Advocacy Through Legislation In Nursing Essay

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Advocacy Through Legislation In Nursing Essay

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.Advocacy Through Legislation In Nursing Essay

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Advocacy Through Legislation In Nursing Essay

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Advocacy Through Legislation In Nursing Essay

AttachmentsNRS-440V-RS4-AdvocacyThroughLegislation.docx

In any health care setting, the patient’s well-being has to come first. Any patient advocate is required to ensure that the patient is supported and empowered to make well-informed decisions as regards their health care. Patient advocates also need to have open and honest relationships with the said patients. In the article Defining Patient Advocacy in the Post-Quality Chasm Era, Gilkey and Earp (2009) point out that a single straightforward definition of patient advocacy is difficult to articulate. This is because the terminology has been used in several contexts, including ‘helping’ professions, such as nursing, special care professions, such as mental care, and legal professions. The American Nursing Association (ANA) defines nursing as protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations (Grace, 2009).Advocacy Through Legislation In Nursing Essay

It becomes evident that this definition can be married to Gilkey’s advocacy definition, which cites supportive, protective, and educative roles that nurses play in their patients’ lives. In the last bit of the ANA’s definition of nursing, the ANA emphasizes that the profession should be carried out in context with the society around it. It should respond to the needs of the community as a whole. This looks at advocacy from a general societal point of view. Nurses should be able to care for the society as a whole while still maintaining a personal relationship with each patient. In addition, patient advocacy by nurses is emphasized by the profession’s strict ethical code of conduct. Nurses are bound by a strict code of ethics titled ‘Code of Ethics for Nurses with Interpretive Statements’. This ensures professionalism and deliverance of quality health care, which is entailed in the concept of patient advocacy. From the two definitions, which are advocacy and nursing, a correlation emerges. As professional caregivers, nurses play an informative role, which enables patients to make well-advised decisions about their health care. Nurses also play a protective role by ensuring that all measures taken are in the benefit of the patient. They also provide continued care to their patients thus developing personal relationships with them over time. All these roles are embodied in the concept of patient advocacy (Gilkey, & Earp, 2009).Advocacy Through Legislation In Nursing Essay

In order to realize an effective patient advocacy, professionalism in nursing must first be attained. The ANA provided the guiding principles that help foster professionalism in the nursing profession. Topping of this list is professional regulation. It involves setting of standards for nurses by regulatory bodies. These standards include everything from ethical codes to educational standards and accepted methods of certification. They also include specialization. Nurses are advised to focus on a single field of expertise in order to improve the quality of service. Next, the ANA cites legal regulation, in which nurses are bounded by laws and statutes that relate to their profession. The ANA also requires from institutions to have standards and procedures that ensure professionalism. Lastly, nurses are required by the ANA to be self-regulatory. This involves self-assessment and accountability in the profession. By promoting competence and professionalism, the ANA provides a clear guideline that nurses are required to follow in order to efficiently advocate for their patients (Neuman and Dixon, 2010).Advocacy Through Legislation In Nursing Essay

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In their article, Gilkey and Earp (2009) state that according to research, healthcare institutions need to take a multilevel approach, which pertains to the patient advocacy. The advocacy should be both individual-oriented and system-oriented. First of all, patients should be provided with effective health care options and, on a broad scale, be adequately advised in order to easily navigate the health care systems. Apart from empowering the patients, Gilkey and Earp (2009) add that health institutions need to develop a more patient-oriented culture. They also say that health care options provided to the patients should be of top quality and be accessible. It is necessary to take into account the patient safety and financial status among other issues. Gilkey and Earp (2009) also expound on the rewards, which are to be obtained by nurses from patient advocacy. Research showed that there is obvious satisfaction of helping someone in need on the nurses’ part. Additionally, the quality of service offered by health institutions was generally improved in those institutions that embraced patient advocacy. The overall health outcomes of patients in these institutions were also seen to have bettered tremendously. Thus, the need for patient advocacy is evident in the benefits it offers, which include quality service and better results (Neuman and Dixon, 2010).Advocacy Through Legislation In Nursing Essay

In the book Nursing Ethics and Professional Responsibility in Advanced Practice, Pamela Grace (2009) shows how various nurses carry out advocacy roles and what is entailed in these roles. The book highlights the benefits of these advocacy roles to the nurse, patient, and the overall health care system thus emphasizing the need for patient advocacy. One of the key roles, according to Grace (2009), is the nurse’s role of informing and educating the patients. This role is crucial because it seeks to arm the patients with vital information so that they can make wise decisions on their health care. Advocacy also requires that the nurse values the patients and treats them with dignity; hence the valuing and respect role. Grace (2009) points out that this role embodies the issues of privacy, confidentiality, as well as quality health care. Patient advocacy also involve protecting. Grace (2009) views this role in terms of ‘flag-raising’ any injustices towards the patient. These three roles are mandatory if patient advocacy is to be effective (Grace, 2009).Advocacy Through Legislation In Nursing Essay

CONCLUSION
Patient advocacy by nurses forms an integral part of the profession. It is necessary in order to ensure a healthy patient-nurse relationship. It also ensures the provision of quality health care to patients since issues like privacy and confidentiality are upheld. Additionally, nurses also offer a protective role, which serves the best interests of their patients. Generally, patient advocacy by nurses has numerous benefits both to the profession and to the patients.Advocacy Through Legislation In Nursing Essay

In Nursing, there will always be instances where the patient’s nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the nursing staff will be able to work together to advocate for their patients. Along with those skills, nurses need to keep in mind the three core attributes that are: safeguarding patients’ autonomy; acting on behalf of patients; and championing social justice in the provision of health care. (Bu & Jezewski, 2006)Advocacy Through Legislation In Nursing Essay
Problem Solving
Problem solving is when there is a problem or issue that needs to be resolved. When there is a problem with a patient the nursing staff needs to try and resolve it to make all parties satisfied. When trying to solve a problem, keep in mind about the core attribute safeguarding patients autonomy. In this core attribute, it involves the patient wanting to be involved in their health care plan, as well as make their own decisions as long as they are competent. (Bu & Jezewski, 2006) Once the problem is identified the nursing staff along with the patient, need to form a plan or possible goals that will help solve the problem. Advocacy Through Legislation In Nursing Essay

In Nursing, there will always be instances where the patient’s nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the…show more content…
Another example is when a doctor just transcribed a lot of new orders and the patient doesn’t know what some of the tests are and the nurse doesn’t know why the doctor ordered them. The nurse then needs to hunt down the doctor and advocate for their patient. Once the nurse speaks to the doctor and they ask them to come and explain the tests and reasoning to the patient that is the first step of advocating for their patient. When the doctor goes to talk to the patient, the patient asks many questions and agrees to have the tests done. This was a problem but once the problem was identified, the patient understood what was going on and felt like they had a say in it. The second core attribute is acting on behalf of the patient that includes representing patients’ values, benefits, and rights. (Bu & Jezewski, 2006) Since it is the patients right to know why certain things are being done, it was appropriate for the nurse to ask the doctor to go speak to the patient. The last core attribute championing social justice in the provisional of health care is ethics of justice where in this case it doesn’t apply. Basically what it is though is nurses becoming social activists and standing up for what is right. Since the healthcare team and the patient worked together, the problem was solved almost instantly and the patient was happy with the outcome. Communication Communication is Advocacy Through Legislation In Nursing Essay

AACN Essentials Self-Assessment and Patient-Centered Care 5

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AACN Essentials Self-Assessment and Patient-Centered Care 5

Download the Week 2 Self-Assessment of the AACN Essentials (Links to an external site.) Follow the directions on the form. Note your total score. Next, review this article:

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D. (2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77–93. https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000266533800011&site=eds-live&scope=site (Links to an external site.) AACN Essentials Self-Assessment and Patient-Centered Care 5

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After you have completed your self-assessment, answer the following questions:

Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve?

Essential VIII: Professionalism and Professional Values discusses professional standards of moral, ethical, and legal conduct. Review the Professional Integrity Module-Academics and Practice at the beginning of the course (the first module). Then reflect on your own beliefs and values as they relate to professional nursing practice.

Discuss implications of professional nursing integrity and academic integrity

Assignment: Drafting a Process Evaluation

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Assignment: Drafting a Process Evaluation

The steps for process evaluation outlined by Bliss and Emshoff (2002) may seem very similar to those for conducting other types of evaluation that you have learned about in this course; in fact, it is the purpose and timing of a process evaluation that most distinguish it from other types of evaluation. A process evaluation is conducted during the implementation of the program to evaluate whether the program has been implemented as intended and how the delivery of a program can be improved. A process evaluation can also be useful in supporting an outcome evaluation by helping to determine the reason behind program outcomes. Assignment: Drafting a Process Evaluation

 

There are several reasons for conducting process evaluation throughout the implementation of a program. Chief among them is to compare the program that is being delivered to the original program plan, in order to identify gaps and make improvements. Therefore, documentation from the planning stage may prove useful when planning a process evaluation. Assignment: Drafting a Process Evaluation

 

For this Assignment, you either build on the work that you completed in Weeks 6, 7, and 8 related to a support group for caregivers, or on your knowledge about a program with which you are familiar. Review the resource “Workbook for Designing a Process Evaluation”.

 

Submit a 4- to 5-page plan for a process evaluation. Include the following minimal information:

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· A description of the key program elements

· A description of the strategies that the program uses to produce change

· A description of the needs of the target population

· An explanation of why a process evaluation is important for the program

· A plan for building relationships with the staff and management

· Broad questions to be answered by the process evaluation

· Specific questions to be answered by the process evaluation

· A plan for gathering and analyzing the information Assignment: Drafting a Process Evaluation. Assignment: Drafting a Process Evaluation

Code of Ethics and Standards of Practice Project

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Code of Ethics and Standards of Practice Project

Code of Ethics and Standards of Practice Project

Prepare a two to three page written assignment that includes the following:

Content:

Prepare a two to three page written assignment that includes the following:

  • Introduction to the assignment (sections of the assignment)
  • Describe the importance of the code of ethics in nursing
  • Identify the American Nurses Association Standards of Practice for the licensure you are obtaining (LPN or RN)
  • Conclusion (reflect on the criteria of the assignment)
  • Use at least two credible resources to support your findings. For example, one of the resources could be the ANA Standards of Practice, and another resource could be the ANA Code of Ethics. These resources must be integrated into the body of your paper using at least two in-text citations. Be sure to use proper APA format and style. Code of Ethics and Standards of Practice Project

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Format:

  • Two to three page written assignment
  • Standard American English (correct grammar, punctuation, etc.)
  • Logical, original and insightful
  • Professional organization, style, and mechanics in APA format
  • Run your paper through Grammarly and make corrections to identified errors before submission. Note: You must use the following link to create your Grammarly account. You must use your Rasmussen student email address: https://www.grammarly.com/signin?page=edu

The document linked below contains the project rubric as well as helpful resources.

Course Project Part 2 Assignment

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Code of Ethics and Standards of Practice Project

NR439 Week 5 Assignment Clarifying Research Assignment

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NR439 Week 5 Assignment Clarifying Research Assignment

NR439 Week 5 Assignment Clarifying Research Assignment

NR439 Week 5 Assignment Clarifying Research Assignment

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Purpose

A baccalaureate nurse understands, relates, and values the fundamental elements of research, process, and designs as a foundation for an evidence-based practice (American Association of Colleges of Nurses, 2008; Quality and Safety Education for Nurses, 2018). This assignment provides a learning activity to demonstrate understanding of the significance of research, the types of research and designs, the importance of sampling, utilization, and how research contributes to a credible nursing profession. NR439 Week 5 Assignment Clarifying Research Assignment

 

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

· CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

· CO 2: Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)

· CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Directions for Preparing the Scholarly Worksheet

1. Read each of the instructions.

2. Download and complete the required Clarifying Research Worksheet under Templates below.

3. Review the Week 5 Assignment Tutorial (Links to an external site.) (Transcript (Links to an external site.)) which reviews your Week 5 Assignment. Tutorial may look slightly different session to session. Grading criteria and rubric will be the same.

4. Two or more supporting scholarly sources are required. Textbooks are not allowed and should not be used as a scholarly source. Use the Chamberlain Library to locate relevant, scholarly sources. NR439 Week 5 Assignment Clarifying Research Assignment

5. No more than two direct quotes are allowed. You should be using mostly your own words to demonstrate your understanding of the topics/criteria for this assignment. Citations and references must be included.

6. Submit the completed assignment on the Week 5: Assignment.

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7.

Templates

Clarifying Research Worksheet (Links to an external site.)

Best Practices

· For questions about this assignment, please contact your instructor.

· Spell check for spelling and grammar errors prior to final submission.?

· Please see the grading criteria and rubrics.

· Please use your browser’s File setting to save or print this page.

· Integrity Matters: Review the syllabus and follow the Academic Integrity policy in the Student Handbook (Links to an external site.)

Scholarly Sources and Citations?

· Two or more supporting scholarly sources are required.

· No more than two direct quotes are allowed.

· Use APA format in citations and references.

References

American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice. http://www.aacnnursing.org/Education-Resources/AACN-Essentials

Quality and Safety Education for Nurses (QSEN). (2018). QSEN knowledge, skills, and attitude competencies. http://qsen.org/competencies/pre-licensure-ksas/ NR439 Week 5 Assignment Clarifying Research Assignment

NURS6002 Quiz – Week 3 Assignment

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NURS6002 Quiz – Week 3 Assignment

QUESTION 1 Which of the following is correct regarding the format of a book reference on the reference page?

A. Milstead, J.A. (2018). Health Policy and Politics: A Nurse’s Guide (6th ed). Burlington, MA: Jones and Bartlett Publishers.

B. Milstead, J.A. (2018). (6th ed). Health policy and politics: A nurse’s guide. Burlington, MA: Jones and Bartlett Publishers.

C. Milstead, J.A. (2018). Health policy and politics: A nurse’s guide. Burlington, MA: Jones and Bartlett Publishers.

D. Milstead, J.A. (2018). Health policy and politics: A nurse’s guide (6th ed). Burlington, MA: Jones and Bartlett Publishers.

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QUESTION 2 When should the author’s first initial be included in the citation? NURS6002 Quiz – Week 3 Assignment

A. The authors first initial should never be included in the citation.

B. The authors first initial should be included in the citation only if a parenthetical citation is used.

C. If there are two authors with the same last name, the first initial of each author should be included in the citation.

D. The authors first initial should be included in the citation only if an in-text citation is used.

QUESTION 3 The recommended font to be used in an APA paper is:

A. Times New Roman, 12 point

B. Arial, 10 point

C. Courier, 12 point

D. Author’s choice

QUESTION 4 Poetry, novels, interviews are examples of _____________ sources.

A. Primary

B. Secondary

QUESTION 5 According to APA, the list of references which appear at the end of the paper is referred to as the:

A. Works Cited

B. References

C. Sources

D. Bibliography

QUESTION 6 In some papers for APA, an abstract will be required. The word length typically for an abstract in a journal is between _______ and ______ words. NURS6002 Quiz – Week 3 Assignment

A. 50, 100

B. 100, 125

C. 150, 200

D. 250, 300

QUESTION 7 In APA formatting, the margins should all around be:

A. One and one-half inches

B. One-half inch

C. One inch

D. Author’s choice to fit the page

QUESTION 8 Which of the following is correct for an initial within text citation for one work by six or more authors?

A. Jones, Smith, Thomas, Write, Davis, and Walker (2016) NURS6002 Quiz – Week 3 Assignment

B. Jones et al., 2016

C. Jones and others, 2016

D. Jones ET. AL., 2016

QUESTION 9 Which of the following is the correct way to cite with a direct quote?

A. Jones (2018) found that “nurses are among the most trusted health care professionals.” (p. 34).

B. Jones (2018) found that “nurses are among the most trusted health care professionals” (p. 34).

C. Jones (2018) found that “nurses are among the most trusted health care professionals (p. 34).”

D. Jones (2018) found that “nurses are among the most trusted health care professionals.” (p34).

QUESTION 10 Which of the following is in-text citations below is correct?

A. Jones and Smith (2018) reports……

B. Jones & Smith (2018) reports……

C. Jones, Smith (2018) reports……

D. Jones/Smith (2018) reports……

QUESTION 11 Which of the following is correct regarding the format of a periodical on the reference page?

A. Jones, T. (2018). The legal side of the profession. Legal Nursing, 22, 245-250. doi: 10.2334/4892-8888.24.3.978

B. Jones, T. (2018). The Legal Side of the Profession. Legal Nursing, 22, 245-250. doi: 10.2334/4892-8888.24.3.978

C. Jones, T. (2018). The legal side of the profession. Legal Nursing, 22, 245-250. doi: 10.2334/4892-8888.24.3.978

D. Jones, T. (2018). The legal side of the profession. Legal Nursing, 22, 245-250. doi: 10.2334/4892-8888.24.3.978

QUESTION 12 Based on the URL or web-address, which of the following websites would more likely contain scholarly research-based resources on heart disease?

A. https://gobodly.com/heart-disease

B. https://www.cdc.gov/heartdisease/about.htm

QUESTION 13 Which of the following is correct regarding the Reference list in APA?

A. It should be in alphabetical order by the author’s last name

B. The first line should be indented with the second-and subsequent lines flush with margins

C. All references should appear alike in relation to capitalization and italics regardless of type of reference (book, periodical, etc)

D. The word References should be at the top of the list, bold, and centered on page

QUESTION 14 Words should be used to express any number that begins a sentence, title, or text heading.

True

False

QUESTION 15 Which of the following is correct when citing five authors the first time within the text of an APA paper?

A. Jones, Smith, Brady, and Baley (2016)……

B. Jones et al., (2016)……

C. Jones and others (2016)……

D. Jones, Smith, Brady & Baley (2016)……

QUESTION 16 In APA, it is recommended not to begin a sentence with an abbreviation. NURS6002 Quiz – Week 3 Assignment

True

False

QUESTION 17 The author in APA should use numerals to express the numbers 10 and above.

True

False

QUESTION 18 Below is a reference page listing for a book with two authors. How should the title of the book be formatted?

Jones, A. & Smith, P. (2016). Nursing ethics: Keeping the patient at the center of care (2nd ed). Boston, MA: Pearson Education

A. The book title should be in quotations

B. The book title should be in italics

C. The book title should be listed without special formatting

D. The book title should be in bold letters

QUESTION 19 A level 2 heading in APA should be:

A. Flush left, Boldface, Upper and Lowercase Heading

B. Indented, boldface, lowercase paragraph heading ending with a period

C. Centered, Boldface, Uppercase, and Lowercase Heading

D. Indented, boldface, italicized, lowercase paragraph heading ending with a period

QUESTION 20 It is permissible to present one’s own published work as new scholarship.

True

False

NURS6002 Quiz – Week 3 Assignment

N522PE Shadow Health Assessment Assignments

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N522PE Shadow Health Assessment Assignments

Assignment 1

Assignment Instructions:

Write a three-page paper on the use of clinical reasoning in developing and applying advanced health history and physical assessment skills at the graduate level. Consider contemporary nursing literature on the development of clinical reasoning and decision-making. How does the use of the nursing process enhance critical thinking, clinical reasoning, and clinical judgment in professional nursing practice at the graduate level. Please use the submission parameters and rubric below to guide you when completing this assignment. N522PE Shadow Health Assessment Assignments

Submission Parameters:

For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 3 pages, which does not include the cover page and reference page(s). N522PE Shadow Health Assessment Assignments

I.        Introduction (including purpose statement)

II.        Clinical Reasoning

  • Describe how clinical reasoning is used in developing and applying advanced health history and physical assessment skills at the graduate level.

III.        Nursing Process

  • Describe how the use of the nursing process enhance critical thinking, clinical reasoning, and clinical judgment in professional nursing practice at the graduate level.

IV.        Clinical Example

  • Discuss an example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning.
  • Discuss how nursing care is provided when each of these concepts are evidenced in nursing care of the patient.

V.        Conclusion

VI.        References (consider contemporary nursing research studies or reliable electronic sources)

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In regards to APA format, please use the following as a guide:

  • Include a cover page and running head (this is not part of the 3 pages limit)
  • Include transitions in your paper (i.e. headings or subheadings)
  • Use in-text references throughout the paper
  • Use double space, 12 point Times New Roman font
  • Apply appropriate spelling, grammar, and organization
  • Include a reference list (this is not part of the 3 pages limit)
  • Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)

Assignment 1 Rubric – N522PE Shadow Health Assessment Assignments

Competency

30

27

25

0

Points
Define, compare and contrast clinical reasoning and decision-making. How is this related to critical thinking and clinical judgment in graduate level nursing practice? Defines, compares, and contrasts clinical reasoning and decision-making with cited references in addition to course readings for Week 1.
Answers posed questions. N522PE Shadow Health Assessment Assignments		 Defines, compares, and contrasts clinical reasoning and decision-making with cited references from course readings for Week 1.
Answers posed questions.		 Describes clinical reasoning and decision-making. Briefly answers how is this related to critical thinking and clinical judgment in graduate level nursing practice? Does not define, compare and contrast clinical reasoning and decision-making. Does not answer how is this related to critical thinking and clinical judgment in graduate level nursing practice? /30
30 27 25 0  
Consider contemporary literature and apply the concept of clinical reasoning to advanced physical assessment in nursing. Considers contemporary literature and applies the concept of clinical reasoning to advanced physical assessment in nursing. N522PE Shadow Health Assessment Assignments Considers textbook literature and references within text book without further consideration of external literature support. Considers and applies concept of clinical reasoning to advanced physical assessment in nursing without reference to expert opinion or research literature. Does not consider and apply concept of clinical reasoning to advanced physical assessment in nursing. /30
30 27 25 0  
Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. How is nursing care provided or modified when each of these concepts are evidenced in nursing care of the well-adult, family, and one special population? Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. Discusses how nursing care was provided or modified when each of these concepts were evidenced in nursing care of the well-adult, family, and one special population. Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. Discusses how nursing care was provided or modified when each of these concepts were evidenced in nursing care of the well-adult, family, or one special population. Demonstrates the nurse’s use of critical thinking, clinical judgment, or clinical reasoning. Discusses how nursing care was provided or modified when these concepts were evidenced in nursing care of the well-adult, family, or one special population. Does not demonstrate the nurse’s use of critical thinking, clinical judgment, or clinical reasoning. Does not discuss how nursing care was provided or modified when these concepts were evidenced in nursing care of the well-adult, family, or one special population. /30
10 9 8 0  
APA Format, grammar, punctuation and spelling. APA Format, grammar, punctuation and spelling is accurate with no errors. APA Format, grammar, punctuation and spelling is accurate with less than two types of errors. N522PE Shadow Health Assessment Assignments APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors. APA Format, grammar, punctuation and spelling is accurate with more than five types of errors. /10

Assignment 2 (N522PE Shadow Health Assessment Assignments)

Assignment Instructions:

For this 4-5 page assignment, you will conduct a focused health history and physical assessment based upon your Practice Experience work in Shadow Health. Particularly, you will complete a focused assessment on Danny, a child who is complaining of a cough. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment.

Submission Parameters:

For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 4-5 pages, which does not include the cover page and reference page(s).

  1. Introduction (including purpose statement)
  2. Focus of the assessment
    1. Describe the focus of this particular assessment on the patient complaining of a cough
  3. Subjective Component
    1. Describe the ROS, PMH, and other relevant data in this section.
  4. Objective Component
    1. Describe the physical examination findings including techniques of examination
  5. Documented evidence to support clinical reasoning
    1. Describe the list of differential diagnoses
  6. Plan of care
    1. Describe the plan of care individualized to findings, life-span stage of development with culturally specific considerations for each focused area of assessment. N522PE Shadow Health Assessment Assignments
  7. Conclusion
  8. References (use primary and/or reliable electronic sources)

 

In regards to APA format, please use the following as a guide:

  • Include a cover page and running head (this is not part of the 4-5 pages limit)
  • Include transitions in your paper (i.e. headings or subheadings)
  • Use in-text references throughout the paper
  • Use double space, 12 point Times New Roman font
  • Apply appropriate spelling, grammar, and organization
  • Include a reference list (this is not part of the 4-5 pages limit)
  • Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)

 

Competency

20

18

16

0

Points Earned
Focus of the Assessment is identified with Special Considerations including Documented Focused Health History Documentation clearly shows student has completed a focused assessment with identified special considerations including a well-documented focused health history. Documentation supports the student has completed the focused assessment with minimal identification of special concerns. The focused health history is documented. N522PE Shadow Health Assessment Assignments Documentation supports the student has completed the focused assessment without identification of special concerns. The focused health history is documented and lacks depth and specificity of weekly topic. Documentation supports the student attempted to complete the focused assessment without identification of special concerns. The focused health history is briefly documented and lacks depth and specificity of weekly topic. /20
20 18 16 0  
Documented Physical Examination Findings including Techniques of Examination Documentation clearly shows student has completed the physical examination and accurately describes the techniques of examination for the week. Documentation supports the student has completed the physical examination and describes the techniques of examination for the week. Documentation supports student completed some of the physical examination for the focused assessment of the week. Documentation is accurate but lacks depth. No evidence that the student is applying read concepts of advanced focused physical assessment. Documentation lacks depth and may lack coherence for understandability of tasks completed in this week. /20
20 18 16 0  
Documented Evidence to Support Clinical Reasoning with External Course Resources Discourse clearly shows the student has studied the topic and has given thought to the focused assessed topic and documentation for the week. Discourse supports the student has studied the topic and has given thought to the focused assessment topic and documentation for the week. Discourse supports student studied some of the topic for the focused assessment topic this week. Discourse is accurate but lacks depth. No evidence that that student has read or studied the topic.
Discourse lacks depth. May be presented in a rambling manner.
Content is inaccurate &/or is unclear.		 /20
20 18 16 0  
Individualized Plan of Care Based Upon Clinical Findings Accurately presents an individualized plan of care based upon clinical findings. Presents an individualized plan of care based upon clinical findings. Some minor omissions are noted. Presents a plan of care that is not individualized based upon the clinical findings. A plan of care is not presented or the plan of care presented lacks demonstration of competency or is irrelevant to the clinical findings. /20
5 4 3 0  
Developmentally and Culturally Specific Accurately documents a developmentally and culturally specific assessment and plan of care for the selected patient. Documents a developmentally and culturally specific assessment and plan of care. Presents a developmentally and culturally specific assessment or plan of care and one or both are not based upon the selected patient. A developmentally and culturally specific assessment and plan of care are not presented or based upon the selected patient’s findings. /5
5 4 3 0  
Demonstration of Compliance with Ethical and Legal Standards of Professional Nursing Practice Compliance with the ethical and legal standards of professional nursing practice is explicitly stated in the documentation of the focused physical assessment. N522PE Shadow Health Assessment Assignments Compliance with the ethical and legal standards of professional nursing practice is stated in the documentation. Compliance with the ethical and legal standards of professional nursing practice is briefly implied in the documentation of the focused physical assessment or inaccuracies are evidenced in the written assessment. Compliance with the ethical and legal standards of professional nursing practice is not included in the documentation of the focused physical assessment. /5
10 9 8 0  
Grammar, Spelling, and Punctuation APA Format APA Format, grammar, punctuation and spelling is accurate with no errors. APA Format, grammar, punctuation and spelling is accurate with less than two types of errors. APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors. APA Format, grammar, punctuation and spelling is accurate with more than five types of errors. /10
COMMENTS: TOTAL: /100

Assignment 3 (N522PE Shadow Health Assessment Assignments

Assignment Instructions:

For this 4-5 page assignment, you will conduct a focused health history and physical assessment based upon your Practice Experience work in Shadow Health. Particularly, you will complete a focused assessment on Brian, an adult who is complaining of chest pain. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment. N522PE Shadow Health Assessment Assignments

Submission Parameters:

For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 4-5 pages, which does not include the cover page and reference page(s).

  1. Introduction (including purpose statement)
  2. Focus of the assessment
    1. Describe the focus of this particular assessment on the patient complaining of chest pain
  3. Subjective Component
    1. Describe the ROS, PMH, and other relevant data in this section.
  4. Objective Component
    1. Describe the physical examination findings including techniques of examination
  5. Documented evidence to support clinical reasoning
    1. Describe the list of differential diagnoses
  6. Plan of care
    1. Describe the plan of care individualized to findings, life-span stage of development with culturally specific considerations for each focused area of assessment.
  7. Conclusion
  8. References (use primary and/or reliable electronic sources)

 

In regards to APA format, please use the following as a guide:

  • Include a cover page and running head (this is not part of the 4-5 pages limit)
  • Include transitions in your paper (i.e. headings or subheadings)
  • Use in-text references throughout the paper
  • Use double space, 12 point Times New Roman font
  • Apply appropriate spelling, grammar, and organization
  • Include a reference list (this is not part of the 4-5 pages limit)
  • Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)

 

Competency

20

18

16

0

Points Earned
Focus of the Assessment is identified with Special Considerations including Documented Focused Health History Documentation clearly shows student has completed a focused assessment with identified special considerations including a well-documented focused health history. Documentation supports the student has completed the focused assessment with minimal identification of special concerns. The focused health history is documented. Documentation supports the student has completed the focused assessment without identification of special concerns. The focused health history is documented and lacks depth and specificity of weekly topic. Documentation supports the student attempted to complete the focused assessment without identification of special concerns. The focused health history is briefly documented and lacks depth and specificity of weekly topic. /20

20

18

16

0

 
Documented Physical Examination Findings including Techniques of Examination Documentation clearly shows student has completed the physical examination and accurately describes the techniques of examination for the week. Documentation supports the student has completed the physical examination and describes the techniques of examination for the week. Documentation supports student completed some of the physical examination for the focused assessment of the week. Documentation is accurate but lacks depth. No evidence that the student is applying read concepts of advanced focused physical assessment. Documentation lacks depth and may lack coherence for understandability of tasks completed in this week. /20

20

18

16

0

  
Documented Evidence to Support Clinical Reasoning with External Course Resources Discourse clearly shows the student has studied the topic and has given thought to the focused assessed topic and documentation for the week. Discourse supports the student has studied the topic and has given thought to the focused assessment topic and documentation for the week. Discourse supports student studied some of the topic for the focused assessment topic this week. Discourse is accurate but lacks depth. No evidence that that student has read or studied the topic.
Discourse lacks depth. May be presented in a rambling manner.
Content is inaccurate &/or is unclear.		 /20

20

18

16

0

  
Individualized Plan of Care Based Upon Clinical Findings Accurately presents an individualized plan of care based upon clinical findings. Presents an individualized plan of care based upon clinical findings. Some minor omissions are noted. Presents a plan of care that is not individualized based upon the clinical findings. A plan of care is not presented or the plan of care presented lacks demonstration of competency or is irrelevant to the clinical findings. /20

5

4

3

0

  
Developmentally and Culturally Specific Accurately documents a developmentally and culturally specific assessment and plan of care for the selected patient. Documents a developmentally and culturally specific assessment and plan of care. Presents a developmentally and culturally specific assessment or plan of care and one or both are not based upon the selected patient. A developmentally and culturally specific assessment and plan of care are not presented or based upon the selected patient’s findings. /5

5

4

3

0

  
Demonstration of Compliance with Ethical and Legal Standards of Professional Nursing Practice Compliance with the ethical and legal standards of professional nursing practice is explicitly stated in the documentation of the focused physical assessment. N522PE Shadow Health Assessment Assignments Compliance with the ethical and legal standards of professional nursing practice is stated in the documentation. Compliance with the ethical and legal standards of professional nursing practice is briefly implied in the documentation of the focused physical assessment or inaccuracies are evidenced in the written assessment. Compliance with the ethical and legal standards of professional nursing practice is not included in the documentation of the focused physical assessment. /5

10

9

8

0

  
Grammar, Spelling, and Punctuation APA Format APA Format, grammar, punctuation and spelling is accurate with no errors. APA Format, grammar, punctuation and spelling is accurate with less than two types of errors. APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors. APA Format, grammar, punctuation and spelling is accurate with more than five types of errors. /10
COMMENTS: TOTAL: /100

Assignment 4

Assignment 4

Assignment Instructions:

For this 4-5 pages assignment, you will conduct a focused health history and physical assessment based upon your Practice Experience work in Shadow Health. Particularly, you will complete a focused assessment on Esther, an elderly patient who is complaining of abdominal discomfort. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment.

Submission Parameters:

For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 4-5 pages, which does not include the cover page and reference page(s).

  1. Introduction (including purpose statement)
  2. Focus of the assessment
    1. Describe the focus of this particular assessment on the patient complaining of abdominal discomfort.
  3. Subjective Component
    1. Describe the ROS, PMH, and other relevant data in this section.
  4. Objective Component
    1. Describe the physical examination findings including techniques of examination
  5. Documented evidence to support clinical reasoning
    1. Describe the list of differential diagnoses
  6. Plan of care
    1. Describe the plan of care individualized to findings, life-span stage of development with culturally specific considerations for each focused area of assessment. N522PE Shadow Health Assessment Assignments
  7. Conclusion
  8. References (use primary and/or reliable electronic sources) N522PE Shadow Health Assessment Assignments

 

In regards to APA format, please use the following as a guide:

  • Include a cover page and running head (this is not part of the 4-5 pages limit)
  • Include transitions in your paper (i.e. headings or subheadings)
  • Use in-text references throughout the paper
  • Use double space, 12 point Times New Roman fonta
  • Apply appropriate spelling, grammar, and organization
  • Include a reference list (this is not part of the 4-5 pages limit)
  • Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)

 

Competency

20

 18 16 0

Points Earned
Focus of the Assessment is identified with Special Considerations including Documented Focused Health History Documentation clearly shows student has completed a focused assessment with identified special considerations including a well-documented focused health history. Documentation supports the student has completed the focused assessment with minimal identification of special concerns. The focused health history is documented. Documentation supports the student has completed the focused assessment without identification of special concerns. The focused health history is documented and lacks depth and specificity of weekly topic. Documentation supports the student attempted to complete the focused assessment without identification of special concerns. The focused health history is briefly documented and lacks depth and specificity of weekly topic. /20
20 18 16 0  
Documented Physical Examination Findings including Techniques of Examination Documentation clearly shows student has completed the physical examination and accurately describes the techniques of examination for the week. N522PE Shadow Health Assessment Assignments Documentation supports the student has completed the physical examination and describes the techniques of examination for the week. Documentation supports student completed some of the physical examination for the focused assessment of the week. Documentation is accurate but lacks depth. No evidence that the student is applying read concepts of advanced focused physical assessment. Documentation lacks depth and may lack coherence for understandability of tasks completed in this week. N522PE Shadow Health Assessment Assignments /20
20 18 16 0  
Documented Evidence to Support Clinical Reasoning with External Course Resources Discourse clearly shows the student has studied the topic and has given thought to the focused assessed topic and documentation for the week. Discourse supports the student has studied the topic and has given thought to the focused assessment topic and documentation for the week. Discourse supports student studied some of the topic for the focused assessment topic this week. Discourse is accurate but lacks depth. No evidence that that student has read or studied the topic.
Discourse lacks depth. May be presented in a rambling manner.
Content is inaccurate &/or is unclear.		 /20
20 18 16 0  
Individualized Plan of Care Based Upon Clinical Findings Accurately presents an individualized plan of care based upon clinical findings. Presents an individualized plan of care based upon clinical findings. Some minor omissions are noted. Presents a plan of care that is not individualized based upon the clinical findings. A plan of care is not presented or the plan of care presented lacks demonstration of competency or is irrelevant to the clinical findings. /20
5 4 3 0  
Developmentally and Culturally Specific Accurately documents a developmentally and culturally specific assessment and plan of care for the selected patient. Documents a developmentally and culturally specific assessment and plan of care. Presents a developmentally and culturally specific assessment or plan of care and one or both are not based upon the selected patient. A developmentally and culturally specific assessment and plan of care are not presented or based upon the selected patient’s findings. /5
5 4 3 0  
Demonstration of Compliance with Ethical and Legal Standards of Professional Nursing Practice Compliance with the ethical and legal standards of professional nursing practice is explicitly stated in the documentation of the focused physical assessment. Compliance with the ethical and legal standards of professional nursing practice is stated in the documentation. Compliance with the ethical and legal standards of professional nursing practice is briefly implied in the documentation of the focused physical assessment or inaccuracies are evidenced in the written assessment. Compliance with the ethical and legal standards of professional nursing practice is not included in the documentation of the focused physical assessment. N522PE Shadow Health Assessment Assignments /5
10 9 8 0  
Grammar, Spelling, and Punctuation APA Format APA Format, grammar, punctuation and spelling is accurate with errors. APA Format, grammar, punctuation and spelling is accurate with less than two types of errors. APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors. APA Format, grammar, punctuation and spelling is accurate with more than five types of errors. /10
COMMENTS: TOTAL: /100

 

Final Project (N522PE Shadow Health Assessment Assignments)

Final Project

The Final Project (6-8 page paper) synthesizes the previous weeks’ study of advanced physical assessment by conducting a comprehensive assessment in ShadowHealth. The final project synthesis is focused upon designing evidence-based, culturally competent nursing interventions through the development of an individualized health plan. Assessment of competency is based on the Comprehensive Patient Interview, Physical Examination and Individualized Plan of Care incorporating Healthy People 2020 and evidence-based interventions and patient-centered goals.

You will use one comprehensive digital clinical experience health history and physical assessment for this assignment: Comprehensive Assessment. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment. The use of Headers in your paper is strongly encouraged.

Submission Parameters:

For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 6-8 pages, which does not include the cover page and reference page(s).

  1. Introduction (including purpose statement)
  2. Subjective Findings Synthesis
  3. Objective Findings Synthesis
  4. Plan of Care
    1. Apply one nursing theory in planning care for this patient
    2. Incorporate Healthy People 2020 Objectives into the plan of care prioritized to meet the health needs of the patient
    3. Document evidence to support clinical reasoning for selected evidence-based plan of care
    4. Plan of care is individualized to findings, life-span stage of development with culturally specific considerations, and patient-centered.
  5. Conclusion
  6. References (use primary and/or reliable electronic sources)

 

In regards to APA format, please use the following as a guide:

  • Include a cover page and running head (this is not part of the 6-8 pages limit)
  • Include transitions in your paper (i.e. headings or subheadings)
  • Use in-text references throughout the paper
  • Use double space, 12 point Times New Roman font
  • Apply appropriate spelling, grammar, and organization
  • Include a reference list (this is not part of the 6-8 pages limit)
  • Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)

The Final Project documentation is due in Week Seven.  Please see the Final Project below to help you complete the assignment. N522PE Shadow Health Assessment Assignments

Final Project Rubric – N522PE Shadow Health Assessment Assignments

Competency

20 

18 

 16

0 

Earned/ Possible Points
The history, assessment and key findings are synthesized Documentation clearly shows student has completed a comprehensive assessment with a written synthesis of key findings. Documentation supports the student has completed the comprehensive assessment with key findings. Documentation supports the student has completed the assessment without documentation of key findings. Documentation supports the student attempted to complete the comprehensive assessment without identification of key findings. The comprehensive health history is briefly documented and lacks depth and specificity. /20
20 18 16 0  
Documented  Prioritized Physical Examination Findings Documentation clearly shows student has completed the physical examination with findings prioritized. Documentation supports the student has completed the physical examination with findings. Documentation supports student completed some of the physical examination. Documentation is accurate but lacks depth. No evidence that the student is applying read concepts of advanced focused physical assessment. Documentation lacks depth and may lack coherence for understandability. /20
20 18 16 0  
Documented Evidence to Support Clinical Reasoning with External Course Resources Discourse clearly shows the student has studied the topic and has given thought in developing the final plan of care with one nursing theory applied and integration of Healthy People 2020. Discourse supports the student has studied the topic and has given thought in developing the final plan of care. Lacks integration of either one applied nursing theory or integration of Healthy People 2020. Discourse supports student studied some of the topic, however, lacks detail and depth in developing the final plan of care.
Lacks integration of either one applied nursing theory or integration of Healthy People 2020.		 No evidence that that student has read or studied the topic.
Discourse lacks depth. May be presented in a rambling manner.
Content is inaccurate &/or is unclear. No use of one applied nursing theory or integration of Healthy People 2020.		 /20
20 18 16 0  
Individualized and Prioritized Plan of Care is Based Upon Clinical Findings Accurately presents an individualized plan of care based upon clinical findings. Presents an individualized plan of care based upon clinical findings. Some minor omissions are noted. N522PE Shadow Health Assessment Assignments Presents a plan of care that is not individualized based upon the clinical findings. A plan of care is not presented or the plan of care presented lacks demonstration of competency or is irrelevant to the clinical findings. /20
5 4 3 0  
Developmentally and Culturally Specific Accurately documents a development-ally and culturally specific assessment and plan of care for the selected patient. Documents a development-ally and culturally specific assessment and plan of care. Presents a development-ally and culturally specific assessment or plan of care and one or both are not based upon the selected patient. A development-ally and culturally specific assessment and plan of care are not presented or based upon the selected patient’s findings. /5
5 4 3 0  
Demonstration of Compliance with Ethical and Legal Standards of Professional Nursing Practice Compliance with the ethical and legal standards of professional nursing practice is explicitly stated in the documentation of the comprehensive physical assessment. Compliance with the ethical and legal standards of professional nursing practice is stated in the documentation. Compliance with the ethical and legal standards of professional nursing practice is briefly implied in the documentation of the comprehensive physical assessment or inaccuracies are evidenced in the written assessment. Compliance with the ethical and legal standards of professional nursing practice is not included in the documentation of the physical assessment. /5
10 9 8 0  
Grammar, Spelling, and Punctuation APA Format APA Format, grammar, punctuation and spelling is accurate with errors. APA Format, grammar, punctuation and spelling is accurate with less than two types of errors. APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors. APA Format, grammar, punctuation and spelling is accurate with more than five types of errors. /10
COMMENTS: TOTAL: /100

N522PE Shadow Health Assessment Assignments

N522PE Advanced Physical Assessment Assignment 1

/in /by

N522PE Advanced Physical Assessment Assignment 1

Assignment 1

Assignment Instructions:

Write a three-page paper on the use of clinical reasoning in developing and applying advanced health history and physical assessment skills at the graduate level. Consider contemporary nursing literature on the development of clinical reasoning and decision-making. How does the use of the nursing process enhance critical thinking, clinical reasoning, and clinical judgment in professional nursing practice at the graduate level. Please use the submission parameters and rubric below to guide you when completing this assignment.  N522PE Advanced Physical Assessment Assignment 1

Submission Parameters:

For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 3 pages, which does not include the cover page and reference page(s). N522PE Advanced Physical Assessment Assignment 1

I.        Introduction (including purpose statement)

II.        Clinical Reasoning

  • Describe how clinical reasoning is used in developing and applying advanced health history and physical assessment skills at the graduate level.

III.        Nursing Process

  • Describe how the use of the nursing process enhance critical thinking, clinical reasoning, and clinical judgment in professional nursing practice at the graduate level.

IV.        Clinical Example

  • Discuss an example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning.
  • Discuss how nursing care is provided when each of these concepts are evidenced in nursing care of the patient.

V.        Conclusion

VI.        References (consider contemporary nursing research studies or reliable electronic sources)

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In regards to APA format, please use the following as a guide:

  • Include a cover page and running head (this is not part of the 3 pages limit)
  • Include transitions in your paper (i.e. headings or subheadings)
  • Use in-text references throughout the paper
  • Use double space, 12 point Times New Roman font
  • Apply appropriate spelling, grammar, and organization
  • Include a reference list (this is not part of the 3 pages limit)
  • Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)

Assignment 1 Rubric – N522PE Advanced Physical Assessment Assignment 1

Competency

30

27

25

0

Points
Define, compare and contrast clinical reasoning and decision-making. How is this related to critical thinking and clinical judgment in graduate level nursing practice? Defines, compares, and contrasts clinical reasoning and decision-making with cited references in addition to course readings for Week 1.
Answers posed questions.		 Defines, compares, and contrasts clinical reasoning and decision-making with cited references from course readings for Week 1.
Answers posed questions.		 Describes clinical reasoning and decision-making. Briefly answers how is this related to critical thinking and clinical judgment in graduate level nursing practice? Does not define, compare and contrast clinical reasoning and decision-making. Does not answer how is this related to critical thinking and clinical judgment in graduate level nursing practice? /30
30 27 25 0  
Consider contemporary literature and apply the concept of clinical reasoning to advanced physical assessment in nursing. Considers contemporary literature and applies the concept of clinical reasoning to advanced physical assessment in nursing. N522PE Advanced Physical Assessment Assignment 1 Considers textbook literature and references within text book without further consideration of external literature support. Considers and applies concept of clinical reasoning to advanced physical assessment in nursing without reference to expert opinion or research literature. Does not consider and apply concept of clinical reasoning to advanced physical assessment in nursing. /30
30 27 25 0  
Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. How is nursing care provided or modified when each of these concepts are evidenced in nursing care of the well-adult, family, and one special population? Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. Discusses how nursing care was provided or modified when each of these concepts were evidenced in nursing care of the well-adult, family, and one special population. Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. Discusses how nursing care was provided or modified when each of these concepts were evidenced in nursing care of the well-adult, family, or one special population. Demonstrates the nurse’s use of critical thinking, clinical judgment, or clinical reasoning. Discusses how nursing care was provided or modified when these concepts were evidenced in nursing care of the well-adult, family, or one special population. Does not demonstrate the nurse’s use of critical thinking, clinical judgment, or clinical reasoning. Does not discuss how nursing care was provided or modified when these concepts were evidenced in nursing care of the well-adult, family, or one special population. /30
10 9 8 0  
APA Format, grammar, punctuation and spelling. APA Format, grammar, punctuation and spelling is accurate with no errors. APA Format, grammar, punctuation and spelling is accurate with less than two types of errors. APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors. APA Format, grammar, punctuation and spelling is accurate with more than five types of errors. /10

Discussion 1

Post to the discussion board a planned approach to communicating with someone who speaks another language.  What type of questions will you need to ask?  Was there any communication issues discussed this week in Shadow Health? How does communication impact the concept of clinical reasoning in nursing? Please discuss the issues completely, citing your sources so that your classmates can reference the information. Include one insight gained this week from your readings or interaction in Shadow Health.

Remember to respond to at least two of your peers. Please refer to the Course Syllabus for Discussion Participation Guidelines & Grading Criteria. N522PE Advanced Physical Assessment Assignment 1

Approach to Discussion 1

Upon initial assessment of a patient it is always important to identify their preferred language for communicating as well as for learning.  It’s always beneficial if a patient has someone to translate with them, however, that alone poses some risks for disconnect.  Depending on how you say something, the tone you use or the insinuation that may come across, what you’re intending to relay to your patient may be miscommunicated to them unintentionally through the interpreter.  Slang in different languages is not always easily translated for example.  Questions you would expect to ask during an assessment include “What brings you to the hospital today”, and “Can you tell me what is hurting?”.  Additionally, you’ll want to know how long the symptoms have been going on and if they’ve sought treatment for this issue prior.  Our health care system utilizes an interpreter phone line with dozens of possible languages available for translation on it.  Even with a company that specializes in such a thing, however, it’s so important to ensure your words are being communicated as intended.  N522PE Advanced Physical Assessment Assignment 1

In Shadow Health it was made very clear that slang or nonspecific questions would likely not elicit the response we’re looking for from Tina.  The digital clinical experience may present some communication barriers that we’ll have to work through to ensure a professional and productive assessment.  Asking yes/no questions, rewording open ended questions and being specific in our wording should produce clarifying details. 

This is important in clinical reasoning because you must document in the health record the patient’s description of what brought him in, subjective and objective assessment findings, your discussion with the patient regarding next steps and expectations and all of this must flow nicely and make sense to other clinicians needing to evaluate your charting for whatever reason (Bickley, 2017).  It is also important because of the potential of an ongoing relationship the practitioner and patient may have in which clinical reasoning builds trust and understanding between parties (Dains, Baumann & Scheibel, 2016).

One insight from my reading this week came from Chapter 1 of Bates’ Guide to Physical Examination and History Taking in which the cardinal techniques of examination were reviewed; inspection, palpation, percussion and auscultation, in that order Bickley, 2017).  This book informs the reader to “plan your sequence and scope of examination…” which was interesting to me because I remember learning, many years ago, that you should never palpate before auscultating, especially the abdomen, as this action can disrupt organs and get body fluids moving that will produce sounds that may not otherwise be present upon exam.  The book did not make mention of this.  Medicine is ever changing – all the more reason to stay on top of things.

References

Bickley, L. S. (2017). Bate’s guide to physical examination and history taking (12th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins. 

Dains, J., Baumann, L., & Scheibel, P. (2016). Advanced health assessment & clinical diagnosis in primary care (5th ed.). St. Louis, MO: Mosby Elsevier.

Re: Discussion 1

by MS – 
Hi Kristy,
I completely agree with you discussion summary. Your organization seem to use language line for interpretation as many currently do. I really thought this technology was the best you can do for the patient, and the most accurate, although in researching further I found an interesting article about it. It is astounding to see how impactful language barrier is on patient outcomes. Squires (2018) summarized the evidence-based effects of language barriers on patient’s health. They found that those patients with limited English have longer lengths of stay, a higher rate of readmissions, and an increased risk of many preventative measures. Those measures range from surgical site infections, falls, central line bloodstream infections to pressure injuries, medication errors, and surgery delays. Access to healthcare for preventative care is limited, and non-compliance with medication to prevent conditions increases.
The solution to these problems comes in a multifold approach to caring for an individual with limited English. The desired process includes having an on-site professional interpreter trained to interview with interpretation skills. Phone language services, like the Language line, usually work, although both patients and healthcare professionals have reported some dissatisfaction with the interpretation outcomes (Squires, 2018). A fascinating suggestion came up in the article summary talking about calling on an interpreter at three crucial times. Those are the time of patient admission, education about medications, and upon discharge. Those seem to be the times when a healthcare worker has the most attention on a patient and interaction has to be clear for patient’s care to be managed accurately.References
Squires, A. (2018). Strategies for overcoming language barriers in healthcare. Nursing
Management, 49 (4), 20–27.doi: 10.1097/01.NUMA.0000531166.24481.15. N522PE Advanced Physical Assessment Assignment 1

Social determinants of health Assignment

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Social determinants of health Assignment

Major Assignment #4: Social Determinants of Health (15 pts, 2 page minimum). This assignment will help you begin to understand the social determinants of health and disease. I strongly encourage you to explore this website, watch the clips and examine the resources and activities.

Using the Center for Disease Control and Prevention’s, Behavioral Risk Factor Surveillance System (BRFSS) Data base (Links to an external site.), complete the following exercise as demonstrated in the BRFSS tutorial in session 1 of this module, Biostatistics and public health data. The total assignment should include a minimum of 2 pages of writing.

Identify a state other than Nevada. Briefly describe the state and why you selected it. Social determinants of health Assignment

Select one of the chronic diseases or health indicators available in the BRFSS. Briefly describe the disease/condition/indicator and why you selected it.

Describe the distribution of your selected disease/condition/indicator in your selected location, including how the distribution varies based on age, income, education, ethnicity/race and gender?

Guidelines for ALL Major Assignments: Social determinants of health

Due at 11:59pm on Saturday of the module. Must be uploaded into WebCampus.

10% will be deducted for each day late; assignments will ONLY be accepted up to 4 days late; after that the assignment will receive a zero.

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All written assignments should be typed, DOUBLE-SPACED, with 1-inch margins, size 12 font, and either Times New Roman or Arial font type. Social determinants of health Assignment

HEADER: Use the “insert header” tab in Word to include 3 lines, your name, the date, and the assignment title in the header of the paper, SINGLE-SPACED.

REFERENCES are required for EVERY major assignment, including citations in the text as needed and a list of references at the end, which are NOT included in the page count. Use APA style (guidelines provided in WebCampus). Use only academic sources, including peer-reviewed sources, .gov or .edu websites. (Generally, .org, .com, and any news outlets are not appropriate.)

Spelling, word selection, and grammar count for major assignments.

All assignments must meet the minimum page length requirements (either 2 or 4) to earn full credit. Consider going 1-2 lines onto the next page to be sure you do not lose points.

All assignments should be in an organized, cohesive essay format with an introductory and concluding paragraph. You must address all parts of the assignment prompt. Social determinants of health Assignment

N 492 Community Health Nursing Discussion

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N 492 Community Health Nursing Discussion

Note that in all assignments in this course: Due to the nature of the assignments in this class, in all discussions and assignments, You are permitted to use first-person such as I, me, we, us, and you are not to utilize verbiage such as “this student, this author, this writer” when referring to yourself. Do not restate or copy questions from the classroom into your assignments. Instead, you should use APA style headings to create and write your discussions and your assignments.

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Discussion Question:

How does a person’s difference in age, culture, race, gender, and living situation impact your comfort as a nurse in communicating with them? N 492 Community Health Nursing Discussion
While growing up, how were OAs (older adults) treated in your family, culture, community, and in society (identify the year range)?
Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. N 492 Community Health Nursing Discussion