Reflection Paper

The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education.

In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals.

Include the following:

  1. Discuss your options in the job market based on your educational level.
  2. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals.
  3. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.
  4. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.
  5. Discuss whether continuing nursing education should be mandatory. Provide support for your response.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

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Forms of Nursing Inquiry: Quality improvement (QI), Research, and Evidence-Based Practice (EBP)

The unit I previously worked in was changing from scheduled to open visitation; each week the staff held meetings on the proposed change. Staff who were scheduled as off came into the meetings as this was an important quality improvement project; there was no evidenced based practice outside mentor but the facility mentioned here in this journal article did have an outside evidence based practice nurse from a local university; some staff were embracing open visitation while others were not causing unit conflict; to compound matters the facility was changing corporate ownership.

Staff had concerns re job security and other staff resigned in the middle of the project; stakeholders were approached such as physicians and unit secretaries re how would they feel regarding open visitation for a family member and all bought in; the EBP expert provided research and nurses attended a journal club every 2 weeks; nurses were briefed in journal club on the best evidence for open visitation; unit secretaries kept track of the proposed and evolving change noting if open visitation was not conducted, the reason for it was documented; at shift change open visitation was not conducted due to patient confidentiality but family or significant others were allowed to remain in patient rooms with the door closed;

What facilitated the change was the biweekly journal club meetings which also became a support group due to the stressful corporate ownership change; managers met with all nurse privately and bolstered and supported each nurses role in the change; staff who came in on their days off were reimbursed by the CEO; this was similar to the policy change at the previous unit I worked on. Staff were reimbursed for tome spent in meetings on their days off.
 

The ICU unit brochure was completely redesigned reflecting the open visitation; evidence was indicating that open visitation improves communication; it enhances self satisfaction, facilitates better patient understanding, and it advances the patient-family-significant other centered care.
 

This particular unit reviewed the evidence as did my previous unit, but without an EBP specialist. An open visitation policy was succefuly initiated and it took about 10 months; staff conflict was resolved when all bought in on the evidence, and quality improvements documented by stakeholders such as unit secretaries.
 

Use of the evidence based practice initiative greatly assisted the ICU unit of 10 beds to initiate and carry forward the new adult open visitation policy in the ICU. 

L. Kean & K.A.Miller (2020). Implementation of open visitation in an a adult intensive care unit; An evidence-based practice quality improvement project. CriticalCare Nurse, 40(2) pp 1-5.

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

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Case Study Analysis: Alterations in the Cardiovascular and Respiratory Systems (Advanced Patho-WK4)

An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other. Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.

An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in the diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

Case Study: 

45-year-old woman presents with a chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has a history of COPD with a chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals a flattened diaphragm and an increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields. 

Assignment  2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following

· The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.

· Any racial/ethnic variables that may impact physiological functioning.

· How these processes interact to affect the patient.

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NUR601- CASE STUDY #5

CASE STUDY : M.T. is a nurse practitioner in a busy OBGYN clinic. Her clients include women from various socioeconomic and cultural backgrounds. M.T. spends her time educating women about interventions for a healthy pregnancy.

She promotes the physical, mental, and spiritual health of her clients throughout the childbearing years. Although she primarily works with the pregnant woman, her ultimate goal is to assist each family to have a healthy pregnancy and birth outcome and lay the foundation for satisfactory parenting and family life.

—QUESTION: M.T. participates in community health fairs educating childbearing-age women about healthy lifestyles that can improve chances for a healthy pregnancy. Women should be made aware that certain preconception interventions may improve not only the outcomes of pregnancy but their overall health as well. Design a plan that fits the needs for the health fair that M.T. is participating. List the recommendations and the rationales.

—-Then, continue to discuss the 2 topics listed below for your case:

  1. Describe the relationship between culture and growth and development. Assess whether all growth and development milestones should be applied to all children regardless of cultural background.
  2. Design a teaching plan for parents regarding injury prevention during infancy. In your teaching plan you must include the home of an infant injury proof.

*Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

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importance of nursing education and discuss your overall educational goals

 

The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education.

In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals.

Include the following:

  1. Discuss your options in the job market based on your educational level.
  2. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals.
  3. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.
  4. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.
  5. Discuss whether continuing nursing education should be mandatory. Provide support for your response.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

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NUR601- MODULE 5 ASSIGMENT

Goal:

Design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-based research into evidence-based practice to promote health and prevent chronic health problems.

You must choose one of the conditions below:

  • Diabetes Mellitus,
  • Congestive Heart Failure,
  • Chronic Kidney Disease or
  • COPD.

Your study guide must include:

  • Definition, etiology
  • Occurrence/epidemiology
  • Clinical presentation
  • Diagnostic testing
  • Differential diagnosis
  • Non-pharmacological and pharmacological management and follow up

Submission Instructions:

  • The study guide is to be clear and concise and will provide a quick reference for a specific chronic disease.
  • Include your resources and guidelines used for the elaboration of the study guide.
  • Please use the attached template below to completed your assignment.
  • Students will lose points for improper grammar, punctuation, misspelling, and references should be current (published within the last five years).

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NUR506- DISCUSSION MODULE 5

What advocacy actions might you take to improve health care through legislation at the state or federal level?

INSTRUCTIONS:  initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

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different between a DNP And PhD in Nursing

 

Discuss the difference between a DNP and a PhD in nursing. Discuss which of these you would choose to pursue if you decide to continue your education to the doctoral level and explain why.

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Treating childhood abuse

  

To Prepare for this Discussion:

· Read the Learning Resources concerning treating childhood abuse ( Below)

· Read the Child Abuse Case Study in the Learning Resources.

Post:

· What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.

· How might exposure to the media and/or social media affect the patient?

· What type of mandatory reporting (if any) is required in this case? Why?

Learning Resources ( Need 3 references).

Document: Childhood Abuse Case Study (PDF)

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell. 

  • Chapter 50, “Provision of Intensive Treatment:      Intensive Outreach, Day Units, and In-Patient Units” (pp. 648–664)
  • Chapter 58, “Disorders of Attachment and      Social Engagement Related to Deprivation” (pp. 795–805)
  • Chapter 59, “Post Traumatic Stress Disorder”      (pp. 806–821)
  • Chapter 64, “Suicidal Behavior and Self-Harm”      (pp. 893–912)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

  • “Trauma- and      Stressor-related Disorders”

American Psychiatric Nurses Association. (2017). Childhood and adolescent trauma. Retrieved from http://www.apna.org/i4a/pages/index.cfm?pageID=4545

Pfefferbaum, B., & Shaw, J. A. (2013). Practice parameter on disaster preparedness. Journal of the American Academy of Child & Adolescent Psychiatry, 52(11), 1224–1238. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00550-9/pdf 

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 31, “Child Psychiatry” (pp. 1216–1226)

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press. 

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Week 4: Direct Care Project Part 2: Planning the Presentation (Graded)

Purpose 

The purpose of this direct care project is for learners to apply the nursing process to a community health problem determined by their observations and data collected of vulnerable populations in their community. This is Part 2 of 4 in the Direct Care Project.

Direct Care Project Overview

  1. There are four parts to the Direct Care Project. 
  2. There will be graded Project Check-ins that correlate to each part.  
  3. The topic selected in Part 1 will be the same one used in Parts 2 through 4.  
  4. Review the table below for overview and due dates with each topic.  
  5. Carefully review the instructions, templates, tutorials, and rubrics for each part. 
  6. Contact your instructor with questions.  

OverviewPointsDue DateProjectsAir QualitySubstance UsePart 1: Assessment: Completed in Week 2Part 2: Planning: Check-In10Wednesday of Week 4Required, graded check-in on progress of assessing your communityPart 2: Planning the Presentation150Sunday end of Week 4Create a PowerPoint presentation on the use of the Air Quality Flag Program.Create a presentation on the use of Screening, Brief Intervention, and Referral to Treatment (SBIRT)Part 3: Implementing the PresentationRequiredSchedule presentation Saturday of Week 5 through Saturday Week 6Present to a local organization that serves the identified vulnerable population and could implement the Air Quality Flag Program; Includes participant(s) completing a Pre- and Post-surveyPresent to a group of healthcare professionals that serves the identified vulnerable population and could implement SBIRT; Includes participants completing a Pre- and Post-surveyPart 3: Implementation: Check-In10Wednesday of Week 5Required, graded check-in on progress of implementing your presentationPart 4: Evaluation: Check-In10Wednesday of Week 6Required, graded check-in on progress of evaluation of your presentation and projectPart 4: Evaluating the Project140Sunday end of Week 6Evaluate learning and reflect on project. Evaluate learning and reflect on project.

Course Outcomes

This direct care project enables the student to meet the following course outcomes:

  • CO2 Assess the health of populations, aggregates, and communities (PO4)
  • CO3 Apply the nursing process to vulnerable populations with professional clinical judgment and evidence-based practice (PO4 & 8)
  • CO5 Utilize a collaborative approach to address factors that influence population health (PO2)
  • CO6 Examine collaborative trends in community health nursing (PO2)

Part 2 enables the student to meet the following course outcome:

  • CO3 Apply the nursing process to vulnerable populations with professional clinical judgment and evidence-based practice (PO4 & 8)

Due Date for Part 2

Sunday 11:59 PM MT at the end of Week 4

Points Possible for Part 2

150 Points

Late Assignment Policy

If the assignment is not submitted by due date, a late deduction will be applied. See rubric below.

Directions for Part 2

  1. For this part of the direct care project, you will be creating a PowerPoint presentation based on the topic and problem identified in Part 1. If you chose air quality as your topic, you will present on the Air Quality Flag Program. If you chose substance use, you will present the SBIRT intervention model.

If you have chosen substance use, you will present to at least 3 practicing RN’s. You can present all at one time or individually. If you chose air quality, you will present to at least one organization leader. See the Direct Care Project module for FAQs.

  1. Each topic has separate directions.

Download the Planning Your Presentation Directions for your corresponding topic.

Air Quality:

Substance Use:

  1. View the Direct Care Project Part 2 Tutorial  (Links to an external site.)
  2. Download the template below and create a PowerPoint presentation for your selected group.
  3. Create speaker notes for the PowerPoint presentation. These will assist you as you present and will be part of your assignment submission.
  4. Utilize your own words and paraphrasing for all presentation content.
  5. The presentation should be no fewer than 8 and no more than 15 slides.This does not include the introduction and reference slides.
  6. Submit presentation in PDF for instructor approval. See Submitting PowerPoint Notes Pages in PDF format (Links to an external site.)
  • You will present the PowerPoint to your audience, not the PDF, as you do not want the speaker notes to show to your audience members.
  1. Note: You may not present until your presentation has been approved by your instructor.
    • Review comments about your presentation from your instructor in Grades. Your instructor will indicate what (if any) revisions are needed in your presentation and if it is approved to present as-is or once revisions are made.

**You may be instructed to resubmit depending on the revisions needed.

  1. After your presentation is approved, see Week 5: Direct Care Project Part 3: Implementing Your Presentation. This is where you will find:
  • Attendance form
  • Pre-survey
  • Post-survey

***The surveys you will give your audience pre and post presentation are already developed. You will submit the attendance form with the Part 4 submission and utilize the survey data in the Part 4 assignment. ***

Templates and Links

Click on the links below to download and view the resources for your project.

PowerPoint Presentation Template (Links to an external site.)

Air Quality Flag Program (Links to an external site.) (website)

SBIRT (Links to an external site.) (website)

Best Practices

  • Please use your browser’s File setting to save or print this page.
  • Check for spelling and grammar errors prior to final submission.
  • Use bullet points instead of long sentences or paragraphs
  • Include graphics, photographs, colors, and themes.
  • Use the rubric as a final check prior to submission to ensure all content is clearly addressed.

Scholarly Sources and Citations

  • Minimum of 3 references. See Presentation Instructions for references needed.
  • Cite all resources in APA format on the slide where content occurs. Cite in lower corner/footer as prompted on template.
  • Reference slide is in template. Hanging indent is not required.

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

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