https://superbnursingessays.com/wp-content/uploads/2022/01/LOGO-300x75.png00Alexhttps://superbnursingessays.com/wp-content/uploads/2022/01/LOGO-300x75.pngAlex2022-06-01 18:30:252022-06-01 18:30:52Psych 635 Ethics In Condiditoning Research
J.S. is a 42-year-old man who lives in the Midwest and is highly allergic to dust and pollen and has a history of mild asthma. J.S’s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler. J.S. was unable to lie down, and began to use accessory muscles to breathe. J.S. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. J.S. appears anxious and says that he is short of breath. Rasmussen College NUR 2063 Module 8 Asthma Pathophysiology Paper
Investigate the condition of asthma and the manifestations of the disease. Analyze the case study provided and determine what symptoms support the diagnosis of asthma. Identify the treatment provided in the emergency department and determine what additional therapies are needed to mitigate the asthma symptoms and return the client to wellness. Discussion: Asthma Pathophysiology
Do you have any concerns with the numbers above?
Identify what may be causing J.S. to have an exacerbation of asthma.
Prepare a 3-5 page paper outlining the causes of asthma, the symptoms that the client presents and the management of the disorder. Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.
attachment_1
Title of Assignment:
Module 8: Respiratory pathophysiology
Purpose of Assignment:
This assignment will help the student evaluate of a respiratory disorder, which, if untreated, can be a serious condition. Students need to understand respiratory complications and how it can impact ventilation and respiration is important to the study for maintaining homeostasis in the body.
Course Competency(s):
Evaluate pathophysiologic alterations that affect the neurologic and respiratory systems.
Content:
J.S. is a 42-year-old man who lives in the Midwest and is highly allergic to dust and pollen and has a history of mild asthma. J.S’s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler. J.S. was unable to lie down, and began to use accessory muscles to breathe. J.S. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. J.S. appears anxious and says that he is short of breath. Discussion: Asthma Pathophysiology
Vital signs
BP = 152/84 HR = 124 bpm RR = 42 Temp = 100.40F
ABGs
pH = 7.31 PaCO2 = 48 HCO3 = 26 PaO2 = 55
Instructions:
Investigate the pathophysiology of asthma and the clinical manifestations of the disease. Analyze the case study provided and determine what symptoms support the diagnosis of asthma. Identify the treatment provided in the emergency department and determine what additional therapies are needed to mitigate the asthma symptoms and return the client to wellness.
Do you have any concerns with the numbers above?
Identify what may be causing (etiology) J.S. to have an exacerbation of asthma.
Prepare a 3-5 page paper outlining the causes of asthma, the symptoms that the client presents and the management of the disorder. Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.
You can find useful reference materials for this assignment in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooks
Have questions about APA? Visit the online APA guide: https://guides.rasmussen.edu/apa
Grading Rubric:
Levels of Achievement
Criteria Emerging Competence Proficiency Mastery
Pathophysiology
(15 pts)
Did not include discussion on the pathophysiology the respiratory disorder.
Failure to provide the pathophysiology will result in zero points for this criteria. Briefly identified the pathophysiology of the respiratory disorder. Clearly identified the pathophysiology of the respiratory disorder. Thoroughly identified the pathophysiology of the respiratory disorder.
Points: 10 Points: 13 Points: 14 Points: 15
Etiology
(15 pts)
Did not include discussion on the etiology of the respiratory disorder.
Failure to provide the etiology will result in zero points for this criteria. Briefly discussed included etiology of the respiratory disorder. Clearly discussed etiology of the respiratory disorder. Thoroughly discussed etiology of the respiratory disorder. Discussion: Asthma Pathophysiology
Points: 10 Points: 13 Points: 14 Points: 15
Clinical Manifestation
(10 pts) Did not provide examples of the clinical manifestations of the respiratory disorder.
Failure to provide clinical manifestations will result in zero points for this criteria. Briefly provided clinical manifestations of the respiratory disorder. Clearly provided clinical manifestations of the respiratory disorder. Thoroughly provided clinical manifestations of the respiratory disorder.
Points: 6 Points: 8 Points: 9 Points: 10
Treatment
(5 pts) Did not present treatment for the respiratory disorder.
Failure to provide treatment for hematologic disorder will result in zero points for this criteria. Briefly provided treatment options for the respiratory disorder. Clearly provided treatment options for the respiratory disorder. Thoroughly provided detailed treatment for the respiratory disorder.
Points: 2 Points: 3 Points: 4 Points: 5
APA, Spelling and Grammar
(5 pts)
Six or more APA, spelling or grammar errors. Detracts from the readability of the submission. No more than five APA, spelling or grammar errors, minimally detracts from the readability of the submission. No more than three APA, spelling or grammar errors. Does not detract from the readability of the submission. No APA, spelling or grammar errors. Discussion: Asthma Pathophysiology
Points: 2 Points: 3 Points: 4 Points: 5
Points: 30 Points: 40 Points: 45 Points: 50
Reflect upon the survey you took. In your initial response, address some of the following questions. Explain your answers.
Did you find it easy to make confident and decisive decisions with several strongly agree or strongly disagree answers, or did you select mostly moderate responses?
Did any subject areas trigger personal emotions or issues? If so, do you feel you were able to remain objective?
Identify examples of active and latent errors. Provide examples from your clinical experience, if possible. How can such errors be avoided to support better patient care?
nurs521 Week 2 discussion
Discussion Prompt #1
Explain the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.” Be sure to define an ethical dilemma in the course of your discussion. Describe a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. (Be sure to respect and maintain patient and colleague confidentiality.)
Discussion Prompt #2
Apply the framework of The Five R’s approach to ethical nursing practice from this week’s reading to answer the questions about values and choices NURS 521 Discussion Papers.
What are values?
Q. What are your personal values?
Q. Why do you value them?
Q. What are the values in your society?
Q. How do you make choices?
Q. Are your choices based on your values?
Q. What values are useful in society?
What are the limits to personal choice?
Q. Who limits your choices?
Q. Are limits to choices good?
Q. Do you limit other people’s choices?
Q. Should the health care organization or the government limit people’s choices? If so, how, and under what circumstances?
In your responses to peers, feel free to agree, disagree, question, compare, and discuss each other’s responses in a way that fosters thoughtful and respectful dialog. You may also address the following: Did any responses surprise you? If so, how? Did reading your peers’ responses to the questions expand your own view of ways to answer questions?
Finally, consider this: A common idea in health care is that if you are drawn to health care as a profession, you are inherently guided by an inner compass that is composed of a strong moral framework. Why is this a dangerous assumption?
nurs521 Week 3 discussion
Discussion Prompt #1
Discuss the potential controversy when considering a patient’s right to know whether a caregiver has AIDS, and the caregiver’s right to privacy and confidentiality. Consider the following: A physician cut his hand with a scalpel while he was assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV. His blood tested positive for HIV and he withdrew himself from participation in further surgical procedures. Discuss the ethical and legal issues NURS 521 Discussion Papers.
Discussion Prompt #2
The following questions refer to your experience in this week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the moral and ethical dialog exercise, and address at least three (3) of the following:
Did you find any of the scenarios more difficult to deal with than others?
Did you feel any internal conflict with any of the scenarios?
How did your personal and professional background impact how you decided to interact with the patient?
Do you feel the responses the patient gave to the practitioner’s response were reasonable or typical?
Were you taken aback by any of the patient reactions?
How might this activity contribute to your role as a nurse advocate in a moral and ethical practice?
Did you utilize an ethical decision making model to explore a systematic way to evaluate any of these ethical dilemmas? If so, describe the effectiveness.
nurs521 Week 4 discussion
Discussion Prompt #1
Apply the differences between negligence and malpractice to the practice of nursing. Provide examples to illustrate your points.
Discussion Prompt #2
Read the following article and view the video on the same case. How can this example be used as an illustration of maintaining patient safety and providing safe, effective care? Identify some of the possible barriers that nurses face when acting on what they believe to be the morally correct action in this particular case.
Patient Safety Advocate Carole Hemmelgarn
nurs521 Week 5 discussion
Discussion Prompt #1
Specifically define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in prelicensure education, to act as patient advocates.
Discussion Prompt #2
The ANA Code of Ethics currently emphasizes the word “patient” instead of the word “client” in referring to nursing care recipients. Do you agree with this change? Why or why not? Review the ANA Code of Ethics for Nurses with Interpretive Statements found in Appendix B of your Butts text NURS 521 Discussion Papers.
nurs521 Week 6 discussion
Discussion Prompt #1
Identify two issues that a nurse might bring to an institutional ethics committee. Describe why the nurse should bring these issues to the ethics committee. Elaborate on how a nurse should prepare to present one of the issues to the ethics committee.
Discussion Prompt #2
Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds for patient rooms. After she interviewed nurse mangers at the units where the beds were going to be placed, Betty compiled her findings and decided to contact a well-known equipment company to obtain prices and contracts. The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought to herself, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?”
If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle.
Do you consider this situation a conflict of interest? Why or why not? Give your rationale.
What policies, if any, should be in place regarding a scenario such as this one? Do you have any such policies in place at work for similar situations? Do such policies impact day-to-day activities in any way? Explain.
nurs521 Week 7 discussion
Discussion Prompt #1
Discuss the elements of informed consent and provide a clinical example about what can happen when some elements are not adhered to.
Discussion Prompt #2
Describe an organizational environment that would facilitate the ethical practice of nurses caring for chronically ill patients. As you read about patient rights, describe one patient right that is often not fully implemented in the patient care environment. Identify specific strategies to help ensure that this right is supported within the patient care environment. Explain how the registered nurse can assist in protecting patient rights.
nurs521 Week 8 discussion
Discussion Prompt #1
Describe a clinical situation in which a registered nurse may encounter moral distress. Answer the AACN’s Four A’s found on page 84 in your Butts and Rich text to further explain the situation, and the possible mitigation strategies.
Discussion Prompt #2
Describe different ways that social media use can violate ethical nursing practices. How can ethical social media use be beneficial to health care professionals and their patients?
Week 1 Virtue Ethics Essay
Respond to one of the following three “news clippings” related to virtue ethics from your Pozgar text. Write a 1- 2 page essay addressing the discussion questions posed for the one you selected. Be sure to clearly identify the news clipping you selected NURS 521 Discussion Papers.
Adhere to APA formatting and cite all sources. Review the rubric for further information on how your assignment will be graded.
Due: Sunday, 11:59 p.m. (Pacific time)
Points: 40
Watch the following 3 videos and choose one to address for your assignment.
#1. Wrong-Operation Doctor
Download Script
Find Out More: You may use these and other outside sources to frame your discussion.
The Pain of Wrong Site Surgery
Judgment Upheld in Arkansas Brain Surgery Lawsuit
National Quality Forum
Assignment Discussion Questions
1. Discuss the issues of integrity in this case.
2. Should criminal charges be considered in this case, if accurately reported? Discuss your answer.
3. Why did you choose to respond to this story?
4. How is integrity displayed in your clinical setting?
#2. Cheney’s Staff Cuts Testimony on Warming
Download Script
Find Out More: You may use these and other outside sources to frame your discussion.
The full story Cheney’s Staff Cut Testimony On Warming
CDC on Air Quality
Assignment Discussion Questions
1. Discuss how headlines such as this affect your opinion of politicians.
2. At the end of our days, the most basic principles of life–trust and survival–are on trial. What is your verdict, if you believe there was a cover-up?.
3. Why did you choose to respond to this story?
4. How are government and political trust displayed in your clinical setting?
#3. Surgeon Uses Ministry in Medical Practice
Download Script
Find Out More: You may use these and other outside sources to frame your discussion.
The full story: Praying with patients: A Dallas surgeon finds a way to put ministry into practice
Should Your Doctor Pray With You?
South Korean Hospitals Shut Over MERS Fears; 11th Person Dies
Note the picture in this article
Assignment Discussion Questions
1. Discuss the pressure, if any, placed on the patient to responding to the suggestion of prayer prior to surgery.
2. Describe how you, as the surgeon, or nurse, would address a patient’s religious or spiritual needs if the risks of a complex surgical procedure appear to be threatening.
3. Why did you choose to respond to this story?
4. How is religion or faith displayed in your clinical setting?
Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation NURS 521 Discussion Papers.
In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice?
Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.
Review the rubric for further information on how your assignment will be graded.
Optional: You may download this pdf, complete it using correct grammar and APA, and submit it as your assignment in lieu of writing a paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf form.
Due: Sunday, 11:59 p.m. (Pacific time)
Points: 60
TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases
Medical Indications: The Principles of Beneficence and Nonmaleficence
1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?
2. What are the goals of treatment?
3. In what circumstances are medical treatments not indicated?
4. What are the probabilities of success of various treatment options?
5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?
Patient Preferences: The Principle of Respect for Autonomy
1. Has the patient been informed of benefits and risks, understood this information, and given consent?
2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?
3. If mentally capable, what preferences about treatment is the patient stating?
4. If incapacitated, has the patient expressed prior preferences?
5. Who is the appropriate surrogate to make decisions for the incapacitated patient?
6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?
Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy
1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?
2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?
3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?
4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?
5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?
6. What are plans and rationale to forgo life-sustaining treatment?
7. What is the legal and ethical status of suicide?
Contextual Features: The Principles of Justice and Fairness
1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?
3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?
4. Are there financial factors that create conflicts of interest in clinical decisions?
5. Are there problems of allocation of scarce health resources that might affect clinical decisions?
6. Are there religious issues that might influence clinical decisions?
7. What are the legal issues that might affect clinical decisions?
8. Are there considerations of clinical research and education that might affect clinical decisions?
9. Are there issues of public health and safety that affect clinical decisions?
10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare? NURS 521 Discussion Papers
Week 3 Contemporary Issue Position Essay
Choose a case from the AMA Journal of Ethics Case Index and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.
In your 2-3 page paper:
Identify the issue and state your ethical position.
How might this scenario play out or impact you in your role as a nurse practitioner?
Defend your position with legal, ethical, and professional evidence.
As part of your position, propose strategies and solutions for addressing the issues.
What other ethical issues does this case bring to light, if any?
Support your position with at least one scholarly source (it may be your text). Be sure to cite the article you choose, use APA format, and include a title page and reference page.
Review the rubric for further information on how your assignment will be graded.
Week 4 Article Summary and Review Essay
Choose one of the articles below, and address the essay prompt associated with it. You will need to log in to the WCU library to access the full article.
Park, M. (2009). Ethical issues in nursing practice. Journal of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68
Link: Ethical issues in nursing practice
Essay Prompt: Identify primary areas for legal and ethical issues faced by oncology nurses in this study (Park, 2009), and strategies they may have developed to work with those ethical issues.
Or,
Croke, E. (2006). Nursing malpractice: determining liability elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.
Link: Nursing malpractice: determining liability elements for negligent acts
Essay Prompt: Identify primary problems that led to the malpractice suits (Croke, 2006), and identify the role the nurse played and what the nurse did wrong.
Your 1-2 page paper should include adhere to APA formatting and references/ citations for the article. Additional sources are optional.
Review the rubric for further information on how your assignment will be graded.
Week 5 Field Activity Paper
This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.
Part I
The Advance Health Care Directive
Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.
Complete the advance directive for yourself. Do not turn in your AD with your paper. The AD is for your personal use.
In your paper, Part I:
Identify where you obtained the AD and explain its compliance with state law.
Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.
Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.
(Cite/ reference any sources you use to explore these questions, including your texts.)
Part II
Physician Orders for Life-Sustaining Treatment (POLST) Form
What is a Physician Orders for Life-Sustaining Treatment (POLST) form?
When should this form be completed?
Who can complete the form?
Who needs to sign the form to make it a legal document?
(Cite/reference any sources you use to explore these questions, including your texts.)
Part III
Tie the two first sections together by writing a summary and conclusion.
This section should address:
1. the differences between an Advance Health Care Directive and the POLST,
2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want.
Use current APA format.
The paper should be between 3-5 pages in length excluding the title and reference page(s).
Cite and reference the course text and at least two (2) additional appropriate professional sources.
Review the rubric for further information on how your assignment will be graded.
nurs521 Week 6 Organizational Ethics Presentation
This week, you will submit your presentation using the Kaltura recording tool within Blackboard. See the Getting Started with Kaltura link listed under the Resources area in your course menu to learn how to use this tool. Your presentation must include both audio and visual components and be professional in nature.
You will submit your final presentation here for grading, and you will submit it to the discussion board this week as a draft for your peers to review and as a final product to share. See the discussion board for details.
Taken from the assigned reading in Butts chapter 12, page 401, “Ethical Reflection: Typical Unethical or Illegal Behaviors in Organizations”
2. Create a presentation of 10-15 slides or screens excluding the title and references.
Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc NURS 521 Discussion Papers.
3. In your presentation:
Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically. Describe the situation clearly and concisely.
Identify how this situation relates to one provision within the Code of Ethics for Nurses.
Identify two ethical principles that may arise when facing this situation.
Discuss how a nurse might lessen the impact of the situation on the nurse’s practice.
In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.
Close with a summary of your topic, and APA formatted reference slide(s).
Audio is optional.
Review the rubric for further information on how your assignment will be graded.
nurs521 Week 7 Advocacy Paper
Choose a patient-care situation in which the RN should intervene and advocate for the patient. An example of such a situation might be when a patient has not been given complete informed consent.
Include the following in your paper:
Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.
Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model in your paper.
Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.
Your paper should be 4-5 pages.
You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.
Review the rubric for further information on how your assignment will be graded.
nurs521 Week 8 Nine Tenets Essay
Reviewing Appendix B in Butts, choose two of the Nine Tenets of the Code of Ethics for Nurses and describe how you will personally apply each tenet in the practice setting with your patients. Describe in detail the purpose of the tenet and provide examples of the tenet applied in practice. Explain why it is important to uphold the tenet in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse.
Your paper should be 1-2 pages.
Include a title page and a reference page to cite your text. Adhere to APA formatting throughout, and cite any outside sources you may use.
Review the rubric for further information on how your assignment will be graded NURS 521 Discussion Papers
Community health nurses are registered nurses (RNs), sometimes referred to as public health nurses trained to work in public health settings (Malcarney et al., 2017). Some public health settings in which community health nurses work include jails, schools, state departments, and businesses. They play various roles, such as medical treatment, research, health education, advocacy, and rehabilitation. Based on my clinical experiences with different community health nurses this term, the most interesting role I found was community health education. Community health education is the only role through which nurses’ impact appropriate changes in the community for health status. Through community health education, a nurse is in direct contact with the community creating the necessary changes required for a better healthcare status. Nurses play a crucial role in providing quality and integrated healthcare to citizens. This role is mainly focused on providing essential and relevant information to individuals and patients regarding their health and how to better their health status (Stanhope & Lancaster, 2019).
Nursing education provides people with the required knowledge to make informed decisions regarding healthcare and treatment, disease prevention, and health enhancement based on individual interests and preferences. This role mainly focuses on educating citizens and individuals on their health status rights and assessing and assisting a person’s physical, psychological, and spiritual response to that knowledge (Malcarney et al., 2017). Furthermore, through healthcare education done by nurses, the federal government can conduct or implement national healthcare initiatives to better general public health status. Therefore, community health education is the fundamental role of nurses that has the most significant contribution toward the good health status of the community. Therefore, as a nurse, I will endeavor to dedicate most of my efforts to the health education role.
STUDENT BUKOLA
Nurse Roles and Functions
The nursing function that I am most interested in is community health education. I was drawn to this role for a multitude of reasons, some of which are listed below: The primary focus of community health education is the overall well-being of a community, with efforts to identify health issues and trends in a population, as well as collaboration with stakeholders to find solutions to these issues. When a nurse provides community health education, she directly contacts the community. This interaction helps bring about the community changes necessary for a better healthcare status (EF, 2016). Providing high-quality, comprehensive healthcare to citizens is a crucial role for nurses. It is the primary responsibility of this role to give individuals and patients with critical and relevant information about their health and how to improve their health status. Individuals who receive a nursing education are equipped with the knowledge and skills necessary to make informed decisions about their healthcare and treatment, illness prevention, and health enhancement based on their interests and preferences and the interests and preferences of other individuals. Citizens and individuals are taught about their rights regarding their health situation. They are assessed and assisted in reacting to that information on a physical, psychological, and spiritual level, which is the primary responsibility of this role. Nurse education helps nurses encourage their patients to practice self-care and self-empowerment and reduce their reliance on healthcare systems by providing them with the knowledge and skills (Mckenzie, Pinger, & Seabert, 2016). Because of the healthcare education offered by nurses, the federal government can develop or implement national healthcare initiatives to improve the overall health condition of the general public. This is made possible by the funding provided by the federal government.
Beginning (Have performed with supervision or need supervision to feel confident)
New (Have never performed or does not apply)
Comprehensive psychiatric evaluation skills in:
Recognizing clinical signs and symptoms of psychiatric illness across the lifespan PMHNP PRAC 6645 Clinical Skills Self-Assessment Form
X
Differentiating between pathophysiological and psychopathological conditions
X
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies)
X
Performing and interpreting a mental status examination
X
Performing and interpreting a psychosocial assessment and family psychiatric history
X
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).
X
Diagnostic reasoning skill in:
Developing and prioritizing a differential diagnoses list
X
Formulating diagnoses according to DSM 5 based on assessment data
X
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes
X
Pharmacotherapeutic skills in:
Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management)
X
Evaluating patient response and modify plan as necessary
X
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)
X
Psychotherapeutic Treatment Planning:
Recognizes concepts of therapeutic modalities across the lifespan
X
Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation)
X
Applies age appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups
X
Develop an age appropriate individualized plan of care
X
Provide psychoeducation to individuals, family, and/or groups
X
Promote health and disease prevention techniques
X
Self-Assessment skills:
Develop SMART goals for practicum experiences
X
Evaluating outcomes of practicum goals and modify plan as necessary
X
Documenting and reflecting on learning experiences
X
Professional skills:
Maintains professional boundaries and therapeutic relationship with clients and staff
X
Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings
X
Identifies ethical and legal dilemmas with possible resolutions
X
Demonstrates non-judgmental practice approach and empathy
X
Practices within scope of practice
X
Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:
Demonstrates selecting the correct screening instrument appropriate for the clinical situation
X
Implements the screening instrument efficiently and effectively with the clients
X
Interprets results for screening instruments accurately
X
Develops an appropriate plan of care based upon screening instruments response
X
Identifies the need to refer to another specialty provider when applicable
X
Accurately documents recommendations for psychiatric consultations when applicable
X
Summary of strengths:
My foremost strength is professionalism. I definitely fathom my responsibility and I recognize how to uphold limitations with patients and colleagues. In my daily life I make it a practice not to judgment regardless of their situation. It is not hard to apply this habit in my professional practice.
Opportunities for growth:
My greatest opportunity for progress this quarter will be working with groups and families. This will be a new area in this semester. It will be remarkable how to traverse group and family dynamics while commerce with specific traits and interests.
Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.
1. Goal: I want to perform mental status exams on at various patients by the end of this practicum rotation.
a. Objective: Comprehensive psychiatric evaluation skill
b. Objective: Diagnostic Reasoning Skills
c. Objective: Professional Skills
2. Goal: I want to correctly identify clinical signs and symptoms to the corresponding mental illness for each patient that I see this quarter, as evidenced by acknowledging of practicum instructor.
a. Objective: Comprehensive psychiatric evaluation
b. Objective: Diagnostic Reasoning
c. Objective: Shadow and participate in patient care
3. Goal: Will complete 160 hours of clinical hours for this course as required.
a. Objective: Arrive at the clinical site on time and well prepared.
b. Objective: Enter patient information on Meditrek.
c. Objective: Complete time log and patient information on a timely manner during practicum experience.
Signature:
Date: 3/1/22
Course/Section: NURS 6645 PRAC
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There are several professional nursing journals that I can choose to publish my EBP project. I must choose a journal or magazine that is ready by many people. One of them is Nursing Research and Practice Journal. This is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of nursing. I this this is the best way to disseminate my findings because the journal is open access and publishes only original research and peer reviewed articles. This will enable me to reach a wide audience. Nursing homework help
I think I should present my EBP project virtually in a conference called 4th International Conference on Nursing science & healthcare to be held on June 10th & 11th, 2022 at Manila, Philippines. This conference will be virtual like last years’ considering the global pandemic and travel restrictions (International Nursing Science and Healthcare Conference 2022 | Nursing Conferences – ICNSH, n.d.). I may opt for this conference because it will create connections between presentations and audience, while facilitating the free exchange of scientific information among attendees. United Scientific Group organizes the conference and it brings together different health care professionals including Scientists, Doctors, Professors, Nursing Lecturers, Nurses, Pharmaceutical Industries, Healthcare Industries, Directors of Association and Societies. I chose the conference because it provides a global platform for networking and exchanging the latest innovations and healthcare. It will provide me with a great opportunity to disseminate my EBP project findings (International Nursing Science and Healthcare Conference 2022 | Nursing Conferences – ICNSH, n.d.).
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Interview and Interdisciplinary Issue Identification
Assessment 2 Instructions: Interview and Interdisciplinary Issue Identification
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For this assessment, you will create a 2-4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.
As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus:
The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work setting—by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learning…Essentially, the PDSA cycle helps you test out change ideas on a smaller scale before evaluating the results and making adjustments before potentially launching into a somewhat larger scale project (n.d.).
You might also recognize that the PDSA cycle resembles the nursing process. The benefit of gaining experience with this model of project design is that it provides nurses with an opportunity to ideate and lead improvements. For this assessment, you will not be implementing all of the PDSA cycle. Instead, you are being asked to interview a health care professional of your choice to determine what kind of interdisciplinary problem he or she is experiencing or has experienced in the workplace. This interview, in Assessment 2, will inform the research that you will conduct to propose a plan for interdisciplinary collaboration in Assessment 3.
It would be an excellent choice to complete the PDSA Cycle activity prior to developing the report. The activity consists of four questions that create the opportunity to check your understanding of best practices related to each stage of the PDSA cycle. The information gained from completing this formative will promote your success with the Interview and Interdisciplinary Issue Identification report. This will take just a few minutes of your time and is not graded.
Reference
Institute for Healthcare Improvement. (n.d.). How to improve. http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx
Demonstration of Proficiency
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Summarize an interview focused on past or current issues at a health care organization.
Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Describe change theories and a leadership strategy that could help develop an interdisciplinary solution to an organizational issue.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
Professional Context
This assessment will introduce the Plan-Do-Study-Act (PDSA) Model to create change in an organization. By interviewing a colleague of your choice, you will begin gathering information about an interprofessional collaboration problem that your colleague is experiencing or has experienced. You will identify a change theory and leadership strategies to help solve this problem.
Scenario
This assessment is the first of three related assessments in which you will gather interview information (Assessment 2); design a proposal for interdisciplinary problem-solving, (Assessment 3); and report on how an interdisciplinary improvement plan could be implemented in a place of practice (Assessment 4). At the end of the course, your interviewee will have a proposal plan based on the PDSA cycle that he or she could present to stakeholders to address an interdisciplinary problem in the workplace.
For this assessment, you will need to interview a health care professional such as a fellow learner, nursing colleague, administrator, business partner, or another appropriate person who could provide you with sufficient information regarding an organizational problem that he or she is experiencing or has experienced, or an area where they are seeking improvements. Consult the Interview Guide [DOCX] for an outline of how to prepare and the types of information you will need to complete this project successfully.
Remember: this is just the first in a series of three assessments.
Instructions
For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.
When submitting your plan, use the Interview and Issue Identification Template [DOCX], which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.
Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
Summarize an interview focused on past or current issues at a health care organization.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Describe potential change theories and leadership strategies that could inform an interdisciplinary solution to an organizational issue.
Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.
Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.
Additional Requirements
Length of submission: Use the provided template. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.
Number of references:Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
APA formatting:Make sure that in-text citations and reference list follow current APA style.
Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.
SCORING GUIDE
Use the scoring guide to understand how your assessment will be evaluated.
Interview and Interdisciplinary Issue Identification Scoring Guide
CRITERIA
NON-PERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Summarize an interview focused on past or current issues at a health care organization.
Does not summarize an interview focused on past or current issues at a health care organization.
Discusses an interview, but the focus of the interview, the issues addressed, or the specifics of health care organizational context are unclear or missing.
Summarizes an interview focused on past or current issues at a health care organization.
Summarizes an interview focused on past or current issues at a health care organization. Notes strategies employed in the interview to ensure that sufficient information was gathered.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Does not identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Identifies an issue with an unclear connection to the interview or for which an evidence-based interdisciplinary approach seems inappropriate.
Identifies an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Identifies an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate, providing one or more specific reasons to justify this approach.
Describe potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue.
Does not describe potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue.
Identifies change theories and leadership strategies that are unclear, incomplete, or irrelevant to developing an interdisciplinary solution to an organizational issue.
Describes potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue.
Describes potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue. Notes which sources seem most credible or relevant to the specific organizational issue.
Describe collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
Does not describe collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
Identifies collaborative approaches from the literature but the relevance to establishing or improving an interdisciplinary team to address an organizational issue is unclear or insufficiently explained.
Describes collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
Describes collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue. Notes which sources seem most credible or relevant to the specific organizational issue.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Does not organize content for ideas. Lacks logical flow and smooth transitions.
Organizes content with some logical flow and smooth transitions. Contains errors in grammar/punctuation, word choice, and spelling.
Organizes content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
Does not apply APA formatting to headings, in-text citations, and references. Does not use quotes or paraphrase correctly.
Applies APA formatting to in-text citations, headings and references incorrectly and/or inconsistently, detracting noticeable from the content. Inconsistently uses headings, quotes and/or paraphrasing.
Applies APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly.
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Assignment: Health in the Global Community – Women’s health essay assignment
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