Nursing homework help

Nursing practice has experienced tremendous improvements over the course of centuries and the in the past two decades. Improvements in the field have been attributed to developments in theory and research, which have informed practice. The improvements have been instrumental in contributing towards improved care and improved efficiency in the delivery of care. However, continued improvements in the nursing field highlights the need to not only identify theory, practice, and research as three separate elements crucial to the field but also to understand the interrelationship among the three components and influence in everyday nursing. Nursing homework help

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            Theories provide a description of the area under study through an analysis of the different phenomenon under study to promote reader understanding by explanations on the relationship between the concepts presented that guide in developing predictions on the future relationship as per the identified variables (Butts & Rich, 2015). In this case, the theories provide an explanation of the area under study in a logical and ordered manner that contributes towards the identification of the interrelationships and interconnectedness of the presented factors. Theories are integral to nursing practice as they inform practice by identifying predictions on possible relationships while providing explanations on the occurrence of different factors that impact the care process (Butts & Rich, 2015). Theories are integral in nursing practice as based on their insight and predictions, they inform and guide the design and evaluation processes attached to evidence-based interventions. As such, theories directly inform practice as they aid in providing explanations and possible predictions that guide the delivery of care. Equally, the theories inform and guide research by aiding in the design and evaluation process to facilitate the success of the research process.

The changing nature of patient needs in the nursing environment not only relies on theories but growing evidence-based practice to inform the care process and environment. Evidence-based practice creates a nursing environment where nurses rely on both theoretical understanding of the patient’s illness and needs along with research-based interventions that are integral in informing practice and contributing to patient well-being (Hamrin, 2015). In this case, theory and practice are intertwined as the theoretical constructs inform practice from a theoretical approach while evidence-based research informs practice from previous studies that guide on direct application of the findings. Evidence-based practice is critical in nursing as it contributes towards the integration of new insights in practice that are informed by recent studies and research in the field (Rycroft-Malone, 2013).

The approach is instrumental in informing current practice along with identifying possible measures that may be adopted to improve on current practice to facilitate proper delivery of care (Rycroft-Malone, 2013). Evidence-based practice directly relates to research as it informs practice based on studies conducted on different areas that aim to improve the nursing practice. The research component focuses on nursing science that studies principles and application to nursing practice (Rycroft-Malone, 2013). In this case, the importance placed on nursing science focusses on using scientific basis to guide nursing practice. Therefore, theory, practice and research are interrelated and are integral in informing and guiding nursing practice

References

Butts, J. & Rich, K. (2015). Philosophies and theories for advanced nursing practice (3rd ed.).

Jones and Bartlett Learning. ISBN: 9781284112245

Hamrin, E. (2015). ‘When nursing care became science. The first decades 1970-

2000’. Scandinavian journal of caring sciences, 29(1), 1-2.

Rycroft-Malone, J. (2013). Reflecting Back, Looking Forward: 10 Years of Worldviews on

Evidence-Based Nursing. Worldviews on Evidence-Based Nursing, 10:2, 67–68.

Nursing homework help

Discussion 1

Hamric, et al., (2013) states the role of a Primary Care Nurse Practitioner follows the Institute of Medicine (IOM) guidelines for primary care of providing accessible healthcare for all patients across their lifespan, by building and sustaining a personal relationship built on mutual respect and trust.  While this certainly includes assessment, diagnostics, and forming a treatment plan for both acute and chronic illness, such as what Physicians currently provide, the Primary Care Nurse Practitioner’s practice is much more holistic and includes such things as health promotion and disease prevention through education.  Nursing homework help

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     The difference between a Primary Care Nurse Practitioner and other Advance Practice Nursing roles is the time frame of when care is provided.  While Primary Care Nurse Practitioners provide care to patients across their lifespan, identified as direct care, other Advance Practice Nurses will only provide care to a specific patient population that falls under their targeted specialty, such as mental health, or women’s health, identified as indirect care (Lowe, et al., 2011).  While the time period the patient is under their care is much different, all other aspects of care remain the same in providing patient centered, holistic care.

To explain the difference in roles between primary care and other Advanced Nurse Practitioners to colleagues or patients, I would us the current physician’s model of practice as an example since most patients are familiar with it.  Primary Care Nurse Practitioners provide the same care as Primary Physicians, at a lower cost.  If a specialist is needed in areas such as Obstetrician/Gynecological, referrals can be made to other Advance Practice Nurses who specialize in that area.  Unless the State of service has restrictions on Nurse Practitioner’s scope of practice, this would be the best explanation of the differences in advance practice nursing.

Iglehart (2013) reports when Advanced Practice Nurses and Physician’s work side by side, there is much collaboration and a spirit of a team approach in the best interest of the patient, not the status quo.  This is seen today at the local level and as the need for physicians increase due to a shortage of physicians, a growing population (Pankau, 2021), and healthcare’s push to provide patients better access, lower cost, and quality care, Advanced Nurse Practitioners will be used more in every health care setting and seen as a valuable member of the healthcare team.  The remaining hurdle is National standardization of terms, roles, and scope of practice for this much needed provider of healthcare.

Reference

Hamric, B. A., Hanson, M. C., & Tracy, F. M., & O’Grady, T. E. (2013). Advanced practice nursing: An integrative approach (5th ed.). Elsevier. ISBN:

9781455739806

Iglehart, J. K. (2013). Expanding the role of advanced nurse practitioners — Risks and rewards. New England Journal of Medicine, 368(20), 1935-1941.

doi:10.1056/nejmhpr1301084

Discussion 2

Primary Care NP Role vs. APN Roles

An advanced practice nurse (APN) is defined as someone who has gone above and beyond with 2-4 years of basic nursing education, obtained a bachelor’s degree, and is now certified by the National Nurse Organization (American Nurses Association, 2021). There are multiple types of nurse practitioners as it is not a one-size-fits-all type of profession. For instance, family nurse practitioners, gerontology and adult acute care nurse practitioners, pediatric, neonatal, and psychiatric nurse practitioners as well as women’s health nurse partitioners (Gwynedd Mercy University, 2021). Although, the specialty may differ the scope of practice remains the same. All nurse practitioners are responsible for assessing, diagnosing, and treating a disease process (Nurse Journal, 2021). Some states allow nurse practitioners to perform independently without resorting to a medical physician (Nurse Journal, 2021). However, other states such as Florida still require nurses to be supervised by a medical director (Medline Plus, 2020).

Acute care nurse practitioners mainly care for patients who are quickly deteriorating in a critical state, with a higher-than-normal probability of procuring complications, or patients dealing with ill complexes (University of Texas Arlington, 2018). Taking this into account, they can work in different settings such as emergency rooms, operating rooms, clinics, and ICUs (Medline Plus, 2020). In addition, they are also qualified to work with patients who are suffering from heart attacks and septic shock (Medline Plus, 2020). A primary care NP is more flexible when treating a variety of people of all ages. They usually are more involved in physical exams, prescription medication, formulating treatment plans, and ordering diagnostic exams that pertain to the patient’s current illness (American Association of Nurse Practitioners, 2019). The role of a nurse practitioner can become a blur and difficult to understand especially for those not directly in the medical field. Nurses must clarify the confusion, answer questions, and make the profession more stabilized.

Giving clarity on what is expected is extremely important to be able to change the narrative of what they can and cannot do. Being able to explain the scope of practice to others is a great way to gear toward the acceptance of nurse practitioners. This will create a more valid understanding and eventually not need to further clarify the scope of practice. A great way to start breaking barriers is by introducing ourselves as nurses from the start. I believe this strategy can lessen the confusion as nurses have a respectable reputation for being the best advocates for patient care. Enlightening patients on our education and training will allow them to trust nurse practitioners and speak about any health-related issues they may have. Communication is key in any relationship, especially those of a nurse practitioner and a physician to promote a good patient outcome. Unfortunately, if a physician is unaware of a nurse practitioner’s scope of practice, a lot of challenges may arise such as miscommunication that can ultimately impact the patient. There needs to be a level of respect, open communication, and professionalism to provide the best patient care, after all, patient well-being is the focus.

References

Advanced Practice Nurse. (2021). Advanced Practice Registered Nurse (APRN). Retrieved

from:https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/

American Association of Nurse Practitioner. Are You Considering a Career as a Family Nurse

Practitioner? Retrieved from: https://www.aanp.org/news-feed/are-you-considering-a-career-as-a-family-nurse-practitioner#:~:text=FNPs%20maintain%20patient%20records%3B%20perform,that%20fall%20under%20primary%20care.

Nursing homework help

Scenario

After reviewing the new proposed vision from Healthy Dynamics that includes updated mission, focus area, and objectives, the CEO has decided to contract a project manager. The project manager understands the importance of identifying stakeholders early in the strategic planning process. The project manager will be responsible for the successful start of the planning strategy, implementation, review, control, and evaluation of the strategic plan. Other tasks include: gathering feedback from stakeholders, identifying areas of improvement, and making recommendations. Nursing homework help

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The project manager has asked you to provide a strategy map, identifying key stakeholders involved in achieving the objectives of the defined focus area. Some of the major stakeholders in the healthcare industry are physicians, employers, insurance companies, pharmaceutical firms, government agencies, and consumers (e.g., patients and employees). You will also need to make a list of relevant questions to solicit feedback from the stakeholders that will allow you to see where stakeholders stand when evaluated by the same key measures (survey questions).

Instructions

Design a Strategy Map (data table) using Microsoft Word that includes:

• Identifying the key stakeholders.
• Describe how you will ensure that the key stakeholders represent a culturally diverse mix of individuals.
• Explain how you will ensure that you use a fair, respectful, and equitable selection process for identifying stakeholders.
• What business or health industry does the stakeholder represent (e.g., wellness, pharmacy, health plans, non-profit, academia, etc.)?
• What are the stakeholders’ roles and responsibilities as it relates to the strategic plan?
• Indicate how often you will meet with the stakeholders.
• What type of power (e.g., financial, providers, users, influencers) will the stakeholder have in the success of the strategic plan?
• Include a timeline to show when you will engage each stakeholder.

Create a Stakeholder Survey that includes:

• Key questions to solicit feedback from stakeholders after your first meeting (both quantitative and qualitative) to identify potential solutions to anticipated issues that may be raised by the stakeholders?
• Questions should be aimed at how to improve the effectiveness of the stakeholder meetings and the satisfaction of the stakeholders during the planning process?
• Your assignment should include a title page, a reference page, and a minimum of three scholarly sources, two of which must be from the attached.

Rubric:

-Clearly identified stakeholders, how key stakeholders will represent a culturally diverse mix of individuals, and how a fair, respectful, and equitable selection process for identifying stakeholders will be used using specific details.

-Clearly indicated the business or health industry the stakeholder represents.

-Clearly indicated the stakeholders’ roles and responsibilities as it relates to the strategic plan in a well-executed strategy map.

-Clearly indicated how often to meet with the stakeholders.

-Comprehensively indicated type of power the stakeholder will have in the success of the strategic plan.

-Included a comprehensive timeline to show when to engage each stakeholder.

-Created detailed questions to solicit feedback from stakeholders.

-Created detailed questions aimed at how to improve the effectiveness of the stakeholder meetings.

-Used and identified three or more credible sources and relevant sources.

Download all attachments as a zip file

Nursing homework help

Instructions:

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After doing the readings using the textbook, answer the following questions from the Case Study.

Use the rubric to do the work.

This case study will be done individually. Nursing homework help

You must answer all the questions and deliver them within the established time.

Remember that your answers must be based on scientific evidence (eg your textbook, scientific journals, among others).

Application Work: Case Study

Goals:

1. Contrast signs and symptoms with client diagnostic tests in hypothetical situations to promote quality and safe care to diverse populations. Ess. II
2. Contrast protective and predictive factors, including genetics, that influence the health of individuals and populations. Ess. 7th
3. Identify risk factors considering health / disease beliefs, values, attitudes and practices of individuals and populations. Ess. 7^th

Mr. Arroyo is a 65-year-old man diagnosed with Type 2 Diabetes Mellitus, hyperparathyroidism, and normochromic macrocytic anemia. The patient reports that he has not been able to get out of bed for 2 days, feels weak, fatigued, has tachycardia, poor skin turgor and muscle pain. He has had a severe cold and has been unable to eat or drink during this time. On admission his lab values ​​reflected the following:

1. Serum glucose 310 mg/dl
2. Serum sodium (Na+) 150 mEq/l
3. Serum potassium (K+) 5.8 mEq/l
4. Calcium 12mg/dl
5. Phosphorus 2.5 mg/dl
6. Hgb 9g/dL
7. MCV 105 fL
8. Arterial blood gases ABG, pH 7.2, PaCO2 32 mmHg, PaO2 70 mmHg, HCO3- 20 mEq/l

reflective questions

1. What type of water and solute imbalance does Mr. Arroyo have?
2. What conditions does the patient have?
3. What symptoms do you expect to find?
4. What questions would you ask the patient to validate your findings?
5. What would be the appropriate treatment?
6. What do his ABG results indicate?

Nursing homework help

When conducting research, it is important to know where it can make the most of an impact. For my project, I would discuss my results in the Journal of Childhood Obesity (Prime Scholars, 2022). It is not always understood the pivotal role that school nurses play in a child’s health and the limitations that they sometimes face. When trying to improve the healthcare of the students it can prove challenging as the nurse has to follow the rules set forth by the school board which is not always in the child’s best interest. The school board is trying to focus on positive body culture while students as young as twelve are suffering from hypertension. This should not be the case and the message needs to be heard that there are steps that can be taken to stop this trend. This information can be presented at a conference for the National Association for School Nurses (nasn.org, 2022).  Nursing homework help

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School nurses do a significant amount of work when it comes to caring for growing children. They see the health challenges the children face and can only sit by watching them get worse unless there is an action taken. By presenting the capstone at one of their conferences it can show how their education can make a difference and how much of a role they play. School nurses across the country watch these children grow and as of late, they watch them grow into unhealthy children. Unless there are adjustments made now then the child will only grow into an unhealthy adult. There is a growing need to protect children’s health and this can be done by school nurses around the country voicing their concern for the future leaders of our country.