AONL Nurse Executive Competencies Discussion

Considering the nurse competencies captured in the AONL website, my greatest strengths lie on professionalism, knowledge of healthcare environment, and leadership competencies. However, I still need to work on communication and relationship building competency, business skills competency, and a bit of professionalism competency. My biggest challenge within the professionalism competency is time management. I often second guess my decisions by taking longer to respond to a situation. Besides, I understand that reacting quickly, especially when there’s an emergency, is an important nursing skill (Gonzalez-Garcia, 2021)AONL Nurse Executive Competencies Discussion.

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Consequently, I have little experience communicating with patients, especially the elderly. According to (Relf et al., 2018), communication and relationship building competencies enables nurses to deliver person centered care. It involves building healthy and strong relationships with colleagues and patients over a period of time. As such, good communication should be among my top priorities.

Importantly, dealing with job demands such as managing finance and patient database are a bit challenging to me. I’m certain that these skills are important in managing caregiving processes and enable nurses to implement effective emergency preparedness strategies and address budget compliance (Gonzalez-Garcia et al., 2021)AONL Nurse Executive Competencies Discussion.

Since I have identified my weaknesses within the AONL competencies and discussed their impact within the healthcare setting, I plan to integrate the knowledge I acquired and use it to develop my comprehensive practicum project through observation and experiential learning. I’m going to volunteer at my local nursing home where I’ll spend more time with competent nurses and patients and observe how they operate. I also hope to improve my skills and make a difference while working with them AONL Nurse Executive Competencies Discussion.

References

González-García, A., Pinto-Carral, A., Pérez-González, S., & Marqués-Sánchez, P. (2021). Nurse managers’ competencies: A scoping review. Journal of nursing management, 29(6), 1410–1419. https://doi.org/10.1111/jonm.13380

Relf, M. V., Mekwa, J., Chasokela, C., Nhlengethwa, W., Letsie, E., Mtengezo, J., Ramantele, K., Diesel, T., & Parham Hopson, D. (2018). Essential nursing competencies related to HIV and AIDS: Executive summary. The Journal of the Association of Nurses in AIDS Care : JANAC, 22(1), S9–S16. https://doi.org/10.1016/j.jana.2010.11.006 AONL Nurse Executive Competencies Discussion

View the Nurse Executive Competencies on the American Organization for Nursing Leadership (AONL) website. Consider your current skills, strengths, and areas of weakness according to these competencies. What do you feel are your greatest areas of strength? Discuss three to five competencies that you feel you still need to work on. How do you plan to integrate this knowledge into developing your comprehensive clinical/practicum project?

The Role Genetics Plays In The Disease Essay Paper

Case Summary

The patient in the case study is likely suffering from an alleric response to the allergy immunotherapy which is a life threatening condition known as anaphylactic reaction.in most cases, the reaction can occur within a short period after exposure to the allergen. An anaphylactic reaction can affect several organ systems which may lead to a cascade of events such as those presented by the patient.

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The role of genetics

Genetics play a pivotal role in allergies given that they determine the susceptability of an individual toallergies (Han, Krempski & Nadeau, 2020)The Role Genetics Plays In The Disease Essay Paper. A family history of certain conditions such as asthma may increase the risk of allergic reactions. Further, some genetic markers such as the Human Leucocyte Antigen may as well predispose an individual to allergic reactions.

The patient symptoms

The patient presents with unique symptoms that depicts the severity of his condition. The first symptom is difficulty in swallowing which may be as a result of swelling of the throat, a major symptom of anaphylaxis (Abou Daya & Du Toit, 2020). In addition, the patient presents with nausea and weakness which is a response of the body to stress. Lastly, the patient is in a tripod position to increase the rate of airflow hence, ease respiratory distress.

Physiologic response to the stimulus

The symptoms presented are as a result of a triger of leucocytes, histamines whcih are released by the mast cells due to the allergen. consequently, this leads to vasodilation and tissue edema. The fact that the onset of the symptoms is rapid, it is possible that this is a type I hypersensitivity. The cells that are involved in the process include mast cells, basophils, Eosinophils and T-helper cells (Vitte et al., 2022)The Role Genetics Plays In The Disease Essay Paper. Genetics play an important role in allergic reactions.a strong genetic predisposition can make an alleric reaction severe.

References

Abou Daya, M., & Du Toit, G. (2020). Anaphylaxis: symptoms, causes and diagnosis. Pharm J, 305(7940).

Han, X., Krempski, J. W., & Nadeau, K. (2020). Advances and novel developments in mechanisms of allergic inflammation. Allergy, 75(12), 3100-3111.

Vitte, J., Vibhushan, S., Bratti, M., Montero-Hernandez, J. E., & Blank, U. (2022). Allergy, anaphylaxis, and nonallergic hypersensitivity: IgE, mast cells, and beyond. Medical Principles and Practice, 31(6), 501-515.

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

The role genetics plays in the disease.
Why the patient is presenting with the specific symptoms described.
The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
The cells that are involved in this process.
How another characteristic (e.g., gender, genetics) would change your response.

Scenario
Patient is a 22-year-old male who presents to the clinic for allergy immunotherapy “allergy shots”. The patient is administered the medication the injection and waits 30 minutes to leave the center. As the patient is leaving, he begins to complain of having difficulty swallowing, nausea, and feeling weak. His vitals are 100/76, HR 120, Resp 24, O2 sat 95%. The patient is now seating in a tripod position on the table. The Role Genetics Plays In The Disease Essay Paper

Scenario
Patient is a 22-year-old male who presents to the clinic for allergy immunotherapy “allergy shots”. The patient is administered the medication the injection and waits 30 minutes to leave the center. As the patient is leaving, he begins to complain of having difficulty swallowing, nausea, and feeling weak. His vitals are 100/76, HR 120, Resp 24, O2 sat 95%. The patient is now seating in a tripod position on the table.
• Keep in mind that all assignments require references including the knowledge checks.

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
• The role genetics plays in the disease.
• Why the patient is presenting with the specific symptoms described.
• The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
• The cells that are involved in this process.
• How another characteristic (e.g., gender, genetics) would change your response The Role Genetics Plays In The Disease Essay Paper

Controversy Associated with Dissociative Disorders Essay Assignment

Dissociative disorders are a group of conditions characterized by disruptions or gaps in consciousness, memory, identity, and perception. In most cases, people experience unhealthy and unwanted escapes from reality, impacting their ability to manage routine activities and enhance the desired quality and independent lives (Saxena et al., 2023). Although these conditions occur as a result of mental and psychological disturbance, they are often associated with controversy due to the diagnostic validity and skepticism associated with the prevalence and the nature of these conditions, such as dissociative identity disorder (DID). Sometimes, these conditions are misinterpreted or overdiagnosed as organic conditions. In addition, these conditions are also associated with misconceptions, cultural norms, beliefs, and practices related to diverse communities and populations (Chien & Fung, 2022)Controversy Associated with Dissociative Disorders Essay Assignment. For instance, some communities associate these disorders with spiritual and cultural factors,. At the same time, some professionals often assume that the occurrence of traumatic events is the precipitating dissociative disorder symptoms, resulting in the need for specialized treatments.

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Professional Beliefs about Dissociative Disorders

After working in the mental health and psychiatric department for several years, I have managed patients with dissociative disorders and observed their needs and experiences in the complex clinical environment. My personal and professional beliefs about these disorders are shaped by the current research and evidence-based practices that point to these disorders as complex and challenging to diagnose and manage (Chien & Fung, 2022)Controversy Associated with Dissociative Disorders Essay Assignment. These disorders often arise from failure to apply effective coping mechanisms for the underlying traumatic or stressing issues and activities. Therefore, it may be challenging to diagnose these disorders; most cases are often misdiagnosed. However, I believe that focusing on the unique patient needs and providing trauma-focused healthcare services and stabilization techniques often enhance the healthcare service delivery and management of the underlying individualized needs. In this case, I believe that I have the unique roles in identifying the presenting features and initiating safe, effective, and trauma focused healthcare services that address the unique patient needs.

Strategies for Maintaining Therapeutic Relationships

Maintaining therapeutic relationships with patients with dissociative disorders is often challenging and requires implementation of collaborative and effective strategies that enhance individualized care. Professionals need to establish a rapport with patients, develop trust, and develop a sense of safety. To foster a positive relationship with these particular patients, it is crucial to engage in therapeutic communication, offer reassurance to the patient, and, when addressing the patient’s basic needs, effectively and confidentially (Purcell et al., 2024)Controversy Associated with Dissociative Disorders Essay Assignment. The healthcare provider must also incorporate measures like grounding and self-soothing exercises to strengthen the ability of the patient for managing the disorders and requirements. Thus, education, collaboration, and shared decision-making are critical to building and sustaining therapeutic relationships in this situation.

Ethical and Legal Considerations

Ethical considerations that the nurse practitioner should consider while engaging and handling patients with Dissociative disorders include cultural sensitivity, patient’s rights, and patient autonomy. The provider has to respect and protect the patient’s privacy and confidentiality and implement individualized care with an understanding of patient’s self-determination and choice. The nurse practitioner should also consider the patient preferences and ensure that the service delivery measures reflect this perspective (Boland et al., 2022).In addition, the professionals and stakeholders have the responsibility for risk management to prevent any hazards in the environment (Saxena et al., 2023)Controversy Associated with Dissociative Disorders Essay Assignment.As such, the team should perform a needs analysis, identify the actual needs and deficiencies and decide on the priority health care services which should be delivered to manage the healthcare services. Culturally sensitive care will enable the patient, and the family participate in the decision-making procedures that are related to the management of these requirements and obtaining the appropriate quality healthcare.

References

Boland, R. J., Verduin, M. L., & Ruiz, P. (2022). Kaplan & sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.

Chien, W. T., & Fung, H. W. (2022). The challenges in diagnosis and treatment of dissociative disorders. ALPHA PSYCHIATRY, 23(2), 45–46. https://doi.org/10.5152/alphapsychiatry.2022.0001

Purcell, J. B., Brand, B., Browne, H. A., Chefetz, R. A., Shanahan, M., Bair, Z. A., Baranowski, K. A., Davis, V., Mangones, P., Modell, R. L., Palermo, C. A., Robertson, E. C., Robinson, M. A., Ward, L., Winternitz, S., Kaufman, M. L., & Lauren. (2024). Treatment of dissociative identity disorder: Leveraging neurobiology to optimize success. Expert Review of Neurotherapeutics, 1–17. https://doi.org/10.1080/14737175.2024.2316153

Saxena, M., Tote, S., & Sapkale, B. (2023). Multiple personality disorder or dissociative identity disorder: Etiology, diagnosis, and management. Cureus, 15(11). https://doi.org/10.7759/cureus.49057 Controversy Associated with Dissociative Disorders Essay Assignment

THE ASSIGNMENT (2-3 PAGES)
Explain the controversy that surrounds dissociative disorders.
Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.
Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.
Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important Controversy Associated with Dissociative Disorders Essay Assignment

Impact Of Nurse Shortage On Patient Care Assignment

PICOT

The United States of America is currently facing a severe shortage of registered nurses, which is anticipated to last until the year 2030. This could be attributed to both an aging population and a high number of nurses who are retiring, which has resulted in many job openings for nurses around the country. The demand for nursing services is at an all-time high, which corresponds with the record number of people seeking medical treatment. According to projections made by the American Nurses Association, there will be a serious shortage of registered nurses in the United States over the next few years unless there is a significant increase in the number of nurses joining the workforce. An unprecedented amount of chances will present themselves at the forefront of the ever-evolving healthcare sector as the scarcity of nurses in the United States continues to worsen Impact Of Nurse Shortage On Patient Care Assignment

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The PICOT question for this nursing problem is: In acute care settings, does sufficient nurse staffing compared to a nursing shortage lead to quality care and improved patient safety?

P: acute care settings

I: sufficient nurse staffing

C: nursing shortage

O: quality care and patient safety

This PICO question is relevant to nursing because as nurses actively care for patients, nurses play a crucially vital role in maintaining patient safety. Even with critically ill hospitalized patients, doctors may only spend 30 to 45 minutes per day with them, which hinders their capacity to observe gradual improvements in a patient’s health throughout the course of treatment and diagnosis. To ensure that patients get high-quality care and safety, a nurse’s responsibility involves monitoring patients for clinical deterioration, recognizing and conveying changes in patient condition, comprehending care procedures and the inherent limitations in certain systems, spotting errors and near misses, and executing a plethora of other activities. As such, patient safety is put in jeopardy if there are not enough nurses available to carry out these kinds of activities Impact Of Nurse Shortage On Patient Care Assignment.

The databases I used for my literature search include CINAHL Plus with Full Text and MEDLINE. These databases are great resources for nursing research because they are assertive, peer-reviewed, and comprehensive. The keywords I used in my search include nursing shortage, retention of nurses, recruitment of nurses, and demand for nursing services. In addition, I refined my search for articles by applying filters to the results of my search. Because of this, I was able to get the most current research publications that were related to the nurse shortage. Filters are a useful tool that may be used in a variety of different ways to restrict the scope of a literature search. For instance, one can use filters to restrict the results to randomized controlled trials (RCTs) or observational studies Impact Of Nurse Shortage On Patient Care Assignment.

In my initial search, I came up with a total of 458 titles. After that, I used the limits on the search, and I identified 27 titles that were pertinent to my PICOT question. Only seven of the studies were able to meet the requirements for level I, which is the highest level of evidence. Twelve of the studies were able to meet the requirements for level II research studies. Three articles most relevant to my PICOT question include:

Ghafoor Y., Yaqoob, M. A., Bilal, M. A., & Ghafoor, M. S. (2021). Impact of nurse shortage on patient care. Saudi Journal of Nursing and Health Care, 4(4), 114-119. https://doi.org/10.36348/sjnhc.2021.v04i04.003

Griffiths, P., Recio-Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P., Smith, G. B., & Ball, J. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, 74(7), 1474-1487. https://doi.org/10.1111/jan.13564

Rosenberg, K. (2019). RN shortages negatively impact patient safety. AJN, American Journal of Nursing, 119(3), 51. https://doi.org/10.1097/01.naj.0000554040.98991.23 Impact Of Nurse Shortage On Patient Care Assignment

The Discrimination And Disparities Essay Paper

In chapter 1, Sowell evaluates how prerequisites or a combination of skills and choices impact success in several endeavors. Sowell claims that this aspect naturally results in highly skewed outcomes even when individuals’ abilities vary slightly. Additionally, Sowell relates large disparities in outcome with continuous chain of production in which outputs of one social process are used as the inputs to another The Discrimination And Disparities Essay Paper.

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Furthermore, Sowell portrays empirical evidence, which illustrate outcomes disparities in natural processes and social process. He also presents longitudinal studies of individuals with high IQs and disparities in outcomes, which he based on interesting empirical evidence and birth-order. The evaluation of this evidence was done for the first time at individuals’ level. The evidence was then evaluated at higher levels, including institutions and countries. Lastly, Sowell evaluated the evidence at the broader natural processes level.

Chapter two focuses on discrimination topology, which is analyzed based on economic literature. He reviews discrimination types and their impacts on decision-subjects and decision-makers. In distinguishing among three major discrimination types, Sowell used three components. First, he categorized Discrimination 1a based on known individual characteristics. Secondly, he classified Discrimination 1b by predicting unknown individual characteristics from the features of group members. Lastly, he categorized Discrimination 2 based on arbitrary discrimination and characteristics, which ignores the decision-subject of individual features The Discrimination And Disparities Essay Paper.

Despite using different terminology, Sowell analysis aligns with economic theory. Economists refer to latter categories as “economic discrimination” and “statistical discrimination.” Sowell also claimed that the capacity of the decision maker to establish individual features can be improved by additional information; hence shifting from Discrimination 1b to Discrimination 1a. This trend benefits groups that had recorded poor outcomes. Sowell further claimed that the decision-maker experiences high costs, resulting from Discrimination 2. However, these costs can be lowered by moving decision-making locus to third-party decision-makers The Discrimination And Disparities Essay Paper