.

NRS433 Introduction to Nursing Research Essay Discussion papers

Week 1 Discussion

DQ1 Identify two areas of nursing practice, in which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer-reviewed articles.

DQ2 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale.

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NRS433 Introduction to Nursing Research

Week 2 Discussion

DQ1 Qualitative data has been described as voluminous and sometimes overwhelming to the researcher. In what ways could a researcher manage and organize the data?

DQ2 The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. What are the differences and similarities between two of the three types of studies? NRS433 Introduction to Nursing Research Essay Discussion papers.

NRS433 Introduction to Nursing Research

Week 3 Discussion

DQ1 Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.

DQ2 What is sampling theory? Describe it and provide examples to illustrate your definition. Discuss generalizability as it applies to nursing research.

NRS433 Introduction to Nursing Research

Week 4 Discussion

DQ1 Extraneous variables may have an influence on the dependent variable. In what ways do researchers attempt to control extraneous variables? Support your answer with current literature.

DQ2 Describe the levels of evidence and provide an example of the type of practice change that could result from each. NRS433 Introduction to Nursing Research Essay Discussion papers.

NRS433 Introduction to Nursing Research

Week 5 Discussion

DQ1 The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature.

DQ2 According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients. How do you see this being applied in your workplace? NRS433 Introduction to Nursing Research Essay Discussion papers.

NR392 Quality Improvement in Nursing Essay Assignments

Week 1 Discussion

Defining a Quality Care Issue in Nursing

CO1 Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

Think of an area of opportunity within your current or former clinical setting that is quality driven. Define (D) one nursing care issue (not a workforce issue such as staffing) from a current or former nursing workplace (or clinical setting) that could be impacted by improved quality. NR392 Quality Improvement in Nursing Essay Assignments. This nursing care issue should not be one that has already undergone a quality improvement process. Tell us details of this issue and how it this issue impacts nursing care quality at that facility.

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NR392 Quality Improvement in Nursing

Week 2 Discussion

DMAIC Process for a Real Life Issue

CO2 Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

Why is it important to have a structured process to approach and improve nursing care quality? How can use of this structured process help to improve quality nursing care in your setting?

NR392 Quality Improvement in Nursing

Week 3 Discussion

Quality Improvement Education

CO1 Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

CO3 Examine culture of safety principles that improve patient outcomes based on current evidence. (POs 7 and 8) NR392 Quality Improvement in Nursing Essay Assignments.

In your prelicensure nursing education program, what did you learn about quality improvement in nursing? How was quality improvement emphasized? As you consider nursing education today, what would you suggest be included in future education or orientation programs about the important topic of quality improvement in nursing?

NR392 Quality Improvement in Nursing

Week 4 Discussion

Culture of Safety

CO1 Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7) NR392 Quality Improvement in Nursing Essay Assignments.

CO2 Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

How does your current or former clinical environment maintain a culture of safety? How are errors reported and managed to improve quality? What suggestions would you make as a nurse leader to improve the culture of safety?

NR392 Quality Improvement in Nursing

Week 5 Discussion

Strategies for Interprofessional Collaboration to Promote Quality

CO1 Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

CO2 Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

This week as we focus on interprofessional collaboration to promote quality, please remember that professionals include dietitians, therapists (respiratory, physical, occupational, and speech), social workers/case managers, psychologists, physicians, pharmacists, and others. Professionals do not include patients, families, aides, or unlicensed assistive personnel. NR392 Quality Improvement in Nursing Essay Assignments.

Working as an interdisciplinary team helps promote positive patient outcomes. What strategies do you use to successfully work with other professions in your workplace to promote quality care? What strategies are not successful? What are the barriers to interprofessional collaboration, and how will you overcome these barriers?

NR392 Quality Improvement in Nursing

Week 6 Discussion

Quality Improvement Using Evidence-Based Practice in Nursing

CO3 Examine culture of safety principles that improve patient outcomes based on current evidence. (POs 7 and 8)

Consider a single nursing care issue at your facility where quality has already been improved by implementation of evidence. Answer the following:

How was evidence on that topic located in scholarly professional nursing journal articles and evaluated? NR392 Quality Improvement in Nursing Essay Assignments.

What was the implementation plan?

How was the improvement in quality measured after the implementation?

What do you suggest that would have improved this implementation and maintenance of improved quality?

NR392 Quality Improvement in Nursing

Week 7 Discussion

The Role of Patients in Your Course Project Nursing Issue

CO1 Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

CO3 Examine culture of safety principles that improve patient outcomes based on current evidence. (POs 7 and 8)

Considering the nursing issue for your Course Project, address the following:

Provide a brief summary of your Course Project for the class NR392 Quality Improvement in Nursing Essay Assignments.

What patient data is collected? What data do you want collected?

How will this actual and desired data help you to continue to improve quality on this nursing issue?

NR392 Quality Improvement in Nursing

Week 8 Discussion

Reflection on AACN BSN Essential II

CO1 Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative interprofessional team. (POs 2 and 7)

CO2 Discuss effective processes and strategies to improve quality in nursing. (POs 2 and 8)

Quality is an overriding principle in the AACN BSN Essentials document. Essential II specifically describes the role of the baccalaureate nurse in quality improvement. As you complete this course, reflect on how you will implement lessons learned about quality improvement into your future nursing practice. Provide details about what you plan to do to improve quality in your current or ideal future professional nursing position. NR392 Quality Improvement in Nursing Essay Assignments Think big!

Relationship Between Variables in a Dataset Essay

You will describe this relationship by answering the following questions:

1. Insert the Scatter Plot you have created into your post.

2. Describe the following characteristics of the correlation result as interpreted from the Scatter Plot you just created: 

– strength 
– direction

3. Is this a Pearson r Scatter Plot or a Spearman Rho Scatter Plot? Justify your answer.

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4. Based on your interpretation of the Scatter Plot you have created, formulate a null hypothesis consistent with these results. 

5. Are there outliers in this data set? How do you assess for these when interpreting a Scatter Plot? 

6. What additional information do you need to determine if this correlation is statistically significant? Does the Scatter Plot provide this information? If the correlation is statistically significant, does that mean you reject or fail to reject H0? Relationship Between Variables in a Dataset Essay

Changing role of nursing essay example NRS 440

Our role as a nurse changing to more home health jobs:

The country is facing many changes especially with Obama Care being up in the air with the new president. The Affordable Care Act has restructured how we receive our health care in the United States. Nurses have and always will play a very important role in our health care today. Changing role of nursing essay example NRS 440. The one change that is very different from how we receive our health care today is the simple fact that in years to come it is expected that nursing will be in high demand outside of the hospital compared to just having nurses in and around hospitals delivering acute care.

The practice of nursing is an ever evolving career. As we grow and evolve as a country so does the career in nursing. The concept of continuity of care used to be considered inside a hospital setting only but because our culture is changing so much it reflects on how nursing is approached. My goal is to provide you with information showing the recent trend of providing in home health care compared to the traditional hospital care we are all used to receiving. Changing role of nursing essay example NRS 440.

Traditional roles vs. more opportunities

The traditional role of nursing has been to provide care inside the hospital. As a nurse we tend to think if we would like to work as a RN the place to apply would be a hospital. This is no longer the case. Job opportunities are going to be in the community especially because the Affordable Care Act has placed programs for the elderly to be at home for as long as possible. There are more and more rehabs, assisted living places being opened up by the 100’s.  The need for nurses at these facilities is only going to become greater as the bigger hospitals increase these types of programs. In a recent article by ANA Career Center Staff the topic being looked at was heath care and the affect it had on the nurses. It addressed things like the fact over half of the nurses were looking at retirement. They went as far as to state, “More than half of working nurses are over 50, which means there will be a lot of empty positions to fill in the coming years as they retire, says Susan Yox, EdD, RN, director of editorial content at Medscape.” (ANA, 2015). Changing role of nursing essay example NRS 440.  Peggy Crabtree is from the Camden group and she believes that there will be more opportunities for the nurse to work considering how many patients will be discharged to one of the facilities outside of the hospital. The opportunities are really endless for nurses because there are now programs for this very thing everywhere. One of the options are ACO’s which are Accountable Care Organizations. These are a great alternative for the patient and the nurse to provide care in an environment other than the hospital. The ACO has been defined as a “model of care, an ACO generally consists of an interrelated system of providers that may comprise hospitals, home care and long-term care agencies, physician group practices, and other health care entities, such as medical homes, whose focus is primary care. The ACO assumes responsibility for managing the care of the patient and the delivery of services across the continuum of care, with a strong emphasis on primary care and prevention”. (Hart, 21012) Changing role of nursing essay example NRS 440.

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Home Hemodialysis

One program that I happened to know a bit more about is Home Hemodialysis. I just switched jobs recently and this is now what I am presently learning.  The home dialysis program is amazing for patient’s. These patients are tied down to the dialyzer for three to four times a week and it usually is for a 4-hour time period. Changing role of nursing essay example NRS 440. So if you can only imagine the life style commitment these people make. So, if you can imagine this machine is the patient’s life line. It really helps that patient feel the least bit of freedom by giving them a bit of control with a home dialysis machine. It can do wonders for their health both mentally and physically. The patient is actually able to travel to different areas in the United States due to the Affordable Health Care Act. Most of them will qualify for the home dialysis unit which is portable if they are at a pretty high functioning level. It has made things like home dialysis an everyday topic rather than a wish that the patient longs for and dreams about. It can make it a reality. Changing role of nursing essay example NRS 440.

Many years ago these things like home dialysis were not an option. Overtime things like rehab facilities, home health care, hospice, assisted living facilities are all fairly new. With these types of health care being offered over just the acute care units in the hospitals it requires a more diverse set of skills for the nurse to have. While all of this new and upcoming healthcare is great it definitely causes a nursing shortage. It requires the nursing community to rethink about how they are training the new nurses.

Nurses Response

I shared this with three colleagues on my floor and asked for their feedback. The following is some of their responses to my presentation. All three basically had the same thing to say in general. They all felt like they knew how fast our health care was changing but were not aware that it was changing towards home health more than the acute care in the hospital. The more all three were talking I saw that they also agreed that in general all of the programs offered were starting to have an affect on the patient census Changing role of nursing essay example NRS 440. There are times of the year we see more patients especially now with the holidays but they also stated that having programs like home Hemodialysis is amazing. It allows our center the ability to see at least 100 more people in need. I think their point was that right now they really have not seen a change in the jobs for nursing dwindling in any way at the hospital but they have seen many of the jobs open up at home because of these new programs. I personally would have to agree with this point they were making too. Basically, in home dialysis there is so many patients waiting to be seen that yes many nursing jobs have been created at the home level but it still is in high demand at the acute care center in the hospital due to how many patients have needed this. Changing role of nursing essay example NRS 440.

Another point they were making was about the funding for these programs and if it was truly available. They were questioning the fact that like in many clinics or hospitals they never want to pay the nurse what she is truly valued at. They were asking about the load of work a nurse would be expected to do at a home treatment rather than the treatment in the hospital where they have access to PCT’s and CNS’s that help them tremendously. They raised some really good questions and points. They agreed that in general our health care is starting to use things like home health care over coming into the ER room and getting saline due to being dehydrated. They also agreed that these options were so much healthier for a family with a sick loved one Changing role of nursing essay example NRS 440. The amount of time and energy it takes on the family to bring the patient to the hospital and then to be around all the other people that are sick when that person is likely immunocompromised to begin with.

Our Nursing Future

Once I shared with them some of the good these home clinics are capable of I think all tree were more likely to be on board with the fact our health care system is changing and it will affect nursing in the areas we actually are providing care to our patients. When you spend time explaining personal stories about how home health care has not only helped a patient but also has allowed the patient to feel a sense of control again over their own life all three of the nurses were listening with a new sense of hearing. We all get complacent with our job and all it took for a renewed outlook on things was for these three nurses was to listen to a presentation. I actually could tell when we went back into the clinic for the acute care hemodialysis that they were extra careful and sensitive with their patients. It made me realize just how much it helps our health care team see things as they are. We all might need to have an open mind about working and providing care in a home, rehab, or assisted care facility rather than the traditional hospital. It will do the whole nursing community a world of good. Changing role of nursing essay example NRS 440.

References

Accountable care organizations: the future of care delivery? (n.d.). Retrieved December 18, 2016, from https://www.ncbi.nlm.nih.gov/pubmed/22277862

1. (n.d.). Affordable Care Act Summary. Retrieved December 17, 2016, from http://obamacarefacts.com/affordablecareact-summary/

4 Health Care Trends That Will Affect American Nurses. (n.d.). Retrieved December 17, 2016, from

http://nursingworld.org/MainMenuCategories/Career-Center/Resources/4-Health-Care-Trends-That-Will-Affect-American-Nurses.html

Nather, D. (n.d.). Understanding Obamacare: A guide about the Affordable Care Act by POLITICO. Retrieved December 17, 2016, from http://www.politico.com/obamacare-guide/ Changing role of nursing essay example NRS 440.