Emancipatory Knowing Discussion Assignment

The creative processes for developing emancipatory knowledge grow from the critical questions of emancipatory knowing shown in Fig. 3.1. These critical questions are: What is wrong with this picture? Who benefits? What are the barriers to freedom? What changes are needed? These questions can be asked in a variety of contexts and situations, including the context of care. The questions on the model are suggestions, but any question that focuses on bringing social injustices into awareness is also a critical question.

When you ask the critical questions associated with emancipatory knowing, an underlying assumption is that people are not radically free to choose from among an unlimited variety of options, and that things need to change to make new options accessible to everyone. To assume that people are radically free places the responsibility for developing one’s full potential totally with the individual. Critical questioning assumes that freedoms are situated, which means that the possibilities for freedom and the development of individual potential are determined by a person’s situation. In other words, from a critical perspective, a person’s situation is assumed to be constructed by social practices that create disadvantage for some and privilege for others.

From an emancipatory perspective, any conditions that limit people from developing their full human potential can be made visible, what is imagined can become real, and humans have the innate capacity to bring about changes to improve the human condition. Asking a critical question such as “What is wrong with this picture?” requires a lens that sees beyond the obvious and beyond one’s own personal experience. This makes it possible to discern problems that may exist with what people assume to be true.

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Recognizing injustices and inequities can create major personal and professional dilemmas. Most people are socialized to accept an unfair status quo as the way things are (hegemony) and not to question the uncomfortable fact that some people are privileged and others are disadvantaged. To bring this kind of awareness to the surface and to act on it requires great courage, persistence, and the support of colleagues and allies who remain committed to action. Taking action often disturbs the status quo in ways that are not only uncomfortable but also prompt harsh and swift action to keep prevailing hegemonies in place. Nonetheless, critically questioning the status quo is an initial and critical feature of emancipatory knowing that sets the stage for praxis. Emancipatory Knowing Discussion Assignment

Why Is This Important?

When nurses question why something seems unfair, they are operating under the assumption that all persons deserve the freedom and opportunity to develop their full potential. Such questions assume that developing and exercising one’s potential is not solely a matter of individual will or desire, but that culture and society create conditions and structures within which people can thrive or fail to thrive.

General Instructions for all Discussion Boards:

1. Complete required reading before creating your post.
2. Initial post: Each student creates a new thread in the forum as the  initial posting of their own that is 250-300 words (use your Word Count tool) plus TWO scholarly references to support the posting. One of the references is the appropriate text and the other a scholarly, peer reviewed journal article. If the professor responds and asks you for clarification or a question, you must respond to the professor.
3. Responding to posts: Each student must respond once during the week. The response must be thoughtful and reference-based. The response must be 100-125 words. Please put thought into your statements. General posts will not count; you must provide additional knowledge and add to the discussion to receive credit for the posting. ONE reference is required for response. It may be one of the original references the poster used.
4. Students who do not post by the due dates will be considered absent and will earn a grade of 0% for the Discussion post. Discussion board posts that are incomplete or do not meet the requirements may earn a partial grade or zero.
5. References must be in APA Style (7th edition) and included at the end of both postings – hanging indentation not required.
6. The reference is not included in the word count. HINT: To avoid losing work and check your word count, write your post in Word or Google doc, do the word count, and when finished copy & paste into the Discussion Board. Emancipatory Knowing Discussion Assignment

Critical Questions of Emancipatory Knowing

Watch the Patterns of Knowing Animation and read Ch 3 to complete this discussion board

This excerpt is part of the prompt for the discussion (Chinn & Kramer, 2018, p 81)

The creative processes for developing emancipatory knowledge grow from the critical questions of emancipatory knowing shown in Fig. 3.1. These critical questions are: What is wrong with this picture? Who benefits? What are the barriers to freedom? What changes are needed? These questions can be asked in a variety of contexts and situations, including the context of care. The questions on the model are suggestions, but any question that focuses on bringing social injustices into awareness is also a critical question.

When you ask the critical questions associated with emancipatory knowing, an underlying assumption is that people are not radically free to choose from among an unlimited variety of options, and that things need to change to make new options accessible to everyone. To assume that people are radically free places the responsibility for developing one’s full potential totally with the individual. Critical questioning assumes that freedoms are situated, which means that the possibilities for freedom and the development of individual potential are determined by a person’s situation. In other words, from a critical perspective, a person’s situation is assumed to be constructed by social practices that create disadvantage for some and privilege for others.

From an emancipatory perspective, any conditions that limit people from developing their full human potential can be made visible, what is imagined can become real, and humans have the innate capacity to bring about changes to improve the human condition. Asking a critical question such as “What is wrong with this picture?” requires a lens that sees beyond the obvious and beyond one’s own personal experience. This makes it possible to discern problems that may exist with what people assume to be true.

Recognizing injustices and inequities can create major personal and professional dilemmas. Most people are socialized to accept an unfair status quo as the way things are (hegemony) and not to question the uncomfortable fact that some people are privileged and others are disadvantaged. To bring this kind of awareness to the surface and to act on it requires great courage, persistence, and the support of colleagues and allies who remain committed to action. Taking action often disturbs the status quo in ways that are not only uncomfortable but also prompt harsh and swift action to keep prevailing hegemonies in place. Nonetheless, critically questioning the status quo is an initial and critical feature of emancipatory knowing that sets the stage for praxis. Emancipatory Knowing Discussion Assignment

Why Is This Important?

When nurses question why something seems unfair, they are operating under the assumption that all persons deserve the freedom and opportunity to develop their full potential. Such questions assume that developing and exercising one’s potential is not solely a matter of individual will or desire, but that culture and society create conditions and structures within which people can thrive or fail to thrive.

Think About It…

Consider a nursing situation that you observed (or have been a part of) and believed to be unfair or wrong. This must be a different situation than your Patterns of Knowing Paper. Then ask yourself the four critical questions of emancipatory knowing:

‘What is wrong with this picture (your perception/beliefs)?’

‘Who benefits (from keeping things as they are/the status quo)?’

‘What are the barriers to freedom (preventing the situation from changing)?’

‘What changes are needed (what do you suggest)?’

Posting

1. In your Discussion Post first provide some context to the nursing situation you observed as described above in Think About It (a few sentences). Then consider the four critical questions of emancipatory knowing as they apply to the situation and use them to guide your post. Describe how they are demonstrated in your situation. Don’t forget to cite your post – use the text and a journal article to support your work.
2. In your Peer Response provide supportive feedback about the situation they faced and how they were impacted. You can share a similar experience or offer advice. Don’t forget the citation. Emancipatory Knowing Discussion Assignment

Example of an Initial Discussion Post with APA Citation

            One of the situations that I observed that was unfair is constantly being understaffed as an ICU nurse. There is an increased mortality rate in ICU patients when there are disproportionately high staffing ratios (Cho et al., 2018).  ICU nurses should have 1-2 patients but where I work having a 3rd patient is the norm and during the height of COVID we would often have 4 ventilated patients.

Emancipatory knowing states to ask yourself four questions about the problem in order to explore solutions to it (Chinn & Kramer, 2018).  What was wrong? Ongoing, inappropriate staffing ratios were never addressed at my hospital because this had become the status quo. Patient outcomes were not seen by management as a problem because the nurses worked so hard and patients did well. Nurses either lived with the situation and coped with the moral distress or left because they were burned out. Who benefits? Ultimately the hospital because they are not being held accountable: patient outcomes are acceptable and they are able to save money instead of hiring staff or supplying agency staff.  Barriers to change include budget issues, detached administrators and managers, and nurses who are too exhausted or angry, or afraid that speaking up will end in termination. Changes that are needed are prioritizing the well-being of nurses as much as patients and not always the financial bottom line. While hospitals must have enough financial support, nurses that are valued enjoy their work more and can provide higher level care and won’t leave as easily, leading to better patient outcomes and decreased costs (Cho et al., 2018).

References

Chinn, P. L., & Kramer, M. K. (2018). Knowledge development in nursing: Theory and process (10th ed.). Elsevier.

Cho, S.H., Hwang, J.H., & Kim, J. (2018). Nurse staffing and patient mortality in intensive care units. Nursing Research, 57(5), 322-330. doi: 10.1097/01.NNR.0000313498.17777.71

Example of a Peer Response Discussion Post with APA

Hi Amy

I have never worked in the ICU but I can definitely relate with some of the things you’ve experienced.  The nursing shortage is something discussed in nursing and an unfair circumstance that nurses all over deal with way more than we should. Currently, like you, I am facing short staffing at work. It poses a risk for both patient and nurse safety; therefore, speaking up and addressing the situation is the best thing to do to address this problem. Questioning unfair and unjust situations raises the need for change so that we don’t stay stuck in a bad place. This  means that there’s a possibility for freedom from the unjust situation (Chinn & Kramer, 2018).

Reference

Chinn, P. L., & Kramer, M. K. (2018). Knowledge development in nursing: Theory and process (10th ed.). Elsevier.

Emancipatory Knowing Discussion Assignment

Quality Improvement Assignment

Part 1

Goal:

• To assess a clinical issue that is the focus of your Quality Improvement
• Create a description of the clinical issue to be addressed in the project.

Content Requirements:

1. Identify the clinical issue that will be the focus of your Quality Improvement
2. Provide rationale for the need to change the status quo.
3. Identify best practices from the literature related to the issues.

Submission Instructions:

• The paper is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be 2 – 3 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
• Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).
• Your paper should be formatted per current APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)

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Part 2

Goal:

• To assess a clinical issue that is the focus of the Quality Improvement
• Create a SWOT (strengths, weaknesses, opportunities, threats) analysis for the this. Quality Improvement Assignment

Content Requirements:

1. Identify strengths, weakness, opportunities, and threats for improvement related to the clinical issue identified.
2. Analyze the SWOT data to provide the foundation for an action plan for quality improvement.

Submission Instructions:

• The paper is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be 2 – 3 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
• Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).
• Your paper should be formatted per current APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)

PArt 3

Goal:

• To assess a clinical issue that is the focus of the Quality Improvement . Quality Improvement Assignment
• Create an outline of the action plan for the.

Content Requirements:

1. Identify stakeholders that will be impacted by the quality improvement project.
2. Identify and discussed resources including budget needed to implement the quality improvement project.
3. Develop an action plan for change including a proposed implementation time line

Submission Instructions:

• The paper is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be 2 – 3 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
• Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).
• Your paper should be formatted per current APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)

Final

Goal:

• To assess a clinical issue that is the focus of the Quality Improvement
• Evaluate the clinical project.
• Putting it all together for the final Quality Improvement .

Content Requirements:

1. A description of the clinical issue to be addressed in the project.
2. A SWOT (strengths, weaknesses, opportunities, threats) analysis for the project. Analysis of the strengths, weaknesses, opportunities, and threats related to the quality improvement process.
3. An outline of the action plan for the project.
4. An assessment of clinical issue that is the focus of the quality improvement project.
5. Discuss stakeholders and decision makers who need to be involved in the quality improvement project.
6. Discuss resources including budget, personnel and time needed for the quality improvement project.
7. Discuss potential strategies for implementation and evaluation.

Submission Instructions:

• The paper is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.
• The final project is to be 8 – 12 pages in length and formatted per current APA, excluding the title, abstract and references page.
• Incorporate a minimum of 9 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Quality Improvement Assignment

Differences Between the Types of Diabetes Discussion Assignment

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples. 3 APA  References

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Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples. 3 APA  References   Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples. 3 APA  References   Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples. 3 APA  References . Differences Between the Types of Diabetes Discussion Assignment

Clinical Virtual Assessment Assignment

32.5 Hours of Clinical Credit

The purpose of this clinical activity is to conduct a virtual community assessment and identify a priority health promotion intervention.  As part of this activity, you will prepare a presentation (zoom or PowerPoint) to be submitted through the assignment link and posted on the Discussion Board for peer review/discussion. If you choose to record your presentation, it should not exceed 15 minutes.

Objectives:

1. Assess populations in the community for health status and health needs.
2. Identify and prioritize actual and potential health problems for specified populations.
3. Formulate healthcare plans addressing the desired population outcomes and appropriate nursing interventions.
4. Implement theory-based nursing interventions.
5. Evaluate the effectiveness of nursing interventions toward meeting the desired population outcomes.
6. Apply theory and research knowledge to address identified population health concerns.
7. Utilizes critical thinking to identify gaps in the health care of vulnerable populations and identifies potential resources to mitigate those gaps.

Instructions:

1. Read the text chapter on Community Assessment:
   

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Gibson, M., Thatcher, E., & Shuster, G.F. (2018). Community Assessment and Evaluation. In Stanhope, M., & Lancaster, J. (Eds.), Foundations for Population Health in Community/Public Health Nursing 5th ed. (pp. 203-220).  St. Louis:  Mosby.

Clinical Virtual Assessment Assignment

2. Visit the County Health Rankings and Roadmaps website and choose the state and county where you live: http://www.countyhealthrankings.org/

1. Create a PowerPoint presentation addressing the following assessment data as separate slides within your presentation:

1. Identify the county where you live and the overall rank in health outcomes.
2. List three areas where your county ranks better than the state of Texas and three areas where your county ranks worse.
3. Describe the geographic parameters of your chosen county (Identify: rural vs. urban; prominent landmarks, major roadways, etc.).
4. Gather and discuss primary This is data that is collected by the person conducting the assessment (you).  Unlike secondary data (discussed below), this data is information that comes directly from a source such as a community informant.  Some ideas for a place to start are the chamber of commerce, a stakeholder at the local health department, or someone else who lives in the county that could provide you with some information related to issues in the county.  If you are unable to speak with an informant on the phone, you can be the informant as someone who lives in the county and can identify yourself as the key informant.  On the slide for this information, you will need to identify the key informant you spoke with and the date of communication.
5. Gather secondary community assessment data on the identified county.  Start with secondary data sources. Secondary data sources contain information that has already been collected by others such as the County Health Rankings website, the Census, or the local health department.  For secondary assessment data, you can use the internet.
6. Review the United States Environmental Protection Agency Envirofacts database for potential environmental hazards through an Internet search using https://enviro.epa.gov/. Include a summary of the findings in your own words.
7. Identify at least 3 community needs and 3 community assets.
8. Review Healthy People 2030 and link at least 1 of your community needs and 1 of your community assets to a Healthy People 2030 objective. The objective should be identified by the topic name and number (i.e. Access to Health Services AHS-1.1) and there should be a separate objective listed for the need and the asset.
9. Provide at least 3 recommendations for community level interventions (i.e. health fair, targeted health education, community walks, etc.) based on the assessment data collected and identified in your presentation as well as your experience living in the county.
10. Identify at least 1 priority problem for your county. Create a slide and list your priority problem, and at least 1 goal and 1 objective (see p. 215 in the course text for information regarding the difference between a goal and an objective) to address the priority problem selected. The objective should be written in the SMART format (specific, measurable, achievable, relevant, and time-bound).  For further information about SMART objectives, please refer to the following resource from the CDC here: https://www.cdc.gov/healthyyouth/evaluation/pdf/brief3b.pdf.
    1. An example of a S-M-A-R=T objective for TB is: In County X, increase the percentage of adult patients with non-rifampin -resistant TB who complete treatment in less than 12 months (as measured by cohort review) from 80% to 90% (the national goal) by 2014.
11. Review the literature using the online search feature through the University library. Find a research article that supports a health promotion intervention to address the priority problem you have identified.  Discuss how the health promotion intervention could be implemented within your county.  Use at least one evidenced-based reference to support your intervention.
12. Considering vulnerable populations, discuss how your health promotion intervention impacts at least 1 vulnerable population and how your intervention would address gaps that this population may experience. Vulnerable populations groups of special concern to the nurse include: poor and homeless persons, veterans, pregnant adolescents, migrant workers and immigrants, severely mentally ill individuals, substance abusers, abused individuals and victims of violence, persons with communicable disease and those at risk, and persons who are human immunodeficiency virus-positive, have hepatitis B virus, or have a sexually transmitted disease. Clinical Virtual Assessment Assignment
13. Describe at least one method that could be used to evaluate the success of the intervention (see p. 217 of the course text for information about evaluating an intervention).
14. Reflect upon your strengths from the Strengths Finder Assessment and findings from the community assessment and discuss how you can use your strengths to advocate for community/population health in your community.
15. Create a reference slide and include all references used in the presentation in APA format.

1. In addition to submitting the PowerPoint, your presentation should be uploaded to the Discussion titled Virtual Community Assessment.  APA should be used to cite and reference all sources included in the presentation.                                                                                                                                                                           Clinical Virtual Assessment Assignment

Leadership and management nursing

Identify one specific contemporary issue or trend that you are interested in learning more about. Choose from the categories below. For example you might want to learn more about why it is more difficult for some groups to receive care than others, which would fall under Client Access to Care. Or, you might want to compare nursing practice in the U.S. with how nurses practice in Japan, which would fall under the category of Global Healthcare and Nursing.

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Global Healthcare and Nursing Healthcare Reform U.S. Healthcare Financing Nursing\’s Role in the U.S. Healthcare System Integrative Healthcare Nursing Leadership and Management Nursing Education Nursing Practice Nursing Professionalism Advancing Nursing as a Profession Client Access to Care Delivering Client Care Interdisciplinary Teamwork and Collaboration Ethical Practices in Healthcare Quality and Safety in Healthcare Delivery Health/Nursing Informatics

Once the issue or trend is identified, find five important/significant facts about it, substantiated by an evidence-based article. Include the article in your submission. Leadership and management nursing

Create an 8-10 slide PowerPoint presentation with speaker notes, in-text citations and a reference page slide. Leadership and management nursing