Psychiatric mental health nurses practice at the basic or advanced level.

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Psychiatric mental health nurses practice at the basic or advanced level. Which of the following factors determines this level of practice?
A. Educational preparation
B. Years of experience
C. Organizational structure
D. Certification Psychiatric mental health nurses practice at the basic or advanced level. Which of the following factors determines this level of practice?

A. Educational preparationThe psychiatric mental health nurse may work in
A. inpatient behavioral health units.
B. psychiatric partial hospitalization programs.
C. community mental health centers.
D. all of the above The psychiatric mental health nurse may work in

D. all of the above
[inpatient behavioral health units, psychiatric partial hospitalization programs, and community mental health centers.]All of the following are true about psychiatric mental health clinical nurse specialists, except
A. there is no requirement for collaboration with medicine
B. certification is obtained through the American Nurses Association
C. independent practice in psychotherapy is within the scope of practice
D. independent practice in prescribing psychotropic medication is within the scope of practice All of the following are true about psychiatric mental health clinical nurse specialists, except

D. independent practice in prescribing psychotropic medication is within the scope of practicePersons with severe and persistent mental illness may have an exacerbation of symptoms requiring short term hospitalization. This is an example of
A. primary prevention
B. secondary prevention
C. tertiary prevention
D. crisis intervention Persons with severe and persistent mental illness may have an exacerbation of symptoms requiring short term hospitalization. This is an example of

B. secondary preventionWhich of the following provides the strongest evidence for evidence-based nursing practice?
A. Large randomized controlled studies
B. Meta-analyses
C. Case studies
D. Large non-randomized controlled studies Which of the following provides the strongest evidence for evidence-based nursing practice?

B. Meta-analysesWhat resulted from the passage of the Mental Health Parity Act of 1996?
A. Persons with severe and persistent mental illness were deinstitutionalized
B. Employer-sponsored health plans ensured equal medical, surgical, and mental health benefits.
C. Employer-sponsored health plans limited the amount of mental health care benefits to surviving spouses
D. Persons with severe and persistent mental illness became eligible for Medicare and Medicaid What resulted from the passage of the Mental Health Parity Act of 1996?

B. Employer-sponsored health plans ensured equal medical, surgical, and mental health benefits.Psychiatric mental health scope and nursing standards of practice for the mental health client are based on the nursing process.
A. TRUE
B. FALSE Psychiatric mental health scope and nursing standards of practice for the mental health client are based on the nursing process.

A. TRUEAn integral part of psychiatric mental health practice is to identify expected outcomes, develop plans of care to attain expected outcomes, and evaluate the client’s progress in attaining expected outcomes.
A. TRUE
B. FALSE An integral part of psychiatric mental health practice is to identify expected outcomes, develop plans of care to attain expected outcomes, and evaluate the client’s progress in attaining expected outcomes.

A. TRUENursing documentation rules include using red and green ink and use of common abbreviations used in other fields.
A. TRUE
B. FALSE FALSE, Nursing documentation rules DO NOT include using red and green ink and use of common abbreviations used in other fields. Advanced practice registered nurse (APRN) An umbrella classification used to describe the four major nurse specialist categories: certified registered nurse anesthetist (CRNA), certified nurse midwife (CNM), nurse practitioner (NP), and clinical nurse specialist (CNS). These individuals are educationally prepared to at least the master’s degree level in the nursing specialty, have a significant depth of knowledge of theory and practice with validated clinical practice experience, and are competent in advanced clinical nursing skills. Assertive community treatment (ACT) A team treatment approach designed to provide comprehensive, community-based psychiatric treatment, rehabilitation, and support to persons with serious and persistent mental illnesses. Behavioral health A term that encompasses treatment for mental health disorders and substance abuse as well as employee assistance programs. Case management A method of assigning the coordination of a client’s care; it may be a role, a technology, a process, a service, and a system. Its goal is to decrease fragmentation and ensure access to appropriate and cost-effective care. Clubhouse model A type of rehabilitation that demonstrates that people with mental illness can successfully live productive lives and work in the community, regardless of the nature or severity of their mental illness. Diagnostic and Statistical Manual of Mental Disorders A manual (currently in DSM-IV-TR edition, soon to be the DSM-5) published by the American Psychiatric Association that identifies all mental health disorders for children and adults. It uses a multiaxial approach (Axis I to Axis V) and is intended for use by psychiatrists, psychologists,registered nurses, social workers, and other mental health therapists. Discharge planning The coordinated activities of the multidisciplinary team that facilitate a client’s movement from one healthcare setting to another or to home. Evidence-based practice (EBP) A process founded on the collection, interpretation, and integration of valid, important, and applicable patient-reported, clinician-observed, and research-derived evidence. Managed care Both a delivery and reimbursement system that aims to combine cost-effectiveness with quality care. Mental disorder or illness A disturbance in thoughts or mood that causes maladaptive behavior, inability to cope with normal stresses, and impaired functioning; it meets diagnostic criteria established in DSM-IV-TR. Mental health Mental health is a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her community. Mental health parity Equivalent benefits for medical and surgical benefits and mental health benefits in a health insurance plan. Neurosis A mental disorder usually characterized by anxiety and other uncomfortable and distressing symptoms for the individual while reality testing remains intact. Nurse practice acts Laws in each state that direct nurses in both general and specialty practice and that establish the authority for professional nursing practice and the rules and regulations for the state. Most state nurse practice acts provide a general description of what constitutes the legally protected scope of practice in the state for registered professional nurses (RNs) and licensed practical nurses. Nursing diagnosis A diagnosis composed of the problem or unmet need, its etiology or cause (expressed as ‘related to’), and the objective and subjective supporting data (expressed as ‘evidenced by’). Nursing documentation An accurate record of a client’s care that psychiatric-mental health registered nurses are required to maintain with all information, plans, interventions, and outcomes in an understandable and retrievable manner that can be accessed as needed by all members of the healthcare team. Nursing process A systematic and interactive problem-solving approach that includes individualized client assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. Outcomes of care Measurable changes in the client’s health status produced by nursing interventions. Partial hospitalization program An outpatient program of less than 24-hour daily care, usually provided by a hospital, specifically designed for the diagnosis or active treatment of a serious mental disorder when there is a reasonable expectation for improvement or when it is necessary to maintain a patient’s functional level and prevent relapse or full hospitalization. Primary mental health care Holistic health care that addresses the needs and strengths of the whole person. Primary, secondary, and tertiary prevention Levels of prevention that focus on reducing: the incidence of mental disorders or the rates at which new cases develop, the prevalence of mental disorders by decreasing the number of existing cases, and the severity of a mental disorder and its associated disabilities. Psychiatric rehabilitation The development of the necessary skills for a client with chronic mental illness to live independently. Psychosis The gross impairment of reality testing usually associated with delusions, disorganized behavior and cognition, incoherent or disorganized speech, and hallucinations. Residential treatment setting A therapeutic community with varying levels of supportive care built into a client’s daily life. Standards of practice Authoritative statements that address the care that the mental health client receives; they are based on the nursing process. Standards of professional performance Authoritative statements that address the psychiatric-mental health registered nurse’s professional functioning. Third-party reimbursement Services that are reimbursed through traditional indemnity insurance plans; self-insured plans constructed by employers and other groups; managed care plans, and state and federal government plans such as Medicare, Medicaid, and the Civilian Health and Medical Program of the Uniformed Services; and the Federal Employees Health Benefits Program

reflect on your current and future practice, and the ways worldview and nursing theory influence that practice.

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Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice, and the ways worldview and nursing theory influence that practice.  Draft a 1,000 word paper in which you:

1 Describe an integrative worldview, which attempts to reconcile rational thought and science with a spiritual sense of awe for the environment, including the religious, spiritual, and cultural elements that you think most influence personal philosophy of practice and attitude towards patient care.

2 Choose a specific nursing theory (Sister Callista Roy’s View of Adaptation) and discuss the similarities. Explain how the nursing theory reinforces your approach to care.

3 Finally, explain how the worldview and the nursing theory can assist in further developing future practice.You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Q2

Assignment Context

By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and assignment criteria:

  • Competency 1: Explain strategies for effective interprofessional teamwork and collaboration in health care delivery.
  • Identify challenges of working in interprofessional teams.
  • Describe strategies to help people work effectively together.
  • Competency 2: Analyze the implications of working with interprofessional teams in multifaceted health care settings.
  • Explain the meaning of the term “interprofessional collaboration” from a nursing perspective.
  • Explain how interprofessional teams define success.
  • Describe the characteristics and qualities of effective interprofessional teams in terms of patient safety.
  • Describe the benefits and limitations of interprofessional teams for health care organizations, interprofessional team members, and patients.

wards Lake Community Hospital balance sheet as of December 31, 2017

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wards Lake Community Hospital balance sheet as of December 31, 2017, follows.

EDWARDS LAKE COMMUNITY HOSPITAL
Balance Sheet
As of December 31, 2017
Assets
  Current assets:
     Cash and Cash Equivalents$272,600
      Accounts and notes receivable (net of uncollectible accounts of $15,900)26,600
  Inventory72,600
  
          Total current assets371,800
  Assets limited as to use:
     Cash$17,240
     Investments229,720
          Total assets limited as to use246,960
  Property, plant, and equipment:
     Land210,600
     Buildings (net of accumulated depreciation of $1,623,100)2,893,500
        Equipment (net of accumulated depreciation of $1,024,600)1,859,000
          Total property, plant, and equipment4,963,100
  Total assets$5,581,860
  Liabilities and Net Assets
  Current liabilities:
     Accounts payable$19,300
     Accrued payroll45,200
     Current portion of mortgage payable505,000
          Total current liabilities569,500
  Long-term debt—mortgage payable2,510,000
  Total liabilities3,079,500
  Net assets:
    Unrestricted
     Undesignated2,083,260
     Designated for plant246,860
    Temporarily restricted172,2402,502,360
  Total liabilities and net assets$5,581,860
The following are the transactions of Edwards Lake Community Hospital during the fiscal year ended December 31, 2017.
(1)Information related to accrual of revenues and gains is as follows:
  Patient services revenue, gross$3,501,000  
  Charity care211,760  
  Contractual adjustments to patient service revenues1,521,000  
  Other operating revenues998,950  
(2)Cash received includes:
  Interest on investments in Assets Limited as to Use7,450
  Collections of receivables2,961,100  
(3)Expenses of $891,500 were recorded in accounts payable and $1,454,990 in accrued payroll. Since some of the nursing expenses met a temporary net asset restriction, $94,500 was released from temporary restrictions.
  Administration expenses446,980  
  General services expenses524,610  
  Nursing services expenses1,031,900  
  Other professional services expenses343,000  
(4)Cash paid includes:
  Interest expense (allocated half to nursing services      and half to general services)$281,000  
  Payment on mortgage principal505,000  
  Accounts payable for purchases837,000  
  Accrued payroll1,280,000  
(5)Interest of $1,230 accrued on investments in Assets Limited as to Use.
(6)Depreciation charges for the year amounted to $117,500 for the buildings and $129,000 for equipment. Depreciation was allocated 45 percent to nursing services, 15 percent to other professional services and 20 percent to each administrative and general services.
(7)Other information:
(a)Provision for uncollectible receivables was determined to be adequate.
(b)Supplies inventory balances:
12/31/201612/31/2017
  Administration$8,300$7,500
  General services9,0009,500
  Nursing services17,50017,000
  Other professional
       services		37,80041,000
     Totals$72,600$75,000

Apply Legal and Ethical Parameters In Nursing Practice

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HLTEN509B Apply Legal and Ethical Parameters In Nursing  Practice – Southern Cross Education Institute(SCEI)

Assessment Task No. 1 – Questioning

1. Outline the significance of the Australian Health Practitioner Regulation National Law (2009) on the governance of the conduct of the Enrolled Nurse.

2. In legal context, describe the difference between assault and battery and this applies to

nursing practice?

3. Discuss the type of restraints that may be used within the health care setting.

4. Discuss the term false imprisonment and give a nursing example of how this can happen.

5. What does the term defamation mean and how this applies to nursing practice?

6. Identify two (2) legal responsibilities you have as a student enrolled nurse, as opposed to

those as a graduated enrolled nurse.

7. Write in full the organisations listed below and what role do they fulfil in nursing.

a. ANMC

b. AHPRA

c. ANMF

d. RCNA

8. Outline five (5) things you need to do to ensure your documentation in a client’s record meets the required legal aspects.

9. Discuss the management of client information; documentation and storing, relevant to your nursing practice. Include:

a. Legal documentation

b. Freedom of information legislation

c. Privacy Act

d. Confidentiality

10. All nurses are expected to adhere to Standards of care in their practice. Where can nurses locate these Standards of Care and where does the advice for these Standards comes from?

11. Access the Professional Code of Conduct for Nurses. According to statement 1.4, “When an aspect of care is delegated nurses ensure that the delegation does not compromise the safety or quality of care of people.” Given this statement, explain your understanding of your role as an enrolled nurse in relation to ‘restraint of a client.”

12. Enrolled Nurse, Michelle, begins to shower Mr Brown, aged 76, who has some R) sided weakness after a CVA (stroke) 4 years ago. Michelle leaves Mr Brown for a moment to get some towels. Although she told him not to move she returns to find him on the floor, and complaining a severe pain in his R) leg. An x-ray confirms a # R) femur.Identify the elements of negligence and explain how each element relates to this situation?

13. What does the term ‘valid consent’ mean in the context of your role as an Enrolled Nurse?

14. What does ‘legal and intellectual capacity’ mean in the context of your job role?

15. Explain the requirements of mandatory reporting for nurses in your state.

16. Explain your working knowledge of the following terms of law associated with the practice of nursing:

a. types of law

b. court system

c. common law

d. statute law

e. civil law

f. precedent

g. sources of law

17. Explain the types of consent related to the delivery of healthcare.

18. What is your knowledge of contemporary ethical issues of?

a. Autonomy

b. Non-maleficence

c. Beneficence

d. Justice

e. Rights

19. Describe the meaning and application of the following terms to Enrolled Nurse practice.

a. Ethics

b. Bioethics

c. Nursing ethics

20. An enrolled nursing student is undertaking professional practice placement in an Aged Care Residential Facility. The registered nurse knows the student is on their last placement before graduating. The registered nurse is extremely busy and asks the student if they have performed a female cauterization as part of their course. The student states she has in the simulated nursing skills laboratory. The registered nurse asks the student if she can read the facility procedure on female catheterisation and perform the procedure unsupervised on one of the female residents.

Using the Nursing Decision Making Framework and Flowchart, determine if it would be appropriate for the student to proceed with this procedure. Provide an explanation for your decision.

Scenario 1 – Post Partum Haemorrhage

Mrs P is critically ill after delivering her first baby. She has had uncontrolled bleeding post-partum. Her severe blood loss is putting her at risk of dying. Doctors wish to transfuse 4 Units of packed red blood cells as her Haemoglobin level has now dropped to dangerously low. The midwife estimates Mrs P’s blood loss to be approximately 1200 mls since the birth of the child 6 hours previously.

Mrs P is now showing signs of hypovolaemic shock, medical staff are concerned she is a risk of cardiac arrest. Her blood pressure is low; her oxygen saturations are falling despite oxygen administration. She is tachycardic at 112 beats per minute but the pulse is weak….

Scenario 2 – Right to Die

Mrs Joan White, aged 45, was diagnosed with the rare Pick’s dementia 2 years ago. Since then she has rapidly deteriorated, and now requires artificial nutritional support to sustain life. Doctors have inserted a nasogastric tube, and the dietician has started a regime of enteral feeds to maintain her body weight and meet the right nutritional needs. Mrs White has strongly voiced her disapproval to this intervention, but the doctors gained consent from her husband Mr White who she had earlier appointed as her Enduring Power of Attorney (Medical Treatment)….

Scenario 3 Individuals right to…….

Mr Jack Green is 68, single, and living in the supported accommodation facility where you work. Jack’s only known relative is a distant cousin, and he looks upon the staff of this facility as his family.Jack has a couple of hobbies that you are increasingly uncomfortable with. The first is his involvement with mail order companies. Every week several parcels arrive with products Jack has ordered. Quite often, he also receives a free product as part of a customer appreciation deal. Inevitably, Jack gives these freebies to individual staff members. Although this practice started quite innocently (with a bar of chocolate or a packet of lollies, of late Jack has been giving away gifts such as watches, fancy pens, diaries or similar items. You are concerned that accepting such gifts is unethical. You want to ask Jack to stop giving these goods to staff, but you are not sure of whether you would be breaching any policies, or rights, or law…..

Fundamental of Mental Health Nursing: Therapeutic Relationship

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Fundamental of Mental Health Nursing: Therapeutic Relationship- Nursing Essay Writing Assignment

Task:

Recovery and the therapeutic relationship are foundational concepts in mental health nursing. The intent of this essay is to endow you with a thorough understanding of foundational concepts in contemporary mental health nursing. This essay will require you to explore and develop an understanding of the literature in relation to recovery, and in relation to the therapeutic relationship. You will be expected to demonstrate an understanding of how the concepts apply to mental health nursing, and you will be expected to develop logical arguments by using evidence.

Recovery and the Therapeutic Relationship in Mental Health Nursing This assessment is an essay style task, which will require you to demonstrate your understanding of foundational concepts in mental health nursing. This assessment requires you to address two separate questions.

Question 1 (worth 20%):

Discuss the meaning of recovery in mental health care. In your answer, identify principle tenets of the recovery paradigm and its general implications for practice.

Question 2 (worth 20%):

Discuss how and why nurses develop a therapeutic relationship/therapeutic alliance with consumers. Relate the discussion to recovery principles.

Execution:

You are to address each question separately. To do so, clearly, title each answer with the headings ‘Question 1’ and ‘Question 2’.

Do not write an introduction or conclusion paragraph.

Important Notes on Writing and Referencing:

A maximum of 5 websites can be referenced in this assignment.

If referencing an edited textbook, the specific chapter must be cited.

You are to use a minimum of ten references.

how the Conceptual – Theoretical – Empirical (CTE) structure translates into nursing practice based on one of the middle range theories that has been formulated or derived from your preferred conceptual model of nursing.

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Conceptual models, theories, and empirical indicators are linked and provide a nursing knowledge system to apply the model or theory to nursing practice, research, and education. Advanced-practice nurses are required to understand the linkages as applied to nursing and translate the components into practice.  To continue development of nursing knowledge, advanced practice nurses can create structure to test theory.  

General Guidelines:

Use the following information to ensure successful completion of the assignment:

·         This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

·         Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.

·         This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.

·         You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.


Directions:

Write a 1,000-1,250 word paper examining how the Conceptual – Theoretical – Empirical (CTE) structure translates into nursing practice based on one of the middle range theories that has been formulated or derived from your preferred conceptual model of nursing. Translate and apply the selected theory to nursing practice using actual examples. Evaluate the theory using the CTE steps below:


1.    Evaluation of the conceptual-theoretical-empirical linkages.

2.    Evaluation of the selected theory.

3.    Evaluation of the empirical indicators.

4.    Evaluation of research findings.

5.    Evaluation of the utility and soundness of the practice theory.

identify your own values and beliefs about the established metaparadigms and metatheories of the discipline.

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Concept Synthesis Paper on Personal Nursing Philosophy
You are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice.
This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory.
Your paper should follow a format that includes:
Nursing Autobiography: A brief (1 page) discussion of your background in nursing.
The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.
Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.
List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.
Each week, you will complete various segments of your Concept Synthesis Paper and submit it to the Submissions Area for facilitator feedback when necessary. Your paper should integrate these discrete elements and reflect your personal nursing philosophy.
Your Concept Synthesis Paper on your Personal Nursing Philosophy is due in Week 3. However, it is recommended that you begin working on your paper from Week 1 onwards and complete the various components related to the paper week wise as you progress through the course. The suggested tasks for each week are:
Week 1: Nursing Biography and The Four Metaparadigms of Nursing
Week 2: Two Practice-specific Concepts, and List of Propositions/Assumptions
Week 3: Due: Concept Synthesis Paper on Personal Nursing Philosophy
Consider the following questions as you complete your various tasks related to this assignment.
1.
How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?
2.
What are the major concepts I employ that are unique to my professional practice?
3.
What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?
4.
How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into my philosophy and practice?
5.
What research supports these theories and concepts?
6.
How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?
The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 6-10 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.
Your philosophy/framework is to be given a title that is appropriate to its content and emphasis.

Bachelor Of Nursing Science-Case Study

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NUR231: Bachelor Of Nursing Science-Case Study Assignment

Patient Situation:

Mr. Edward Hunter, an 89 year old widower, is now day 7 following his admission with end-stage pulmonary fibrosis, hypoxaemia (oxygen saturations 82% in the ambulance) and chest infection. He has been under the care of the community nursing team who have provided nursing support and home oxygen therapy. Mr. Hunter’s condition continues to deteriorate. He is on 15 litres oxygen via the non-rebreather mask to maintain oxygen saturations > 94%. His severe dyspnoea renders him immobile and barely able to eat. At night he becomes quite restless and distressed by his breathlessness. Whilst in hospital he has been under the care of the palliative care team who prescribed Morphine elixir 2.0-2.5 mg PO PRN nocte to alleviate the distress associated with his dyspnoea.

Mr. Hunter developed a fever of 38.0oC two days ago and has chills and bloody, jelly-like sputum. Culture and sensitivity on Mr. Hunter’s sputum specimen reveals Streptococcus pneumoniae and Klebsiella pneumoniae and he is diagnosed with hospital acquired pneumonia. Mr. Hunter was previously prescribed Amoxycillin (Amoxicil, Alphamox) 500mg capsules PO TDS and Clarithromycin (Clarac, Klacid) 500mg PO BD for his chest infection and he has diarrhoea associated with the macrolide antibiotic therapy. Laboratory tests from a stool sample confirm that he has Clostridium difficile (C.difficile) infection. The Klebsiella pneumoniae infection poses a serious risk to Mr. Hunter of further
deterioration in lung function and of developing an empyema. Klebsiella infection is seen in elderly hospitalised patients who are already ill and immunocompromised and with underlying chronic lung disease. Since Klebsiella demonstrates antimicrobial resistance – the bacterium is intrinsically resistant to Penicillins and can acquire resistance to Cephalosporins – Mr. Hunter is commenced on an aminoglycoside and is prescribed gentamicin IV infusion.

Question:

Question 1- Explain why Mr. Hunter has the ‘superinfection’ known as C.difficile and describe the nursing care required to contain this infection.

Question 2 – Explain how aminoglycosides work to combat infection and why plasma drug concentrations of the aminoglycoside Gentamicin are monitored.

Question 3 – Relate what you know about how Gentamicin achieves its antimicrobial effect (ie. is antimicrobial efficacy dose-dependent or concentration-dependent) to explain the consequences of a ‘missed’ dose or giving a ‘late’ dose in an antibiotic treatment regime.

Question 4 – What is the nurses’ role in ‘antimicrobial stewardship?’ Examine the research literature in the USC library databases and choose at least 2 journal articles that discuss antimicrobial stewardship (AMS) in order to identify the nurses’ role in improving antimicrobial use in hospitals. Analyse the papers and summarise the main points.

Contemporary Nursing: Issues, Trends, and Management

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The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in march of 2010. Identify the impact of this legislation on your nursing practice by choosing two key nursing provisions outlined in the topic material. ” Nursing and Health Reform.” Discuss how this two provisions have impacted , or will impact, your current practice of nursing.
Textbook

1. Contemporary Nursing: Issues, Trends, and Management

Read Chapters 2 and 26 in Contemporary Nursing: Issues, Trends, and Management.
http://evolve.elsevier.com

Electronic Resource

1. Establishing a Culturally Competent Master’s and Doctorally Prepared Nursing Workforce

Read “Establishing a Culturally Competent Master’s and Doctorally Prepared Nursing Workforce,” located on the American Association of College of Nursing website.
http://www.aacn.nche.edu/education-resources/CulturalComp.pdf

2. New Health Care Delivery Models in Health System Reform: Opportunities for Nurses and Their Patients

Read “New Health Care Delivery Models in Health System Reform: Opportunities for Nurses and Their Patients,” by Haney (2010), located on the American Nurses Association website.
https://www.nursingworld.org/~4af0e8/globalassets/docs/ana/ethics/new-delivery-models—final—haney—6-9-10-1532.pdf

3. Nursing and Health Reform

Read “Nursing and Health Reform,” located on the Wound Ostomy and Continence Nurses Society website.
http://c.ymcdn.com/sites/www.wocn.org/resource/resmgr/AdvocacyPolicy/PPACA_and_Nursing_-_Nursing_.pdf

4. The Affordable Care Act (ACA)

Read “The Affordable Care Act,” located at the HealthCare.gov website.
http://www.healthcare.gov/law/timeline/index.html

e-Library Resource

1. Accountable Care Organizations: The Future of Care Delivery

Read “Accountable Care Organizations: The Future of Care Delivery?” by Hart, from American Journal of Nursing (2012).
https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201202000-00016&LSLINK=80&D=ovft

2. Editor’s Notes: Integrating Health Promotion Into National Health Policy

Read “Editor’s Notes: Integrating Health Promotion Into National Health Policy,” by O’Donnell, from American Journal of Health Promotion (2009).
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=43220792&site=ehost-live&scope=site

3. From Sick Care to Health Care-Reengineering Prevention Into the US System

Read “From Sick Care to Health Care—Reengineering Prevention Into the US System,” by Marvasti and Stafford, from New England Journal of Medicine (2012).
https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/1038358746?accountid=7374

4. Goal-Oriented Patient Care – An Alternative Health Outcomes Paradigm

Read “Goal-Oriented Patient Care – An Alternative Health Outcomes Paradigm,” by Reuben and Tinetti, from New England Journal of Medicine (2012).
https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/925781742?accountid=7374

5. Health Care Reform and Issues in Nursing. The PPACA and Its Impact on Medical-Surgical Nursing

Read “Health Care Reform and Issues in Nursing. The PPACA and Its Impact on Medical-Surgical Nursing,” by Hertel, from Med-Surg Matters (2011).
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=2011294897&site=ehost-live&scope=site

6. Health Reform Act: New Models of Care and Delivery Systems

Read “Health Reform Act: New Models of Care and Delivery Systems,” by Haas, from AAACN Viewpoint (2011).
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=2010979774&site=ehost-live&scope=site

7. Healthcare Reform and Nurses: Challenges and Opportunities

Read “Healthcare Reform and Nurses: Challenges and Opportunities,” by Stokowski, from Nevada RNformation (2010).
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=2010750537&site=ehost-live&scope=site

8. Pragmatic Measures: What They Are and Why We Need Them

Read “Pragmatic Measures: What They Are and Why We Need Them,” by Glasgow et al., from American Journal of Preventive Medicine (2013).
https://lopes.idm.oclc.org/login?url=http://www.sciencedirect.com.lopes.idm.oclc.org/science/article/pii/S0749379713002651

Licensing and Professional Organizations

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Licensing and Professional Organizations

In Week 5, the Final Project will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum: NP, nurse educator, nurse informaticist, and nurse administrator. You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. This week you will focus on Licensing and Professional Organizations.

Based on the specialty area and role that you selected in W1 Assignment 4, in a 3- to 5-page paper (excluding the title page, references, and appendices) create a scenario or case study to illustrate the type of organization you would expect to work in as this type of nursing professional. Include in the scenario or case study:

  • List the type of organization.
  • List the type of and how many clients it serves.
  • Identify the professional fit for advanced nursing role.
  • Implement your new nursing role in the organization.
  • Identify a board of nursing in your state (specifically the Nurse Practice Act), which would support your role in this type of organization.
Assignment 2 Grading CriteriaMaximum Points
Created a scenario or case study of the organization you expected to work in as the nursing professional.20
Illustrated the type and number of clients of organization selected for the advanced practice role.20
Implemented the fit for the chosen professional nursing role.20
Identified your State Board of Nursing and referenced Nurse Practice Act which supports role implementation.20
Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in appropriate and accurate representation and attribution of sources; and displayed accurate spelling, grammar, and punctuation. APA format was used.