Distractors in our environment

Welcome to the Week 6 discussion thread. In this week’s discussion, we are going to discussion distractors in our environment. Distractions are everywhere. They may include cellphones, the alarms sounding for multiple different reasons, overhead paging, monitors beeping, and staff interrupting our thoughts. Give an example of an ethical or legal issue that may arise if a patient has a poor outcome or sentinel event because of a distraction such as alarm fatigue. What does evidence reveal about alarm fatigue and distraction when it comes to patient safety? I am looking forward to our discussion this week as I believe this is a very important topic and really can impact patient care and safety.

Thank you in advance for sharing your thoughts!

What is your philosophy when it comes to nursing?

Assignment: Philosophy of Nursing

What is your philosophy when it comes to nursing? Which aspects of your philosophy do you think reflect the philosophical influences that have shaped the profession and are likely shared by other nurses? Which aspects of your philosophy reflect your personal values, beliefs, experiences, and unique perspective? How is your philosophy demonstrated through your practice?

This Assignment provides an opportunity for you to examine your philosophy of nursing within the context of the information presented this week.

To prepare:

  • Review the information presented in the Learning Resources with your own philosophy of nursing in mind. Focus on any new insights you gained from the readings and how they influence your philosophy.
  • Reflect on how philosophy influences scientific approaches or knowledge development in nursing.
  • Examine how positivism and post-positivism have influenced approaches to nursing science (including research methods) and nursing practice. Conduct additional research as necessary using credible websites and the Walden library.

By Thursday 06/08/17, write a 6- to 7-page APA paper with a minimum of 5 references from the list of required readings below that include the level one headings as numbered below:

1)       Introduction (must end with a purpose statement e.g. “the purpose of this paper is…”)

2)       Articulates your philosophy of nursing identifying the philosophical influences and summarizing how this week’s readings influenced your views/beliefs.

3)       Explains how nursing’s philosophical foundations influence your nursing practice and provides at least two specific examples.

4)       Answers the question: What is the relationship between philosophy and knowledge development? How is this evidenced in your nursing philosophy or practice?

5)       Outlines how positivism and post-positivism influences approaches to nursing science (including research methods) and nursing practice as well as your own personal philosophy.

6)       Conclusion (Summary of the paper)

Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in-text citations and reference list are correct.

Required Readings

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

Chapter 1, “Philosophy, Science, and Nursing”

 Chapter 1 introduces the scientific and philosophical foundations of nursing and how these contribute to knowledge development within the discipline of nursing.

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 1, “Discovering the World of Nursing Research”

 Chapter 1 introduces nursing research and discusses how science, theory, and philosophy all influence research.

Chapter 2, “Evolution of Research in Building Evidence-Based Nursing Practice”

 Chapter 2 reviews the history of nursing research beginning with the work of Florence Nightingale and examines the influence of nursing research today on evidence-based practice.

Moran, K., Burson, R., & Conrad, D. (2017). The doctor of nursing practice scholarly project: A framework for success (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 1, “Setting the Stage for the Doctor of Nursing Practice Scholarly Project”

Chapter 5, “The phenomenon of Interest”

Chapter 6, “Developing the Scholarly Project”

Isaacs, S., Ploeg, J., & Tompkins C. (2009). How can Rorty help nursing science in the development of a philosophical ‘foundation’? Nursing Philosophy, 10(2), 81-90. doi:10.1111/j.1466-769X.2008.00364.x

 Note: You will access this article from the Walden Library databases.

This article discusses the application of the Richard Rorty’s pragmatic philosophy to nursing practices and research.

Kinsella, E. A. (2010). Professional knowledge and the epistemology of reflective practice. Nursing Philosophy, 11(1), 3-14. doi:10.1111/j.1466-769X.2009.00428.x

 Note: You will access this article from the Walden Library databases.

 This article examines the philosophical underpinnings and epistemological assumptions of reflective practice in an effort to advance understanding for application in professional healthcare settings.

Mackay, M. (2009). Why nursing has not embraced the clinician-scientist role. Nursing Philosophy, 10(4), 287-296. doi:10.1111/j.1466-769X.2009.00416.x

 Note: You will access this article from the Walden Library databases.

 In this article, the role of the clinician-scientist and importance of clinical research for nursing is examined.

Persson, J. (2010). Misconceptions of positivism and five unnecessary science theoretic mistakes they bring in their train. International Journal of Nursing Studies, 47(5), 651-661. doi:10.1016/j.ijnurstu.2009.12.009

 Note: You will access this article from the Walden Library databases.

 This article discusses misconceptions of positivism and the implications of these misconceptions for nursing researchers.

Pesut, B., & Johnson, J. (2008). Reinstating the ‘Queen’: Understanding philosophical inquiry in nursing. Journal of Advanced Nursing, 61(1), 115-121. doi: 10.1111/j.1365 -2648.2007.04493.x

 Note: You will access this article from the Walden Library databases.

 This article provides an analysis of the use of philosophical inquiry within nursing research. The article identifies characteristics of philosophical inquiry as well as common tools used in this methodology.

Porter, S. (2001). Nightingale’s realist philosophy of science. Nursing Philosophy, 2(1), 14-25. doi:10.1046/j.1466-769X.2001.00029.x

Note: You will access this article from the Walden Library databases.

 In this article, Florence Nightingale’s realist philosophy of science is compared to today’s dominant philosophy of positivism.

Optional Resources

Connor, M.J. (2004). The practical discourse in philosophy and nursing: An exploration of linkages and shifts in the evolution of praxis. Nursing Philosophy, 5(1), 54-66. doi:10.1111/j.1466-769X.2004.00159.x

 Note: You will access this article from the Walden Library databases.

Chou, M., & Lee, L. (2007). Initial formation of nursing philosophies following fundamental clinical practice: The experience of male nursing students. Journal of Nursing Research, 15(2), 127-137.

 Note: You will access this article from the Walden Library databases.

Effken, J. (2007). The informational basis for nursing intuition: Philosophical underpinnings. Nursing Philosophy, 8(3), 187-200.

 Note: You will access this article from the Walden Library databases.

Mantzoukas, S., & Jasper, M. (2008). Types of nursing knowledge used to guide care of hospitalized patients. Journal of Advanced Nursing, 62(3), 318-326. doi: 10.1111/j.1365-2648.2007.04587.x

 Note: You will access this article from the Walden Library databases.

Mills, J., Chapman, Y., Bonner, A., & Francis, K. (2007). Grounded theory: A methodological spiral from positivism to postmodernism. Journal of Advanced Nursing, 58(1), 72-79. doi: 10.1111/j.1365-2648.2007.04228.x

 Note: You will access this article from the Walden Library databases.

Persson, J., & Sahlin, N. (2008). A philosophical account of interventions and causal representation in nursing research. International Journal of Nursing Studies, 46(4), 547-556. doi: 10.1016/j.ijnurstu.2008.11.008

 Note: You will access this article from the Walden Library databases.

 Trochim, W. (2006). Research methods knowledge base: Positivism & post-positivism. Retrieved from http://www.socialresearchmethods.net/kb/positvsm.php

The Department of Veterans Affairs (VA) aims to expand the scope of practice of advanced practice registered nurses (APRNs) who work for the agency in order to provide veterans with greater and timely access to care. Under a proposed rule published on May 25, 2016 in the Federal

300 words 1 reference

The Department of Veterans Affairs (VA) aims to expand the scope of practice of advanced practice registered nurses (APRNs) who work for the agency in order to provide veterans with greater and timely access to care. Under a proposed rule published on May 25, 2016 in the Federal Register, the VA said it intended to expand the pool of qualified healthcare professionals who are authorized to provide primary healthcare and other services to the full extent of their education and abilities without the clinical supervision of physicians.

In December 2016, the Office of Management and Budget (OMB) approved a final version of the VA’s proposed rule to grant full practice authority to APRNs thatexcludes CRNAs.

1. Please read http://www.aana.com/advocacy/federalgovernmentaffairs/Pages/VA-Final-Rule-Published1.aspx (Links to an external site.)Links to an external site.

2. Please review the following articleshttp://www.aana.com/newsandjournal/News/Pages/052516-VA-Proposed-Rule-News.aspx (Links to an external site.)Links to an external site.).

3. Lastly, please review a selection of the “negative” articles that I posted below: Do you agree or disagree with the authors? How would you support or refute these claims?

VA takes heat over plan to let nurses treat vets without doc supervisionFoxNews, June 1, 2016www.foxnews.com/politics/2016/06/01/… (Links to an external site.)Links to an external site.

Docs Steamed Over VA Nurse ProposalMedPage Today, June 1, 2016www.medpagetoday.com/publichealthpolicy/militarymedicine/… (Links to an external site.)Links to an external site.

Proposal: Cut VA Wait Times by Giving New Authority to Nurses?Independent Women’s Forum, May 30, 2016www.iwf.org/blog/2800351/… (Links to an external site.)Links to an external site.

VA Wait Times: Criticism Lines Up Behind Veteran Affairs Plan To Let Nurses Take Over Physician TasksInternational Business Times, May 28, 2016www.ibtimes.com/… (Links to an external site.)Links to an external site.

VA proposes to give nurses expanded rolePittsburgh Tribune, May 27, 2016triblive.com/usworld/nation/10542577-74/… (Links to an external site.)Links to an external site.

VA proposes expanding nurses’ medical authority Stat News: Morning Rounds enewsletter, May 26, 2016us11.campaign-archive1.com/… (Links to an external site.)Links to an external site.

Press Briefing Denouncing Dangerous VA Policy Change to Replace Physician Anesthesiologists with Nurses in Surgery Mil-Tech, May 26, 2016www.military-technologies.net/2016/05/26/… (Links to an external site.)Links to an external site.

AMA disappointed with VA’s proposal to allow advanced practice nurses within VA practice independentlyDotMed Health Care Business Daily News, May 26, 2016www.dotmed.com/news/story/31130 (Links to an external site.)Links to an external site.

Physician anesthesiologists oppose VA rule replacing physicians with nurses in anesthesiaMedical XPress, May 25, 2016medicalxpress.com/news/… (Links to an external site.)Links to an external site.

Doctors oppose replacing VA physician anesthesiologists with nursesUPI, May 25, 2016www.upi.com/Health_News/2016/05/25/… (Links to an external site.)Links to an external site.

Physician Anesthesiologists, Veterans and VA Anesthesia Chiefs Oppose VA Policy Replacing Physicians with Nurses for Anesthesia Care in SurgeryPR Newswire, May 24 2016www.prnewswire.com/news-releases/… (Links to an external site.)Links to an external site.

Describe a situation or conversation in which there was a conflict between a nurse or advanced practice nurse and another healthcare provider or administrator.

advance practice nursing

  1. Describe a situation or conversation in which there was a conflict between a nurse or advanced practice nurse and another healthcare provider or administrator.
  2. Write a 2 to 3 page paper on how you would apply the Twelve Skills to have a positive communication outcome.

Your paper must be presented in a single Word document. The paper must be between 2 to 3 pages in length, not including the title and reference list pages. The paper must use proper APA Publication Manual, 6th Edition formatting, including title page, running head, and reference list with properly formatted citations in the body of the paper.

Nursing Research Questions

Nursing Research Questions

Three nursing research questions needed to be answered. Please see information below. 

Week 1

Refer to syllabus for requirements of discussion board post. Answer each question with a minimum of 125 words. Please cite textbooks as a reference.

  1. Describe a research proposal.  What is the purpose of a proposal?
  2. What does it mean to replicate a research study?  Is replication a good or bad idea in nursing research?  Why or why not?
  3. What study will you use to replicate in your proposal?  Why did you choose to replicate this study for your proposal?

Textbooks:

Grove, S. K., Burns, N., & Gray, J. R.(2013). The Practice of Nursing Research: Appraisal, Synthesis and Generation of Evidence. (7th) St. Louis: Saunders/Elsevier.

Kim, M. & Mallory, C. (2014). Statistics for Evidence – Based Practice in Nursing. Burlington, MA: Jones & Bartlett.

Describe the future vision and goals each role and relate to emerging healthcare trends and needs.

The Evolution of Nursing

Future Perspectives

Purpose:

Nurses work together in many environments. Understanding the roles and responsibilities of each type of graduate nurse will foster cooperative relationships.

Directions:

  1. Select and describe a specialty that has evolved in a different direction from that of advanced practice nursing (e.g., informatics, administration, health policy, and/or forensic nursing).
  2. What key differences do you see in this evolution as compared with developed APN specialties?
  3. Describe the future vision and goals each role and relate to emerging healthcare trends and needs.

Your paper must be presented in a single Word document. The paper must be between 2 to 3 pages in length, not including the title and reference list pages. The paper must use proper APA Publication Manual, 6th Editionformatting, including title page, running head, and reference list with properly formatted citations in the body of the paper.

1. Select a relevant clinical practice based problem/topic.

For this assignment develop a scholarly paper that includes the following criteria: 2-3 pages

1. Select a relevant clinical practice based problem/topic.

2. Describe the current clinical practice based problem/topic and include

·Population of interest

·Background information

3. Search the literature for four (4) evidence-based interventions on the problem/topic of interest. The literature can be individual studies or systematic reviews. A systematic review counts as one (1) intervention. If using a systematic review, report on the review, not on the studies identified in the review. The studies must be within the discipline of nursing (not medicine). All of the studies MUST be intervention studies. Review what constitutes an intervention study.

  • identify the databases (e.g., CINAHL, Medline) and key terms used in initiating the collective search for all of the studies (not each study)
  • ·         Describe evidence found in the literature

4. Write the PICOT question in sentence form using the following format. The question must reflect an issue or intervention within the discipline of nursing (not medicine). This means the question must be about something nurses have authority over, not something that is prescribed and/or carried out by physicians or another discipline. Interdisciplinary interventions are encouraged. An example of a PICOT Question and PICOT template can be found on Appendix A or the accompanying Melynk & Fineout-Overholt (2014) 3rd edition text online.

·         P = Population –who does this problem primarily effect (i.e. Nurses, patients, families, etc.)?

·         I = Intervention or issue interest –what is the proposed intervention identified in the literature as best practice?

·         C = Comparison intervention or comparison group –what is the current practice? Compare the best practice intervention identified in the literature with the current practice.

·         O= Outcome –how would you determine if the change/implementation has been effective?

·         T = Time –how long would the new change/intervention need to be in effect before you anticipate evaluating the outcome?

5. 2-3 pages

6. Include level 1 and level 2 headings, an introductory paragraph, purpose statement and a conclusion.

7. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’).

8. Four (4) references from professional peer-reviewed nursing journals to support the paper. References should be from scholarly peer-reviewed journals (review in Ulrich Periodical Directory) and be less than five (5) years old.

9. APA 6th edition format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations)

The importance of transcultural nursing knowledge in an increasingly diverse world

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.

In this assignment, you will select a program, quality improvement initiative, or other project from your place of employment. Assume you are presenting this program to the board for approval of funding. Write an executive summary (850-1,000 words) to present to the board, from which they will make their decision to fund your program or project. The summary should include:

Details:

In this assignment, you will select a program, quality improvement initiative, or other project from your place of employment. Assume you are presenting this program to the board for approval of funding. Write an executive summary (850-1,000 words) to present to the board, from which they will make their decision to fund your program or project. The summary should include:

  1. The purpose of the program or project.
  2. The target population or audience.
  3. The benefits of the program or project
  4. The cost or budget justification.
  5. The basis upon which the program or project will be evaluated.

Share your written proposal with your manager, supervisor or other colleague in a formal leadership position within a health care organization. Request their feedback using the following questions as prompts:

  1. Do you believe the proposal would be approved if formally proposed?
  2. What are some strengths and weaknesses of the proposal?

Submit the written proposal along with the “Executive Summary Feedback Form.”

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

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

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).