NR447 Nursing Care Models Paper

NR447 Nursing Care Models Paper

Purpose

The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction. NR447 Nursing Care Models Paper.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. NR447 Nursing Care Models Paper (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO2, and 3)

CO8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

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Directions

  1. Read your text, Finkelman (2016), pp- 111-116.
  2. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability NR447 Nursing Care Models Paper.
  3. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.
  4. Write a 5-7 page paper that includes the following:
  5. Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
  6. Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
  7. Discuss your observations about how the current nursing care model is being implemented. Be specific.
  8. Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. NR447 Nursing Care Models Paper Be specific.
  9. Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
  10. Write your paper using APA format using Microsoft Office 2010 or later NR447 Nursing Care Models Paper.

Nursing Care Models Paper Guidelines

Purpose

The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. NR447 Nursing Care Models Paper. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7) NR447 Nursing Care Models Paper.

CO6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO2, and 3)

CO8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Directions

  1. Read your text, Finkelman (2016), pp- 111-116.
  2. Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability NR447 Nursing Care Models Paper.
  3. Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.
  4. Write a 5-7 page paper that includes the following:
  5. Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
  6. Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
  7. NR447 Nursing Care Models Paper Discuss your observations about how the current nursing care model is being implemented. Be specific.
  8. Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
  9. Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
  10. Write your paper using APA format using Microsoft Office 2010 or later NR447 Nursing Care Models Paper.

APRNs Prescriptive Authority in Virginia State

Locate your state’s nurse practice act (NPA) and associated regulations governing prescribing by advanced practice nurses (CNPs, CRNAs, CNMs, CNSs). Answer and discuss the following in this forum:

1.     Does your NPA require the APRN to have a collaborative agreement with a physician?

In the State of Virginia, the nurse practice act requires the APRN to have a written or electronic practice collaborative agreement with at least one patient care team provider and it’s regulated by the Board of Medicine and the Board of Nursing equally (Virginia Law Library, 2020).

In my opinion, I believe it is good for APRN to have a collaboration agreement for a specific period or hours. I believe this to be true with most professions, I find it is beneficial for both patient and practitioners to have someone to discuss difficult cases or issues with or treatment plans. As a new nurse, I remember thinking it was great having a preceptor for two weeks, but I also saw the charge nurse as that person I could collaborate with. I feel like after some time or even a certain number of hours that a APRN should be able to have autonomy and no longer be required to have a collaboration agreement or must work under a physician. In fact, in Virginia after five years of full-time experience or 9,000 hours over the five years the APRN can apply for autonomous practice (Commonwealth of Virginia, 2020). I believe this allows the APRN who want the autonomy to apply for it and those who want to continue to collaborate that option as well. APRNs Prescriptive Authority in Virginia State

2.     Does your NPA require the APRN to have a prescribing agreement with a physician? Discuss whether you think the NPA should or should not require the APRN to have a prescribing agreement and explain why/why not.

Virginia’s Nurse Practice Act requires the APRN to have a prescribing agreement with a physician for Schedule II through VI. The NP must disclose to patients that they are a licensed nurse practitioner, and the patient care team physician can not have more than six nurse practitioners at one time (Virginia Law Library, 2020).

Prescribing medications can be a tricky process as I often find patients try to obtain a prescription during an appointment. For example, when I worked for a pediatrics office it seemed the parents were always looking for antibiotics when they were bringing their children in for a sick visit even if it was viral and we explained the antibiotics would not help. I believe if the APRN provides education, gathers a through history and physical exam, is familiar with the medication, side effects, contraindications, etc.… they should be allowed to prescribe without a prescribing agreement. As Arcangelo, Peterson, and Wilbur state in their book Pharmacotherapies for Advanced Practice (2017,p.7), “it is essential for the practitioner to understand the responsibility involved in prescribing that drug or drugs and to consider seriously which class of medication is most appropriate for the patient.” If they have passed the boards and are held to the same standards and regulations as any other provider, I do not see why they can not prescribe without a prescribing agreement with a physician. I also, believe allowing the APRN to prescribe continues continuity of care as they are the most familiar with the patient and their history. I believe if we were to rely on another provider just to prescribe without knowing the patient that would be a huge mistake and a potential for errors.

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3.     Does your NPA permit APRNs to prescribe all classes (schedules) of medications? Discuss whether you think the NPA should or should not permit APRNs to prescribe all classes of medications, and explain why/why not.

The APRN can schedule II to VI in Virginia. Our APRN’s in Virginia are not allowed to prescribe a Class I drug. Class I drugs are the most dangerous drugs and potential for addiction and abuse is high. These are not approved for medical usage in the United States. So, I believe that the classes our APRN are approved to prescribe are appropriate.

4.     Describe collaborative approaches to treating rashes across the lifespan. Should the CNP treat without a collaborator or consultant? Support your statements based upon evidence.

Anytime a patient presents with a rash the main thing that needs to be done is a detailed skin history, and health assessment. Finding out the cause of the rash is the main way to heal or get rid of the rash. I know that trying to get into a dermatologist is extremely hard as they seem to be overwhelmed with patients. I believe if we educate a APRN on what to look for and on the different types of rashes and causes they should be allowed to treat rashes. If the APRN is not sure of what is causing the rash or how to treat they should reach out and collaborate with their care team physician as they would with any other issue or concern or refer the patient out to another provider. If the APRN has the proper training, performs a full physical and history is able to diagnose and knows the treatment for the rash they shouldn’t need to collaborate or send to a consultant (Arcangelo, Peterson, & Wilbur, 2017).

References

Arcangelo, V. P. & Peterson, A. M. (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams &Wilkins.

Commonwealth of Virginia regulations governing the licensure of nurse practitioner.  Retrieved from http://www.dhp.virginia.gov/media/dhpweb/docs/nursing/leg/Nursepractitioners.pdf

Virginia Law Library. (2020). The code of Virginia. Retrieved from https://law.lis.virginia.gov/vacode/54.1-2957.01 /

DeVry nr501 Application of Nursing Theory Essay Assignment papers

DeVry nr501 Application of Nursing Theory Essay Assignment papers

Week 6 assignment

Application of Nursing Theory

PURPOSE

The purpose of this assignment is to use nursing theory as a way to resolve a problem or issue occurring within nursing leadership, nursing education, nursing informatics, health policy, or advance clinical practice DeVry nr501 Application of Nursing Theory Essay Assignment papers.

COURSE OUTCOMES

through this assignment, a student will demonstrate the ability to:

(CO#1) Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. DeVry nr501 Application of Nursing Theory Essay Assignment papers (PO1)

(CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7, 10)

(CO#4) Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4, 7)

DUE DATE: Sunday 11:59 PM MT at the end of Week 6

TOTAL POINTS POSSIBLE: 275

REQUIREMENTS

Description of the Assignment:

One nursing theory will be presented as a framework to resolve a problem occurring within one of the professional areas of leadership, education, informatics, healthcare policy or advance clinical practice. The same nursing theory selected in Assignment One may be used to resolve the identified problem DeVry nr501 Application of Nursing Theory Essay Assignment papers.

A specific nursing theory must be used. No non-nursing theories are permitted. A category of nursing theory (grand, middle range, practice) may not be used—only a specific, published nursing theory is to be selected and applied to the issue or concern important to the profession of nursing as documented in the nursing literature.

Please note: Do not rely on .com sites to identify the nursing theory as they do not provide accurate information in all cases.

Content

1. Introduction:

The introduction for this paper includes:

• A nursing theory is required; non-nursing theories may not be used.

• General statements on the idea of nursing theory being applied to solve problems/issues in nursing practice. You do not need to go into the specialty area of practice in-depth as this will be covered in another section of the paper. DeVry nr501 Application of Nursing Theory Essay Assignment papers.

• A one-paragraph summary of the selected specific nursing theory is required.

• Information identifying the sections of this assignment.

• References from nursing literature are required.

2. Description of Issue or Concern:

The selected issue or concern must be clearly identified as being significant to the professional area of either leadership, education, informatics, healthcare policy or advance clinical practice. The issue or concern must be presented comprehensively, but concisely by answering each of the following questions DeVry nr501 Application of Nursing Theory Essay Assignment papers.

• What is the specific issue or concern being presented?

• Why should the nursing profession care about this issue or concern?

• What does the nursing literature have to say about this issue or concern including its frequency of occurrence?

• Who are the stakeholders or the people affected by the issue or concern?

References from nursing literature are required.

3. Application of Selected Nursing Theory to Issue or Concern:

This section of the assignment focuses on using the selected nursing theory to resolve the described issue or concern. Required information includes:

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• Restating the selected nursing theory to be used DeVry nr501 Application of Nursing Theory Essay Assignment papers.

• Identification of one strategy useful in resolving the identified issue or concern.

• The strategy should be presented in depth with the following information being required:

o A specific description of how the selected nursing theory can help to resolve the issue or concern

o A specific and detailed description of the strategy to be used

o A specific and detailed description of how the strategy can be implemented

o A specific and detailed description of one suggestion for future research into either the selected nursing theory or selected issue or concern.

References from nursing literature are required DeVry nr501 Application of Nursing Theory Essay Assignment papers..

4. Conclusion:

This section provides a summary or review of the key elements of the assignment including theselected nursing theory and its application to the issue or concern.

The concluding statements include self-reflection on the new knowledge gained about applying nursing theory to a professional issue or concern. DeVry nr501 Application of Nursing Theory Essay Assignment papers.

PREPARING THE ASSIGNMENT

Format and Special Instructions

1. A nursing theory is required; non-nursing theories are not allowed to be used.

2. Paper length: 6 pages minimum; 8 pages maximum, excluding title page and reference page. Points will be deducted for not meeting these requirements.

3. A minimum of 6 (six) scholarly references are required. References must be current – not older than 5 years, unless a valid rationale is provided and the instructor has approved them.Consult with the course instructor about using an older source. DeVry nr501 Application of Nursing Theory Essay Assignment papers.

4. A dictionary, required textbooks for this course and Chamberlain College of Nursing lesson information, may NOT be used as scholarly references for this assignment. For additional information regarding scholarly references, please review “What is a scholarly source?” located in the Course Resource tab. Information from .com websites may be incorrect.

5. Title page, running head, body of paper, and reference page(s) must be in APA format as presented in the 6th edition of the manual DeVry nr501 Application of Nursing Theory Essay Assignment papers.

6. Ideas and information from readings and other sources must be cited and cited correctly.

7. Grammar, spelling, punctuation, and citations are consistent with formal academic writing as presented in the 6th edition of the APA manual

RS430 Nursing Conceptual Model Presentation

RS430 Nursing Conceptual Model Presentation

This is a Collaborative Learning Community (CLC) assignment.

Select a Nursing Conceptual Model from Topic 2, and prepare a 12-slide PowerPoint presentation about the model. Include:

  1. A brief overview of the nursing conceptual model selected.
  2. Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts. RS430 Nursing Conceptual Model Presentation.
  3. Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.
  4. Provide current reliable sources to establish credibility for the presentation.

Requirements for PowerPoint are as follows:

  1. 10 slides for content.
  2. 1 slide for references.
  3. 1 slide for the title, which includes: (a) title of the presentation, (b) names of the CLC group members, and (c) date
  4. Accompanying speaker notes elaborating on the information contained in each slide.
  5. One member of the CLC group will submit the presentation, speaker notes, and the completed “CLC Group Project Agreement” to the instructor RS430 Nursing Conceptual Model Presentation.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion. RS430 Nursing Conceptual Model Presentation.

You are not required to submit this assignment to Turnitin.

This is a Collaborative Learning Community (CLC) assignment.

Select a Nursing Conceptual Model from Topic 2, and prepare a 12-slide PowerPoint presentation about the model. Include:

  1. A brief overview of the nursing conceptual model selected.
  2. Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts. RS430 Nursing Conceptual Model Presentation.
  3. Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.
  4. Provide current reliable sources to establish credibility for the presentation.

Requirements for PowerPoint are as follows:

  1. 10 slides for content.
  2. 1 slide for references.
  3. 1 slide for the title, which includes: (a) title of the presentation, (b) names of the CLC group members, and (c) date
  4. Accompanying speaker notes elaborating on the information contained in each slide.
  5. One member of the CLC group will submit the presentation, speaker notes, and the completed “CLC Group Project Agreement” to the instructor RS430 Nursing Conceptual Model Presentation.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.

You are not required to submit this assignment to Turnitin RS430 Nursing Conceptual Model Presentation.

NUR 500 Nursing Theorist Video Reflection

NUR 500 Nursing Theorist Video Reflection

During weeks 3 and 6, you will complete a nursing theorist video analysis/reflection of one of the nursing theorist videos provided in the course. We highly recommend that you watch as many of these videos as you can throughout the course. This is a great opportunity for you to see and hear directly from the actual theorists that you are reading about in the text.Click on the Nursing Theorist Video Link in the main menu on the left to see the collection of videos.

After watching one of the theorist videos, reflect about what you have learned.

Compose a paper that addresses the following:

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Explain why you chose to watch this particular theorist’s video.

Describe the parts of your personal philosophy where you agree or disagree with this theorist.

Is there anything that surprised you in the video? If so, what surprised you NUR 500 Nursing Theorist Video Reflection?

Would you recommend this video to another student? If so, why would you recommend it?

What value did you receive from watching it?

Your paper should be 2–3 pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. If outside sources are used, they must be cited appropriately NUR 500 Nursing Theorist Video Reflection.

Due: Sunday, 11:59 p.m. (Pacific time

During weeks 3 and 6, you will complete a nursing theorist video analysis/reflection of one of the nursing theorist videos provided in the course. We highly recommend that you watch as many of these videos as you can throughout the course. This is a great opportunity for you to see and hear directly from the actual theorists that you are reading about in the text.Click on the Nursing Theorist Video Link in the main menu on the left to see the collection of videos.

After watching one of the theorist videos, reflect about what you have learned.

Compose a paper that addresses the following:

Explain why you chose to watch this particular theorist’s video.

Describe the parts of your personal philosophy where you agree or disagree with this theorist.

Is there anything that surprised you in the video? If so, what surprised you NUR 500 Nursing Theorist Video Reflection?

Would you recommend this video to another student? If so, why would you recommend it?

What value did you receive from watching it NUR 500 Nursing Theorist Video Reflection?

Your paper should be 2–3 pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. If outside sources are used, they must be cited appropriately.

Due: Sunday, 11:59 p.m. (Pacific time NUR 500 Nursing Theorist Video Reflection.

Texas State APRNs Prescriptive Authority

APRNs in Texas do not have full practice authority under current state law. While doctors no longer have to be on-site to supervise, APRNs must have a collaborative agreement with a physician. This collaborative agreement requires that the supervising physician conduct chart reviews and hold monthly meetings with the APRN to discuss care plans and any issues with patient care.  According to the Texas nursing practice act, APRNs must have written prescriptive delegation from a supervising physician. This allows the APRN to prescribe medications, including controlled substances. However, the supervising physician’s name, address, and telephone number must be included on the prescription drug order. If the prescribed medication is a controlled substance, the supervising physician’s DEA number must also be included. In addition, APRNs may only prescribe controlled substances in Schedule II in a hospital based facility and as part of care relating to a patient  who has been admitted to the hospital for a length of stay of 24 hours or grater, or is receiving services or is receiving services in the emergency department or as part of the plan of care for the treatment of a person who has a terminal illness and is receiving hospice care. Other schedule related restrictions for APRNs include limiting prescriptions of controlled substances in III-V to a 90 day supply and requiring consultation with delegating physicians for patients under 2 years old ((Frequently Asked Questions – Advanced Practice Registered Nurse 2013).

In the state of Texas, the collaborative and prescribing agreement are considered the same so for the purposes of this discussion, my answer is the same for both questions. I think that some APRNs in Texas should be able to practice independently. Texas is a very large state (geographically) with large rural areas. These areas are traditionally underserved and APRNs, particularly Family Nurse Practitioners could help increase access to medical care in these areas. However, I do think that there should be some limitations, depending on scope of practice. The current practice act gives APRNs quite a bit of leeway in determining appropriate scope. Requiring a collaborative physician is an attempt to limit instances where APRNs might try to provide care out of their scope. I also think that nurse anesthetists and certified nurse midwives should have collaborative agreements with physicians of some sort. While current laws may be overly restrictive, these are practice areas in which I think it might be beneficial to have a collaborative team. In the case of prescriptive authority for Schedule II-V drugs, I think that current regulations are reasonable because the state does allow APRNs to prescribe all classes of medications. I do think that NPAs should allow APRNs to prescribe all classes of drugs. However, there should be some limitations based on the APRNs education and practice setting.

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Dermatologic conditions such as rashes can be difficult to treat because there are many potential causes. Rashes can be caused by viruses, fungi, physical irritation, parasites, plants, insects, bacteria, and even some autoimmune disorders (Rashes, 2020). and treatment will depend on the cause. While most APRNs can easily manage common rashes, determination of the cause of rare or unusual rashes may present a challenge for even the most experienced clinicians. As such, it is important to ensure that proper assessment is taking place. Collaboration could look like having multiple providers examine the rash and determining which, if any, laboratory tests should be ordered.

 

References

Frequently Asked Questions – Advanced Practice Registered Nurse. (2013). Retrieved

December 23, 2020, from https://www.bon.texas.gov/faq_practice_aprn.asp

Rashes. (2019, June 20). Retrieved December 24, 2020, from https://ufhealth.org/rashes

Discussion 1

Locate your state’s nurse practice act (NPA) and associated regulations governing prescribing by advanced practice nurses (CNPs, CRNAs, CNMs, CNSs). Answer and discuss the following in this forum:

  1. Does your NPA require the APRN to have a collaborative agreement with a physician? Discuss whether you think the NPA should or should not require the APRN to have a collaborative agreement, and explain why/why not.
  2. Does your NPA require the APRN to have a prescribing agreement with a physician? Discuss whether you think the NPA should or should not require the APRN to have a prescribing agreement, and explain why/why not.
  3. Does your NPA permit APRNs to prescribe all classes (schedules) of medications? Discuss whether you think the NPA should or should not permit APRNs to prescribe all classes of medications, and explain why/why not.
  4. Describe collaborative approaches to treating rashes across the lifespan. Should the CNP treat without a collaborator or consultant? Support your statements based upon evidence.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria.

FNU Nursing Role and Scope Quiz

FNU Nursing Role and Scope Quiz

Question 1

Inappropriate use of social media could result in disciplinary action by the board of nursing that may include which of the following FNU Nursing Role and Scope Quiz?

Question 2

A state board of nursing has found evidence of inappropriate disclosures related to the use of social media. Which of the following is the disciplinary action by the board of nursing that may be given to the nurse FNU Nursing Role and Scope Quiz?

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Question 3

A State Board of Nursing may investigate reports of inappropriate disclosures related to the use of social media on the grounds of which of the following?

Question 4

A nurse demonstrates the ability to locate and evaluate information as well as the ability to communicate processed data from the electronic health record FNU Nursing Role and Scope Quiz. Which of the following components is included in the Technology Informatics Guiding Education Reform (TIGER) Informatics Competency Model and is demonstrated by the nurse?

Question 5

Which of the following is a characteristic recommended by the Institute of Medicine for software designers to consider in the creation of electronic information systems?

Question 6

In stage three of the HITECH Act, the goal was to improve outcomes in quality, efficiency, and which of the following?

Question 7

The support of Nursing Informatics is derived from information structures, information technology, and which of the following?

Question 8

The goals of the TIGER initiative was to bring nurses together to improve nursing practice, patient care, and which of the following through the use of technology? FNU Nursing Role and Scope Quiz.

Question 9

Which of the following has posed the largest challenge with maintaining privacy in health care?

Question 10

In an information management system, which of the following describes the term data

NSG 416 Nursing Theory Perspectives Essay

NSG 416 Nursing Theory Perspectives Essay

Week 3 Nursing Theory Perspectives

This activity is designed to expose you to a variety of nursing theory perspectives.

Select a nursing theory you have researched in past weeks.

Analyze the theory. Your analysis should include:

Description of the theory’s background and influencing factors, including worldview NSG 416 Nursing Theory Perspectives Essay.

Explanation of the underlying assumptions

Evaluation of major strengths and weaknesses

Application strategies for clinical practice

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Citation of case example from personal or professional life that describe the application in practice

NSG 416 Nursing Theory Perspectives Essay Cite at least three scholarly articles.

Format your assignment as one of the following:

18- to 20-slide presentation

3- to 4-minute podcast

15- to 20-minute video presentation

875-word NSG 416 Nursing Theory Perspectives Essay paper

another format approved by your instructor

Click the Assignment Files tab to submit your assignment.

Week 3 Nursing Theory Perspectives

This activity is designed to expose you to a variety of nursing theory perspectives.

Select a nursing theory you have researched in past weeks NSG 416 Nursing Theory Perspectives Essay.

Analyze the theory. Your analysis should include:

Description of the theory’s background and influencing factors, including worldview

Explanation of the underlying assumptions

Evaluation of major strengths and weaknesses

Application strategies for clinical practice

Citation of case example from personal or professional life that describe the application in practice

Cite at least three scholarly articles NSG 416 Nursing Theory Perspectives Essay.

Format your assignment as one of the following:

18- to 20-slide presentation

3- to 4-minute podcast

15- to 20-minute video presentation

875-word paper

another format approved by your instructor

Click the Assignment Files tab to submit your assignment NSG 416 Nursing Theory Perspectives Essay.

APRNs Prescriptive Authority in Florida

In the state of Florida, the NPA now allows APRN’s to practice independently with a few practice authorities in place. Some of the requirements include a completion of three specific graduate level courses within a timeframe, at least 3,000 clinical hours, and a financial responsibility of liability coverage. The APRN may engage in autonomous practice only in primary care practice of family medicine, pediatrics, or internal medicine. They can admit, manage care, and discharge the patients.

“A collaborative practice agreement is a written statement that defines the joint practice of a physician and an APN in a collaborative and complementary working relationship” (Herman & Ziel, 1999).  In my opinion, APRN’s should have a collaborative agreement with a physician. Whether they are new or have been practicing for a long time, coming across a diagnosis or situation they are unfamiliar with may happen. Having the resource of bouncing ideas off of a physician with more education or experience is beneficial for the nurse and the patient.

With a collaborative practice agreement, APRN’s work under a physician but can independently prescribe after the appropriate education, courses, and approval by the Florida board of nursing. If the NP is practicing autonomously, they may prescribe any drug and schedule II-V controlled substances. I agree that APRN’s should be able to prescribe to their ability. The prevalence of nurse practitioners seeing patients is increasing daily, therefore, in order to see the abundance of patients, this is beneficial and necessary APRNs Prescriptive Authority in Florida.The appropriate education and pharmacology courses prepares them for the job. “The authority of prescription has become a reality amongst nurses in a great number of countries in response to growing demands for healthcare, tight budget constraints and the growth of nursing specialties as a result of the expansion and advancement of their scope of practice” (Ling, et al., 2018).

Treatment of a rash is within the scope of a CNP. The practitioners are trained to perform thorough physical assessments, obtain medical histories, diagnose, and treat accordingly. “A registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice” (Fagerstrom, 2012). It is partly necessary for the CNP to have experience in the appropriate point in the lifespan, however, in a broad spectrum it can be done. This also goes back to the collaboration between the APRN and the physician. If they are unfamiliar with the certain condition, it is a learning opportunity to refer to the physician, develop the appropriate treatment plan for the age, and prescribe the correct medications.

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References

Fagerstrom, L. (2012). The impact of advanced practice nursing in healthcare: recipe for developing countries. Annals of neurosciences. 19(1): 1-2.

Florida Scope of Practice Policy (2020). Practice Authority. Retrieved from: https://scopeofpracticepolicy.org/states/fl/

Herman, J., and Ziel, S.(1999). Collaborative practice agreements for advanced practice nurses: what you should know. AACN Clinical Issues. 10(3): 337-42.

Ling, D.L., Lyu, C.M., Liu, H., Xiao, X., and Yu, H.J. (2018). The necessity and possibility of implementation of nurse prescribing in China: An international perspective. International Journal of Nursing Sciences. 5(1): 72-80. APRNs Prescriptive Authority in Florida.

 

Discussion 1

Locate your state’s nurse practice act (NPA) and associated regulations governing prescribing by advanced practice nurses (CNPs, CRNAs, CNMs, CNSs). Answer and discuss the following in this forum:

  1. Does your NPA require the APRN to have a collaborative agreement with a physician? Discuss whether you think the NPA should or should not require the APRN to have a collaborative agreement, and explain why/why not.
  2. Does your NPA require the APRN to have a prescribing agreement with a physician? Discuss whether you think the NPA should or should not require the APRN to have a prescribing agreement, and explain why/why not.
  3. Does your NPA permit APRNs to prescribe all classes (schedules) of medications? Discuss whether you think the NPA should or should not permit APRNs to prescribe all classes of medications, and explain why/why not.
  4. Describe collaborative approaches to treating rashes across the lifespan. Should the CNP treat without a collaborator or consultant? Support your statements based upon evidence.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria. APRNs Prescriptive Authority in Florida.

NUR 2058 Legacy of Nursing’s History

NUR 2058 Legacy of Nursing’s History

Select a nurse that historically contributed to the advancement of the profession. Write a 2-3 page paper that responds to the following questions. Identify the nurse and his/her background and complete the following:

Provide a brief description of the major social issues occurring at the time this nurse lived

Describe two contributions made to nursing NUR 2058 Legacy of Nursing’s History.

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Discuss how these two unique contributions influenced nursing as we know it today

Minimum length 2-3 pages not including cover or referencing. APA formatting with referencing and in text citation. NUR 2058 Legacy of Nursing’s History.

You may use your textbook, readings and the following for background information.

Select a nurse that historically contributed to the advancement of the profession. Write a 2-3 page paper that responds to the following questions NUR 2058 Legacy of Nursing’s History. Identify the nurse and his/her background and complete the following:

Provide a brief description of the major social issues occurring at the time this nurse lived

Describe two contributions made to nursing

Discuss how these two unique contributions influenced nursing as we know it today

Minimum length 2-3 pages not including cover or referencing. APA formatting with referencing and in text citation.

You may use your textbook, readings and the following for background information NUR 2058 Legacy of Nursing’s History.