Theories Guiding Nursing Practice

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Theories Guiding Nursing Practice

  1. Purpose
    A nursing theory provides a framework for evidence based nursing practice and the pursuit of new knowledge.
  2. Course Competency
    Identify the major concepts of selected nursing theories
  3. Instructions
    Scenario:You are working as a Registered Nurse at a local hospital that has recently changed ownership. The new owners of the hospital are committed to a culture that embraces evidence-based practice (EBP) and utilizes EBP as a guide for their policies and procedures. The focus on evidence-based practice can be seen as part of the hospital’s mission statement and local advertising campaign which states, “Evidence-based practice: The key to advancing quality and safety in healthcare.” While the hospital mission includes the statement: “…to be the healthcare center of choice, through superior clinical outcomes, evidence-based practice-driven protocols, and the advancement of practice utilizing formal and continuing education.”The hospital leadership team has shared that they are beginning the process of applying for Magnet status as a healthcare facility. They have asked for volunteers to serve on a sub-committee to select a nursing theorist as a framework that will be used to guide nursing practice. You have been asked to research the various nursing theorists, and select two to present to the leadership team. Theories Guiding Nursing Practice

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    Content:
    From the list provided, select two nursing theorists. Prepare a written proposal that compares and contrasts the two theories and makes a recommendation for which theory would be a better fit for the facility. Please include the following in your proposal:Identify the two selected theorists and briefly summarize each theory. Compare and contrast the two selected theories.Formulate a recommendation for the theorist that best aligns to the facility.

    List.docx

    Format:

    • Standard American English (correct grammar, punctuation, etc.)
    • Logical, original and insightful
    • Professional organization, style, and mechanics in APA format
    • Submit document through Grammarly to correct errors before submission

 

NUR3643 Research and Theory

 

Module 2

 

Competency: Identify the major concepts of selected nursing theories.

 

Select two nursing theorists from the following list to compare and contrast:

  • Jean Watson
  • Patricia Benner
  • Myra Estrin Levine
  • Martha Rogers
  • Dorothy Johnson
  • Betty Neuman
  • Imogene King
  • Hildegard Peplau
  • Margret Newman
  • Nola Pender
  • Rosemary Rizzo Parse. Theories Guiding Nursing Practice

 

 

DNP- 802 ROLE DEVELOPMENT

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DNP- 802 ROLE DEVELOPMENT

I need the following addressed in 600 words with references. Please use multiple references

Instructions:

1. Address 2 of the following discussion questions in your post:

1. Describe the evolution of the Doctor of Nursing practice curriculum and its potential impact on the future of nursing.

2. Analyze factors in our current healthcare delivery system that is driving the need for nurses prepared as at the doctoral level

3. How do you determine the impact of the DNP degree?  What methods should be used to determine the impact of DNP  graduates? See pg 52 of Pritham & White article.  

4. What are your thoughts on having a universal standard for APRN entry?

Below is an outline of the items for which you will be responsible throughout the module1. DNP- 802 ROLE DEVELOPMENT

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Resources to Use

Zaccagnini, M. & Pechacek, J. (2021). The Doctor of Nursing Practice Essentials. (4th Ed.), Jones Barlett Learning. ISBN 978-1-284-16707-8

1. Read introduction from Zaccagnini, M.,  &  Pechacek, J.  (2021). The Doctor of Nursing practice essentials. (4th Ed.). Burlington, MA: Jones & Bartlett Learning.

2. National Academy of Medicine (2021). The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. National Academy of Sciences, Chapter 4: The role of nurses in improving health care access and quality, p. 99-126.25982.pdf

3. AACN Essentials of doctoral education for advanced nursing practice  AACN DNP Essentials.pdf,

4. NONPF The Doctorate of Nursing Preparation 2015 NONPF The DNP Preparation NONPF Perspective.pdf. DNP- 802 ROLE DEVELOPMENT

2 Nursing Discussion Questions

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2 Nursing Discussion Questions

2 Posts: should be substantive (approximately 200-300 words in length for each discussion the least). In your substantive post you are encouraged to use references (you may use your textbook); show evidence of critical thinking as it applies to the concepts. At least One reference on each discussion. number each discussion separately as 1 and 2.

Initial Substantive Posts: Your initial post should be substantive (approximately 200-300 words in length for each discussion). In your substantive post you are encouraged to use references (you may use your textbook); show evidence of critical thinking as it applies to the concepts. At least One reference on each discussion.

 

  1. Personal Philosophy in the Context of Nursing

Top of Form

How does your personal philosophy fit with the context of nursing? Does it fit? How do nursing, person, environment, and health fit into your philosophy? 2 Nursing Discussion Questions

  1. Reflections on Troubling Clinical Experiences

Think about a clinical experience that was troubling to you. Reflect on what bothered you about the experience. What could you have done differently? What were the reasons behind your actions? Try to create and clarify meaning or a new understanding of the particular situation.

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  • Below is an example of a substantive discussion post (This content is not from this course):

Neutropenia is a decrease in circulating neutrophils in the nonmarginal pool, which constitutes 4-5% of total body neutrophil stores (Braden, 2016). Something that should be investigated is the underlying cause for the neutropenia. Knowing what would point myself as the nurse in the direction to educate the patient and would help the physician in treating the condition. The likelihood of having complication from neutropenia are very high as usually the reason for neutropenia is overwhelming infection.

Common presenting symptoms of neutropenia include the following: (Braden, 2016)

  • Low-grade fever
  • Sore mouth
  • Odynophagia
  • Gingival pain and swelling
  • Skin abscesses
  • Recurrent sinusitis and otitis
  • Symptoms of pneumonia (eg, cough, dyspnea)
  • Perirectal pain and irritation

Diagnosing neutropenis is realatively easy as the doctor would need to order a complete blood cell count, differencial white blood cell count, and a peripheral smear that is to be reviewed by a pathologist. Other causes of neutropenia, in the absence of overwhelming infection, may be (1) decreased neutrophil production or ineffective granulopoiesis, (2) reduced neutrophil survival, and (3) abnormal neutrophil distribution and sequestration. Hematologic disorders that cause ineffective or decreased production include hypoplastic or aplastic anemia, megaloblastic anemias, leukemia, or drug-/toxin-induced neutropenia (Huether, 2012). Educating patient on the way to care for ones self at home is very important. Making sure that the patient takes all of their antibiotics and committing to keeping their follow up appointment is very important to her recovery. 2 Nursing Discussion Questions

General measures to be taken in patients with neutropenia include the following: (Braden, 2016)

  • Remove any offending drugs or agents in cases involving drug exposure: If the identity of the causative agent is not known, stop administration of all drugs until the etiology is established
  • Use careful oral hygiene to prevent infections of the mucosa and teeth
  • Avoid rectal temperature measurements and rectal examinations
  • Administer stool softeners for constipation
  • Use good skin care for wounds and abrasions: Skin infections should be managed by someone with experience in the treatment of infection in neutropenic patients

Braden, C. (2016, February 26). Neutropenia. Retrieved from MedScape: http://emedicine.medscape.com/article/204821-overview

Huether, S., & McCance, K. (2012). Understanding Pathophysiology (5th ed.). [https://bookshelf.vitalsource.com/#/books/978-0-323-07891-7/cfi/0!/4/2/4/4@0:65.4]. Retrieved from https://bookshelf.vitalsource.com/#/books. 2 Nursing Discussion Questions

Bottom of Form

 

Explain principles of care for clients with oncological disorders.

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Explain principles of care for clients with oncological disorders.

 

 

Scenario

Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna has a history of diabetes, obesity, and noncompliance with diet and medications to control her diabetes. She a single mother of three teenagers and smokes regularly. During the history review, Anna shares with you that she has not been feeling like herself for the past six months, she has been unusually tired and thought that she felt a lump in her right breast during a self-breast exam around that same time. She stated, “I am very busy with my children; I haven’t had time to get it checked out.” She has recently been experiencing right nipple pain. Anna has a positive family history of breast cancer; both her mother and grandmother have been treated for breast cancer. Anna has never had a mammogram. During the breast examination, the practitioner palpated a lump in Anna’s right breast. No discharge from the nipple was observed. Anna’s right breast was tender upon palpation. No abnormalities were found in the left breast. Based on the physical findings Anna will undergo a diagnostic mammogram.

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Instructions

In a 2-page paper, describe the care that Anna would require and address the questions below.

  1. What risk factors does Anna have that could predispose her to the development of cancer?
  2. What signs and symptoms could indicate that Anna has developed cancer?
  3. Based on Anna’s risk factors and presenting problems, identify three care strategies that you would use to provide quality care to Anna. Provide rationale to explain why you chose these strategies. Explain principles of care for clients with oncological disorders.

 

Resources

For assistance with citations, refer to the APA Guide.

 

Nursing homework help

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The PMHNP role has the theoretical orientation, education, and scope to be an effective provider of child and adolescent mental health services. The American Psychiatric Nurses Association (APNA) takes the policy position that psychiatric nurses should be considered members of the primary care workforce; this is in contrast to the traditional medical model, which positions mental health care as a specialty discipline. The responsibilities of the PMHNP role are founded on the nursing process and therapeutic relationship and include: educating patients and families; diagnosing, treating, and managing acute illness; providing psychotherapy; prescribing medication for acute and chronic illness; diagnosing, treating, and managing acute illness; providing care coordination; making referrals; ordering, performing, and interpreting lab tests, diagnostic studies; and providing preventative care including screening (APNA, 2019).  Nursing homework help

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As you read the excerpt, please tell us?

What makes you decide to become a Psychiatric Mental Health Nurse Practitioner?

What are the values that may help you develop that role?

What is your plan to develop the knowledge, skills and competencies necessary for advance practice?

References

American Psychiatric Nurses Association (APNA) (2019). Expanding Mental Health Care Services in America: The Pivotol Role of Psychiatric-Mental Health Nurses. An Informational Report Prepared by The American Psychiatric Nurses Association. Retrieved from https://www.apna.org/files/public/Resources/Workforce_Development_Report_Final_Draft_6_25.pdf

Nursing homework help

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Student Name:__________________

Section & Faculty Name:_________________________________

Date of Interview:________________

Provider Information
Employee Name :      
Last First M.I.
Credentials:   Title:  
                            (I.e. MS, RN, etc.)
Organization:  
Phone Number:  
E-mail Address:  

 Feedback Section

 

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using non-traditional 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, their specific care discipline and their local communities. Nursing homework help

This activity is intended to foster demonstration of skills related to leadership and management.

 

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

 

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

 

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_______________________________                                              _________________

Signature of Individual Providing Feedback                                            Date Signed

 

NOTE:

 

Acknowledgement form is to be returned to the student for electronic submission to the faculty member via the learning management system (LoudCloud).

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

  1. The purpose of the quality improvement initiative.
  2. The target population or audience. Nursing homework help
  3. The benefits of the quality improvement initiative.
  4. The interprofessional collaboration that would be required to implement the quality improvement initiative.
  5. The cost or budget justification.
  6. The basis upon which the quality improvement initiative will be evaluated.

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

APA style

Schizophrenia Disorders Assignment

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Schizophrenia Disorders Assignment

THE ASSIGNMENT

Create a study guide for the assigned psychotropic medication agents. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! IT SHOULD NOT BE IN A FORMAT OF AN APA paper. Your guide should be informed by the FDA-approved and Evidenced-Based, Clinical Practice Guidelines Research but also supported by at least three other scholarly resources. Schizophrenia Disorders Assignment

Areas of importance you should address, but are not limited to, are:

  • Title page
  • Description of the Psychopharmacological medication agent including brand and generic names and appropriate FDA indication uses
  • Any supporting, valid and reliable research for non-FDA uses
  • Drug classification
  • The medication mechanism of action
  • The medication pharmacokinetics
  • The medication pharmacodynamics
  • Mechanism of Action
  • Appropriate dosing, administration route, and any considerations for dosing alterations
  • Considerations of use and dosing in specific specialty populations to consider children, adolescents, elderly, pregnancy, suicidal behaviors, etc.
  • Definition of Half-life, why half-life is important, and the half-life for your assigned medication
  • Side effects/adverse reaction potentials
  • Contraindications for use including significant drug to drug interactions
  • Overdose Considerations
  • Diagnostics and labs monitoring
  • Comorbidities considerations
  • Legal and ethical considerations
  • Pertinent patient education considerations
  • Reference Page. Schizophrenia Disorders Assignment

 

Insomnia Assignment Paper

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Insomnia Assignment Paper

For this Discussion, review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs.

Case: An elderly widow who just lost her spouse.

Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patients normally see PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications:

  • Metformin 500mg BID
  • Januvia 100mg daily
  • Losartan 100mg daily
  • HCTZ 25mg daily
  • Sertraline 100mg daily

Current weight: 88 kg

Current height: 64 inches

Temp: 98.6 degrees F

BP: 132/86

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Post a response to each of the following:

  • List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.
  • Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
  • Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.
  • List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.
  • List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
  • For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making? Insomnia Assignment Paper
  • Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen.

2 Pages only.

PSYCHOTHRAPY 8 ASSIGNMENT

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PSYCHOTHRAPY 8 ASSIGNMENT

Briefly describe humanistic-existential psychotherapy and the second approach you selected.

Explain at least three differences between these therapies. Include how these differences might impact your practice as a PMHNP.

Focusing on one video you viewed, explain why humanistic-existential psychotherapy was utilized with the patient in the video and why it was the treatment of choice. Describe the expected potential outcome if the second approach had been used with the patient.

Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

Review the humanistic-existential psychotherapy videos in this week’s Learning Resources.

Reflect on humanistic-existential psychotherapeutic approaches.

Then, select another psychotherapeutic approach to compare with humanistic-existential psychotherapy. The approach you choose may be one you previously explored in the course or one you are familiar with and especially interested in.  PSYCHOTHRAPY 8 ASSIGNMENT

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Learning Resources

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders Links to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787

  • “Culture and Psychiatric Diagnosis”

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson.

  • Chapter 7, “Experiential Family Therapy”

Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.

  • Chapter 6, “Humanistic-Existential and Solution-Focused Approaches to Psychotherapy”

Grande, T.  (2019, January 9). Theories of counseling – Existential therapy Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=YvAvc2aWup0

PsychotherapyNet. (2009, June 29). James Bugental live case consultation psychotherapy video Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=Zl8tVTjdocI

ThinkingallowedTV. (2010, September 20). James Bugental: Humanistic psychotherapy (excerpt) – A thinking allowed DVD w/ Jeffrey Mishlove Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=mjDNKGIvWPQ

Biophily2. (2016, October 4). Abraham Maslow, Rollo May, Carl Rogers – Existential psychology II (1962) Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=oTTqKNI7wDo

Bugental, J. (2008). Existential-humanistic psychotherapy Links to an external site. [Video].  https://waldenu.kanopy.com/video/existential-humanistic-psychothe

The Psychology Podcast. (2021, Aug 30). Irvin Yalom- Existential psychotherapy. [Video]. YouTube.  https://www.youtube.com/watch?v=G2vef8W1a0k. PSYCHOTHRAPY 8 ASSIGNMENT

 

Personal Philosophy Of Teaching Part I AND Research Proposal Project

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Personal Philosophy Of Teaching Part I AND Research Proposal Project

ASSIGNMENT 1
This week, you will develop your personal philosophy of teaching in a written statement, articulating your beliefs about important educational theories and practices. Your teaching philosophy should be based on what is meaningful to you in your approach to teaching.There is no right or wrong way to write a personal teaching philosophy. However, for the purpose of this assignment, please follow the assignment guidelines below to connect your beliefs, goals, and strategies into a coherent approach to help students learn and grow.Assignment GuidelinesPhilosophy Paper Requirements. Personal Philosophy Of Teaching Part I AND Research Proposal Project

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The paper should be 2, typed in Times New Roman using 12-point font, and double-spaced with 1″ margins.
Use a first person narrative and present tense.
Write sincerely, uniquely, and memorably. Avoid clichés, jargon, and technical terms.
Include specific (not abstract) ideas, using 1–2 concrete examples, whether actual or anticipated experiences.
Show humility and mention students enthusiastically.
Include your conception of how learning occurs.
Communicate your goals as an instructor.
Include actual or anticipated teaching strategies and methods.
Include justification for why you teach (or anticipate teaching) the way you do.
Include a brief discussion of how your teaching (or anticipated teaching) facilitates student learning.
Include a conclusion. Personal Philosophy Of Teaching Part I AND Research Proposal Project
To assist you in developing your teaching philosophy, you may choose to include any or all of the following:

Famous quotes
NO PLAGIO MORE THAN 10 %

ASSIGNMENT 2
This week, you will seek approval for a research area for your quantitative research proposal project due in weeks 7 and 8. Submit a one-page, double-spaced paper addressing the following points:

Identify your chosen research topic ( BREAST CANCER)
Create at least one problem statement to go along with your chosen research area
Identify your research question/s
Explain the significance of the research topic to nursing
Upon completion, your instructor will approve, deny, or make recommendations for modifications of your research topic, problem statement, or research question(s) to ensure successful completion of the research proposal project.If you need some assistance creating a PICOT question, it is attached a document, For a template provided by the AAACN.
DUE DATE January 10 , 2023

NO MORE THA 10 % PLAGIARISM
EACH ASSIGNMENT MUST BE DONE IN A SEPARATE WORD DOCUMENT, THEY ARE NOT RELATED. Personal Philosophy Of Teaching Part I AND Research Proposal Project