Leadership Journal Template

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Leadership Journal Template

Leadership Journal Template

Name:

Weeks Covering: 16 weeks

Preceptor/Mentor:

Clinical/Practicum Site: SFMC

Hours Worked (past two weeks):_36__

Total Hours: __36__/150 total of all hours worked up to this point

Practicum Activities Reflection:

I selected the wound care department as the focus of my practicum because there is a significant communication problem to be resolved. It has been discovered that the department scored poorly with patients in regard to communication. My first activity was to observe the scorecards collected from patients during the last three months at their discharge or from outpatient services. Communication is an essential tool between doctors, nurses, and patients so I had to find the reason for poor communication and the solutions needed to resolve them. It was also discovered that the communication scores dropped after the hospital went through a change of ownership. Leadership Journal Template

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The scorecards revealed that the patients were not satisfied with the care, and they complained that the doctors and nurses do not come to ask about their well-being and do not discuss their issues with them. My second activity was communicating with the directors, nurses, and the other hospital staff to know how they communicate with the patients. The patients do not need wound care treatment only, but they require the proper care overall. If the proper care is not given to the patients, the patient flow will decrease in the coming months. The patient satisfaction level is directly related to the number of patients and the department’s reputation. The surveys will continue to be collected throughout the practicum because I want to know the effect of ownership change and staff behavior toward the patients. The ownership change might also affect the staff behavior with the patients. The last three months were proved to be critical for the patients because it was found that there were soar comments about the hospital administration.

I observed that leadership styles are essential in the improvement of communication. Communication with the patients is essential because it brings value to the treatment, and the patient’s satisfaction will be enhanced. I will continue the survey of the patients to know the other impacts. I expect that these activities will help me improve the communication process, and the patients will feel better.

Application of Leadership:

            Professional responsibility and power, authenticity, integrity, and emotional intelligence are key factors of multiple leadership styles. During the observation and involvement of the preceptor activities, I felt that these factors were neglected. There was no element of emotional intelligence and authenticity in the leadership styles. During conversation with my preceptor, I realized that she favored the authoritarian leadership style with the patients and department staff. For authoritative leadership to be effective, team members must be given a clear goal to work toward and instructions for getting there. (Alqatawenh, 2018).

Various leadership styles can be implemented in the hospital, especially in the wound care department. The leadership styles are not easily changed altogether, but certain elements can be inserted into them. The first element that should be inserted in the leadership style is professional integrity. Professional integrity means that the patients should discuss the processes with the doctors, and the doctors/preceptors/nurses should give proper time to all the patients.

Professional integrity is one of the essential elements that should be inserted into the leadership styles. The next element that I would like to insert into the leadership styles is authenticity during the treatment. Authenticity in leadership means that all leaders must know their duties and responsibilities. The duty is not merely to admit the patients to the hospital and discharge them. The responsibilities include several factors like the care of patients and the proper administration of wound care treatments. The staff should discuss a patient’s condition with the family and encourage them to be involved in the care. All these elements are necessary for a patient, and if these elements are not provided there will be negative comments on the scorecard (Adi, 2019).

Last but not least, the leadership in hospital management or nursing involves protecting ethical principles. If the practices include ethics, the patients are satisfied; if there is a lack of implementation of the ethical tenets, the complaints will be increased. The principles include autonomy, beneficence, and justice. The leaders should think of these principles, and when the roots of problems and solutions are observed, they will meet a single factor known as communication. The patients have severe complaints about the lack of effective communication that should be resolved (DeConinck, 2018).

Practicum Project Preparation:

I have strong ideas about the project practicum because two essential concepts are involved. These are the leadership styles and the communication improvement. It is already explained that the leadership styles are numerous, and the leaders have to choose the appropriate one. I have planned to present the implementation of transformational and servant leadership within the department. Transformational leadership encourages the employees to learn that they are an essential part of an organization, and they have to work for the betterment of the organization. One of the essential elements that the project has made me learn is that effective leadership is essential in the success of leadership. The project has a massive role in my career because the practical observations are different from the theoretical concepts.

I have read a lot about leadership inefficiency and the lack of implementation of leadership styles. The project has made me learn that the situation exists in reality, and it helps me identify the real problems and solutions. I have learned different leadership styles like transformational and servant leadership, which I expect to implement in my career. Both the leadership styles are essential in the project, and the hospital management should learn them to the maximum extent (Gandolfi, 2018).

Leadership Video Reflection:

Servant leadership is an essential leadership style that many previous leaders observed in the past. The video was quite informational because it provided the lessons regarding servant leaders and the characteristics that should be present. The first thing that I have learned and am impressed with is that the leaders should understand that they are the servants of the public. They are appointed in the vital position of serving the people instead of giving them the orders. The leaders should learn that there is a differentiation between giving orders and leading the people through serving. The other aspect that I have learned from the servant leadership video is the power of a leader to listen and heal the patients. It is not only about the patients but the employees and customers. If the leader cannot listen to the employees, they do not have the leader’s personality. The leaders should always be concerned about the problems of the public and should resolve them (Nursing, 2016).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Alqatawenh, A. S. (2018). Transformational leadership style and its relationship with change management. Verslas: teorija ir praktika, 19(1), 17-24. https://www.ceeol.com/search/article-detail?id=772622.

DeConinck, J. B., Moss, H. K., & Deconinck, M. B. (2018). The relationship between servant leadership perceived organizational support, performance, and turnover among business-to-business salespeople. Global J Management and Marketing, 2(1), 38-52. https://www.igbr.org/wp-content/Journals/2018/GJMM_Vol_2_No_1_2018.pdf

Gandolfi, F., & Stone, S. (2018). Leadership, leadership styles, and servant leadership. Journal of Management Research, 18(4), 261-269. https://www.researchgate.net/publication/340940468_Leadership_Leadership_Styles_and_Servant_Leadership

Adi, K. R. (2019, October). Transformational leadership and team performance: the role of innovation in Indonesia property agent industry. In 2018 International Conference on Islamic Economics and Business (ICONIES 2018) (pp. 334-338). Atlantis Press. https://doi.org/10.2991/iconies-18.2019.67

Nursing, A. G.-. (2016, October 10). Servant Leadership – The Issue Of Power [cc] [Video]. YouTube. https://www.youtube.com/watch?v=Z8yMNFMp0k8&feature=youtu.be

 

 

 

The interrelationship among theory

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The interrelationship among theory

Module 1 Theory, Practice, and Research Initial Discussion Post

Discuss the interrelationship among theory, practice, and research.

Nursing theory and research are closely linked since they contribute to the advancement of professional nursing practice. Gray et al. (2017) describe theory as a scientific approach to organizing ideas that incorporates related concepts, existence claims, and relationship statements to offer a systematic picture of reality. Personal experiences, scientific evidence, and complex cognitive processes are all used to create a theory (Gray et al., 2017, p. 8). Theory, practice, and research are connected to health care and promotion. They are interconnected within the healthcare setting while having differing definitions and objectives. Each idea has a role in healthcare, and advanced practice registered nurses (APRNs) use them to provide quality patient-centered care.

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            Today’s nursing vision involves performing high-quality studies using a variety of approaches, incorporating study findings into the most accepted research evidence, using this research evidence to guide practice, and assessing the outcomes (Gray et al., 2017, p. 23). Advanced nursing practice utilizes a systematic approach of considerable specialized knowledge and abilities to care for, treat, and educate patients experiencing changes in their usual health processes or who need help managing their health. The APRN’s approach to the patient, family, and community is guided by theory. According to Gray et al. (2017), nurses have traditionally gained information through “traditions, authority, borrowing, trial and error, personal experience, role modeling and mentorship, intuition, reasoning, and research” (Gray et al., 2017, p. 9). Advanced practice nurses should continue to examine the success of nursing theory-guided practice and lead their nursing practice through the lens of nursing theories (Younas & Quennell, 2019).

The formation of a research-based body of literature is one of the most important aims of the nursing profession. The term research means acquiring information. Nursing research is a scientific process that evaluates and enhances current information while creating new knowledge to impact the spread of evidence-based nursing (Gray et al., 2017, p. 1). Nurses utilize a range of research techniques. Quantitative research counts and measures variables; qualitative research employs life experiences; mixed methods research uses chosen nursing problems; and outcome research looks at the outcomes of patient care (Gray et al., 2017, p. 25).

Nursing research is essential because it allows patients to feel more informed about their care and treatment options. Nurses can then use their expertise to help others and effect change. Nurses’ ability to understand and apply theory and nurse researchers’ efforts to produce and conserve nursing theory and knowledge is crucial. The link between theory, practice, and research is fluid yet intertwined since expertise is gained via research, and theory is established through research. The other two would not function without it. Research must be conducted to validate and explain concepts. Theoretical perspectives can construct a set of assumptions that characterize connections between variables. When empirically confirmed, nurses can use the study findings to verify, revise, deny, or support a theoretical assumption. Theory provides knowledge to practice through examination, diagnosis, and intervention, allowing the profession to grow. People must be able to test and improve ideas and models to develop practice models. Theory makes practice more effective, which enhances patient care.

References

Gray, J., Grove, S. & Sutherland, S. (2018). Burns and Grove’s the practice of nursing research: appraisal, synthesis, and generation of evidence (8th ed.). Elsevier.

Younas, A., & Quennell, S. (2019). Usefulness of nursing theory-guided practice: an integrative review. Scandinavian Journal of Caring Sciences. https://onlinelibrary.wiley.com/doi/10.1111/scs.12670

 

SC 270 Herzing University Environmental Literacy Plan Paper

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SC 270 Herzing University Environmental Literacy Plan Paper

Unit 3 Assessment – Environmental Literacy Plan – Phase III

Instructions

EVALUATION TITLE: ENVIRONMENTAL LITERACY PLAN – PHASE III

This week you will add to your Environmental Literacy Plan information about climate change and NIMBY in your community. You will need to explore your community and take a few pictures to include in your plan.

Discuss:

  • What are the main impacts of climate change?
  • What can the community do to slow down the effects of climate change?
  • Find three (3) news articles about climate change within the last two years. Summarize the articles and their impact. Cite and reference the articles in APA on the References page of the document.
  • Find a lake, pond, or river in your community. Take a picture of its conditions. Is there any pollution? Do you see any wildlife present? Is the water level high or low?
  • Explain NIMBY. What evidence of NIMBY is present in your community? Where are the water treatment plant, landfills, or power plant located? SC 270 Herzing University Environmental Literacy Plan Paper

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Format this information using the template provided or create your own template. You may also modify the template layout as long as it meets all of the assignment requirements.

Validate your statements and opinions with supporting evidence (citations and references) in APA form.

Submit:

  • Environmental Literacy Plan – Phase III for your community (PDF or Word document)

Estimated time to complete: 5 hours

Assignment Files

Environmental Literacy Plan Template – Phase III [Word Document]

Rubric

SC270 Unit 3 Assessment – Environmental Literacy Plan – Phase III

SC270 Unit 3 Assessment – Environmental Literacy Plan – Phase III 
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeContentSC270-CO3
25.0 ptsLevel 5 

Expresses content knowledge with the assignment purpose in a complete, organized, clear, professional, and culturally respectful manner.

 23.0 ptsLevel 4 

Expresses content knowledge with the assignment purpose in a complete, organized, clear, professional, and culturally respectful manner with minor weaknesses in one or more of the areas.

 21.0 ptsLevel 3 

Partially expresses content knowledge with the assignment purpose. Expresses ideas in a complete, organized, clear, professional, and culturally respectful manner with weaknesses in these area.

 19.0 ptsLevel 2 

Partially expresses content knowledge with the assignment purpose. Ideas are partially expressed in an organized, professional, and culturally respectful manner with major weaknesses in these areas.

 16.0 ptsLevel 1 

Expresses limited content knowledge with the assignment purpose. Ideas are not expressed in a complete, organized, clear, professional, and/or culturally respectful manner.

 0.0 ptsLevel 0 

The assignment was not completed or there are no constructed concepts that demonstrate analytically skills and no evidences to support the content does not align to the assignment instructions
25.0 pts
This criterion is linked to a Learning OutcomeAnalysisPRICE-P
25.0 ptsLevel 5 

Constructs concepts related to course content, demonstrating strong analytical skills with strong evidence to support professional and personal subject knowledge through details, supporting evidence, and idea differentiation.SC 270 Herzing University Environmental Literacy Plan Paper.

 23.0 ptsLevel 4 

Constructs concepts related to course content, demonstrating strong analytical skills with evidence to support professional and personal subject knowledge through details, supporting evidence, and idea differentiation.

 21.0 ptsLevel 3 

Constructs concepts related to course content, demonstrating analytical skills with some evidence to support professional and personal subject knowledge through details, supporting evidence, and idea differentiation.

 19.0 ptsLevel 2 

Constructs concepts related to course content, demonstrating weak analytical skills with minimal evidence to support professional and personal subject knowledge through details, supporting evidence, and idea differentiation.

 16.0 ptsLevel 1 

Constructs concepts related to course content, demonstrating inadequate evidence of analytical skills. There is minimal or no evidence to support professional and personal subject knowledge through details, supporting evidence, and idea differentiation.

 0.0 ptsLevel 0 

The assignment was not completed or there was no evidence of constructed concepts that are supported by professional and personal subject knowledge through details, supporting evidence, and idea differentiation.
25.0 pts
This criterion is linked to a Learning OutcomeTechnology
17.0 ptsLevel 5 

Manipulates multiple technological resources to effectively implement all assignment requirements.

 15.0 ptsLevel 4 

Manipulates multiple technological resources to effectively implement most assignment requirements.

 14.0 ptsLevel 3 

Manipulates multiple technological resources to effectively implement some assignment requirements.

 12.0 ptsLevel 2 

Manipulates multiple technological resources for some assignment requirements.

 11.0 ptsLevel 1 

Manipulates technological resources to minimally meet some assignment requirements.

 0.0 ptsLevel 0 

The assignment was not completed or difficulties with technological manipulation were evident. The assignment submitted does not meet requriements.
17.0 pts
This criterion is linked to a Learning OutcomeWriting
13.0 ptsLevel 5 

The assignment exhibits a excellent command of written English language conventions. The assignment has no errors in mechanics, grammar, or spelling.

 11.5 ptsLevel 4 

The assignment exhibits a good command of written English language conventions. The assignment has no errors in mechanics, or spelling with minor grammatical errors that impair the flow of communication.

 10.0 ptsLevel 3 

The assignment exhibits a basic command of written English language conventions. The assignment has minor errors in mechanics, grammar, or spelling that impact the flow of communication

 9.0 ptsLevel 2 

The assignment exhibits a limited command of written English language conventions. The assignment has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.

 7.0 ptsLevel 1 

The assignment exhibits little command of written English language conventions. The assignment has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.

 0.0 ptsLevel 0 

The assignment does not demonstrate command of written English language conventions. The assignment has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty discerning the meaning.
13.0 pts
This criterion is linked to a Learning OutcomeAPAPRICE-I
5.0 ptsLevel 5 

In-text citations of sources and references in proper APA style are included with no errors.

 4.0 ptsLevel 4 

In-text citations of sources and references in proper APA style are included but have 1-2 minor APA errors.

 3.0 ptsLevel 3 

In-text citations of sources and references in proper APA style are included but have 3 – 4 minor APA errors.

 2.0 ptsLevel 2 

In-text citations of sources and references in proper APA style are included but have more than 4 errors.

 1.0 ptsLevel 1 

The errors demonstrate limited understanding of in-text citation and reference requirements

 0.0 ptsLevel 0 

There are no in-text citations AND/OR references.
5.0 pts
Total Points: 85.0

Therapeutic Action of Clotrimazole

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Therapeutic Action of Clotrimazole

Therapeutic Action of Clotrimazole

Clotrimazole is a medication that is used in the treatment and management of different integumentary and other fungal infections. The drug is approved by the Federal Drug Association to effectively manage different conditions. The mode of action of clotrimazole is that it exerts its action mainly by destroying the permeability of the barrier present in the cytoplasmic membrane of the fungi. The drug inhibits the synthesis of ergosterol in a concentration-dependent way to inhibit the demethylation of alpha lanosterol (Zhao et al., 2020). The drug falls under the class of antifungal imidazole. Therapeutic Action of Clotrimazole

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 Uses and Side Effects of Antifungals

Clotrimazole is used to treat diseases such as oral and vaginal candidiasis, athletes’ foot, and dermatophytes. In addition, clotrimazole is used to manage tinea corporis and other skin infections that result in a red scaly rash that can occur on any body part. The fungal infection can occur at the groin or buttocks, skin, and feet. Clotrimazole comes in with dosages of topical cream, topical solution, powder, lotion, vaginal cream, tablet, and kit. According to Nicola et al., (2019). the polyenes such as nystatin and amphotericin B are used to manage infections in the mouth, invasive aspergillosis, and cryptococcal meningitis. The Allylamines inhibits the enzyme that the membrane requires to function properly. An example is a terbinafine. Echinocandins alter the enzyme used in creating the fungal wall. Examples are anidulafungin for treating esophageal candida and caspofungin.

Some of the main dermatologic side effects of clotrimazole include burning sensation, swelling, stinging, irritation, erythema, skin tenderness, blistering, peeling, and pimple-like bump. In addition, clotrimazole may result in allergic reactions such as difficulties in breathing, and swelling of lips, face, tongue, and throat. In the genitourinary system, the intravaginal use results in a burning sensation, cramping, itching, bleeding, and pain may occur. Vulvar lesions and rash may also occur (Arcangelo et al., 2017). Excessive use of clotrimazole may result in an increased risk of developing problems in the adrenal gland. The risk is higher among pediatric patients and those who have used the drug for a long time.

Teaching Plan and Age-Appropriate Considerations

Planning for the teaching of Ms. Jones starts by creating awareness of the signs of fungal infection in baby Sam. Symptoms of a yeast infection depend on the location. The common signs that occur at the navel include a clear fluid oozing patch and a bright red rash with a thick white coating on the tongue. Diaper yeast infection symptoms include red skin with pimples like dots and a rash that do not respond to normal creams (Carr et al., 2020) The main areas where it occurs include the genitals, legs, and buttock area. Yeast infection in babies is caused by the moist environment of an unhygienic diaper especially if there is an existing untreated rash.

The goal of teaching includes treating the infection, reducing exposure to further infection, and promoting skin healing.  Teaching for Ms. Jones includes keeping the area clean. The mother should clean the diaper area once you change the diaper as this helps to remove preexisting yeast and minimize the risk for other infections. The mother should also wash her hands and anything the baby laid on at the time of diaper change (Arcangelo et al., 2017). The diaper area should be kept dry because yeast thrives well in damp areas. Diaper change allows the area to air dry. The baby should have diaper-free time to dry the area. The mother should avoid irritant use such as soap and bubble baths and should minimize on use of wipes. Ms. Jones should see improvement after three days.

References

Arcangelo, P.V., Peterson, M. A., Wilbur, V., & Reinhold, A. J. (2017) Pharmacotherapeutics for Advanced Practice: A Practical Approach (4th Ed.) http://library.lol/main/ADF462249FA0FB800AE6978ECAC7B473

Carr, A. N., DeWitt, T., Cork, M. J., Eichenfield, L. F., Fölster-Holst, R., Hohl, D., Lane, A. T., Paller, A., Pickering, L., Taieb, A., Cui, T. Y., Xu, Z. G., Wang, X., Brink, S., Niu, Y., Ogle, J., Odio, M., & Gibb, R. D. (2020). Diaper dermatitis prevalence and severity: Global perspective on the impact of caregiver behavior. Pediatric dermatology, 37(1), 130–136.https://doi.org/10.1111/pde.14047

Nicola, A. M., Albuquerque, P., Paes, H. C., Fernandes, L., Costa, F. F., Kioshima, E. S., Abadio, A., Bocca, A. L., & Felipe, M. S. (2019). Antifungal drugs: new insights in research & development. Pharmacology & therapeutics, 195, 21–38.https://doi.org/10.1016/j.pharmthera.2018.10.008

Zhao, D., Chen, B., Wang, Y. T., & Jiao, C. H. (2020). Topical clotrimazole cream for the treatment of tinea cruris: A retrospective study. Medicine, 99(47), e23189. https://doi.org/10.1097/MD.0000000000023189

 

Case Study Part 2: CHF

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Case Study Part 2: CHF

                ___________________       Case Study Part 2: CHF__________________________

Clinical Course Day 1: The patient is admitted to the telemetry floor for diabetic ketoacidosis and becomes your patient. The patient has been started on IV fluids and an insulin drip. After 8 hours of being under your care the patient complains of increasing shortness of breath and believes her swelling of lower extremities is worsening. You obtain vital signs:

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Vital Signs: T: 99.8; HR: 110; R: 32; B/P: 172/98; O2 sat: 90% on 2 Liters O2 per NC

Stat labs and chest x-ray are obtained, and an echocardiogram and EKG have been ordered.

Na 134 mEq/L    K 5.1 mEq/L     Cl 109 mEq/L      HCO3 17 mEq/L       BUN 44 mg/dL     Cr 1.5 mg/dL

Glucose 180   WBC 12.7 x 103/mm3   Hb 13.6 g/dl /  Hct43%

BNP: 1025pg/ml              patient Troponin I, High Sens: 15            Case Study Part 2: CHF

  CXR: Cardiomegaly with pulmonary venous hypertension. Evidence of mild pleural effusion. No consolidation or atelectasis noted

  ECHO = EF(ejection fraction) = 38%                                  EKG = Sinus tachycardia with rare  PVCs

 

_____________________________________________________________________________________

 

Answer the following questions based on the information above:

 

 

6)The patient is noted to be in congestive heart failure.  What lab results and diagnostic tests support this diagnosis? (3 points)

 

 

 

 

7) What are the contributing factors for CHF noted in the patient history (2 points) and assessment findings noted in the physical exam (2 points) that contribute and/ or relate to this diagnosis? (hint: see H&P from week 1).

 

 

 

 

 

8) The patient is a known hypertensive on medication, but her blood pressure continues to rise. Name three early compensatory mechanisms occurring in heart failure and the expected effect in compensation (6 points)

Compensatory Mechanism Expected Effect
 

 

  
 

 

  
 

 

  

 

 

 

 

 

9) What physical findings would you look for to differentiate left heart failure from right heart failure? (4 points)

 

 

 

 

 

 

 

 

 

 

 

 

APA 1 point         Scholarly Work  1 point           Total points 19

 

Nursing homework help

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Nursing homework help

Nursing practice has experienced tremendous improvements over the course of centuries and the in the past two decades. Improvements in the field have been attributed to developments in theory and research, which have informed practice. The improvements have been instrumental in contributing towards improved care and improved efficiency in the delivery of care. However, continued improvements in the nursing field highlights the need to not only identify theory, practice, and research as three separate elements crucial to the field but also to understand the interrelationship among the three components and influence in everyday nursing. Nursing homework help

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            Theories provide a description of the area under study through an analysis of the different phenomenon under study to promote reader understanding by explanations on the relationship between the concepts presented that guide in developing predictions on the future relationship as per the identified variables (Butts & Rich, 2015). In this case, the theories provide an explanation of the area under study in a logical and ordered manner that contributes towards the identification of the interrelationships and interconnectedness of the presented factors. Theories are integral to nursing practice as they inform practice by identifying predictions on possible relationships while providing explanations on the occurrence of different factors that impact the care process (Butts & Rich, 2015). Theories are integral in nursing practice as based on their insight and predictions, they inform and guide the design and evaluation processes attached to evidence-based interventions. As such, theories directly inform practice as they aid in providing explanations and possible predictions that guide the delivery of care. Equally, the theories inform and guide research by aiding in the design and evaluation process to facilitate the success of the research process.

The changing nature of patient needs in the nursing environment not only relies on theories but growing evidence-based practice to inform the care process and environment. Evidence-based practice creates a nursing environment where nurses rely on both theoretical understanding of the patient’s illness and needs along with research-based interventions that are integral in informing practice and contributing to patient well-being (Hamrin, 2015). In this case, theory and practice are intertwined as the theoretical constructs inform practice from a theoretical approach while evidence-based research informs practice from previous studies that guide on direct application of the findings. Evidence-based practice is critical in nursing as it contributes towards the integration of new insights in practice that are informed by recent studies and research in the field (Rycroft-Malone, 2013).

The approach is instrumental in informing current practice along with identifying possible measures that may be adopted to improve on current practice to facilitate proper delivery of care (Rycroft-Malone, 2013). Evidence-based practice directly relates to research as it informs practice based on studies conducted on different areas that aim to improve the nursing practice. The research component focuses on nursing science that studies principles and application to nursing practice (Rycroft-Malone, 2013). In this case, the importance placed on nursing science focusses on using scientific basis to guide nursing practice. Therefore, theory, practice and research are interrelated and are integral in informing and guiding nursing practice

References

Butts, J. & Rich, K. (2015). Philosophies and theories for advanced nursing practice (3rd ed.).

Jones and Bartlett Learning. ISBN: 9781284112245

Hamrin, E. (2015). ‘When nursing care became science. The first decades 1970-

2000’. Scandinavian journal of caring sciences, 29(1), 1-2.

Rycroft-Malone, J. (2013). Reflecting Back, Looking Forward: 10 Years of Worldviews on

Evidence-Based Nursing. Worldviews on Evidence-Based Nursing, 10:2, 67–68.

 

Advantage and Disadvantage of History for Life Questions

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Advantage and Disadvantage of History for Life Questions

*Only short answers are required, 

*DO NOT COPY FROM GOOGLE PLEASE, WRITE FROM YOUR OWM WORDS.

WRITE YOUR ANSWERS IN THE WORD DOCUMENT THAT I HAVE ATTACHED.

Q1: What does the just man want?  What are the characteristics of the just man?

Q2: According to Nietzsche, is justice a rare or a common virtue? Why is that?

Q3: What is the difference between the fanatic and the just judge

Q4: What is “objectivity,” according to the naïve historians?  What is “subjectivity,” according to those same naïve historians?

Q5: How (or when) does a historian act as a dramatist?

Q6: How does the historian impose actual subjectivity into history? Advantage and Disadvantage of History for Life Questions

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__________

Q1: What is the problem with the historical audit?  Why can man only create with love?

Q2:When Nietzsche says that “every living thing needs to be surrounded by an atmosphere, a mysterious circle of mist: . . .” what does he mean? (p. 40)

Q3: How is modern man’s sensibility dulled?  How is that good?  How is it bad?  (Who is it good for?  Who is it NOT good for?)

Q4: What does Nietzsche mean when he says that “historical education is really a kind of inborn grayheadedness”?

Q5: How does Nietzsche compare the faith and belief in eduction, which he sees in his own culture, with Christianity?

___________

Q1: “. . . the goal of humanity cannot lie at the end but only in its highest specimens.” (p. 54)  What does Nietzsche mean?

Q2: According to Nietzsche, which question should you ask, and why? Advantage and Disadvantage of History for Life Questions

a) Why is humanity here?

b) Why am I here?

Q3: What does Nietzsche mean by “the masses”?  How are they “worthy of respect”?  (Three ways! – p. 55)

Q4: “The education of . . . youth, however, proceeds precisely from this false and unfruitful concept of culture: its aim, quite purely and loftily conceived, is not at all the liberally educated man but the scholar, the scientific man, . . .” (p. 59)

What does Nietzsche mean?

Q5: “Now, is life to rule over knowledge, over science, or is knowledge to rule over life?”  (p. 62) How does Nietzsche answer that question?

Q6: “The Greeks learned gradually to organize chaos by reflecting on themselves in accordance with the Delphic teaching, that is, by reflecting on their genuine needs, and letting their sham needs die out.  Thus they took possession of themselves again; . . . . This is a parable for each one of us: he must organize the chaos within himself by reflecting on his genuine needs.” (p. 64) Advantage and Disadvantage of History for Life Questions

Looking at the underlined sentence: what does that mean, in the context of the work as a whole?

(The work = On the Advantage and Disadvange of History for Life.

____________

Onlyly short answers are required, 

*DO NOT COPY FROM GOOGLE PLEASE, WRITE FROM YOUR OWM WORDS.

I need the answers in TWO hours. Advantage and Disadvantage of History for Life Questions

 

Nursing homework help

/in /by

Nursing homework help

Nursing practice has experienced tremendous improvements over the course of centuries and the in the past two decades. Improvements in the field have been attributed to developments in theory and research, which have informed practice. The improvements have been instrumental in contributing towards improved care and improved efficiency in the delivery of care. However, continued improvements in the nursing field highlights the need to not only identify theory, practice, and research as three separate elements crucial to the field but also to understand the interrelationship among the three components and influence in everyday nursing. Nursing homework help

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            Theories provide a description of the area under study through an analysis of the different phenomenon under study to promote reader understanding by explanations on the relationship between the concepts presented that guide in developing predictions on the future relationship as per the identified variables (Butts & Rich, 2015). In this case, the theories provide an explanation of the area under study in a logical and ordered manner that contributes towards the identification of the interrelationships and interconnectedness of the presented factors. Theories are integral to nursing practice as they inform practice by identifying predictions on possible relationships while providing explanations on the occurrence of different factors that impact the care process (Butts & Rich, 2015). Theories are integral in nursing practice as based on their insight and predictions, they inform and guide the design and evaluation processes attached to evidence-based interventions. As such, theories directly inform practice as they aid in providing explanations and possible predictions that guide the delivery of care. Equally, the theories inform and guide research by aiding in the design and evaluation process to facilitate the success of the research process.

The changing nature of patient needs in the nursing environment not only relies on theories but growing evidence-based practice to inform the care process and environment. Evidence-based practice creates a nursing environment where nurses rely on both theoretical understanding of the patient’s illness and needs along with research-based interventions that are integral in informing practice and contributing to patient well-being (Hamrin, 2015). In this case, theory and practice are intertwined as the theoretical constructs inform practice from a theoretical approach while evidence-based research informs practice from previous studies that guide on direct application of the findings. Evidence-based practice is critical in nursing as it contributes towards the integration of new insights in practice that are informed by recent studies and research in the field (Rycroft-Malone, 2013).

The approach is instrumental in informing current practice along with identifying possible measures that may be adopted to improve on current practice to facilitate proper delivery of care (Rycroft-Malone, 2013). Evidence-based practice directly relates to research as it informs practice based on studies conducted on different areas that aim to improve the nursing practice. The research component focuses on nursing science that studies principles and application to nursing practice (Rycroft-Malone, 2013). In this case, the importance placed on nursing science focusses on using scientific basis to guide nursing practice. Therefore, theory, practice and research are interrelated and are integral in informing and guiding nursing practice

References

Butts, J. & Rich, K. (2015). Philosophies and theories for advanced nursing practice (3rd ed.).

Jones and Bartlett Learning. ISBN: 9781284112245

Hamrin, E. (2015). ‘When nursing care became science. The first decades 1970-

2000’. Scandinavian journal of caring sciences, 29(1), 1-2.

Rycroft-Malone, J. (2013). Reflecting Back, Looking Forward: 10 Years of Worldviews on

Evidence-Based Nursing. Worldviews on Evidence-Based Nursing, 10:2, 67–68.

 

American Sentinel N521-19B_21 Module 7 Assignment 3

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American Sentinel N521-19B_21 Module 7 Assignment 3

Assignment 3

L. P., age 23, is a Hispanic woman who graduated from college last year. She reports to the CNP in her local community mental health center. American Sentinel N521-19B_21 Module 7 Assignment 3.  American Sentinel N521-19B_21 Module 7 Assignment 3 She began working as an accountant 1 month after graduating. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L. P. reports that she has a good relationship with her boyfriend but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects. American Sentinel N521-19B_21 Module 7 Assignment 3

In a paper not to exceed six pages, excluding title and reference pages, submit your answers to the following in an MS Word document:

  1. What is L. P.’s likely diagnosis?
  2. List specific pharmacotherapeutic treatment goals for L. P.
  3. Should the CNP order any labs for L. P. at this time? Why?
  4. What drug therapy would the CNP likely prescribe? Why?
  5. What are the parameters for monitoring the success of the therapy?
  6. Describe specific patient monitoring based on the prescribed therapy.
  7. List one or two adverse reactions for the selected agent that would cause the CNP to change therapy.
  8. L. P. returns to see the CNP after six weeks, complaining of still feeling anxious and had heard of a medication called Klonopin that she would like to try; how should the CNP respond to her request?
  9. What health promotion activities should be recommended for this patient?
  10. What is L. P.’s long-term prognosis?

Please use the Case Study Analysis rubric provided to guide you in completing this assignment. It will be used to evaluate your submitted work.

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Rubric – American Sentinel N521-19B_21 Module 7 Assignment 3

Competency

40

36

33

0

Points Earned
Case Study questions completely and thoroughly answered with accurate evidence-based supported rationales Accurate and well defined discussion of all 10 questions for the case study using current evidence-based resources. Accurate discussion of nine case study questions  presented with use of  current evidence-based resources. American Sentinel N521-19B_21 Module 7 Assignment 3 Accurate discussion of 8 questions using current evidence-based resources

Missing response to questions or inappropriate answers to questions. No use of evidence-based resources.

/40

40

36

33

0

Evidence of 

  • critical thinking
  • therapeutic decision-making in drug selection and evaluation of patient care
  • pathophysiology and current pharmacological research
  • assessment of the effectiveness of drug therapy
  • formulation of clinical care and teaching plans for persons from diverse populations
 Well-defined evidence of 

  • critical thinking
  • therapeutic decision-making in drug selection and evaluation of patient care
  • pathophysiology and current pharmacological research
  • assessment of the effectiveness of drug therapy
  • formulation of clinical care and teaching plans for persons from diverse populations. American Sentinel N521-19B_21 Module 7 Assignment 3
 Evidence of critical thinking in prescriptive therapy, monitoring and adverse events.  May have lacked a teaching plan or pathophysiologic discussion. American Sentinel N521-19B_21 Module 7 Assignment 3 Evidence of critical thinking but incompletely described therapeutic decision making and omitted teaching plan and pathophysiology.

Multiple bulleted points are absent or poorly defined in the assignment. There is no demonstration of critical thinking.

/40

Competency

10

9

8

0

Points Earned
Grammar, spelling, and punctuation There are no errors in grammar, spelling, and punctuation There are a few minor errors in grammar, spelling, and punctuation that do not detract from the meaning (1-3 errors) There are major errors in grammar, spelling, and punctuation .(4-5 errors) No content or more than 5 errors

/10

Competency

10

9

8

0

APA Compliance

The paper meets APA formatting guidelines

There are a few minor errors (1-3 errors)

There are significant errors in the format of the paper (4-5 errors)

No content or more than 5 errors

/10
Total Points

/100

Competency

 

40

 

36

 

33

 

0

 

Points Earned

 

Case Study questions completely and thoroughly answered with accurate evidence-based supported rationales

 

Accurate and well defined discussion of all 10 questions for the case study using current evidence-based resources.

 

Accurate discussion of nine case study questions  presented with use of  current evidence-based resources.

 

Accurate discussion of 8 questions using current evidence-based resources

 

Missing response to questions or inappropriate answers to questions. No use of evidence-based resources. American Sentinel N521-19B_21 Module 7 Assignment 3

 

/40

 

 

 

 

40

 

36

 

33

 

0

 

 

 

 

Evidence of

critical thinking
therapeutic decision-making in drug selection and evaluation of patient care
pathophysiology and current pharmacological research
assessment of the effectiveness of drug therapy
formulation of clinical care and teaching plans for persons from diverse populations

Well-defined evidence of

critical thinking
therapeutic decision-making in drug selection and evaluation of patient care
pathophysiology and current pharmacological research
assessment of the effectiveness of drug therapy
formulation of clinical care and teaching plans for persons from diverse populations

Evidence of critical thinking in prescriptive therapy, monitoring and adverse events.  May have lacked a teaching plan or pathophysiologic discussion.

 

Evidence of critical thinking but incompletely described therapeutic decision making and omitted teaching plan and pathophysiology.

 

Multiple bulleted points are absent or poorly defined in the assignment. There is no demonstration of critical thinking. American Sentinel N521-19B_21 Module 7 Assignment 3

 

/40

 

Competency

 

10

 

9

 

8

 

0

 

Points Earned

 

Grammar, spelling, and punctuation

 

There are no errors in grammar, spelling, and punctuation

 

There are a few minor errors in grammar, spelling, and punctuation that do not detract from the meaning (1-3 errors)

 

There are major errors in grammar, spelling, and punctuation .(4-5 errors) American Sentinel N521-19B_21 Module 7 Assignment 3

 

No content or more than 5 errors

 

/10

 

Competency

 

10

 

9

 

8

 

0

 

 

 

 

APA Compliance

 

The paper meets APA formatting guidelines

 

There are a few minor errors (1-3 errors)

 

There are significant errors in the format of the paper (4-5 errors)

 

No content or more than 5 errors

 

/10

 

Total Points

 

 

 

 

 

/100

Discussion 3

M. L. is a 15-year-old Hispanic female who plays soccer for her school team. She has noticed that when running, she sometimes has trouble catching her breath. She also reports an increased runny nose and itchy eyes. She has a frequent dry cough and is awakened with coughing spells at least four times a week. Her mother and father have seasonal allergies and her mother has asthma. This morning she woke up and heard “funny sounds” when she took a breath. Her coughing increased when she took a deep breath. In her nose, the mucosa is pale and swollen bilaterally. Her lungs have bilateral expiratory wheezing; respirations are 22 and PEF is 400. Her heart shows a normal sinus rhythm, with no murmurs or gallops; pulse is 72; and there is no cyanosis.

Diagnosis: Mild Persistent Asthma

In this discussion forum:

  1. Discuss specific goals of pharmacotherapy for treating M. L.’s mild persistent asthma.
  2. Discuss the drug therapy a CNP would likely prescribe and why.
  3. Discuss the parameters for monitoring the success of the therapy.
  4. Discuss age appropriate health promotion recommendations you would consider for M. L.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria. American Sentinel N521-19B_21 Module 7 Assignment 3

Example Discussion 3 Approach

Patients with chronic asthma are treated with inhalers, long acting beta2 agonist, for relief of their symptoms.  A specific goal for a 15-year-old would include adherence to their medication regimen.  Goals would also include avoidance of known triggers   The CNP would most likely prescribe a fast-acting reliever and an inhaled glucocorticoid component PRN for symptoms and risk of exacerbation (Bateman, et al., 2018).  The patient’s PEF is WNL, vital signs are stable, normal sinus rhythm, no signs of cyanosis.  The patient is experiencing acute distress with bilateral expiratory wheezing and continuing episodes of dry cough. American Sentinel N521-19B_21 Module 7 Assignment 3.  She is experiencing asthma exacerbation possibly triggered by seasonal allergies.  This is an assumption since both parents have seasonal allergies and she is playing an outdoor sport.   Symptoms of allergic rhinitis, such as those experienced by the patient, include wheezing, nasal congestion or drainage, coughing, and shortness of breath (Kerr, 2019).  The patient should also take an OTC antihistamine for allergies, such as Claritin or Zyrtec.  An article I read discussed using a form or log every day to record the peak flow and any asthma symptoms.  This would be an excellent tool to record and log and have available at the follow up appointment with the CNP to discuss when, how often, and how long asthma symptoms occurred.  Important information would need to include how often the prescribed medications were used and how effective the medications were (Bass, 2020).  This tool would assist in monitoring therapy and determine if changes needed to be made.  Most children at age 15 have a cell phone so I would suggest that the mobile phone be used to record the daily log.

References

Bass, P. (2020, August 20). 6 essential steps to monitoring asthma for better control. Verywell Health. Retrieved March 31, 2021, from https://www.verywellhealth.com/what-are-the-essential-steps-in-monitoring-asthma-200928

Bateman, E. D., Reddel, H. K., O’Byrne, P. M., Barnes, P. J., Zhong, N., & Keen, C. (2018). As-needed budesonide–formoterol in mild asthma. New England Journal of Medicine, 379(9), 897-898. https://doi.org/10.1056/nejmc1808073

Kerr, M. (2019, March 8). Seasonal allergies: Symptoms, causes and treatment. Healthline. Retrieved March 31, 2021, from https://www.healthline.com/health/allergies/seasonal-allergies American Sentinel N521-19B_21 Module 7 Assignment 3

For Essays Guru – credibility and integrity

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Imagine the following scenario: You are taking the evidence-based practice course and one of your classmates shares an EBP project draft with you. You notice that some of the research has not been cited correctly or even at all. When you approach your classmate, the response is that “no one will notice and it is not a big deal anyway.” What are your next steps in speaking with your classmate? Consider how this could reflect on the credibility and integrity of the individuals involved, the University, and the profession. 250 words