Role Of A Nurse In A Correctional Setting 7

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Role Of A Nurse In A Correctional Setting 7

Role Of A Nurse In A Correctional Setting 7

Community health nurses practice in a variety of settings. The purpose of this paper is to describe the community setting and analyze the role of a nurse in the assigned setting. Health promotion nursing interventions and a professional nursing organization related to this role will also be examined.

The topic for this paper is the role of a nurse in a correctional setting.
Course Outcomes
This assignment enables the student to meet the following Course Outcomes.

CO5: Analyze the nursing roles in providing comprehensive care in a variety of community health settings. (PO 1)
CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2)
This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the recommended APA Template linked below, which incorporates the following categories as the first level headings on your paper. APA formatting helps you to organize your paper in a professional manner and provides consistent methods for citing your sources and completing your reference page. See the documents in the APA category in Resources for assistance with APA formatting. The Student Success Strategies resource has great sections on writing scholarly papers and APA formatting. Role Of A Nurse In A Correctional Setting 7

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The community health setting for this paper must be a correctional setting such as a jail or prison (state, federal, men’s, women’s, juvenile, psychiatric, military, etc.).
Click to view and download the NR443 Community Settings APA Template (Links to an external site.) to complete your paper. The template is formatted with the appropriate running head, title page, page numbers, paragraph formatting, and most of the headings. Please edit the headers and title page with your specific information. You are also encouraged to view the Week 4 assignment tutorial found at the end of the Academic Integrity Reminder.
Read the chapter of your textbook on the assigned community health setting and take notes based on the outline below. Role Of A Nurse In A Correctional Setting 7
Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Go to the Chamberlain library at http:/library.chamberlain.edu (Links to an external site.). Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).
Thoroughly address the following categories using the APA Template that is provided.
Introduction (one paragraph):
The introduction should be interesting and capture the reader’s attention.
Introduce the assigned community setting
Briefly identify CHN role(s) in this setting
Identify vulnerable population(s) served in this setting
Include a purpose statement
Community Setting (two to three paragraphs)
Describe the assigned community setting, including vulnerable population(s) served.
Discuss three health services provided by the a CHN in the assigned setting.
Use your textbook or an outside scholarly source to address these sub-points.
Health Promotion Nursing Intervention (two to three paragraphs)
Describe in detail health promotion intervention(s) that a CHN could implement in the assigned community setting.
Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions. Role Of A Nurse In A Correctional Setting 7
Utilize at least one peer-reviewed scholarly article related to a health promotion intervention.
Professional Nursing Organization (two paragraphs)
Provide a detailed description of a professional nursing organization related to the assigned community setting. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role. Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.
Discuss one professional issue that this organization is addressing related to the assigned community setting.
Summary (one paragraph)
The summary reiterates key points about:

The community setting and the CHN role(s)
Health promotion intervention
Professional organization
Includes a concluding statement.
Reference Page: The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Resources for examples of properly formatted references. Role Of A Nurse In A Correctional Setting 7

Assignment: Decisions about Patient Care

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Assignment: Decisions about Patient Care

Assignment: Decisions about patient care

Assignment: Decisions about patient care

Instructions for Answer to 2 Question

1- After Each DQ (question), write down references

2- 300 minimum words for every DQ, you can go up to 800 words but answer should be complete.

3- 2-3 Peer Reviewed/ scholarly references for each question

4- References should be within 4 years

5- I am in acute care nurse practitioner program. Assignment: Decisions about Patient Care

6- The response to the DQ is expected to be a minimum of 300 words. A minimum of two peer reviewed/ scholarly resources are expected. These need to be appropriate for a clinical professional to guide decisions about patient care. If a textbook is used for one of these responses, the other needs to be journal or professional-level website. The references need to be correctly formatted, as do the citations for those references. “ Question words” don’t count towards 300 minimum count

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Complete the following discussion question using the DxR website:

1. Access the DxR Clinician website at https://gcu.dxrclinician.com/.

2. Select the folder labeled: gcu_npstudents_patients.

3. Select the Arthur Ingram – Shortness of Breath case study.

4. Upon clicking on the case, you will see the “Enter Case” button at the top of the page. Select “Enter Page.” Under “Name,” enter First Initial, Last Name, all in lower case. Leave password blank. This will give you entry into the case study.

5. Complete the Arthur Ingram – Shortness of Breath case.

6. Discuss possible differential diagnoses and the strategies that you used to assess this patient. Synthesize this information and explain what you learned and how you will improve in the future.

 

Q-2

Explain three characteristics that are unique to the aging client. What types of adaptations can a nurse practitioner recommend to accommodate the physical limitations of an aging client? Assignment: Decisions about Patient Care

N522PE-20A Module 1 Assignment 1

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N522PE-20A Module 1 Assignment 1

Assignment 1

N522PE-20A Module 1 Assignment 1 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-20A Module 1 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).

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)

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)

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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. N522PE-20A Module 1 Assignment 1

Remember to respond to at least two of your peers. Please refer to the Course Syllabus for Discussion Participation Guidelines & Grading Criteria.

Discussion 1 Solution Example

A planned approach to communication:

Communication is a key element in every aspect of life. When an individual is in the hospital, at any age, they are frightened, having a fear of the unknown. Just being in the hospital may raise a person’s level of anxiety. When you combine anxiety with the inability to communicate this sets up a whole potential negative environment, one which an error could occur. The key to patient care is making the patient feel that they were heard and understood while educating them to be competent in caring for themselves when they leave the hospital.

There was a communication barrier between my patient and me this past weekend. The mother I was caring for and her husband just moved to the United States from Puerto Rico a few weeks before delivering their twin boys at 37 weeks-gestation on September 18th, 2020. This was extra difficult because not only was I educating the new first-time mom on caring for herself, the changes she would experience, and the post-birth warning signs, but I was also educating the couple on how to care for their newborn twins as well. This was very overwhelming for the patient and her husband.

My first thought was to utilize the interpreter’s phone. Unfortunately, the interpreter phone was nowhere to be found. I then tried to utilize my cell phone and was not able to secure a consistent site due to sporadic internet connections, making communication unreliable. I finally utilized the language line from my vocera, securing a fluent Spanish speaking interpreter. Using my vocera was convenient for both the patient and me as well as the assurance of not violating the Health Insurance Portability and Accountability Act (HIPPA). Fortunately, the vocera was accessible through my place of employment with the interpreter in my vocera giving me her name and identification information which I needed to place in the Electronic Medical Record (EMR). The Physician Assistant (PA-C) and I were then able to go into the patient’s room together, decreasing traffic, to address the daily plan of care (POC) utilizing our vocera for communication/translation. N522PE-20A Module 1 Assignment 1

Questions asked:

From the moment I entered the room, I began asking the patient questions. These questions are going to be open-ended questions directed to yield specific answers regarding the assessment, bleeding, pain, and how the patient is currently feeling. Before assessing the patient, I asked her permission to examine her as I would be palpating her uterus, incision, and legs for warmth, redness, and edema. I asked the patient if I could listen by auscultating her heart, lung, and bowel sounds. I also informed my patient that I would be doing a neurological exam since she was pre-eclamptic throughout her last few weeks of pregnancy. Not only was I asking questions while assessing my patient, but I was also educating her along the way. When the patient is admitted we begin to educate them with discharge in mind, this is done to provide the patient with continual reinforcement of education. Breastfeeding, supplemental formula feeding, related to late preterm twins, as well as assessments of the twin, was another topic of conversation. Without proper communication, due to language barriers, this would have not been possible. This would have been disastrous and frustrating for the patient as well as potentially causing adverse effects for the patient who is the one that should be excited, enjoying her newborns rather than being stressed. N522PE-20A Module 1 Assignment 1

How communication impacts the concept of clinical reasoning in nursing:

Communication, as previously mentioned, is essential in all aspects of life. When caring for a patient, you want to make them feel comfortable with the care you are providing while educating them. The more comfortable the patient is with you, the more likely they will trust you. This dedication and trust that is established between you and the patient will be associated with positive patient compliance (Ali & Watson, 2018). The more you understand the patient’s needs, the better you will be meeting their needs. Errors in communication could potentially cause medication errors, treatment errors, as well as great dissatisfaction, creating a negative environment placing a negative impact decreasing patient compliance (Ali & Watson, 2018).

In conclusion;

Learning disabilities, education level, and language barriers should all be taken into consideration while caring for the patient. Being attentive to the needs of the patient, how they communicate, understanding the best way to educate them will enhance patient experience thus achieve positive patient compliance (Ali & Watson, 2018). I did not feel there was a language barrier while viewing the orientation video by Shadow Health; however, care must be taken while talking to Tina or other patients to speak clearly, utilizing words they understand, not medical jargon, so the patient can understand the question being asked of them (Facp, 2016, pp. 65-94). When talking to patients, interviewing them, or caring for them, always speak to them meeting their educational needs to enhance their medical experience which will lead to positive compliance (Facp, 2016, pp. 65-94). N522PE-20A Module 1 Assignment 1

Ali, P. A., & Watson, R. (2018). Language barriers and their impact on provision of care to patients with limited English proficiency: Nurses’ perspectives. Journal of Clinical Nursing, 27(5–6), e1152–e1160. https://doi.org/10.1111/jocn.14204

Facp, M. L. B. S. (2016). Bates’ Guide to Physical Examination and History Taking (Twelfth, North American ed.). LWW.

889 words

In reply to Diane 

Re: Discussion 1 – N522PE-20A Module 1 Assignment 1

by Dona  – 
Well done. Discuss another culture and how cultural practices may impact health.

12 words

In reply to Dona 

Re: Discussion 1

by Diane – 
Thank you Dr Clarin,
The clinician should be aware of the individual’s culture, religion, beliefs, and ethnic customs to gain a better understanding of how the patient is perceiving information about their health (Consider Culture, Customs, and Beliefs: Tool #10., 2020). The patient’s culture and cultural practices influence how they care for themselves, their health, and what guides their decisions.
According to (Consider Culture, Customs, and Beliefs: Tool #10., 2020) the following are tips to keep in mind when caring for patients of another culture or ethnic background:
 Health benefits: Depending on the culture, some individuals believe that talking about negative outcomes will cause negative outcomes to occur.
 Health customs: Family members in some cultures play a large role in being the medical decision-maker.
 Ethnic customs: In some cultures, it is the role of the women to be the decision-maker versus man, in other cultures it is the opposite.
 Religious beliefs: Religious faith, beliefs, and spiritual needs play a large role in the health care setting. The patient’s religious and cultural needs regarding timing, preference, or denial of treatment need to be considered related to their beliefs.
 Dietary Customs: Trying to have the patient conform to our disease-related dietary advice will be difficult if we do not take the patient’s needs and customs into consideration.
 Interpersonal customs: Eye contact or physical touch may be expected in one culture, while in another this would appear inappropriate or insulting.
An example of this is caring for a patient who is of the Jewish (Judaism) faith. The patient may request a Kosher diet and follow the rule not to participate in activities on the Sabbath, from sundown Friday night until sundown on Saturday night. While another patient may request a Kosher diet and not follow the rule of the Sabbath. The patient’s testing, procedure, or even discharge may be delayed if occurring during the Sabbath. When caring for your patient it is essential to be respectful, meeting their specific needs as noted above; however, there are times when an individual is part of a specific religion or culture, but they do not follow guidelines as strictly as some do, for that reason, communication with the patient is extremely essential.Consider Culture, Customs, and Beliefs: Tool #10. (2020, September). Agency for Healthcare Research and Quality. https://www.ahrq.gov/health-literacy/improve/precautions/tool10.html N522PE-20A Module 1 Assignment 1

390 words

In reply to Diane 

Re: Discussion 1 – N522PE-20A Module 1 Assignment 1

by Ihuoma  – 
Adding to your good post-Diana,
According to an article by the U.S. Department of Health and Human Services (HHS), Health literacy is the extent to which a person has the ability to obtain, process, and understand the basic information they need to make appropriate health decisions. adequate health literacy may include an individual not being able to read and understand the important health-related instructions such as appointment slip or the instruction on their prescription bottles. It can also increase a patient’s ability to take care of their health or for their family’s health (Healthy People 2020). This article indicated that the blame of health literacy cannot be placed on the individuals alone, but also to the health-literacy related stresses and complexities of the healthcare system. Healthy people 2020(2020) suggested that organizations that value health literacy should implement a system for intervention such as counseling and visual aids to help increase an individual’s understanding and promote patient safety.

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Reference
Health People 2020(2020). Healthy Literacy. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-health/interventions-resources/health-literacy N522PE-20A Module 1 Assignment 1

178 words

In reply to Diane Koutavas

Re: Discussion 1

by Dawn – 

       Thank you, Diane, for your discussion post on communication as a critical element to patient care for limited English proficiency patients. Planning for patients involves utilizing approved interpreters and, if need be, language lines—inability to communicate with patients impacts timely and effective care delivery (Ali & Watson, 2018). Language, in addition to cultural influences, affects the response and ability to follow personal care plans. Language concordant care aligns assessment of physical status and improved cultural respect for the patients’ ethnic background (Ali & Johnson, 2017).

       Clinical reasoning supports health assessment and enables the practice gap from education to real-life (Bargagliotti & Davenport, 2017). Limited practice hours in the time of a pandemic creates issues with mastery of clinical skills. Simulation formats provide opportunities to hone psychomotor and critical thinking skills (Starkweather et al., 2017). The approach in communication styles and messaging allows for open dialogue with our patients. Practice allows competent clinical care delivery. N522PE-20A Module 1 Assignment 1

                                             References

Ali, P. A., & Johnson, S. (2017). Speaking my patient’s language: bilingual nurses’ perspective about the provision of language concordant care to patients with limited English proficiency. Journal of Advanced Nursing, 73(2), 421–432. https://doi.org/10.111/jan.13143

Ali, P. A., & Watson, R. (2018). Language barriers and their impact on the provision of care to patients with limited English proficiency: Nurses’ perspectives. Journal of Clinical Nursing, 27(5-6), e1152–e1160. https://doi.org/10.1111/jocn.14204

Bargagliotti, A. L., & Davenport, D. (2017). Entrustables and entrustment: Through the looking glass at the clinical making of a nurse practitioner. The Journal of Nurse Practitioners, 13(8), e367–e374. https://doi.org/10.1016/j.nurpra.2017.05.018

Starkweather, A., Sargent, L., Nye, C., Albrecht, T., Cloutier, R., & Foster, A. (2017). Progressive assessment and competency evaluation framework for integrating simulation in nurse practitioner education. The Journal for Nurse Practitioners, 13(7), e301–e310. https://doi.org/10.1016/j.nurpra.2017.04.012

310 words N522PE-20A Module 1 Assignment 1

Assignment 1 Rubric – N522PE-20A Module 1 Assignment 1

Assignment 1 Rubric
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? N522PE-20A Module 1 Assignment 1

/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.

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. N522PE-20A Module 1 Assignment 1

/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

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. N522PE-20A Module 1 Assignment 1		 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. 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? N522PE-20A Module 1 Assignment 1 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. N522PE-20A Module 1 Assignment 1 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.

Community Health Needs Assessment Report

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Community Health Needs Assessment Report

Community Health Needs Assessment Report

This assignment is a follow-up to the previous Topic 3 (TOPIC: Data Collection Method)

The purpose of this assignment is to apply the public health nursing practice model in order to write a community needs assessment report. Utilizing the data collected from your Topic 3 (TOPIC: Data Collection Method) chosen population, write a 1,000-1,200 word community needs assessment report with the following information:

A description of the community or population researched.
Explanation of current data available.
Summary of health needs identified through analysis of data.
Description of the data collection method planned for collecting secondary data.
Description of at least one key health issue/need from a nursing diagnosis, including the micro, meso, and macro level. Community Health Needs Assessment Report
Summary of at least one social determinant of the health issue identified.
Brief outline of a plan for addressing the chosen health need.
Include up to five resources in your paper.

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

You are required to submit this assignment to LopesWrite.

STUDY MATERIALS

Read Chapters 16-17 in Public Health Nursing: Population-Centered Health Care in the Community.

Read “Addressing Social Determinants of Health Inequities Through Settings: A Rapid Review,” by Newman, Baum, Javanparast, O’Rourke, and Carlon, from Health Promotion International (2015). URL: https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110787643&site=ehost-live&scope=site

Read “Community Health Assessment Toolkit,” from Association for Community Health Improvement (2017). URL: http://www.healthycommunities.org/Resources/toolkit.shtml#.W5bRG9iWwS-

Read “Assessment and Planning Models, Frameworks and Tools,” by the Center for State, Tribal, Local, and Territorial Support (2015), located on the Centers for Disease Control and Prevention (CDC) website. URL: https://www.cdc.gov/stltpublichealth/cha/assessment.html Community Health Needs Assessment Report

NCOM 1000 Challenge Assignment 1

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NCOM 1000 Challenge Assignment 1

NCOM 1000 Challenge Assignment 1

(Total Marks 89)

Permalink: https://nursingassignmentacers.com/ncom-1000-challenge-assignment-1/

Scenario 1

 

You notice your coworker consistently fails to wash their hands and follow basic hand hygiene protocols between patient care.

Problem(s) (1 mark)
Individual(s) involved (1 mark)
Communication strategies (4 marks)
Nurses’ response verbatim (4 marks)
Non-verbal behavior (2 marks)

Scenario 2

 

Your charge nurse pulls you aside and states, we have been getting complaints from other staff and patients that you are not following hand hygiene protocols. NCOM 1000 Challenge Assignment 1

Problem(s) (1 mark)
Individual(s) involved (1 mark)
Communication strategies (4 marks)
Nurses’ response verbatim (4 marks)
Non-verbal behavior (2 marks)
Scenario 3

 

It is a busy shift on the unit and you notice one of the staff on the floor sitting down at the nurses’ station on their phone while thier patient’s call be is ringing. You point this out to them and they states “It’s okay, the Health Care Aid can get it.”

Problem(s) (1 mark)
Individual(s) involved (1 mark)
Communication strategies (4 marks)
Nurses’ response verbatim (4 marks)
Non-verbal behavior (2 marks)
Scenario 4

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You notice that the doctor has order ampicillin for Mrs. Ram. When you go to administer it, Mrs. Ram states that she thinks she has a penicillin allergy. You call the doctor who angrily shouts “If she has an allergy it should be listed on the chart! Why wasn’t this noted?”

Problem(s) (1 mark)
Individual(s) involved (1 mark)
Communication strategies (4 marks)
Nurses’ response verbatim (4 marks)
Non-verbal behavior (2 marks)
Scenario 5

 

You walk into your client’s room and find them crying softly. They look up at you and say “My family just left me in here. They never come to visit.”

Problem(s) (1 mark)
Individual(s) involved (1 mark)
Communication strategies (4 marks)
Nurses’ response verbatim (4 marks)
Non-verbal behavior (2 marks)
Scenario 6

 

When you took care of Mr. Ash yesterday, he was complaining about having some blood in his stool. You reported this to your charge nurse to follow up with. Today in report, nothing is mentioned about this. NCOM 1000 Challenge Assignment 1

Problem(s) (1 mark)
Individual(s) involved (1 mark)
Communication strategies (4 marks)
Nurses’ response verbatim (4 marks)
Non-verbal behavior (2 marks)
Scenario 7

 

It has been a quiet night shift. Some of your coworkers are joking around and taking pictures with the clean bedpans and urinals. One nurse says “These are hilarious, I’m going to post them on social media!”

Problem(s) (1 mark)
Individual(s) involved (1 mark)
Communication strategies (4 marks)
Nurses’ response verbatim (4 marks)
Non-verbal behavior (2 marks)

 

Criteria Mark
Assignment answers /84
Citations for all questions /1
Reference for all citations /1
Scholarly references /1
Correct APA format for citations and reference /1
Correct grammar and spelling /1
TOTAL /89

Professional Activity Reflection Assignment

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Professional Activity Reflection Assignment

Professional Activity Reflection

Explore the interviews posted on The American Nurse. (Links to an external site.)Select an area of nursing and identify 2-3 of nurses (BSN or higher degree) whose work relates to that area to use for the assignment (pick 2-3 nurses from the big grid of pictures who work in the same type area). Critique the significance professional nursing as it relates to this niche in a 2-3 page reflection paper (double space, 12 Times New Roman font). Professional Activity Reflection Assignment

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Content & Organization (70 points )

  • Summarize each interview selected, include the nurses’ names, credentials, and positions (10)
  • Describe the area of nursing (10)
  • Describe the roles played by nurses (10)
  • Discuss the effect on health of a community (10)
  • Identify the place (fit) in the health care system (10)
  • Identify personal learning gained from the experience (10)
  • Addresses the degree to which the experience provided motivation to pursue further (10)

Readability & Style (10 point)

  • The tone is appropriate to the content and assignment (5)
  • Structure is clear, logical & easy to follow, Sentences complete, clear, & concise (5)

Mechanics (20 points)

  • The paper adheres to the prescribed length (10 )
  • Rules of grammar and punctuation are followed. Spelling is Correct (10) Professional Activity Reflection Assignment

COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS

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COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS

NRS 427 Full Class 

NRS427 Week 1 Dq 1 & Dq 2

dq 1

COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS: What is your idea of a healthy community? Provide specific examples. What do healthy communities have in common? How would you provide care for a community if your idea of a healthy community does not match your community’s definition of a healthy community?

dq 2

Consider the different communities to which you belong:

  1. 1. What is the geopolitical community in you live? Why is it geopolitical?
  2. 2. What is a phenomenological community to which you belong? Why is it a phenomenological community?
  3. 3. What would some challenges and benefits be for community health nurses in providing care for different communities? For similar communities? For the same community? What are some possible solutions to the challenges? COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS

GC NRS427 Week 2 Dq 1 & Dq 2

dq 1
What are social determinants of health? How do social determinants of health contribute to the development of illness? What is a communicable disease chain? Are there steps that a nurse can take to break a link within the communicable disease chain? Give a specific example.

Readings within your text covering international/global health and the following websites will assist you in answering these questions:

U.S. Centers for Disease Control and Prevention (CDC) Global Health website: http://www.cdc.gov/cogh/index.htm

U.S. Department of Health & Human Services (HHS) Global Health website: http://www.globalhealth.gov/index.html

Families USA – Why Global Health Matters—Here and Abroad website: http://www.familiesusa.org/

World Health Organization (WHO) website: http://www.who.int

dq 2

Select a global health issue impacting the international health community. Briefly describe the global health issue and its impact on the larger health care system (i.e., continents, regions, countries, states, and health departments). How can health care delivery systems work collaboratively to address global health concerns?

Readings within your text covering international/global health and the following websites will assist you in answering these questions:

U.S. Centers for Disease Control and Prevention (CDC) Global Health website: http://www.cdc.gov/cogh/index.htm

U.S. Department of Health & Human Services (HHS) Global Health website: http://www.globalhealth.gov/index.html

Families USA – Why Global Health Matters—Here and Abroad website: http://www.familiesusa.org/ COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS

World Health Organization (WHO) website: http://www.who.int

COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS: GC NRS427 Week 3 Dq 1 & Dq 2

dq 1

What is the difference between a group “at risk” for poor health and a group considered a “vulnerable” population? Provide an example of a group at risk and a group considered a vulnerable population.

  1. 1. Explain why members of these groups cannot advocate for themselves or why advocating for these groups would be beneficial.
  2. 2. What would you advocate for?

dq 2

How can community health nurses apply the strategies of cultural competence to their practice? Provide at least one example from each of the following four strategies: cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering. What is a possible barrier to applying the strategy/example chosen? Use an example that is different than the postings of other students.

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GC NRS427 Week 4 Dq 1 & Dq 2

dq 1

What is your evaluation of the effectiveness of the U.S. health care system in the context of delivery, finance, management, and/or sustainability? What are the issues that prompted a need for health care reform? Support your answer with a credible data reference. Do not use a reference already used by another student.

dq 2

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following online resources:

Key Features of the Affordable Care Act: http://www.hhs.gov/healthcare/facts/timeline/index.html

Health Care Transformation: the Affordable Care Act and More: http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/HealthSystemReform/AffordableCareAct.pdf

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law? COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS

GC NRS427 Week 5 Dq 1 & Dq 2

dq 1

Throughout this course, you have viewed the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by a previous student.

Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.

With what people or agencies would you work in facilitating the proposed interventions and why?

Link to the “Diary of Medical Mission Trip” videos:

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs427v_nrs427v.php

dq 2

What spiritual issues surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?

COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS: GC NRS427 week 2 Benchmark Assignment Epidemiology Paper

Details:

This is a benchmark assignment.

In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

Communicable Disease Selection

Choose one communicable disease from the following list:

  1. 1. Chickenpox
  2. 2. Tuberculosis
  3. 3. Influenza
  4. 4. Mononucleosis
  5. 5. Hepatitis B
  6. 6. HIV

Epidemiology Paper Requirements

Include the following in your assignment:

  1. 1. Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence).
  2. 2. Describe the determinants of health and explain how those factors contribute to the development of this disease.
  3. 3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle).
  4. 4. Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up). COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS
  5. 5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

A minimum of three references is required.

Refer to “Communicable Disease Chain” and “Chain of Infection” for assistance completing this assignment.

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

This assignment uses a 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 Turnitin. Please refer to the directions in the Student Success Center.

COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS: GC NRS427 week 4 CLC – Community Assessment and Analysis Presentation

Details:

This is a Collaborative Learning Community assignment.

The instructor will assign you to a CLC group.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest. It is important that the community selected be one in which a CLC group member currently resides. Students residing in the chosen community should be assigned to perform the physical assessment of the community.

  1. 1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
  2. 2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype. Complete the “Provider Interview Acknowledgement Form” and submit with the group presentation.

Develop one set of interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Compile key findings from the interview, including the interview questions used, and submit with the group presentation.

PowerPoint Presentation

Within your group, create a PowerPoint presentation of 15-20 slides (slide count does not include title and reference slide) describing the chosen community interest.

Include the following in your presentation:

  1. 1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, ethnic, and phenomenological features of the community as well as types of social interactions, common goals and interests, barriers, and challenges.
  2. 2. Summary of community assessment.
  3. 3. Summary of interview with community health/public health provider.
  4. 4. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community. COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS

In addition to submitting this assignment in the LoudCloud dropbox, email a copy of your submission to RNBSNclientcare@gcu.edu.

APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, 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.

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 not required to submit this assignment to Turnitin.

When submitting this assignment, include the interview questions, the interview findings, completed “Provider Interview Acknowledgement Form,” and the community assessment PPT presentation.

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COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS: GC NRS427 week 5 Community Teaching Plan: Community Teaching Work Plan Proposal

Details:

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. Applying what you have learned thus far, develop a community teaching proposal designed to address the needs of yourcommunity.

Select one of the following as the focus for the teaching plan:

  1. 1. Primary Prevention/Health Promotion
  2. 2. Secondary Prevention/Screenings for a Vulnerable Population
  3. 3. Bioterrorism/Disaster
  4. 4. Environmental Issues

Complete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.

  1. 1. After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.
  2. 2. Request feedback (strengths and opportunities for improvement) from the provider.
  3. 3. Complete the “Community Teaching Experience” form.

In addition to submitting this assignment in the LoudCloud dropbox, email a copy of your submission to RNBSNclientcare@gcu.edu.

APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, 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.

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 not required to submit this assignment to Turnitin.

GC NRS427 week 5 Community Teaching Plan: Community Presentation

Details:

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities. COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS

Note: This is an individual assignment. Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation to accompany the teaching plan and present the information to your community. Select one of the following options for delivery of the presentation:

  1. 1. PowerPoint presentation – no more than 30 minutes
  2. 2. Pamphlet presentation – 1 to 2 pages
  3. 3. Poster presentation

Appropriate community settings include:

  • Public health clinic
  • Community health center
  • Long-term care facility
  • Transitional care facility
  • Home health center
  • University/School health center
  • Church community
  • Adult/Child care center

In addition to submitting this assignment in the LoudCloud dropbox, email a copy of your submission to RNBSNclientcare@gcu.edu.

Before presenting information to the community, seek approval from an agency administrator or representative.

Upon receiving approval from the agency, include the “Community Teaching Experience Form” as part of your assignment submission.

APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, 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.

You are not required to submit this assignment to Turnitin.

GC NRS427 week 5 Community Teaching Plan: Teaching Experience Paper

Details:

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

  1. 1. Summary of teaching plan
  2. 2. Epidemiological rationale for topic
  3. 3. Evaluation of teaching experience
  4. 4. Community response to teaching
  5. 5. Areas of strengths and areas of improvement

In addition to submitting this assignment in the LoudCloud dropbox, email a copy of your submission to RNBSNclientcare@gcu.edu.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. COMMUNITY HEALTH ASSIGNMENTS AND DISCUSSION QUESTIONS

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

Nurses’ Role in Policy-Making to Improve Health paper

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Nurses’ Role in Policy-Making to Improve Health paper

Nurses’ Role in Policy-Making to Improve Health Essay

Nurses’ Role in Policy-Making to Improve Health Essay

1) **********minimum 4 full pages (1 page each document) ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign

4) References not older than 5 years

5) Each answer must be identified according to the question number. Check the list of questions.

Your answer should start objectively answering the question Nurses’ Role in Policy-Making to Improve Health Essay

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

___________________________________________________________

You must answer (3) question 4 times.

You must submit 4 documents (each one 1 page).

Copy and paste will not be admitted.

You should address the questions with different wording, different references, but always, objectively answering the questions

______________________________________________________________

1) Describe nurses’ Role in Policy-Making to Improve Health of LGBTQ

2) Describe three political actions nurses could take to strengthen their role in policymaking as it relates to advocacy for improving LGBTQ health.

3) Correlate your discussion to the 1 (one) AACN MSN Essentials, identify one that most pertains to this topic and elaborate on your selection.Nurses’ Role in Policy-Making to Improve Health Essay

Mandatory check:

See: https://www.cdc.gov/lgbthealth/

• Essential I: Background for Practice from Sciences and Humanities o Recognizes that the master’s-prepared nurse integrates scientific findings from nursing, biopsychosocial fields, genetics, public health, quality improvement, and organizational sciences for the continual improvement of nursing care across diverse settings.

• Essential II: Organizational and Systems Leadership o Recognizes that organizational and systems leadership are critical to the promotion of high quality and safe patient care. Leadership skills are needed that emphasize ethical and critical decision making, effective working relationships, and a systems-perspective.

• Essential III: Quality Improvement and Safety o Recognizes that a master’s-prepared nurse must be articulate in the methods, tools, performance measures, and standards related to quality, as well as prepared to apply quality principles within an organization. Nurses’ Role in Policy-Making to Improve Health paper

• Essential IV: Translating and Integrating Scholarship into Practice o Recognizes that the master’s-prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results.

• Essential V: Informatics and Healthcare Technologies 5 o Recognizes that the master’s-prepared nurse uses patient-care technologies to deliver and enhance care and uses communication technologies to integrate and coordinate care. •Nurses’ Role in Policy-Making to Improve Health Essay

Essential VI: Health Policy and Advocacy o Recognizes that the master’s-prepared nurse is able to intervene at the system level through the policy development process and to employ advocacy strategies to influence health and health care. •

Essential VII: Interprofessional Collaboration for Improving Patient and Population Health Outcomes o Recognizes that the master’s-prepared nurse, as a member and leader of interprofessional teams, communicates, collaborates, and consults with other health professionals to manage and coordinate care.

• Essential VIII: Clinical Prevention and Population Health for Improving Health o Recognizes that the master’s-prepared nurse applies and integrates broad, organizational, client-centered, and culturally appropriate concepts in the planning, delivery, management, and evaluation of evidence-based clinical prevention and population care and services to individuals, families, and aggregates/identified populations.

• Essential IX: Master’s-Level Nursing Practice o Recognizes that nursing practice, at the master’s level, is broadly defined as any form of nursing intervention that influences healthcare outcomes for individuals, populations, or systems. Master’s-level nursing graduates must have an advanced level of understanding of nursing and relevant sciences as well as the ability to integrate this knowledge into practice. . Nursing practice interventions include both direct and indirect care components.Nurses’ Role in Policy-Making to Improve Health Essay

Health policy formulation and analysis Health policies aim to align the real health care needs of the public, provide standardization in operational activities, manage risks, reduces the health care costs and others so that people can have a quality of health care services. There are several issues in the health care system among them staffing shortage is the one, which needs to be addressed to prevent further staffing crisis and improve the quality and safety of healthcare services. Thia paper will describe regarding the policy formulation on staffing. The paper will explain the staffing issues, provide the evidence of staffing shortage, develop alternative solutions, choose the best solutions from alternatives and predict the outcomes of policy changes on staffing issues. In addition, a paper will outline the trade- offs of not having a policy on staffing or addressing staffing issues, provide recommendation and the effects of policy on direct patient care.

The Need for Nurses to Engage in Political Involvement There has been a pandemic apathy towards political activism among the nursing fraternity, despite the fact that politics to a greater extent affects the way these medical practitioners carry out their duty of providing care. Nurses have not seen any reason for political involvement citing that no direct relationship exists between nursing and political activism (Boswell, Canon and Miller 5). They claim that nursing is about application and service, demonstration by involvement and more of ‘walking the walk’ rather than the political ‘talking the talk’ (Rains and Barton-Kriese 219). Political activism to them is a waste of the precious time that could be used to provide healthcare  Nurses’ Role in Policy-Making to Improve Health Essay
Apart from the Affordable Care Act, there has been increased government and court involvement in the determination of how healthcare issues are run, like the recent denial of the nonprofit tax exemption status to some hospitals in Chicago (Bergen 2). These hospitals, which include the Northwestern Memorial Hospital and the Prentice Women’s Hospital, are known to provide important healthcare services to patients who cannot afford to pay the expensive costs in private hospitals (Bergen 2). These unfavorable healthcare policies among others are bound to be more frequent and the resultant problems may promote the emergence of other bigger ones unless immediate action is taken. The nurse today can be compared to a person who busies himself/herself with process of rescuing a situation to the extent that he/she finds no time to investigate the real cause of the problem. If a nurse could know the real cause of the problem, then he/she would be capable of eradicating it once and for all. This act of finding the real cause of the problem is what entails political activism and this is what should be running in the blood of every nurse. Political Activism in Nursing Politics in itself is a means to an end, in which case the end is the formation of a public policy. It is the process of trying to influence the decision makers in order to implement changes that will improve the lives of communities, populations and clients (Godfrey 84). In short, politics refers to Nurses’ Role in Policy-Making to Improve Health paper

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Health care policy has important implications for all of us who rely on our health care system. We continually search for ways to make health care affordable and efficient for everyone. Behind this pursuit are talented nursing professionals who advocate for specific policies they believe will benefit us. To become well-versed in this type of decision-making, nurses must gain professional and educational experience. This article discusses the impact and responsibilities of nurse practitioners, how nursing influences health care policy, and how to leverage experience and education into greater roles for nurses. For individuals interested in careers that can influence the future of health care policy, the discussion may inspire you to action.Nurses’ Role in Policy-Making to Improve Health Essay

The Role of Nurses in Shaping Health Care Policy
Nursing influences health care policy through a nurse’s daily role in health care delivery. According to the American Association of Colleges of Nursing, nursing is the largest health care profession in the United States, with more than 3.8 million registered nurses (RNs) nationwide. It’s an independent field of medicine, and a nurse is not merely an assistant to other medical professionals. The U.S. Bureau of Labor Statistics projects that the employment of nurses will increase by 15% between 2016 and 2026, which is faster than the national average for all occupations. The median annual pay for nurses is $71,730 in the U.S. Clearly, nursing is an important component of the health care system.

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Since RNs spend a lot of time working directly with patients, they know the specific needs of the communities they serve. In turn, RNs are excellent advocates for public policy development. Groups such as the Association of Public Health Nurses encourage RNs to advocate for health care policies and provide resources on how to do so. The APHN breaks advocacy into three components: “creating policies where they are needed when none exist, reforming harmful or ineffective policies, [and] ensuring good policies are implemented and enforced.”Nurses’ Role in Policy-Making to Improve Health paper

The Journal for Nurse Practitioners indicates that nurses play an integral role in changing health policy on multiple levels. For one, nurses can conduct quality improvement projects on the job. They can also attend local meetings, such as parent-teacher association or school board meetings, to share their expertise and advice. Finally, nurses can write to their political representatives to advise them on key health-related issues.

Roles and Responsibilities of Nurse Practitioners
Nurse practitioners are registered nurses who have received specialized training in a particular field. As such, they are better equipped to make larger-scale changes to the health care system through their mastery in areas such as policy, finance, and leadership. The following responsibilities are associated with nurse practitioners: Nurses’ Role in Policy-Making to Improve Health paper

● Write prescriptions
● Diagnose and provide treatment for infection, injury, and illness
● Conduct diagnostic tests, such as X-rays
● Monitor patient medical history, diagnoses, and symptoms
● Communicate with patients about their health, as well as assist in setting up appropriate treatment plans and follow-up care
● Guide patients who are taking medication, including counseling on side effects and interactions
Since specializations differ among nurse practitioners, their day-to-day focus can shift between roles. For instance, some NPs are more involved in counseling and preventive care, while others spend their time making diagnoses and treating conditions.

Leveraging Experience for a Greater Impact
A nursing professional’s level of experience and education can have a large impact on his or her income and autonomy. For instance, licensed practical nurses need only one or two years of training and must work exclusively under the supervision of a doctor or registered nurse. Individuals who want their nursing to affect health care policy need to acquire valuable experience to increase their responsibilities.

An effective way for nurses to signal to employers they are ready to move forward in their careers is to acquire a higher degree or certification, such as a Master of Science in Nursing, Doctor of Nursing Practice, or post-master’s graduate certificate. As large hospitals seek to reduce costs, many medical responsibilities that used to be exclusively performed by doctors are delegated to highly trained nurses. Moreover, the demand for nurses continues to rise in the U.S. Nurses will be at the forefront of health care policy through their continued interaction with and advocacy on behalf of patients.Nurses’ Role in Policy-Making to Improve Health Essay

Help Influence the Future of Health Care
Nurse practitioners have an opportunity to serve as advocates for patients, families, communities, other nurses, and health care organizations. Through this advocacy, nurses can influence health care policy. By gaining a comprehensive understanding of and specialization in particular areas of health care, nurse practitioners are uniquely situated to support positions that will benefit our communities. If becoming a nurse practitioner appeals to you, Regis College offers fully online Master of Science in Nursing, Doctor of Nursing Practice, and post-master’s certificate programs for nurses who want to make a difference and advance their careers. Because the coursework is completely online, nurses can continue to practice while they gain knowledge and experience. Nurses’ Role in Policy-Making to Improve Health Essay

Inferential Statistics in Nursing Assignment

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Inferential Statistics in Nursing Assignment

Inferential Statistics in Nursing Essay

SCHOOL OF BUSINESS MANAGEMENT AND FINANCE
ACADEMIC YEAR 2019-2020
(BLENDED MODE)
Statistics For Management
INDIVIDUAL ASSIGNMENT in LIEU OF CLASS TEST
(Inferential Statistics-60%)
Submission date: 11th August 2020
Instructions:
Individual assignment
1. You must produce an Original work as Plagiarism regulations will apply
2. The cover page should feature student name cohort and student ID. It should also specify Resit or Special paper if applicable
3. The file has to be in PDF and named as follows: SURNAME statsMgt2 Ex BOOLAKYstatsMgt2
4. The Pdf file must be uploaded in the google classroom and sent to the exams unit on cssbmfexams@umail.utm.ac.mu
QUESTION 1 (15 marks)
(a) Describe a scenario in the field of Finance which could be modeled as a Binomial
Distribution.http://studenthome.work/
(Word count around 150 words) Inferential Statistics in Nursing Assignment

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(b) Seed crops such as wheat, maize, pumpkin are sensitive to moisture and thus the amount of rainfall. Rainfall levesl can be qualified as : Light, Moderate, Heavy and Violent. A seed crop farmer recorded his production in kg during the past seasons in the four different scenarios of rainfall. Furthermore, The meteorological services have just released the forecast for rainfall for the coming season in terms of number of expected days of light ,moderate, heavy and violent rain.
Advise the producer on how he can use the above information to determine his expected harvest in kg of seed crops. Illustrate by creating a numerical example to show the steps and workings.

(Word count around 150 words)
QUESTION 2 (15 marks)
A Bank wishes to determine the mean income of its credit card holders and more specifically wants to investigate whether there are any differences in the mean income between males and females. Confidence interval as a statistical inference method has been considered to respond this objective.
You are required to
1. Comment on the choice of confidence intervals as a statistical inference method for the above.  https://charteredessay.com/describe-a-scenario2. Describe how you will proceed to determine the corresponding confidence intervals.
3. Explain how you would use confidence intervals as evidence suggesting that in average males and females income differ.
Use Numerical examples to illustrate as and when required.
(Word count around 250 words) Inferential Statistics in Nursing Assignment
QUESTION 3 (15 marks)
Simple Linear Regression analysis is a statistical technique that attempts to explore and model the linear relationship between two variables for decision making.
You are required to describe a situation (other than the examples used in lecture) where a simple linear regression analysis has to be applied. In your write up you have to:
1. Provide a brief background of the situation you are going to look at. Specifically, why did you choose the dependent variable you chose? Indicate the general model that you are going to estimate.Inferential Statistics in Nursing Essay
2. Using a numerical example, apply the simple linear regression analysis techniques and Present the estimated model. Give an interpretation of each of the estimated coefficients. Determine the measures of goodness of fit and discuss the validity of the model.
(Word count: Approximately 250 words)
Question 4
A consumer protection Association is concerned about the false claims of reduced sugar content on soft drinks packaging which may falsely give consumers a sense of confidence before they purchase. According to the consumer group, these claims rarely reflect the actual nutritional quality of the food, more specifically the sugar content is more than the amount specified on the cans or bottles.
You are required to use the Hypothesis Testing as a statistical inference method to help the consumer Protection Association to test the above. More specifically you have to
1. Describe and justify the steps you will use to achieve the objective above.
Compare the different Statistics that could be used.
2. Using a numerical example, apply the steps and critically discuss the outcome of the test.
(Word count: Approximately 250 words) Inferential Statistics in Nursing Assignment

Cancer is the second largest killer of disease around the world due to the growth of population, aging, life style changes etc. in India the estimated number of new cancer cases per year is 7 lakhs and 3.5 lakhs people die of cancer each year (WHO, 2010). The management of cancer is variable depend on a number of factors including the type, location and amount of disease and the health status of the patient.

Most of the cancer patient, after getting discharge from the hospital also, will suffer with a symptom of pain, vomiting, diarrhea, loss of appetite etc due to the effect of chemotherapy, radiation therapy and progress of disease. Patient and family members were not aware about management of problems and symptoms at home.

Nurses play a crucial role to deliver the discharge education using standard protocol in order to achieve the uniformity of care and effective patient outcome including quality of life

A self instructional discharge protocol for cancer client is a set of pre determined instructions that articulate situation in which the nurse makes education based on the specified criteria.Inferential Statistics in Nursing Essay

The objectives of the study were
To assess the need of self instructional discharge protocol for cancer patients among nurses in the experimental and control group

To assess and compare the post test level of knowledge and practice regarding self instructional discharge protocol for cancer patients among nurses in the experimental and control group.

To correlate the post test level of knowledge with post test level of practice in the experimental and control group.

To associate the posttest level of knowledge and practice regarding self instructional discharge protocol with selected demographic variables of the nurses in the experimental and control group.

The study was based on the assumptions that
1. Nurses may have some knowledge and practice on self instructional discharge protocol for cancer patients.

2. Providing information on self instructional discharge protocol for cancer patients may enhance knowledge and practice among nurses.

3. Adequate information regarding self instructional discharge protocol provided by the nurses to the cancer patients may promote their quality of life. Inferential Statistics in Nursing Assignment

The null hypotheses formulated were
NH 1: There is no significant difference in the post test level of knowledge and practice

regarding self instructional discharge protocol for cancer clients among nurses in

the experimental and control group at p<0.05 level

NH2: There is no significant relationship between the post test level of knowledge with

practice regarding self instructional discharge protocol for cancer clients among

nurses in the experimental and control group at p<0.05 level.

NH3 : There is no significant association between the post test level of knowledge and

practice regarding self instructional discharge protocol with selected demographic

variables of the nurses in the experimental and control group.

The review of literature, professional experience and expert’s guidance from the field of medical and surgical nursing provided a strong foundation for the study. It also strengthened the ideas for conceptual framework, aided to design the methodology and develop the tool for the data collection.Inferential Statistics in Nursing Essay

In view of explaining and relating various aspects of the study, the investigator had adopted an Integrated Hildegard E Peplau’s Interpersonal Relationships Model and Robert R. Carkhuff’s Helping and Human Relationships Theory.

The researcher adopted a quasi experimental post test only design to assess the effectiveness of self instructional discharge protocol for cancer patients on knowledge and practice among nurses. 60 nurses were selected using non probability convenient sampling technique.

The tool for data collection had 4 sections. Part A: Personal data sheet to collect information on 5 demographic variables to assess the background of the nurses. Part B: Need assessment comprising of questions to assess the need of the staff nurses on self instructional discharge protocol for cancer clients. Part C: Structured knowledge questionnaire comprising of 30 questions to assess the knowledge of the staff nurses on self instructional discharge protocol. Intervention tool: self instructional discharge protocol for cancer patients. It comprises of 9 parts:

i personal hygiene instruction ii)pain management iii) safe use of medication iv)Dietary management v) care of wound vi) Rest and activity vii) Management instruction for selected adverse effect of chemotherapy and radiation therapy ix) follow up x)Family responsibility  Inferential Statistics in Nursing Assignment

Part E: Post practice was assessed using observational checklist for the Self instructional discharge protocol for cancer patients.

The medical, surgical and nursing experts validated the tool. The pilot study was conducted at VS Hospital chetpet, Chennai and it was found practicable and feasible to proceed with main the study.

The ethical aspect of research was maintained throughout the study by obtaining ethical committee clearance from the ICCR, formal permission from the authorities and written consent from the nurses who participated in the study. A brief introduction of self and explanation on the purpose of the study was given.Inferential Statistics in Nursing Essay

The investigator selected 60 nurses from the Medical and Surgical onclogy department of Cancer Institute Adyar, who fulfill the sample selection criteria using the Non probability convenience sampling technique. The study was conducted for a period of 4 weeks. A brief introduction of self and explanation on the purpose of the study was given. After obtaining written consent from the nurses, data collection was commenced. The investigator selected 60 nurses who fulfilled the sample selection criteria using the non probability convenience sampling technique from the medical and surgical oncology department of Cancer Institute, Adyar. At first, demographic detail was elicited using structured profile, and then the need assessment was done by using the positive worded questionnaire. The scale consisted of positive worded statements which were used to select the nurses based on the need. Inferential Statistics in Nursing Assignment

After the need assessment, to prevent bias, the investigator selected the experimental group (n=30) from the annexe hospital and control group (n=30) from the main hospital of Cancer Institute. The participants were assigned an identification number to maintain confidentiality. The nurses in the control group were gathered in the well ventilated room and questionnaire was administered on the day one to assess their knowledge regarding discharge instruction .It took 30 minutes to the nurses to answer the question. No intervention was given for the nurses in the control group. Following this the nurses in the experimental group were gathered together in the well ventilated room in the annexe block which had comfortable seating arrangements and the self instructional discharge protocol for cancer patients was administered. Inferential Statistics in Nursing Assignment

Following this, both the groups were observed for 7 days, to record their practice using observational checklist. It took 10-20 minutes to record one observation for each nurse. After the seventh day, structured post test knowledge questionnaire was administered to the experimental group. On ethical grounds, the investigator administered self instructional discharge protocol for cancer clients for the control group. With that the study was concluded.

Major findings of the study
The data was analyzed using descriptive and inferential statistics.

The overall post test mean of knowledge in experimental group was 22.30 with S.D of 4.31 and the overall post test mean score of knowledge in control group was 15.03 with S.D of 3.44. The mean differed knowledge score was 7.27. This showed that after the administration self instructional discharge protocol, there was a highly significant difference in the knowledge level of nurses with a ‘t’ value of 7.220 at p<0.01 in experimental and control group. Inferential Statistics in Nursing Assignment

The overall post test mean of practice in experimental group was 11.80 with S.D of 1.79 and the overall post test mean of practice in control group was 8.17 with S.D of 2.03. The mean differed practice was 3.63. This showed that after the administration of self instructional discharge protocol, there was a highly significant improvement in the practice level of nurses with a ‘t’ value of 7.344 at p<0.01 in experimental group.

The post test level of knowledge of nurses in the experimental group showed that the mean score was 22.30 with SD of 4.31 in experimental group and the post test level of practice shows mean score of 11.80 with SD of 1.79. The calculated Karl Pearson ‘r’ value was 0.473, which showed moderate correlation between the post test level of knowledge and practice of the nurses in the experimental group at p<0.01.

The post test level of knowledge of nurses in control group showed that the mean score was 15.03 with SD of 3.44 and the post test level of practice showed mean score of 8.17 with SD of 2.03. The calculated Karl Pearson ‘r’ value was -0.011, which showed negative correlation between the post test level of knowledge and practice of the nurses in the control group at p<0.05.Inferential Statistics in Nursing Essay

There was no significant association between the post level of knowledge and practice regarding self instructional discharge protocol with the selected demographic variables of the nurses at p < 0.05 in experimental and control group.

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CONCLUSION
The present study assessed the effectiveness of self instructional discharge protocol for cancer patients on knowledge and practice among nurses. On the basis of the above study findings, it can be said that by enhancing the nurse’s knowledge we can ensure sound practice and this should be a major concern in the present day health scenario. Hence, self instructional discharge protocol for cancer patients can be utilized by the nurses to provide effective care to cancer patients at the time of discharge. Inferential Statistics in Nursing Assignment

IMPLICATIONS
Nursing Education
Nursing education is the foundation on which the nursing practice is built upon. Sound knowledge creates and ensures delivery of sound practice. Hence the protocol should be included in nurse’s education curriculum as well as in continuing refresher nursing education program.

Skill development is an essential component of professional life. The present study emphasizes on enhancement of knowledge and practice on discharge protocol for cancer patients.

Education has a positive impact on retention of knowledge, attitude and practice in all staff. There is a need to develop a system of continuing education to reduce the incidence of errors during discharge instruction.Inferential Statistics in Nursing Essay

In service education, refresher course and training programs on discharge instruction should be systematically planned and regularly conducted for staff nurses to keep them updated.

Nursing Practice
Nurses play a vital role in giving safe and effective nursing care to the clients. By enhancing the nurse’s knowledge regarding self instructional discharge protocol for cancer clients, we shall ensure a safe and sound practice.

Self instructional discharge protocol for cancer patients helps nurses to provide uniform and wholesome package of discharge instruction for cancer patients. This helps to boost the image of the nurses as an indispensable member of the health care team with their own scientific body of knowledge and scope of practice. The discharge protocol instruction should be useful for all cancer patients Inferential Statistics in Nursing Essay

Nursing Administration
Nurse as an administrator plays an important role in educating the professionals and in policy making. Nurse administrators should facilitate and encourage nurses to update their knowledge and practice on discharge instruction strategies by organizing in service education program.

Nurse Managers are in a position to prepare policies, protocols and enhance its use in the hospitals. Nurse managers can strengthen interdisciplinary and multidisciplinary collaboration with researchers.Inferential Statistics in Nursing Essay

Nursing leaders in the hospitals and accrediting bodies can implement policies to make sure that nurses in India practice uniform protocols and guidelines.

Nurse Managers are in a position to prepare policies, protocols and enhance its use in the hospitals. They can facilitate the conduction of in-service educations, periodic conferences, workshops and seminars on various aspects of discharge instruction for cancer clients which will enable the staff nurses to update their knowledge on recent advancements .

Nursing Research
The essence of research is to build up a body of knowledge in nursing. The findings of the present study serve as basis for other professionals and the student nurses to conduct further studies and to find out the effectiveness of various methods of providing education.

In India, the research studies related to assessment of knowledge and practice of staff nurses on discharge protocol was very few. Student researchers can be motivated to conduct studies in this area.Inferential Statistics in Nursing Essay

The nurse researchers should encourage the staff nurses to implement the research findings in their daily care and bring out more techniques to promote health of the clients.

The findings of the study can be disseminated to nurse practitioners and student nurses through internet, journals, literature etc.

The findings of the study will help the professional nurses and nursing students to gain knowledge on discharge protocol for cancer clients.

The generalization of the study results can be made by further replication of the study in various settings and larger population.

Develop stronger evidence base for nursing practice by conducting multisite studies.Inferential Statistics in Nursing Essay

RECOMMENDATIONS
The researcher encourages the use of discharge protocol for cancer patients in Cancer Institute Adayar and V S hospital Chennai.

The researcher recommends the utilization of discharge protocol for cancer patients by the student nurses of Omayal Achi College of Nursing and its affiliated hospitals.

Similar study can be replicated on a larger sample to increase validity and generalizability of findings.

A study comparing the staff nurse’s utilization and patient’s utilization of the protocol on discharge instruction of cancer clients can be done using mixed methodology.Inferential Statistics in Nursing Essay

A true experimental study can be conducted to assess the effectiveness of the discharge protocol for cancer patients.

An explorative study can be done at various settings to identify factors influencing the nurse’s practice on discharge protocol.

A study can be conducted to evaluate the quality of nursing care after implementation of discharge protocol

LIMITATIONS
The study was limited to nurses who are working in the medical and surgical oncology unit.Inferential Statistics in Nursing Essay

Researcher found difficulty in getting Indian reviews related to self instructional discharge protocol for cancer patients.

The researcher found it very strenuous to get permission from the hospital, to conduct the study

The spread of information technology has significantly changed how all medical professionals approach data collection and analysis. Nurses who’ve earned a Doctor of Nursing Practice are no different: Many aspects of their jobs, whether as managers or independent practitioners, depend on data.

The subject of data goes well beyond electronic health systems. DNP-prepared nurses are now more likely to have some proficiency in statistics, or at least a familiarity with the intersection of number-crunching and health care. While that relationship may seem opaque and full of buzzwords, data is increasingly being used to drive provider performance, align with value-based reimbursement models, streamline health care system operations, and develop and measure care delivery improvements.

For nurses to succeed in leveraging data insights, it’s crucial to understand the difference between descriptive and inferential statistics. And in Bradley’s online DNP program, students will study the principles and procedures for statistical interpretation of data. To start, here’s what to know about descriptive and inferential statistics, and how they’re used in health care.

What are descriptive statistics?
Descriptive statistics are perhaps what most people would recognize, even if they’re not familiar with the term. In essence, descriptive statistics describe the data. They summarize a particular data set, or multiple sets, and deliver quantitative insights through numerical or graphical representation. The mean, median and mode are all descriptive statistics, as are the standard deviation or grade point average — these are all measures of tendency or variance.

The thing to keep in mind is that descriptive statistics are just that: They describe the data to which they are applied and are used to generate insight across vast sets that would be difficult to work through by hand. Regarding professional use cases, descriptive statistics are relied on in many settings and industries. Any data can be analyzed using descriptive statistics, like patient data and outcomes from a pilot program related to medication safety.Inferential Statistics in Nursing Essay

What are inferential statistics?
Inferential statistics allow you to use data to make predictions (or inferences) based upon the data. This is in clear contrast to descriptive statistics. Rather than being used to describe the data itself, inferential metrics are used to reveal correlation, proportion or other relationships present in the data.

This is often done by analyzing a sampling from a larger data set. Conclusions that can be drawn from this sample size may then be applied across the entire data. For instance, inferential statistics may be used in research about instances of commorbidities. Instead of canvassing vast records entirely, researchers can analyze a sample set of patients with shared attributes — like those with more than two chronic conditions — and extrapolate results across the larger population with such qualities. This could help inform provider initiatives or policy-making to improve care.

Nurse practitioner working on tablet.How are statistics used in nursing?
There are a wide variety of situations in which both descriptive and inferential statistics are used. Nurses who’ve earned a DNP can expect to encounter data and statistics in several on-the-job situations. For example, nurse executives who oversee budgeting and other financial responsibilities will likely need familiarity with descriptive statistics and their use in accounting. Descriptive statistics will likely also come into play for professionals like family nurse practitioners or emergency room nurse managers. Calculating variance in blood pressure or blood sugar is one example; body mass index analysis in children seen by a family clinic is another.Inferential Statistics in Nursing Essay

Inferential statistics are crucial in forming predictions or theories about a population. The sample data can indicate broader trends across the entire set, and such statistics have clear use to today’s nurse regarding the rise of population health. Examining the health outcomes and other data of populations like minorities, rural patients or seniors can help nurse practitioners better develop initiatives that improve care delivery or patient safety. For instance, looking at how rural patients respond to telehealth-based care may indicate to a nurse director that the provider should invest in such technology to increase service and enhance the patient experience.

What can students learn in Bradley’s online DNP program?
The curriculum imparts key statistics knowledge and skills to be used in a nursing career. For instance, ENC 510: Statistical Procedures, will introduce learners to statistical principles and procedures, while NUR 720: Evidence-Based Practice will show them how to collect and analyze data as part of quality improvement or care delivery evaluation. CIS 576: Data Management further allows students to explore data practices and refine their analytical competency. This course will teach students about database query language, data governance, and other issues related to quality, standards, security and privacy.

The Bradley online DNP program offers nurses a flexible learning environment that can work around their existing personal and professional needs. Interested in learning more about the degree? Contact an enrollment advisor today. Inferential Statistics in Nursing Assignment

Assignment: Nursing Multidimensional Care Essay

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Assignment: Nursing Multidimensional Care Essay

Assignment: Nursing Multidimensional Care Essay

Module 03 Assignment- Interventions to Promote an Environment of Safety

Purpose of the Assignment

Identify strategies to reduce the risk for injury to clients in various environments.

Course Competencies

· Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility. Assignment: Nursing Multidimensional Care Essay

· Strategies for safe effective multidimensional nursing practice when providing care for clients experiencing sensory and perception disorders.Nursing Multidimensional Care Essay

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Instructions

In a one page Word Document, plan interventions with rationale which will promote an environment of safety for the described client below. Consider the client’s medical history and medications.

Mr. Joe Smith, 75-year old man, recently suffered a left cerebrovascular accident. He has right visual field deficits and residual weakness in this right arm and leg. He uses a walker for mobility. He takes Metoprolol for his blood pressure and the physician started him on Coumadin because he has recently been diagnosed with atrial fibrillation.

Use at least two scholarly sources to support your interventions and rationale. Be sure to cite your sources in-text and on a reference page using APA format.

You can find useful reference materials for this assignment in the School of Nursing Guide

Vulnerability is at the core, the heart, the center, of meaningful human experiences” (Brown, 2014). Vulnerability can be regarded as a constant human experience that can be affected by physical, social and psychological dimensions (Scanlon & Lee, 2006; Malone, 2000) Deconstructing the concept of vulnerability and how it relates to client care is imperative for nurses due to their dynamic role in health care (Gjengedal et al.2013). In this paper I will provide a theoretical overview of the nursing concept vulnerability. I will explore how a thorough understanding of vulnerability informs the nursing concept of vulnerability and informs the nursing practice and the nursing profession.  Assignment: Nursing Multidimensional Care Essay
It is a multidimensional human condition and constant human experience with the reduced ability to protect oneself (Cousley, Martin, & Hoy, 2014). Bailey (2010) describes vulnerability as an internal conflict which brings feelings of hopelessness, helplessness and lack of control. Vulnerability as defined by Scanlon & Lee (2006) can be broken into three dimensions, physical, social, and psychological aspects. Physical vulnerability can be identified by the potential risk of harm in the environment. Social vulnerability include age, sex, and ethnicity. Psychological vulnerability refers to the feelings associated with the loss of control and can be manifested by stress and anxiety. Vulnerability can be measured by the potential harm and the capacity to overcome it, as stated by Spiers (2000). Only the person experiencing vulnerability can truly understand its implications as it is a unique and individualized experience. (Thorup, Rundqvist, Roberts & Delmar, 2012). Vulnerability can be better understood by examining the external and internal risk factors that increase an individual’s…
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014).

Professional Nursing Practice: Craven and Hirnle, (2009) suggest that in general professions have a knowledge base and a collection of skills and values that distinguish one from another. Knowledge base, power and authority over training and education, registration, altruistic service, a code of ethics, lengthy socialisation and autonomy are the seven qualities that have been recognized as being the characteristics of a profession (McEwen & Wills, 2007).The question of whether nursing is a profession has been an ongoing debate. The need for higher education, a specific body of knowledge, increased public interest and responsibility and internal organisation are among several standards proposed to assess nursing’s professional status. As…show more content…
The profession is subject to misconception because definitions of nursing are reflected by society’s values and influences. As a profession nursing has advanced over the centuries and continues to grow as a reaction to societies needs (Craven & Hirnle, 2009). I have come to an understanding that the term ‘professional nursing practice’ is not relatively simple to define; it is a complex and widespread concept that involves caring for communities and populations of people and addressing issues with far reaching social implications, it means being socially responsible, involved, and committed to the health of all people (Craven & Hirnle, 2009). Professional Caring: Craven and Hirnle, (2009), suggest that nursing is caring, dedication and devotion to providing the health functional requirements of all people. Assignment: Nursing Multidimensional Care Essay

The motive of this essay is to concentrate on a nursing theorist, Florence Nightingales’, as well as my personal philosophy of nursing. The essay will paper further explore the personal nursing philosophy I plan to implement in my nursing career. The paper will also compare and contrast my philosophy with the ones of Florence nightingales’ and will integrate Betty Neuman’s system model with my philosophy.Nursing Multidimensional Care Essay The implementation of the four meta-paradigm concepts of person, health, environment, and nursing will be throughout this paper to describe the similarities and differences between different philosophies of nursing. Assignment: Nursing Multidimensional Care Essay

I play a lot of roles in my life. Being an adult, son, brother, friend, nursing student, and volunteer are my primary roles. Just like the interconnecting roles that I play to be the person that I am today, Nursing, as a profession has foundation pillars also known as meta-paradigm that supports the profession. The central meta-paradigm concepts of nursing are person, health, environment, and nursing. Depending on the particular needs of the patient, as nursing students we must prioritize these ideas and provide the best care suitable for the situation. My goal is to provide a holistic and unbiased care to those in need regardless of spiritual beliefs, race, financial status, lifestyle choices or disability.

I am seeking a baccalaureate in nursing and aspire to be a CRNA in future. I chose nursing as my ambition because I believe that I am intended to help people with healing and that it is my vocation. The development of these parts continues to alter and refine my nursing education. My philosophy as a student nurse is that nurses must have a liability to the society to present safe, holistic, patient-centered care. My patients are not labeled as room numbers or the illness that they have so I must recognize that my patients are individuals that need and deserve individualized care and attention. As nurses, we are our patient’s advocates, and we should enable them by encouraging them to become active allies in their care. I think the best way to connect with the client and their families is by educating them about their diseases, treatments for their illness and healthy behaviors to intensify the healing process. With the aid of formal education and life experiences that we go through, I believe that we learn invaluable lessons and can educate our patients in an efficient manner.Nursing Multidimensional Care Essay

The meta-paradigm concepts of nursing are person, health, environment, and nursing. These concepts very crucial for both nurses and well as their patients because all four of those elements are important when it comes to patient care. Executing the treatments plans for patients won’t be efficient if all four of the concepts are taken into consideration. Let’s take a look at them on an individual level through my perspective.

The first concept is person. Person can be more than just one patient. It may also consist of the family members associated with the patients as well. The concept of a “person” might as well be the most important component of the meta-paradigm. As we know, without an individual or a patient, there is no need for a nurse. A nurse’s prime focus should be nurturing the patient with an incredible amount of affection and genuinely care about them and their wellbeing. The attitude of a nurse, whether it was to be a positive one or negative can affect the well-fare of their patients. Assignment: Nursing Multidimensional Care Essay

The next component is health. The idea of health is variable from patient to patient. For an example, a 97 patient feels healthy because of absence of pain that day, but a different person may see him as ill patient. A nurse should be able to assess a patient based on their individual health concerns and not upon how an ordinary person would feel and handle the illness because “health is a continuum of wellness to illness, dynamic in nature, that is always subject to change” (Neuman, B. 2011).

The third concept is environment. The environment plays a vast and vital role in sustaining health and improving recovery from sickness. The first nursing theorist and also the founder of modern nursing, Florence Nightingale once said the goal of nursing is “to put the patient in the best condition for nature to act upon him” (Dossey, B. M. 2010). I believe that the environment comprises of everything and anything around the patient that influences their recovery and disease. Other than the things around the patients to comfort them, their state of mind is also an area to focus on. What good would the things around the patient do if he or she is depressed about their disease? It would more likely deteriorate the patients’ health.Nursing Multidimensional Care Essay

Nursing is the last component of the meta-paradigm and also the most compassionate one. A skilled nurse is one who is kind and caring. The nurse must exhibit this philosophy to their patients at all times. Since “nursing is a unique profession concerned with all variables affecting clients in their environment” (Neuman, B. 2011), it would only be honorable, if the nurses were compassionate and caring regardless of spiritual beliefs, race, financial status, lifestyle choices or disability. Assignment: Nursing Multidimensional Care Essay

My philosophy of nursing correlates with the philosophies of Florence Nightingale as well as Betty Neuman. Florence Nightingale was the philosophical founder of modern nursing and the first recognized nurse theorist. She had a holistic and integrative perspective, as she focused on the individual and the collective, the inner and outer, and human and nonhuman concerns” (Dossey, B. M. 2010). Dr. Betty Neuman is a modern theorist whose “Health Care Systems/Model” grows on Nightingale’s original ideas to encompass issues of the mind such as emotions and feelings, expectations and matters of personal life such as finances, relationships, etc. (Neuman, 2011).Assignment: Nursing Multidimensional Care Essay

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One of Nightingale’s “central themes was the importance of nursing’s role in the management of the patient environment” (Selanders & Crane, 2012). We must keep in mind that she was working in the late 1800’s. Nightingale believed that the health of patients was related to their environment. “She recognized the importance of clean air and water and adequate ventilation and sunlight and encouraged the arrangement of patients’ beds so that they were in direct sunlight” (Black & Chitty 2014). Person, environment, health, and nursing are the four components that fall under Nightingale’s philosophy of nursing. Nightingale concentrated on the person as the recipient of nursing care. She believed that nurses should focus on the patient and their needs, not the illness they were troubled with. “She knew that people were multidimensional and wrote about their physiological, mental, cultural and religious requirements” (Selanders & Crane, 2012).Nursing Multidimensional Care Essay

The environment was the main component in Nightingale’s nursing beliefs. She certainly stressed the promotion of sanitary environment; fresh air, controlled temperature, noise control and control of garbage and smells were different ways that the environment could be modified in such a way as to promote conditions so that nature could act to cure the patient. “The relationship of health to the environment seems obvious today, but for nursing in the second half of the nineteenth century, Nightingale’s work was radically different. Nightingale recognized nursing’s role in protecting patients” (Black & Chitty 2014). The nurse whose practice are “guided by Nightingale’s philosophy is sensitive to the effect of the environment on the patient’s health or recovery from illness. This philosophy provided the foundational work for theory development that proposed changing patients’ environments to effect positive changes in their health” (Black & Chitty 2014).Assignment: Nursing Multidimensional Care Essay

Nightingale’s perspective on health component of health contradicted with Neuman’s idea of health. She was mainly focused on the physical state of the patient. She believed that “by controlling the environment and taking care of the body, health was achieved” (Dossey, B. M. 2010). Nightingale saw nursing as a way to “facilitate healing and restore health by manipulating a person’s environment” (DeLaune, S.C. 2011).

We can now compare Nightingale’s philosophy with Neuman’s systems model. Neuman sees the person/patient as “a total open system in interaction with the internal and external environments. A composite of five variables: physiological, psychological, sociocultural, developmental and spiritual. The client is considered an open system in total interface and exchange of matter and information with the environment” (Neuman, 2011). A person may be an individual, a family or a community.Nursing Multidimensional Care Essay

Neuman perceives health as being associated with wellness. According to her, “Health is related to available energy to support the system” (Neuman, 2011). In Neuman systems model, the environment is a collective of “Internal and external factors affecting and affected by the system” (DeLaune, S.C. 2011). These forces include the intrapersonal, interpersonal and extra personal stressors which can affect a person’s normal line of defense and so can influence the durability of the system. Neuman defines nursing as actions that help individuals, families and groups to support a supreme level of wellness. The primary aim is durability of the patient/ client system, through nursing interventions to cut down stressors (Neuman, 2011). So, in essence, Neuman has successfully established upon the original, groundbreaking concept of Florence Nightingale to design a contemporary healthcare system model that incorporates seeing the patient as a whole, living and interacting with his or her entire environment.Nursing Multidimensional Care Essay

My perception for nursing practice concentrates on doing what is most helpful to my patient. I hope to build caring, trusting rapport with my patients as well as play a decisive role in their well-being. To live out my worldviews every day, I must remember that even though I will always try to do my best in any given condition, I am a human being, and am not flawless. If something does not go as anticipated, I will investigate the circumstance, and try to learn from it. I will recommence my work with conviction that I am a better student nurse than the day before. Furthermore, I will be a better student nurse tomorrow than I was today. Nursing Multidimensional Care Essay