The importance of transcultural nursing knowledge in an increasingly diverse world

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Response 150 -200 words and 2 peer questions needed. Applying Nursing Theory Discussion

Instructions:

  1. Select one of the following scenarios related to a specific nursing. Think about what you would do in the scenario presented and post your ideas.
  2. Post two discussion questions based on the readings along with your answers.

Madeleine Leininger

Discuss the usefulness of the Culture Care: Diversity and Universality Theory in the 21st Century to discover nursing knowledge and to provide culturally congruent care. Take into consideration the current trends of consumers of healthcare, cultural diversity factors, and changes in medical and nursing school curricula. Listed below are some examples of trends and changes you may want to consider in your discussion:

  1. The importance of transcultural nursing knowledge in an increasingly diverse world
  2. An increase of lay support groups to provide information and sharing of experiences and support for patients and/or families experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse and similar (common) cultures.
  3. Use of cultural values, beliefs, health practices, and research knowledge in undergraduate, alternative medicine, herbs, vitamins, minerals, and other over-the-counter medications, which demand a transcultural knowledge base.

Effective at reducing an individual's risk for developing the preventable disease

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Prepare a patient teaching plan for your participant based on the information you discovered in your previous assignments. Present your plan using Microsoft PowerPoint.

  • Title slide (first slide): Include a title slide with your name and title of the presentation.
  • Introduction/Identification (two to three slides): Introduce a modifiable risk factor (diet, smoking, activity, etc.) that will be the focus of your presentation.
    • Identify at least one important finding you discovered in Milestone 1 that is associated with this risk factor. HIGH BLOOD PRESURE
    • Explain how this places your adult participant at increased risk for developing a preventable disease (obesity, Type II Diabetes, etc.), which is described.
    • List short and long-term goals.
  • Intervention (four to five slides): Choose one evidence-based intervention related to the modifiable risk factor chosen that has been shown to be effective at reducing an individual’s risk for developing the preventable disease.
    • Describe the intervention in detail.
    • Provide rationale to support the use of this intervention. Support your rationale with information obtained from one scholarly source as well as Healthy People 2020 ( http://healthypeople.gov (Links to an external site.)Links to an external site.). Include any additional resources (websites, handouts, etc.) that you will share with your adult participant, if applicable.
  • Evaluation (three to four slides): Describe at least one evaluation method that you would use to determine whether your intervention is effective. Outcome measurement is a crucial piece when implementing interventions.
    • Describe at least one method (weight, lab values, activity logs, etc.) you would use to evaluate whether your intervention was effective.
    • Describe the desired outcomes you would track that would show whether your intervention is working.
    • Include additional steps to be considered if your plan proved to be unsuccessful.
  • Summary (one to two slides): Reiterate the main points of the presentation and conclude with what you are hoping to accomplish as a result of implementing the chosen intervention.
  • References (last slide): List the references for sources that were cited in the presentation.
  • Speaker notes: Share in detail how you would verbalize the content on each of the slides to the patient.

Remember, you are creating a patient teaching plan so be sure to include terms easily understood by the general population and limit your use of medical jargon. Slides should include the most important elements for them to know in short bullet-pointed phrases. You may add additional comments in the notes section to clarify information for your instructor.

Guidelines

  • Application: Use Microsoft PowerPoint 2010 (or later).
  • Length: The PowerPoint slide show is expected to be no more than 14 slides in length (not including the title slide and References list slide).

Effective at reducing an individual's risk for developing the preventable disease

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Prepare a patient teaching plan for your participant based on the information you discovered in your previous assignments. Present your plan using Microsoft PowerPoint.

  • Title slide (first slide): Include a title slide with your name and title of the presentation.
  • Introduction/Identification (two to three slides): Introduce a modifiable risk factor (diet, smoking, activity, etc.) that will be the focus of your presentation.
    • Identify at least one important finding you discovered in Milestone 1 that is associated with this risk factor. HIGH BLOOD PRESURE
    • Explain how this places your adult participant at increased risk for developing a preventable disease (obesity, Type II Diabetes, etc.), which is described.
    • List short and long-term goals.
  • Intervention (four to five slides): Choose one evidence-based intervention related to the modifiable risk factor chosen that has been shown to be effective at reducing an individual’s risk for developing the preventable disease.
    • Describe the intervention in detail.
    • Provide rationale to support the use of this intervention. Support your rationale with information obtained from one scholarly source as well as Healthy People 2020 ( http://healthypeople.gov (Links to an external site.)Links to an external site.). Include any additional resources (websites, handouts, etc.) that you will share with your adult participant, if applicable.
  • Evaluation (three to four slides): Describe at least one evaluation method that you would use to determine whether your intervention is effective. Outcome measurement is a crucial piece when implementing interventions.
    • Describe at least one method (weight, lab values, activity logs, etc.) you would use to evaluate whether your intervention was effective.
    • Describe the desired outcomes you would track that would show whether your intervention is working.
    • Include additional steps to be considered if your plan proved to be unsuccessful.
  • Summary (one to two slides): Reiterate the main points of the presentation and conclude with what you are hoping to accomplish as a result of implementing the chosen intervention.
  • References (last slide): List the references for sources that were cited in the presentation.
  • Speaker notes: Share in detail how you would verbalize the content on each of the slides to the patient.

Remember, you are creating a patient teaching plan so be sure to include terms easily understood by the general population and limit your use of medical jargon. Slides should include the most important elements for them to know in short bullet-pointed phrases. You may add additional comments in the notes section to clarify information for your instructor.

Guidelines

  • Application: Use Microsoft PowerPoint 2010 (or later).
  • Length: The PowerPoint slide show is expected to be no more than 14 slides in length (not including the title slide and References list slide).

Why are philosophies of nursing, conceptual models, grand theories, and middle-range theories important to nursing

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This written assignment will allow you to reflect on your beliefs about nursing. Writing your philosophy of nursing will reveal your professional and personal growth over time as you compare previous versions of your philosophy.

Think about the following before you start writing your paper.

You have learned about various theoretical works in nursing including Nightingale’s Environmental Theory, and Jean Watson Philosophy and Science of Caring, Orem’s Self-Care Deficit Theory of Nursing among others. Which nursing theory most closely matches your beliefs? Why are philosophies of nursing, conceptual models, grand theories, and middle-range theories important to nursing? Why did you choose nursing as your profession? What do you believe is the core of nursing? What is the focus of nursing? To live out your philosophy, what should you keep in mind about your patients, families, environment?

Instructions:

This paper reflects your own values and world view, therefore there are no right or wrong answers.

Paper must be written in APA style.

Paper should be between 5-7 pages excluding cover page and references.

Address the following topics in your paper

  • Your educational and professional background, reasons for returning to school, current practice specialty, and professional goals.
  • Individuals who have influenced your views about nursing
  • Your philosophy of nursing
  • Nursing metaparadigm: your definition of nursing, human beings, the environment, and health
  • Your beliefs: Is healthcare a right or privilege? What are the roles of the nurse? What are your thoughts about nursing education?
  • Trends and current issues affecting nursing
  • Where is nursing going? What can you do to advance nursing?

How you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome

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Assignment: Application: Taking a Stand

Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others.

As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.

At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.

For this Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.

To prepare:

  • Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.
  • To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.
  • Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly).
  • What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between ethical, moral, and legal leadership.
  • Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?

To complete:

By Day 7

Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:

  • Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.
  • Consider  an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.
  • Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.
  • Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma. 

Required Readings

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

  • Chapter 4, “Ethical Issues”This chapter examines ethical frameworks for decision making and principles of ethical reasoning. You are also introduced to the ANA Code of Ethics and Professional Standards, MORAL decision-making model, and ethics committees.
  • Chapter 5, “Legal and Legislative Issues”Chapter 5 provides an overview of the many legal and legislative issues of which leaders and managers need to be aware. As you read this chapter, keep these issues in mind.
  • Chapter 6, “Patient, Subordinate, and Professional Advocacy”Nurses are the best advocates for patients and the profession. This chapter examines more closely the role of becoming an advocate, patient rights, subordinate advocacy, whistle-blowing, professional advocacy, advocacy in legislation and public policy, and media.

Cianci, A. M., Hannah, S. T., Roberts, R. P., & Tsakumis, G. T. (2014). The effects of authentic leadership on followers’ ethical decision-making in the face of temptation: An experimental study. The Leadership Quarterly, 25(3), 581–594. doi:10.1016/j.leaqua.2013.12.001

Retrieved from the Walden Library databases.

Disch, J. (2014). Using Evidence-Based Advocacy to Improve the Nation’s Health. Nurse Leader, 12(4), 28–31. doi:10.1016/j.mnl.2014.05.003

Retrieved from the Walden Library databases.

Application of a nursing grand or mid-range theory

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 Nursing Theory Analysis Paper

Overview/Description:

The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below.

Theory/Author Name and Background

  1. Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
  2. Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.
  3. Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
  4. Identify the phenomenonof concernor problems addressed by the theory.

Theory Description

  1. Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
  2. Describe the major concepts of the theory.  How are they defined? (theoretically and/or operationally) Is the author consistentin the use of the concepts and other terms in the theory?
  3. Interpret how the concepts are defined.  Implicitly or explicitly?
  4. Examine the relationships (propositions) among the major concepts.

Evaluation

  1. Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
  2. Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
  3. Discuss the clarity of the theory.  Did it have lucidness and consistency?

Application

  1. Examine how the theory would guide nursing actions.
  2. Describe specificallyhow you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).

APA Style/Format

CRITERIAWEIGHT

Theory/Author Name and Background:

  1. Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
  2. Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.
  3. Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
  4. Identify the phenomenonof concernor problems addressed by the theory.

10

10

10

10

Theory Description:

  1. Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
  2. Describe the major concepts of the theory.  How are they defined? (theoretically and/or operationally) Is the author consistentin the use of the concepts and other terms in the theory?
  3. Interpret how the concepts are defined.  Implicitly or explicitly?
  4. Examine the relationships (propositions) among the major concepts.

14

18

14

14

Evaluation:

  1. Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
  2. Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
  3. Discuss the clarity of the theory.  Did it have lucidness and consistency?

20

20

20

Application:

  1. Examine how the theory would guide nursing actions.
  2. Describe specificallyhow you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).

10

10

APA Style/Format:Free of grammatical, spelling or punctuation errors. Citations and references are written in correct APA Style.20

Total:200

Political, Social, and Sociocultural Influences on Women’s Health

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Political, Social, and Sociocultural Influences on Women’s Health. wk 1 discussion.

As an advanced practice nurse, you must remain current on health issues that commonly impact women such as birth control, abortion, family planning, the human papillomavirus (HPV) vaccine, and human immunodeficiency virus (HIV). Many of these women’s health issues are heavily influenced by political, social, and sociocultural factors. These influences might not only affect a woman’s ability or desire to receive care, but also a provider’s ability or willingness to offer care. How might political, social, and sociocultural factors influence your personal perceptions of these women’s health issues?

To prepare: THIS IS A DISCUSSION. COURSE IS WOMEN’S HEALTH / OBGYN

AS USUAL: Write one & half page with 5-6 references.

·         Research on women’s health issues such as: Birth Control

·         Consider the impact of political, social, and sociocultural factors on Birth Control

·         Reflect on how the personal perceptions of providers might influence their ability or willingness to care for women in relation to this issue.

·         AS USUAL: Write one & half page with 5-6 references.

·         APA FORMART, NO PLAGIARISM, sources from SCHOLARELY WRITTEN ARTICLE.

Human Resources and Staffing Crisis at Blumberg’s Nursing Home

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Due Week 10 and worth 250 points

Blumberg’s Nursing Home (BNH) is a 100-bed Medicare and Medicaid certified facility in suburban Philadelphia, PA. The administrator recently terminated the facility’s Director of Nursing (DON), receptionist, and dietary aid for inappropriate conduct. They had all been involved in purchasing and using illegal substances on facility grounds. Facility staff, as well as many of the more lucid residents, have found out about the incident.

The charge nurse has been appointed interim DON. The human resource manager has sent a memo to all staff informing them of a mandatory staff meeting to discuss BNH’s code of ethics and to provide additional training on workplace culture. Because federal law requires that there be at least one (1) registered nurse on duty for a minimum of eight (8) hours a day, seven (7) days a week, and that the DON must be a registered nurse (RN) – which the interim DON is not – BNH is out of compliance.

Write a four to six (4-6) page paper in which you:

  1. Assess the immediate staffing needs at BNH. Prioritize the order in which BNH should fill the main unstaffed position(s). Justify your selection(s).
  2. Considering the reason behind the termination of the employees, formulate a human resources policy that addresses inappropriate conduct in the workplace, the process of reporting inappropriate conduct, and the consequences of violating the policy. Explain your rationale. 
  3. Per the text, an effective long-term care facility administrator must have both leadership and management skills. Propose at least one (1) way the administrator in this case must demonstrate quality leadership skills, and one (1) way the administrator must demonstrate quality management skills in the aftermath of this crisis so as to improve and maintain staff and resident morale.
  4. Recommend a strategy for BNH to use the Quality Indicator Survey to improve administrative practices and ensure future compliance at the facility. Justify your recommendation.
  5. Use at least three (3) quality academic resources. Note: Wikipedia and other similar websites do not qualify as academic resources.  

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. 

The specific course learning outcomes associated with this assignment are:

  • Differentiate the administrative functions of long-term care practices from those of other healthcare administrative services. 
  • Identify the factors that have led to the current realities of long-term care in the United States.
  • Assess the various stakeholder groups of long-term care along with the nature of the relationship(s). 
  • Recommend how a company can use the Quality Indicator Survey to improve administrative practices. 
  • Use technology and information resources to research issues in long-term care management.
  • Write clearly and concisely about long-term care management using proper writing mechanics.

Strategies used to motivate staff to participate in the project

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  • I need this power point APA format ready for jun 27 ,as an APA format need all references at the end . Is a bachelor level and no plagiarism  , please let me Know if you can do it?
  •  Due Jun 28 by 11:59pm 
  • Points 50 
  • Submitting a file upload

Mary is a registered nurse working on an acute care hospital. Mary meets with Jane, the nurse manager, to discuss initiatives to improve (care, satisfaction, etc) services on the unit. 

Jane asks Mary to form a team to review the identified issue on the unit, and develop a plan to improve. Mary has no quality improvement experience but is willing to learn and excited about this new project. Mary has been referred to you, the director of quality improvement at the hospital to guide you with this project.

Describe your plan to achieve this goal. What advise would you give Mary to start the project, select the members of the team and develop a plan to improve?  What data would you collect? 

You will give a power point presentation of your plan to the class addressing at least the following:

Aim statement –

  • What is the objective of the project or measurable goals?
  • Why is this important?
  • Who is the target population?

Team selection

Who are the team members?

What strategies did you use to motivate staff to participate in the project?

Map or clarify current process

Identify and understand all variation sources

Select the improvement

Implement improvement

The effects of controlling BP in people with diabetes

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Just answer questions as trhoughly as possible, and concentrate on the questions and dont focus on the scenario

L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5’4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb. Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with Lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated. One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of micro-albumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes and HTN.Subjective data reveals that she is experiencing increased exertional SOB. She expresses concern because when this happens it takes her awhile to get her breath back to normal. Denies any pain or dizziness with these episodes.Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm. Otherwise exam is unremarkable.CC: “I am more short of breath when walking up stairs than I used to be”.Questions1. What are the effects of controlling BP in people with diabetes?2. What is the target BP for patients with diabetes and hypertension?3. Which antihypertensive agents are recommended for patients with diabetes?4 What testing does this woman need ordered due to her change in status both SHORTNESS OF BREATH and BLOOD PRESSURE?5. What is the significance of microalbuminuria in this woman? How does this affect her cardiovascular risk?Write this case study up as a clinical note including all elements of plan of care regarding issues presented in the case.