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Nursing homework help

Module 05 Content

MATERNAL CHILD DUE 7TH OF MAY

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Purpose of Assignment

The goal of creating a newborn nutrition teaching presentation is to prepare the nursing student to provide evidenced based education to the pre and postpartum client on lactation.

Competency

Select safe, effective nursing interventions for the postpartum client and newborn.

Instructions

Create a teaching tool to promote breastfeeding. The material created to educate new mothers on breastfeeding will influence the mother’s decision to breastfeed, including duration, based on the quality and content of the teaching.

Assignment Requirements

Your teaching tool will be trifold and must include this relevant content for a mother considering the risks and benefits of breastfeeding a newborn.

    • Explain how breast milk is formed in the mammary glands and the physiology of breast milk
    • Include two 2020 National Health Goals related to newborn nutrition to support breastfeeding as the best choice. See the link below:
    • https://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health
    • Discuss the advantages of breastfeeding related to immunities transferred to the newborn
    • Describe three additional benefits of breastfeeding with supporting rationales
    • Include at least two supporting resources
    • Document must be written

Format

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

Resources

    • https://guides.rasmussen.edu/apa
    • How do I create a patient education brochure/pamphlet?
    • You can use the template below

 

Trifold Brochure Template. pptx

 

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

 

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

 

Jstudent_exampleproblem_101504

 

 

 

 

Module 05 Content

MDIII  DUE 7TH OF MAY

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Ccompetency

Compare strategies for safe, effective multidimensional nursing practice when providing care for clients with lower respiratory disorders.

Scenario

You are a nurse on a pulmonary rehabilitation team at an outpatient clinic in your community. You are updating educational resources to educate clients who want to know more about health promotion and maintenance and improving pulmonary health related to their lung conditions. 

Instructions

Create an infographic for a lower respiratory system disorder that includes the following components:

    • Risk factors associated with the common lower respiratory system disorder.
    • Description of three priority treatments for the lower respiratory disorder.
    • Description of inter professional collaborative care team members and their roles to improve health outcomes for the lower respiratory system disorder.
    • Description of three multidimensional nursing care strategies that support health promotion and maintenance for clients with the lower respiratory system disorder.
    • Description of a national organization as a support resource for your client specific to the lower respiratory system disorder.
    • Drop in a grammarly report with no more than 10% plagiarism.

 

Resources

For assistance creating an infographic, review this FAQ.

 

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

 

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

 

Jstudent_exampleproblem_101504

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Nursing homework help

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Nursing homework help

Thank you for submitting the assignment to the SafeAssign link! You received a high similarity score (75%). This may be due to not citing or using a reference correctly. Remember that direct quotes should be avoided as they will raise the score. Always paraphrase when possible.

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I suggest that you submit your assignments to SafeAssign as a draft to determine whether you work matches existing sources published elsewhere. You will be provided an opportunity to review these matches and correct them so to lower your similarity results and avoid plagiarism concerns. A good rule of thumb is to review the highlighted areas and ask yourself if you cited correctly. If most of your sentence is highlighted, ask yourself if you need to use direct quotes, or paraphrase it. Once you determine that you are ok, submit the draft to the final submission link for grading. You may submit your assignment to the draft area as many times as you wish, but only once to the final link.

If you have submitted a paper that you used in a previous course, your similarity report may be high, please contact the me. According to Capella’s policy, you may reuse your own previous work; however, please make sure that your assignment matches the grading assignment rubric. Often, recycled assignments do not match.

According to policy, I am to assign a “non-performance” for all criteria in the scoring guide and request that you address the issue before submitting your next assignment. In addition, here is a Capella resource that may be helpful: https://campus.capella.edu/web/writing-center/sources-and-evidence/quoting  

Please let me know if you can see the SafeAssign results. While unintentional, continued high similarity matches may result in an Academic Honesty form submission to the school. Please see this as a learning opportunity for future assignments! I wish for your continued success and would like to discuss these results with you. 

Thanks so much!  I

 

Dr. Michael L. Jones

DOWNLOAD YOUR EVALUATED ASSESSMENT FILE

COMPETENCY 1

Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.

CRITERION

Summarize an interview focused on past or current issues at a health care organization.

Your result: Non-Performance

Distinguished

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.

Proficient

Summarizes an interview focused on past or current issues at a health care organization.

Basic

Discusses an interview, but the focus of the interview, the issues addressed, or the specifics of health care organizational context are unclear or missing.

Non-Performance

Does not summarize an interview focused on past or current issues at a health care organization.

Faculty Comments:

Please see overall comments.

CRITERION

Describe collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.

Your result: Non-Performance

Distinguished

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.

Proficient

Describes collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.

Basic

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.

Non-Performance

Does not describe collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.

Faculty Comments:

Please see overall comments.

COMPETENCY 2

Describe ways to incorporate evidence-based practice within an interdisciplinary team.

CRITERION

Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.

Your result: Non-Performance

Distinguished

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.

Proficient

Identifies an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.

Basic

Identifies an issue with an unclear connection to the interview or for which an evidence-based interdisciplinary approach seems inappropriate.

Non-Performance

Does not identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.

Faculty Comments:

Please see overall comments.

COMPETENCY 3

Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.

CRITERION

Describe potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue.

Your result: Non-Performance

Distinguished

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.

Proficient

Describes potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue.

Basic

Identifies change theories and leadership strategies that are unclear, incomplete, or irrelevant to developing an interdisciplinary solution to an organizational issue.

Non-Performance

Does not describe potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue.

Faculty Comments:

Please see overall comments.

COMPETENCY 4

Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.

CRITERION

Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Your result: Non-Performance

Distinguished

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.

Proficient

Organizes content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Basic

Organizes content with some logical flow and smooth transitions. Contains errors in grammar/punctuation, word choice, and spelling.

Non-Performance

Does not organize content for ideas. Lacks logical flow and smooth transitions.

Faculty Comments:

Please see overall comments.

CRITERION

Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Your result: Non-Performance

Distinguished

Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly.

Proficient

Applies APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

Basic

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.

Non-Performance

Does not apply APA formatting to headings, in-text citations, and references. Does not use quotes or paraphrase correctly.

 

Nursing homework help

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Nursing homework help

Part 1:

You should choose influencers that you like and that you believe will provide relevant content for the course, including links in your Yellowdig posts. If you are completely unaware of influencers or where to look for appropriate influencers to use for this class – check out the article with the LinkedIn gurus. Also, Mario Martinez would be a good one. You can also just look up sales influencers, service influencers, technology influencers to find someone. Company blogs and industry association websites would also be good places to find people who are making a difference with respect to our course topic(s).  Nursing homework help

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Links Related to finding sales influencers:

https://www.nasp.com/blog/a-detailed-guide-on-influencer-marketing/

https://www.linkedin.com/business/sales/blog/trends/follow-these-sales-influencers-taking-over-2021

List 4 sales technology influencers that share and talk about topics related to this course: I will provide the topics in a different word document.

  1. Name and link to either LinkedIn, Instagram, YouTube, or Twitter.
  2. Name and link to either LinkedIn, Instagram, YouTube, or Twitter.
  3. Name and link to either LinkedIn, Instagram, YouTube, or Twitter.
  4. Name and link to either LinkedIn, Instagram, YouTube, or Twitter.

 

 

Part 2:

There will be FOUR social engagement assignments related to the influencers you have chosen for the course. Engaging for this assignment will include one meaningful comment to something they’ve posted or shared and sharing content that they have posted or shared. You will choose 2 of the influencers and engage once with those two (comment for one, share for the other). The requirements are as follows:

1) In order to be considered a meaningful comment, you must comment using 20 words or more. 

2) Make sure your share is of good content (post with factual information or link to non-opinion article)

3) Screenshot your activity (engagement) and submit with a brief summary comment (100 words or less) about why you chose this content to share/comment on. 

 

 

 

 

Social Engagement Assignment for Week 1:

Choose 2 sales influencers from the list of four influencers that you created In PART 1.

You will screenshot content from one of the two influencers, the content must be related to the class topics.

 

 

 

 

 

 

 

 

 

You will comment on a post for the second influencer on a post they have posted related to a topic from the course.

(POST A LINK TO THE POST YOU WANT TO COMMENT ON HERE, COULD BE ON INSTAGRAM, OR ANY OTHER SOCIAL PLATFORM)

(WRITE HERE THE COMMENT YOU WANT TO POST, AND I WILL POST IT USING MY OWN SOCIAL MEDIA ACCOUNT 20 words or more)

(WRITE HERE a brief summary comment (100 words or less) about why you chose this content to share/comment on. Make sure your share is of good content (post with factual information or link to non-opinion article).

 

Social Engagement Assignment for Week 2:

SAME THING BUT DIFFERENT TOPICS RELATED TO CLASS. You could go back and forth between the list of four influencers you created in part one.

Social Engagement Assignment for Week 3:

SAME THING BUT DIFFERENT TOPICS RELATED TO CLASS. You could go back and forth between the list of four influencers you created in part one.

Social Engagement Assignment for Week 4:

SAME THING BUT DIFFERENT TOPICS RELATED TO CLASS. You could go back and forth between the list of four influencers you created in part one.

 

 

 

 

 

 

 

Nursing homework help

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Nursing homework help

REPLY TO ALL [4] POST BELOW WITH REFRENCES AT LEAST. 100words each.

  • Respond to their ideas to expand the conversation and/or give additional perspective.
  • Ask for clarification if needed.
  • Present new references that support your opinions.

 

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Picot assignment questions.

[1] hello class. Am kb.

Neonatal care is my selected topic. it is relevant since it enables infants born with complications to survive. Complications can be low birth weight and drug dependency, among others. Infants in neonatal care require specialized care to handle the risks of complications. Some who need specialized care are those with congenital disabilities, genetic conditions, and cardiac problems (Sanchez-Tamayo et al., 2014). Coming up with a picot question is relevant since neonatal intensive care is a complex program associated with dynamic interactions, integrated health systems, and complex systems. Picot question also enables neonatal nurses to realize new best practices alongside neonatal care in caring for and handling an infant with affection (Sanchez-Tamayo et al., 2014). Besides, humanized individualized care can be achieved whenever required for a proper response from the infant and to enable the infant to respond effectively to some behavioral responses. The PICOT question also allows nurses who are affiliated with evidence-based practice to understand how to show love and humane affection to ensure that infants achieve wellness. Nursing homework help

PICOT QUESTION:

In preterm or low birth weight, neonates in various healthcare centers (P), skin-to-skin contact that is mainly done immediately after delivery (I) is more effective than conventional care (C) in ensuring that hypothermia is prevented (O)?

Discussion of the PICOT question

Low birth weight infant death has constantly been reduced by following skin-to-skin contact care. Mortality rates for infants born with low birth weight have been reduced by more than one-third with the aid of skin-to-skin care compared to conventional care (Sanchez-Tamayo et al., 2014). However, many cases have shown relevance in subjecting infants born with low birth weight to traditional care since it also effectively reduces hypothermia. For this reason, there is a need to analyze the benefits of skin-to-skin contact and relate them to conventional care to ensure that hypothermia is prevented. With the aid of the ticket question, there will be a proper analysis of best practices associated with traditional care and skin-to-skin contact with infants born with low birth weight.

[2] hi everyone. Am ami

The topic I selected was diabetes and mental health.

Personally, I chose this topic because I am a type 1 diabetic. That being said, diabetes has always been an interest for me. Additionally, I was diagnosed with diabetes in my teenage years; surprisingly, it was quite hard to cope with my new diagnosis. As a young adult, coping with diabetes is still something I struggle with. After my own experience, I have always wondered if others are struggling too. Diabetes is a physical and financial burden.

Aside from personal reasons, I chose this topic because diabetes and mental health are both evolving issues in the United States today. Approximately 8 out of 10 adults in the United States have prediabetes and are unaware (2020). Further, approximately 1 out of 10 adults in the United States have already developed diabetes (2020). These statistics are especially concerning because the risk for early death is 60% higher for adults with diabetes versus those who are not diabetics (2020). In the same way, mental health statistics are equally appalling: about 50% of Americans will be diagnosed with a mental illness at some point in their lifetime and 1 in 25 Americans live with a serious mental health issue (like schizophrenia, bipolar disorder, or major depression) (2021). Mental health is an important matter to address because untreated mental health leads to suicide and violence. Suicide rates raised 30% between the years 2000 and 2018 (2022). Moreover, there were approximately 45,000 that committed suicide in 2020 alone; that is the equivalent to about one death every 11 minutes (2022). These statistics support the idea that diabetes and mental health are both of significant concern because they lead to premature and preventable death.

PICOT Question 

My goal is to determine if diabetes can lead to severe mental health diseases. With that said, I thought it would be best to use the etiology question type. The ultimate goal would be to find some sort of intervention for people with mental illness and diabetes. However, before interventions can be implemented, the totality of the problem needs to be analyzed.

Are young adults who have diabetes compared with those without diabetes at an increased risk for mental health disease over adulthood?

 

 

Introductions assignment below

[3]hi everyone, am kub

. I am a mother of four beautiful children. I am currently working as a licensed practical Nurse. I works in skilled nursing facility in Transitional Care unit as part time. I am pursuing my ………..

Best Practice recommendation in Nursing

Proper hand washing is one of the best practices in nursing. Hand washing pay an important role in the patient-to-patient transmission of microbial pathogens among health care workers. Proper hand hygiene is the first measure to prevent cross contamination among patients. Constant hand hygiene practice also reduces health care associated infection (HAI). Always use soap and water or alcohol-based ingredient for hand washing. Using soap and water is the best option for hand wash especially when the hand is contaminated with body fluid. Alcohol-based detergent can also use when no body fluid involved and always wash hands with soap after three uses of alcohol. Improper hand hygiene among health care worker can contaminate patient. It is important for nurses and physicians to constantly wash hand before and after patient contact (Sadeghi & Rzavi, 2009).

[4] hi everyone, am abb

I am currently working on my BSN through the LPN to BSN program at University. I have been working as LPN in the long-term care, TCU, Assistant living facilities, and home care setting since 2020. I’m also currently working part-time as Remote Telemetry Teach in the hospital at the cardiac unit. I get exposure to many interesting things working in the health care field for over ten years as a PCA, TMA, and pharmacy technician. Helping people in any aspect of their needs in life makes me satisfied; as a nurse, integrity and caring characteristics are my core value.

When it comes to applying knowledge from this course, as a BSN-prepared nurse, the area of nursing that I would like to go to as an RN would be a cardiac unit. Patients seen in this area can be from a young age to geriatric patients. Recognizing lethal rhythms and acting on time can better outcomes for cardiac arrest patients. Ventricular fibrillation is one of the four lethal rhythms caused by either a problem in the heart’s electrical properties or by a disruption of the normal blood supply to the heart muscle. (Taylor, et.al, 2021) Before ventricular fibrillation happens, the Patient might show an early sign of fast heartbeat, chest pain, and dizziness. The best practice recommendation treatment would be early CPR and the use of AED to reverse into the normal heart rhythm in most cases Romer, 2016). Implementing EBP in delivering quality care can help with positive patient outcomes. Getting continued education and applying EBP to your practice helps Patients get better more efficiently. BLS and CPR certification are essential for a nurse or any healthcare provider to facilitate best practices to help save a life.

 

 

Nursing homework help

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Nursing homework help

Participation Requirement: You are required to post a minimum of three (3) times in each discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. on Wednesday.  On additional days, respond to your peers’ posts as well as additional faculty posts. Responses to peers must be posted by 11:59 p.m. on Sunday each week a discussion is due.

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Step 1: Review the following video:

Nursing Risks for Wrongful Delegation:https://www.youtube.com/watch?v=f0wq5tvd_lQ (Links to an external site.)

Step 2: Review the  NCSBN and American Nurses Association (ANA) National Guidelines for Nursing Delegation (Links to an external site.).

Step 3: Read the attached article entitled, “A Question of Delegation: Unlicensed Assistive Personnel and the Professional Nurse.”

Initial Discussion scenario:

Nurse Case Study:

The CNA was at the home of a mutual patient and reported that her gastrointestinal (GI) tube had come out sometime during the night. The RN informed the CNA that the patient would need to go to the emergency department to have the tube re-inserted as it would be several hours before she could see the patient. The patient’s family didn’t want to take the patient to the emergency department but would instead wait for the RN to see the patient.

The CNA informed the RN that she had re-inserted several GI tubes when she was employed at a nursing home, so felt comfortable re-inserting this patient’s tube. The RN agreed to let the CNA insert the tube but advised her to not restart the feedings. Approximately 45 minutes later, the CNA contacted the RN and affirmed that tube was re-inserted without difficulty and proper placement was confirmed. 

When the nurse arrived at the patient’s home several hours later, she noticed that the patient was receiving tube feeding. When questioned, the daughter confirmed that she resumed the tube feedings shortly after the CNA left and denied being told to wait. The RN noted that the patient was complaining of abdominal pain and reported feeling nauseous.

On physical assessment, the patient’s abdomen was distended and positive for pain with abdominal palpation. After stopping the feeding, the nurse called 911 and the patient was transferred to the nearest hospital where she was diagnosed with peritonitis due to the GI tube being accidentally placed in the peritoneal space. The family filed a lawsuit against the RN and the home healthcare agency.

The allegations against the RN included:

  • Wrongful delegation of patient care to unlicensed assistive personnel (e.g. CNA);
  • Failure to follow the agency’s policies and procedures on proper delegation, GI tube insertion and supervision of unlicensed assistive personnel;
  • Failure to contact the referring provider and obtain an order to reinsert the GI tube; and 
  • Failure to assure that the patient and family had received appropriate communication related to re-inserting the GI tube and holding the GI feedings.

Resolution:

A settlement was reached prior to a lawsuit going to trial. As mandated by state law, the nurse was also reported to the National Practitioner Data Bank (NPDB).  The total incurred to defend and settle this case on behalf of our insured nurse exceeded $255,000.

Assignment:

  1. Discuss what the nurse should have done to effectively control this situation and limit the risks of wrongful delegation? Give a detailed response and reference 2 evidenced based resources.
  2. Identify 3 to 4 risk control recommendations that were learned from the required video that could have been utilized in this case.

A Question of Delegation – Unlicensed Assistive Personnel and the Professional Nurse.pdf

 

Nursing homework help

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Nursing homework help

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

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  • Chapter 17, “Breasts and Axillae”

    This chapter focuses on examining the breasts and axillae. The authors describe the examination procedures and the anatomy and physiology of breasts.

 

  • Chapter 19, “Female Genitalia”

    In this chapter, the authors explain how to conduct an examination of female genitalia. The chapter also describes the form and function of female genitalia.

 

  • Chapter 20, “Male Genitalia”

    The authors explain the biology of the penis, testicles, epididymides, scrotum, prostate gland, and seminal vesicles. Additionally, the chapter explains how to perform an exam of these areas.

 

  • Chapter 21, “Anus, Rectum, and Prostate”

    This chapter focuses on performing an exam of the anus, rectum, and prostate. The authors also explain the anatomy and physiology of the anus, rectum, and prostate.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

Chapter 5, “Amenorrhea”
Amenorrhea, or the absence of menstruation, is the focus of this chapter. The authors include key questions to ask patients when taking histories and explain what to look for in the physical exam.

Chapter 6, “Breast Lumps and Nipple Discharge”
This chapter focuses on the important topic of breast lumps and nipple discharge. Because breast cancer is the most common type of cancer in women, it is important to get an accurate diagnosis. Information in the chapter includes key questions to ask and what to look for in the physical exam.

Chapter 7, “Breast Pain”
Determining the cause of breast pain can be difficult. This chapter examines how to determine the likely cause of the pain through diagnostic tests, physical examination, and careful analysis of a patient’s health history.

Chapter 27, “Penile Discharge”
The focus of this chapter is on how to diagnose the causes of penile discharge. The authors include specific questions to ask when gathering a patient’s history to narrow down the likely diagnosis. They also give advice on performing a focused physical exam.

Chapter 36, “Vaginal Bleeding”
In this chapter, the causes of vaginal bleeding are explored. The authors focus on symptoms outside the regular menstrual cycle. The authors discuss key questions to ask the patient as well as specific physical examination procedures and laboratory studies that may be useful in reaching a diagnosis.

Chapter 37, “Vaginal Discharge and Itching”
This chapter examines the process of identifying causes of vaginal discharge and itching. The authors include questions on the characteristics of the discharge, the possibility of the issues being the result of a sexually transmitted infection, and how often the discharge occurs. A chart highlights potential diagnoses based on patient history, physical findings, and diagnostic studies.

 

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

 

  • Chapter 3, “SOAP Notes” (Previously read in Week 8)

Mealey, K., Braverman, P. K., & Koenigs, L. M. (2019). Why a pelvic exam is needed to diagnose cervicitis and pelvic inflammatory disease. Annals of Emergency Medicine, 73(4), 424–425. https://doi.org/10.1016/j.annemergmed.2018.11.028

 

Sanchez, C., Israel, R., Hughes, C., & Gorman, N. (2019). Well-woman examinations: Beyond cervical cancer screening. The Journal for Nurse Practitioners, 15(2), 189–194.e2. https://doi.org/10.1016/j.nurpra.2018.09.005

 

Centers for Disease Control and Prevention. (2021, April 13). Sexually transmitted disease surveillance, 2019. https://www.cdc.gov/std/#

 

This section of the CDC website provides a range of information on sexually transmitted diseases (STDs). The website includes reports on STDs, related projects and initiatives, treatment information, and program tools.

 

Nursing homework help

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Nursing homework help

DQ1
Melissa Ball

I would say one of my personal strengths regarding professional presentations is I am a people person and would say I have fairly good communication skills. Before I was a nurse I was a waitress/manager for about 16 years so I would say that helped me a little in my communication skills. But one of my weakness is when I get nervous I kind of ramble my words and they don’t make sense. “Presentation skills are crucial to almost every aspect of academic/business life, from meetings, interviews and conferences to trade shows and job fairs” (Dolan, 2017). A method for improvement could be identifying what type of speaker I am for example, an avoider, resister, accepter, or seeker (Dolan, 2017). A method for improvement would be for me to work on my delivery method and to assess my audience. By working on the delivery delivery method and assessing my audience would help me keep from getting nervous and then start to ramble when presenting in the more formal setting.

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Reference

Robert Dolan, Effective presentation skills, FEMS Microbiology Letters, Volume 364, Issue 24, December 2017, fnx235, https://doi.org/10.1093/femsle/fnx235

 

 

DQ1

Panna Panchal

 

I did not do many presentations in the state, not because I couldn’t but because of my accent and lack of academic speaking. I usually don’t get easily anxious to speak in public or with peers. However, I will feel a little nervous. According to Wellstead et al., Delivering an oral presentation at conferences and meetings can seem daunting, but, if delivered effectively, it can be an invaluable opportunity to highlight the presentation in front of peers and receive feedback on the project (Wellstead et al., 2017). I am always worried if I mispronounce any words because I have been there before when people laughed and thought it was funny. That is my weakness. My strength is knowledge, years of experience as a nurse taught me so much when I mostly have an answer for every question for skilled related nursing, and if I don’t know something, I always make sure to find out right answer and get back to the person. Nursing homework help

I read my PowerPoint repeatedly, and I will present in front of my family and let them ask me questions and discuss how I can improve myself to be more perfect. Having rehearsed a few times, I will be more confident. I will recite words that might have more accent, so I speak out without an accent. I will keep eye contact with my viewers, give pauses, keep my enthusiasm high and be funny to keep my audience engaged during the presentation. I will improve better after repeating before going to the actual presentation.

Reference. 

Wellstead, G., Whitehurst, K., Gundogan, B., & Agha, R. (2017). How to deliver an oral presentation. International journal of surgery. Oncology, 2(6), e25. https://doi.org/10.1097/IJ9.000000000000002

 

DQ1

 

Kayla Machingo

It has been a while since I have stood in front of an audience and presented a PowerPoint Presentation. When I was in my senior year of high school and freshman year of college, I used to complete presentations for the city regarding providing safe travels for students in the evening through an organization called Safe Rides. At this point in time, I felt like I was great at standing in front of a large audience and providing information. Overall, I would say that my personal strength with professional presentations is that I am a people person with a bubbly attitude. Therefore, chatting with the audience and keeping them entertained does not scare me nor do I find it particularly difficult. I think my biggest weakness is being nervous about other people’s thoughts towards to my presentation. To improve this fear, it is important for me to adjust the environment to my liking (get comfortable in my space), get to know the audience more personally by greeting them, working on deep breathing exercises and avoid covering too much information in a short time frame (Kim, 2021). It is important for me to work on these skills as it will make the presentation more smooth, more personable, and more appealing. I will be working on these skills this week prior to my presentation.

 

Reference

 

Kim, L. (2021). 20 Ways to improve your presentation skills. https://www.wordstream.com/blog/ws/2014/11/19/how-to-improve-presentation-skills

 

DQ2

Virginia Gallardo

From past experiences, I can tell that sustaining a change can be difficult. As much as we understand and value all of the benefits of Evidence Based-Practice (EBP), sustaining EBP is not straightforward, and many barriers inhibit individuals from consistently implementing EBP, including inadequate skills and knowledge (Sharplin et al., 2019). A common barrier in sustaining EBP includes insufficient time for teaching new practices to the staff. This is a barrier I have witnessed with previous changes. Project leaders will provide education once and never revisit the topic. This leaves staff with unanswered questions or doubts about the change, leading to staff either not implementing or sustaining the change. Having multimodal communication channels is also essential such as bulletin board flyers, e-mails, and staff meeting discussions (Sharon et al., 2020). Project leaders can use these channels to disseminate information on the change proposal and ensure sustainability over time. 

Other barriers include a lack of resources or organizational support. Some practice changes will require financial support, which can come from various stakeholders like unit directors. Unit leaders not only provide financial support but also reinforce goals, influence change, and monitor clinical outcomes. Over time staff can forget about the change and may revert to previous practice, and thus it is essential to have champions of change who will support the project. Charge nurses were designated champions of change with one of our more recent projects. Their role was to assess whether or not the staff was adopting the change in practice. When they identified that nurses were not adopting the change, they were responsible for providing education on why the practice is necessary. 

 

References

 

Sharplin, G., Adelson, P., Kennedy, K., Williams, N., Hewlett, R., Wood, J., Bonner, R., Dabars, E., & Eckert, M. (2019). Establishing and Sustaining a Culture of Evidence-Based Practice: An Evaluation of Barriers and Facilitators to Implementing the Best Practice Spotlight Organization Program in the Australian Healthcare Context. Healthcare (2227-9032), 7(4), 142. https://doi-org.lopes.idm.oclc.org/10.3390/healthcare7040142

 

Tucker, S. J., Gallagher-Ford, L., & Jang, E. (2020). EBP 2.0: Implementing and Sustaining Change: The Evidence-Based Practice and Research Fellowship Program. American Journal of Nursing, 120(2), 44. https://doi-org.lopes.idm.oclc.org/10.1097/01.NAJ.0000654320.04083.d

 

 

 

 

Nursing homework help

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Nursing homework help

Create a concept map of a chosen condition, disease, or disorder with glucose regulation or metabolic balance considerations. Write a brief narrative (2-3 pages) that explains why the evidence cited in the concept map and narrative are valuable and relevant, as well as how specific interprofessional strategies will help to improve the outcomes presented in the concept map.

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Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you should complete the assessments in this course in the order in which they are presented.

The biopsychosocial (BPS) approach to care is a way to view all aspects of a patient’s life. It encourages medical practitioners to take into account not only the physical and biological health of a patient, but all considerations like mood, personality, and socioeconomic characteristics. This course will also explore aspects of pathophysiology, pharmacology, and physical assessment (the three Ps) as they relate to specific conditions, diseases, or disorders.

The first assessment is one in which you will create a concept map to analyze and organize the treatment of a specific patient with a specific condition, disease, or disorder.

The purpose of a concept map is to visualize connections between ideas, connect new ideas to previous ideas, and to organize ideas logically. Concept maps can be an extremely useful tool to help organize and plan care decisions. This is especially true in the biopsychosocial model of health, which takes into account factors beyond just the biochemical aspects of health. By utilizing a concept map, a nurse can simplify the connection between disease pathways, drug interactions, and symptoms, as well as between emotional, personality, cultural, and socioeconomic considerations that impact health.

Preparation

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

The assessment will be based on the case of a specific patient with a specific condition, disease, or disorder. Think about an experience you have had treating a patient with a condition, disease, or disorder that interests you, or one of the cases presented in the Vila Health: Concept Maps as Diagnostic Tools media simulation.

  • What is the primary condition, disease, or disorder affecting the patient?
    • What types of experience have you had working with patients with this condition, disease, or disorder?
    • How does this condition, disease, or disorder typically present?
    • What are the recommended treatment options?
      • What, if any, characteristics of an individual patient should be kept in mind when determining a course of treatment.
  • How have you used concept maps to help plan and organize care?
    • What are the advantages of concept maps, from your point of view?
    • How could concept maps be more useful?
  • How can interprofessional communication and collaboration strategies assist in driving patient safety, efficiency, and quality outcomes with regard to specific clinical and biopsychosocial considerations?
    • What interprofessional strategies do you recommend health care providers take in order to meet patient-centered safety and outcome goals?

Scenario

You have already learned about evidence-based practice and quality improvement initiatives in previous courses. You will use this information to guide your assessments, while also implementing new concepts introduced in this course. For this assessment, you will develop a concept map and provide supporting evidence and explanations. You may use the case studies presented in the Vila Health: Concept Maps as Diagnostic Tools media, a case study from the literature or your practice that is relevant to the list of conditions below, or another relevant case study you have developed. This case study will provide you with the context for creating your concept map. You may also use the practice context from the case study or extrapolate the case study information and data into your own practice setting. Think carefully when you are selecting the case study for this assessment, as you may choose to build upon it for the second assessment as well.

Some example conditions, diseases and disorders that are relevant to metabolic balance and glucose regulation considerations are:

  • Cancer.
  • Diabetes (type 2).
  • HIV/AIDS.
  • Hyperthyroidism.
  • Hypothyroidism.
  • Metabolic syndrome.
  • Obesity.
  • Polycycstic ovary syndrome.
  • Prediabetes.
  • Pregnancy.

Instructions

Develop a concept map and a short narrative that supports and further explains how the concept map is constructed. You may choose to use the Concept Map Template as a starting point for your concept map, but are not required to do so. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your evidence-based plan addresses all of them. You may also want to read the Concept Map scoring guide and the Guiding Questions: Concept Map document to better understand how each grading criterion will be assessed.

Part 1: Concept Map

  • Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for a condition that has impaired glucose or metabolic imbalance as related aspects.

Concept Map Template [DOCX]. You may choose to use this template for completing this component of the assignment.

Part 2: Additional Evidence (Narrative)

  • Justify the value and relevance of the evidence you used as the basis for your concept map.
  • Analyze how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes.
  • Construct concept map and linkage to additional evidence in a way that facilitates understanding of key information and links.
  • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Use the APA Style Paper Tutorial [DOCX] to complete this narrative component.

Example Assessment

You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

  • Assessment 1 Example [PDF].

Additional Requirements

  • Length of submission: Your concept map should be on a single page, if at all possible. You can submit the concept map as a separate file, if you need to. Your additional evidence narrative should be 2-3 double-spaced, typed pages. Your narrative should be succinct yet substantive.
  • Number of references: Cite a minimum of 3-5 sources of scholarly or professional evidence that supports your concept map, decisions made regarding care, and interprofessional strategies. Resources should be no more than five years old.
  • APA formatting:
    • For the concept map portion of this assessment: Resources and citations are formatted according to current APA style. Please include references both in-text and in the reference page that follows your narrative.
    • For the narrative portion of this assessment: use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your analysis. You do not need to include an abstract for this assessment.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.
    • Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for a condition that has impaired glucose or metabolic imbalance as related aspects.
    • Justify the value and relevance of the evidence used as the basis for a concept map.
  • Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes.
    • Analyze how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes.
  • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
    • Construct concept map and linkage to additional evidence in a way that facilitates understanding of key information and links.
    • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

 

Nursing homework help

/in /by

Nursing homework help

Yanet G. Coutin

There are statutes that mandate the APRNs to prescribe controlled substances in relation to the supervisory standards. The professionals are required to take part in a three-hour training session on secure prescription and effective implementation of the associated strategies. The APRNs are required to assess and outline the health issues relating to the health issues of the patients and provide the right prescription. They are required to equip the patients with the required information in relation to the warning and how the prescribed drugs are required to be taken (Torrens et al., 2020). Furthermore, the practitioners monitor the patients often to ensure that they acquire the required benefits of the prescriptions that are at hand. In relation to the requirement of the state the APRN practitioners have to meet the same prescriptions standards as physicians. Nursing homework help

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There exist a lot of barriers that limit the APRN practitioners from undertaking them prescription responsibilities efficiently. To begin the state license limits the APRNs from taking part in full practice in relation to their educational qualification. The practitioners can only take part in one of the NP responsibilities on the basis of collaborative agreements. Secondly, the training programs of APRN might not be able to equip learners with advanced skills for the delivery of the best health care services. Negative discernments of the existing working environments and insufficient knowledge hinder the practitioners from the performance of them prescription responsibilities (Jun et al., 2016). Finally, certain financier policies do not allow the APRN from taking part in the delivery of healthcare activities to the full extent of their training and licensure. For example, some scope of practice policies limit practitioners to certain responsibilities. The issue of Job satisfaction limit practitioners from performing their roles of prescriptions in a manner that impacts significantly on the results of the patient. Some of the practitioners undergo working conditions that are not favorable which limit their productivity.

 

 

References

 

 

Jun, J., Kovner, C. T., & Stimpfel, A. W. (2016). Barriers and facilitators of nurses’ use of clinical practice

guidelines: an integrative review. International journal of nursing studies,60, 54-68.

 

Torrens, C., Campbell, P., Hoskins, G., Strachan, H., Wells, M., Cunningham, M., Bottone, H., Polson, R., & Maxwell, M. (2020). Barriers and facilitators to the implementation of the advanced nurse

practitioner role in primary care settings: A scoping review. International Journal of Nursing Studies,

104,103443. https://doi.org/10.1016/j.ijnurstu.2019.103443.

 

 

 

 

Maria Lazarte

3 hours ago, at 3:49 PM

 

NEW

Top of Form

 

Some of the barriers affect safe prescribing by advanced practice nursing. First, there is a barrier to access to prescription drug monitoring programs (PDMP). Studies show that despite the awareness of many APRNs on the effectiveness of PDMP in nursing practice, less than 50% of them utilize the prescription of opioids (Young et al., 2019). PDMP is a useful tool and needs to be consulted before an opioid is prescribed. The state of Florida does not put the use of PMDP as mandatory, and the providers only utilize it when they suspect that an individual may misuse medication (Young et al., 2019). The use of PDMP only during clinical suspects leads to bias and ineffectiveness of this tool. The barriers to the use of PMDP include nurse’s knowledge, education, personal biases, and experiences.

Besides, nurse practitioners in Florida face barriers related to the issues of physicians. One of the barriers identified is that the physicians and other healthcare professionals lack knowledge of the scope of practice of the APRNs (Hain and Fleck, 2019). A collaboration between physicians and APRNs is essential in achieving best practices. Nursing practitioners often experience this barrier to a successful collaboration with physicians despite sharing the same goal of improving patient outcomes.

Another barrier to safe prescribing in Florida lies in the state practice. “State licensure regulates NP practice and is a barrier to NPs practicing to the fullest extent of their education and training” (Hain and Fleck, 2019). APRNs have been struggling to exit from licensure and restrictive practices to have full authority on their practice, but they have not been successful due to the opposition from the medical organizations . The regulations determine the scope of nursing practice and limits APRNs to work only to the extent of the licensure. Allowing the independence of APRNs may lead to higher-value services (Peterson, 2019).

References

Hain, D., Fleck, L., (2019). Barriers to Nurse Practitioner Practice that Impact Healthcare Redesign” OJIN: The Online Journal of Issues in Nursing Vol. 19, No. 2, Manuscript DOI: 10.3912/OJIN.Vol19No02Man02

Peterson, M. E. (2019). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus. Journal of the Advanced Practitioner in Oncology, 8(1), 74–81. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995533/

Young, H. W., Tyndall, J. A., & Cottler, L. B. (2019). The current utilization and perceptions of prescription drug monitoring programs among emergency medicine providers in Florida. International Journal of Emergency Medicine, 10(1).

Bottom of Form

 

 

 

 

Manuel A Garcia Periu

Florida National. University

Advanced Pharmacology

Dr. Latoya Dotson

 

Nursing is a highly regulated profession to ensure safe and high-quality health services are provided to patients. Nursing is legislated at the state level through laws and policies. The state of Florida outlines policies to guide advanced practice registered nurses (APRN) to prescribe medication in line with the set standards (Florida Board of Nursing, 2016). In order to ensure safety, APRNs engage in a training session on safe prescribing to enable the evaluation and definition of patient health problems for an appropriate prescription. Besides, advanced practice nurses should also educate patients with relevant information about the side effects and warnings of certain drugs. They should also guide them on how to take the prescribed medication. Practitioners also follow up on patients to assess the outcome of prescribed drugs and ensure they benefit from the prescription given.

 Certain barriers prevent APRNs from administering their prescriptions appropriately. First, poor working conditions hinder practitioners from performing their prescription duties effectively (Peterson, 2017). Poor working conditions affect practitioners’ job satisfaction, which in turn hinders them from delivering prescription activities effectively. The unfavorable working conditions also reduce nurses’ productivity and motivation significantly. Second, certain policies and standards limit them from exercising the prescription role to the full extent. The scope of nursing practice laws restricts APRNs to particular roles. Thirdly, state licensure limits APRNs to one of the nurse practitioner roles based on collaborative agreements and in line with their educational qualifications. Also, nursing training programs might fail to equip APRNs with the required knowledge and skills for delivering high-quality care services and drug prescriptions. Inadequate skills, coupled with a low number of nursing practitioners, affect the delivery of quality and safe healthcare services. These hindrances are likely to result in negative patient outcomes due to wrong prescriptions and other risks of medical errors. 

References

Florida Board of Nursing (2016, April 15). Important Legislative Update regarding HB 423. https://floridasnursing.gov/new-legislation-impacting-your-profession/

Peterson M. E. (2017). Barriers to practice and the impact on health care: A nurse practitioner focus. Journal of the Advanced Practitioner in Oncology, 8(1), 74–81.

Ivon Hernandez

 

Prescription falls under the practice and scope of nurse practitioners. Prescriptions being a major practice for APRNs necessitates that they undertake the role as required. In this respect, they should fully provide information, instructions, as well as warnings concerning the prescribed drugs (Woo & Robinson, 2019). In addition, APRNs are required to adhere to practice and licensure requirements and should ensure that the cost of the drugs is ethical and in line with the existing regulations. Moreover, there is a need for these nurses to apply or utilize appropriate prescription tools or technology to enhance the wellbeing of the patients while at the same time minimizing prescription errors. In a nutshell, APRNs have a duty to ensure that the prescriptions are accurate and based on the existing policy.

Several barriers have prevented APRNs from prescribing appropriately. Nurse prescribers face these problems, making it difficult for them to contribute effectively to the desired health outcomes. According to Peterson (2017), the first barrier faced is that of state practice and licensure. This is a key problem because most states have not adopted full practice authority licensure, which means that there are some instances whereby nurses do not have the full authority to prescribe some drugs. Physician related issues are the other barrier that prescribers have to battle. According to Peterson (2017), some medical organizations are blamed for believing and insisting that the training and education for APRNs is not enough for them to perform prescriptions as physicians. For instance, nurses in Florida continue to struggle to overcome restrictive practices and licensure that prevent them from performing some duties like prescribing psychotropic medications for children under 18 years of age, unless prescribed by an ARNP who is a Psychiatric Nurse. Finally, payer policies are major barriers to prescribers. These policies make it difficult for nurses to provide services like prescriptions, forcing them to depend on physicians or remain as employees. Since nurses have to be associated with physicians to be allowed to practice, payer policies are some of the issues or barriers facing prescribing APRNs.

References

Peterson M. E. (2017). Barriers to practice and the impact on health care: A nurse practitioner focus. Journal of the Advanced Practitioner in Oncology, 8(1), 74–81

Woo, T. M, & Robinson, M. V. (2019). Pharmacotherapeutics for Advanced Practice Nurse Prescribers (4th ed.). Davis

 

Nursing homework help

/in /by

Nursing homework help

Yanet G. Coutin

There are statutes that mandate the APRNs to prescribe controlled substances in relation to the supervisory standards. The professionals are required to take part in a three-hour training session on secure prescription and effective implementation of the associated strategies. The APRNs are required to assess and outline the health issues relating to the health issues of the patients and provide the right prescription. They are required to equip the patients with the required information in relation to the warning and how the prescribed drugs are required to be taken (Torrens et al., 2020). Furthermore, the practitioners monitor the patients often to ensure that they acquire the required benefits of the prescriptions that are at hand. In relation to the requirement of the state the APRN practitioners have to meet the same prescriptions standards as physicians.

ORDER A PLAGIARISM FREE PAPER NOW

 

There exist a lot of barriers that limit the APRN practitioners from undertaking them prescription responsibilities efficiently. To begin the state license limits the APRNs from taking part in full practice in relation to their educational qualification. The practitioners can only take part in one of the NP responsibilities on the basis of collaborative agreements. Secondly, the training programs of APRN might not be able to equip learners with advanced skills for the delivery of the best health care services. Negative discernments of the existing working environments and insufficient knowledge hinder the practitioners from the performance of them prescription responsibilities (Jun et al., 2016). Finally, certain financier policies do not allow the APRN from taking part in the delivery of healthcare activities to the full extent of their training and licensure. For example, some scope of practice policies limit practitioners to certain responsibilities. The issue of Job satisfaction limit practitioners from performing their roles of prescriptions in a manner that impacts significantly on the results of the patient. Some of the practitioners undergo working conditions that are not favorable which limit their productivity.

 

 

References

 

 

Jun, J., Kovner, C. T., & Stimpfel, A. W. (2016). Barriers and facilitators of nurses’ use of clinical practice

guidelines: an integrative review. International journal of nursing studies,60, 54-68.

 

Torrens, C., Campbell, P., Hoskins, G., Strachan, H., Wells, M., Cunningham, M., Bottone, H., Polson, R., & Maxwell, M. (2020). Barriers and facilitators to the implementation of the advanced nurse

practitioner role in primary care settings: A scoping review. International Journal of Nursing Studies,

104,103443. https://doi.org/10.1016/j.ijnurstu.2019.103443.

 

 

 

 

Maria Lazarte

3 hours ago, at 3:49 PM

 

NEW

Top of Form

 

Some of the barriers affect safe prescribing by advanced practice nursing. First, there is a barrier to access to prescription drug monitoring programs (PDMP). Studies show that despite the awareness of many APRNs on the effectiveness of PDMP in nursing practice, less than 50% of them utilize the prescription of opioids (Young et al., 2019). PDMP is a useful tool and needs to be consulted before an opioid is prescribed. The state of Florida does not put the use of PMDP as mandatory, and the providers only utilize it when they suspect that an individual may misuse medication (Young et al., 2019). The use of PDMP only during clinical suspects leads to bias and ineffectiveness of this tool. The barriers to the use of PMDP include nurse’s knowledge, education, personal biases, and experiences.

Besides, nurse practitioners in Florida face barriers related to the issues of physicians. One of the barriers identified is that the physicians and other healthcare professionals lack knowledge of the scope of practice of the APRNs (Hain and Fleck, 2019). A collaboration between physicians and APRNs is essential in achieving best practices. Nursing practitioners often experience this barrier to a successful collaboration with physicians despite sharing the same goal of improving patient outcomes.

Another barrier to safe prescribing in Florida lies in the state practice. “State licensure regulates NP practice and is a barrier to NPs practicing to the fullest extent of their education and training” (Hain and Fleck, 2019). APRNs have been struggling to exit from licensure and restrictive practices to have full authority on their practice, but they have not been successful due to the opposition from the medical organizations . The regulations determine the scope of nursing practice and limits APRNs to work only to the extent of the licensure. Allowing the independence of APRNs may lead to higher-value services (Peterson, 2019).

References

Hain, D., Fleck, L., (2019). Barriers to Nurse Practitioner Practice that Impact Healthcare Redesign” OJIN: The Online Journal of Issues in Nursing Vol. 19, No. 2, Manuscript DOI: 10.3912/OJIN.Vol19No02Man02

Peterson, M. E. (2019). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus. Journal of the Advanced Practitioner in Oncology, 8(1), 74–81. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995533/

Young, H. W., Tyndall, J. A., & Cottler, L. B. (2019). The current utilization and perceptions of prescription drug monitoring programs among emergency medicine providers in Florida. International Journal of Emergency Medicine, 10(1).

Bottom of Form

 

 

 

 

Manuel A Garcia Periu

Florida National. University

Advanced Pharmacology

Dr. Latoya Dotson

 

Nursing is a highly regulated profession to ensure safe and high-quality health services are provided to patients. Nursing is legislated at the state level through laws and policies. The state of Florida outlines policies to guide advanced practice registered nurses (APRN) to prescribe medication in line with the set standards (Florida Board of Nursing, 2016). In order to ensure safety, APRNs engage in a training session on safe prescribing to enable the evaluation and definition of patient health problems for an appropriate prescription. Besides, advanced practice nurses should also educate patients with relevant information about the side effects and warnings of certain drugs. They should also guide them on how to take the prescribed medication. Practitioners also follow up on patients to assess the outcome of prescribed drugs and ensure they benefit from the prescription given.

 Certain barriers prevent APRNs from administering their prescriptions appropriately. First, poor working conditions hinder practitioners from performing their prescription duties effectively (Peterson, 2017). Poor working conditions affect practitioners’ job satisfaction, which in turn hinders them from delivering prescription activities effectively. The unfavorable working conditions also reduce nurses’ productivity and motivation significantly. Second, certain policies and standards limit them from exercising the prescription role to the full extent. The scope of nursing practice laws restricts APRNs to particular roles. Thirdly, state licensure limits APRNs to one of the nurse practitioner roles based on collaborative agreements and in line with their educational qualifications. Also, nursing training programs might fail to equip APRNs with the required knowledge and skills for delivering high-quality care services and drug prescriptions. Inadequate skills, coupled with a low number of nursing practitioners, affect the delivery of quality and safe healthcare services. These hindrances are likely to result in negative patient outcomes due to wrong prescriptions and other risks of medical errors. 

References

Florida Board of Nursing (2016, April 15). Important Legislative Update regarding HB 423. https://floridasnursing.gov/new-legislation-impacting-your-profession/

Peterson M. E. (2017). Barriers to practice and the impact on health care: A nurse practitioner focus. Journal of the Advanced Practitioner in Oncology, 8(1), 74–81.

Ivon Hernandez

 

Prescription falls under the practice and scope of nurse practitioners. Prescriptions being a major practice for APRNs necessitates that they undertake the role as required. In this respect, they should fully provide information, instructions, as well as warnings concerning the prescribed drugs (Woo & Robinson, 2019). In addition, APRNs are required to adhere to practice and licensure requirements and should ensure that the cost of the drugs is ethical and in line with the existing regulations. Moreover, there is a need for these nurses to apply or utilize appropriate prescription tools or technology to enhance the wellbeing of the patients while at the same time minimizing prescription errors. In a nutshell, APRNs have a duty to ensure that the prescriptions are accurate and based on the existing policy.

Several barriers have prevented APRNs from prescribing appropriately. Nurse prescribers face these problems, making it difficult for them to contribute effectively to the desired health outcomes. According to Peterson (2017), the first barrier faced is that of state practice and licensure. This is a key problem because most states have not adopted full practice authority licensure, which means that there are some instances whereby nurses do not have the full authority to prescribe some drugs. Physician related issues are the other barrier that prescribers have to battle. According to Peterson (2017), some medical organizations are blamed for believing and insisting that the training and education for APRNs is not enough for them to perform prescriptions as physicians. For instance, nurses in Florida continue to struggle to overcome restrictive practices and licensure that prevent them from performing some duties like prescribing psychotropic medications for children under 18 years of age, unless prescribed by an ARNP who is a Psychiatric Nurse. Finally, payer policies are major barriers to prescribers. These policies make it difficult for nurses to provide services like prescriptions, forcing them to depend on physicians or remain as employees. Since nurses have to be associated with physicians to be allowed to practice, payer policies are some of the issues or barriers facing prescribing APRNs.

References

Peterson M. E. (2017). Barriers to practice and the impact on health care: A nurse practitioner focus. Journal of the Advanced Practitioner in Oncology, 8(1), 74–81

Woo, T. M, & Robinson, M. V. (2019). Pharmacotherapeutics for Advanced Practice Nurse Prescribers (4th ed.). Davis