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Advanced Nurse Practitioner Role Essay

Advanced nursing practice is regulated by state licensure which tends to vary from one state to another especially in regards to full practice authority/autonomous practice. In this context, full practice authority involves allowing nurse practitioners to assess, diagnose, order and interpret tests and manage patients accordingly under an exclusive licensure authority (Hain & Fleck, 2014). Advanced Nurse Practitioner Role Essay However, approximately only a third of the country has adopted and issued licenses for full practice authority. Other nurse practitioners either have reduced licensure and practice or restricted licensure and practice. According to Hain & Fleck (2014), this means that, for nurse practitioners to engage in some elements of practice, they ought to be supervised, in the form of a delegation or team management. Advanced Nurse Practitioner Role Essay

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Another challenge is that most physicians strongly believe that since they undergo a more rigorous form of training as compared to nurse practitioners, NPs cannot provide safe, quality care as physicians do (Hain & Fleck, 2014). Therefore, NPs have failed to gain the support of and collaborate with physicians in clinical settings for best practice and good health outcomes. Although both NPs and physicians have a common goal of improving health outcomes and access to care, the barriers to a successful collaboration impede the attainment of these goals (Hain & Fleck, 2014).  This can be attributed to lack of knowledge on the scope of training and practice of nurse practitioners.

For more than half a century, nurse practitioners have continuously been providing acute, primary and special care. According to the AANP, the roles of NPs have expanded to include administration in professional-level and executive-level positions (Goolsby & DuBois, 2017).  Similarly, the role of AANP as a professional organization for more than 270,000 qualified NPS has expanded to include legislative leadership at different levels of government, health policy advancement, research and education and the establishment of standards which promote excellence and best practice. Advanced Nurse Practitioner Role Essay

References

Goolsby, M. J., & DuBois, J. C. (2017). Professional organization membership: Advancing the nurse practitioner role.
Journal of the American Association of Nurse Practitioners
,
29
(8), 434-440.

Hain, D., & Fleck, L. (2014). Barriers to nurse practitioner practice that impact healthcare redesign.
OJIN: The Online Journal of Issues in Nursing
,
19
(2). Advanced Nurse Practitioner Role Essay

Local, State, or Federal Health Policy Analysis Paper

This assignment is an analysis of local, state, or federal health policy.

1.Select a state health policy reform innovation

2.Discuss the rationale for the policy, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact. ethical outcome based on evidence.

3.Examples of state innovations include Maryland’s hospital rate setting, Vermont’s single payer system, and Massachusetts’ health reforms

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Submission Requirements:

The paper is to be formatted per current APA style, 5 pages in length, excluding the title, abstract and references page. Local, State, or Federal Health Policy Analysis Paper.

Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

Journal articles and books should be referenced according to current APA style.

 

Policy analysis

Policy continues to play a key role in how the government responds to the health agenda. However, like any other political objective, health policy in the USA continued to remain in continuous flux such that policies that initially received much political support facing considerable opposition later on in time, with the reverse being equally true. This state of flux is exemplified by Affordable Care Act (ACA) that was enacted in 2010 and still remains operation. But from its inception, ACA has had considerable support and has faced strong opposition. Currently, Congress must decide on how to proceed with the debate. They have the option of eliminating ACA and replacing it with a different health policy or revising ACA with a focus on the contentious aspects of the legislation to make it more acceptable to a wider political audience (Tripati, 2018). The present paper analyzes ACA as a health policy and the polarizing debates surrounding the legislation. Local, State, or Federal Health Policy Analysis Paper.

ACA was conceptualized as a policy that enabled the government to increase the number of Americans with health insurance (uninsured Americans were 47 million at the time the bill was passed) through making health insurance more affordable and expanding access to care. The legislation achieved these objectives through expanding Medicaid eligibility and creating new market places where Americans who previous did not have health insurance could acquire coverage directly from insurers. In fact, it expanded insurance coverage in three ways. Firstly, it expanded Medicaid through broader Medicaid eligibility to include Americans who earned up to 138% of the federal poverty level. Secondly, present opportunities for small insurers to take up the slack from large insurers through targeting employers with less than 51 personnel. Thirdly, offering premium subsidies to buy health insurance coverage for persons who earned less than 401% above the federal poverty level. In addition, ACA mandated new approaches that sought to improve health care quality and reduce costs; including reducing costs for some experimental delivery models and Medicare services (Tripati, 2018).

Since its enactment and operationalization, ACA has improved health care in the USA. First, it has reduced the number of uninsured Americans. Despite rollout problems, ACA has enabled a sizeable number of previously uninsured Americans to obtain coverage. Statistics indicated that 22.8 million Americans registered for new insurance between 2013 and 2015 while 5.9 million lost health insurance coverage. The total number of uninsured Americans was reported at 25.8 million, down from 42.7 million. Secondly, it offers an effective incentive for enrollment through mandating that most adults must be covered, with failures subjected to fines interpreted as lawfully imposed taxes. Local, State, or Federal Health Policy Analysis Paper. Thirdly, it helped in stabilizing the insurance marketplace through offering tax credits that helped low-incomes earners to buy insurance coverage.  Fourthly, it reduces the payments made to providers through cost containment strategies that cuts the money that medical providers receive from Medicare to reduce spend over growth reported for Medicare. Fifthly, it has facilitated health care cost containment, although not taking into accounted the reduced coverage by insurers, higher drug prices, higher out of pocket costs, and recession. Sixthly, it has improved health care quality through creating new government entities, commissions, boards and agencies that are responsible for managing health care practice, although this has attracted regulatory compliance costs. Finally, it has shifted health care away from care based on volume of services towards care based on value. Overall, ACA has three objectives. The first objective is to reduce health care costs, improve care quality, and reduce the number of uninsured Americans (Glassman, Giedion & Smith, 2017). Local, State, or Federal Health Policy Analysis Paper.

Despite being the most monumental change in health care policy in the USA since the passage of Medicare and Medicaid in 1965, ACA implementation has been marked by unexpected twists and turns, and controversies that include delays in key provisions and court challenges. In fact, since its enactment, ACA has been associated with numerous claims concerning its success and failures from those who support and oppose it. The views expressed in these debates have been sensational and colored the political persuasion. A point that these debates often overlook is that there is a distinction between health care access and affordability. Health care insurance is a financial mechanism that facilitates health care affordability while access refers to the actual process of getting the required care. ACA has been instrumental in narrowing the gap between health care access and affordability, an overall trend that overlooks some cases to the contrary. To be more precise, it has made insurance available for an additional 20 million Americans who previously did not have insurance. This information often overlooks the fact that as more people receive insurance, there are 6 million Americans who previously had insurance but lost coverage in the ACA regime. Besides that, the increase in insurance coverage has largely been reported in Medicaid expansion at 13 million to imply that middle and working class Americans (constituting 40% of the American population) have not received much support, especially those who earn more than 400% above the federal poverty level. The result is that health care access has been uneven with the Americans enrolled in Medicaid hindered by narrow networks while those not enrolled in Medicaid facing high out of pocket costs (Belland, Rocco & Waddan, 2016).

It is clear that ACA has results in a net rise in the number of insured Americans, mainly through expanding Medicaid. The cost reductions associated with ACA remain arguable achievements while care quality appears not to have improved. Also, diminished health care access has been reported. With a new American president, ACA is facing critical analysis that takes a renewed look at its actual gains and losses. Some of the legislators in Congress are pushing for ACA to be revised to address its shortcomings while others are calling for the legislation to be repealed and replaced. This has resulted in many proposals being presented to improve, repair, replace or repeal ACA (Geyman, 2018). Local, State, or Federal Health Policy Analysis Paper

Regardless of how the political debate proceeds and the decisions made by Congress, the results are likely to have far reaching consequences. Replacing ACA implies that the 251.6 million Americans with health insurance (as well as the 26 million Americans without insurance) face an uncertain future. The number of insured Americans would drop to 231.9 million if ACA is repealed but not replaced. Average out of pocket costs would also increase by $4,200. This decision would also eliminate the revenue programs under ACA and increase the federal deficit by $33.1 billion every year. Replacing ACA with a single payer plan would increase federal spending by $1 trillion and national spending by $435 while ensuring that all American have insurance coverage, although undocumented immigrants would not enjoy this privilege. Replacing ACA with the American Health Care Act (AHCA) would reduce enrollment for insurance by 14 million and increase federal deficit by $38 billion. Repealing ACA with no replacement would result in 12 million lacking insurance coverage with enrollment declining by 25% most of whom would be healthy and young Americans (Geyman, 2018). Local, State, or Federal Health Policy Analysis Paper

As the political debate continues over how to handle ACA and policy makers weight their options ahead, it is evident that political tensions exist that extend to their objectives. For instance; should they reduce costs and federal deficit, or expand coverage to ensure that all Americans can access high quality care; should they preserve choices among most patients who may not require comprehensive coverage, or protect the sickest Americans who require the most expensive health care; and minimize cost by shifting it to the states and consumers or limit the cost liability for the federal government. Making decisions about these options or striking a balance across the options will involve value and political calculation about what they intend the American health care system to look like in terms of key objectives.

 

 

References

Belland, D., Rocco, P. & Waddan, A. (2016).
Obamacare Wars: Federalism, State Politics, and the Affordable Care Act
. Lawrence, KS: University Press of Kansas. Local, State, or Federal Health Policy Analysis Paper

Geyman, J. (2018).
Crisis In U.S. Health Care: Corporate Power Vs. The Common Good
. New York, NY: Copernicus Healthcare

Glassman, A., Giedion, U. & Smith, P. (eds.) (2017).
What’s In, What’s Out: Designing Benefits for Universal Health Coverage
. Washington, DC: Center for Global Development.

Tripati, A. K. (2018).
Obamacare Trumpcare Explained: Obamacare-Trumpcare Pro’s and Con’s
. New York, NY: SureShot Books Publishing LLC. Local, State, or Federal Health Policy Analysis Paper

University nurse faculty roles

The university faculty member must demonstrate proficiency in each of the following faculty roles: Teacher, Scholarship, Expert Clinician, and Service (to the nursing program, the college or university, the profession, the community).

Discuss the challenges associated with this multidimensional role.

What are your strengths related to each of these roles?

What are your weaknesses related to each of these roles?

What supports will you need as you enter the academic environment?

University nurse faculty roles

Write 250-350 words

In-text citation

At least 3 references including articles from professional and research journals

APA format

Use the third person such as author not “I”

Rubric

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Well-developed ideas, introduces new ideas, stimulation discussion

Clear evidence of critical thinking-application, analysis, synthesis and evaluation. University nurse faculty roles

My point of view regarding questions which you may use/ add in the paper….I may not answer them correctly !

Weakness:
Environment that is not familiar with.

Public speaking in front of the big group…this will go away with repetitions/practice

Lack of experience in teaching

Strength:
compassion and empathy to others.

                 
Communicate effectively with patients, families, and other medical staff

Time management

Question 4: What support do you need as you ….     I think : orientation of institution, feeling of welcome, team work,etc University nurse faculty roles

 

University faculty roles

Discuss the challenges associated with this multidimensional role.

Nurses play a multidimensional role as faculty members. Firstly, they play different roles across practice contexts to include clinical leadership. This is a challenge since the nurses’ role is plagued with confusion over the lack of clarity as regards appropriateness for purpose and function across different nurse practice contexts. This is especially of concern in the face of changing faculty models that drive the emergency of new roles that further cloud nurse role purpose and positioning. Secondly, there is a challenge on how nurses should address diversity within their practice environments, especially in the face of changing demographic patterns in the workplace. The challenge is in how to understand the different multicultural expectations, beliefs and values that influence their practice as concerns cultural safety and competence. University nurse faculty roles. Finally, integrating technology presents a challenge. This is especially true with regards to assuring that the technology is used in an ethical manner, adequate training is received to enable competent use, benefits and costs are balanced, and human element is balanced with technology (Gaberson, Oermann & Shellenbarger, 2015).

What are your strengths related to each of these roles?

American Nurses Association (2010) identifies the strengths related to faculty roles as the qualities that enhance the faculty experience and improve efficiency and effectiveness in tasks completion. These include compassion and empathy for others, accountability, attention to detail, and willingness to learn. Other strengths include the capacity to communicate effectively with other stakeholders, and good time management (American Nurses Association, 2010) University nurse faculty roles.

What are your weaknesses related to each of these roles?

American Nurses Association (2010) identifies the weaknesses related to the faculty roles as the qualities that compromise the faculty experience and hinder effectiveness and efficiency in tasks completion. These include working in a new and unfamiliar environment, requirement to engage in public speaking and address large populations, diversity and multiculturalism as well as lack of experience in completing some tasks. It is anticipated that these weaknesses will become less of a concern over time as the roles become more familiar (American Nurses Association, 2010).

What supports will you need as you enter the academic environment?

Billings and Halstead identify the supports needed when entering the academic environment as the wide range of school resources, educational services and instructional methods that aid students in efforts to generally succeed in school, meet the learning standards, catch up with other students, and accelerate the learning progress. Three types of support are identified as necessary. The first type is needs-based support that offers intensive/supplemental guidance, practice and instruction to students who either have specialized learning needs or are struggling academically. The second type is skill-based support that offer concentrated guidance, practice and instruction in communicating, writing and reading. For instance, focusing on technological literacy. The third type is relationship-based support that help students understand and build stronger relationships with other students and faculty members (Billings & Halstead, 2016) University nurse faculty roles.

 

References

American Nurses Association (2010).
Scopes and standards of practice nursing
(2
nd
ed.). Silver Spring, MD: Author.

Billings, D. M. & Halstead, J. A. (2016).
Teaching in nursing: a guide for faculty
(5
th
ed.). St. Louis, MO: Elsevier.

Gaberson, K. B., Oermann, M. H. & Shellenbarger, T. (2015).
Clinical teaching strategies in nursing
(4
th
ed.). New York, NY: Springer Publishing Company University nurse faculty roles.

Rural concept analysis

Paper 3 – Concept Analysis: Rural – Analyze the concept of “rural” following the

order of and including each of the steps of concept analysis as discussed in the recorded

class session on concept analysis and on the Concept Analysis handout posted in the

Blackboard Course Documents: 1) select a concept (Note: Analysis of the concept of

rural is required for this course assignment, 2) clarify your purpose as it relates to your chosen advanced nursing practice Rural concept analysis

role ( psychiatric mental health nurse practitioner

role), 3) look at sources of evidence, 4) construct contrary and related/borderline cases, 5)

formulate criteria/defining attributes, 6) construct a model case, and 7) pose a concluding

definition. It is recommended that you use the steps as sub-headings in the discussion

section of your paper.

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Concept Analysis

Introduction

This paper will analyze the concept of rural. This will clearly refine rural in relation to the role of the psychiatric mental health nurse practitioner (PMHNP) role. This will assist the PMHNP to understand the features of rural and assist in guiding care provision within the setting.

Step 2: Clarified Purpose.

Working within a rural set up can be a challenge for the PMHNP’s, due to the associated hardships such as poor infrastructure which results in a high turnover of the PMHNPs within the rural setting (Jaeger et al, 2018). Due to the many definitions of rural, this paper focuses to describe the rural setting, in order to help the PMHNP to understand how the setting operates, and serve the population better.

Step 3: Sources of Evidence

U.S. Census Bureau (2016) defines rural as all population, housing, and region not included in an urban area. Barclay et al (2018) associate rural with a high rate of unemployment, low population, and regions with high number of poor and uninsured residents. Rural areas fewer healthcare facilities, residents travel for long distances to seek health care services and have higher rates of overhead per-patient revenue (Barclay et al, 2018)

Step 4: Contrary & Related/Borderline Cases.

Contrary cases of rural includes as the rural setting being densely populated, metropolitan, having good transportation and infrastructure, commercial, many healthcare facilities, municipal, nonagricultural, and developed region (Chamhuri et al, 2016). Related/borderline cases of rural were identified as having large agricultural land; sparsely populated; rural residents normally travel for long distances to seek mental care services and have a low likelihood of having insurance for mental health services, countryside, and poor road network (Chamhuri et al, 2016).

Step 5: Criteria/Defining Attributes

The rural setting is characterized by the presence of huge chunks of lands that are unsettled; the presence of livestock; farming and agricultural activities; people being familiar with their neighbors; majority of people walking rather than driving; poor infrastructure; people traveling for long distances to seek healthcare services; and sparse population (Chamhuri et al, 2016) Rural concept analysis.

Step 6: Model Case

The rural setting has large pieces of unoccupied land, with a small number of inhabitants. A collaborative and integrated practice consisting of a mental health practitioner, visiting psychiatrist, the general practitioner, social worker, psychologist, patient, and family/carer(s). Rural concept analysis the psychiatrist should play the role of assessing the clients and prescribing the medications in collaborating with the PMHNP (Yazdani et al, 2016). The social worker can play the role of visiting and educating community members within the rural setting regarding mental health and creating awareness while the psychologist is involved in providing counselling and performing psychological tests allied to mental health (Health et al, 2015). The patient and the family should always be informed about all steps of the treatment. This will ensure collaborative care planning and care provision for people with mental health problems within the rural setting (Health et al, 2015).

Step 7: Concluding Definition

Rural areas are located far away from cities or towns and are sparsely populated. The main activities within the rural setting include agriculture and casual/manual sources of labor. The rural setting is undeveloped with poorly developed infrastructure where people have to walk for long distances to seek healthcare services. In addition, rural life also presents more risks for mental health problems because of lack of adequate resources to assess, treat, and access mental health care; all these are barriers to accessing mental healthcare for people in rural areas (Maulik et al, 2017). Rural concept analysis.

Summary

The rural setting is characterized by a low population, few healthcare services, and poorly developed infrastructure. It is important for the PMHNP to understand the features of a rural setting in order to service the residents better. It is important for the PMHNPs to understand the concept of rural setting and how the rural setup operates in order to reduce the turnover of the nursing staff within rural setup. Rural concept analysis.

References

Barclay L, Phillips A & Lyle D. (2018). Rural and remote health research: Does the investment match the need?
Aust J Rural Health
. 26(2), 74–79.

Health O, Church E, Curran V, Hollet A, Peter C & Callanan T. (2015). Interprofessional mental health training in rural primary care: findings from a mixed methods study.
Journal of Interprofessional Care
. 29(3), 195-201.

Maulik P, Sudha K, Vamsi K, Jha V & Patel A. (2017). Increasing use of mental health services in remote areas using mobile technology: a pre-post evaluation of the SMART Mental Health project in rural India.
J Glob Health
. 7(1), 010408. Rural concept analysis

U.S. Census Bureau (2018). Urban and Rural < https://www.census.gov/programs-surveys/geography/guidance/geo-areas/urban-rural.html Yazdani S, Hosseini F & Ahmady S. (2016). System based practice: a concept analysis. J Adv Med Educ Prof . 4(2), 45–53. Rural concept analysis

Diabetes/Endocrine-Advanced Pharm Nursing

Many patients, especially newly diagnosed patients, are prescribed medications that do not fit into the scheme of the ADA / AACE guidelines / best evidence based practices – for instance, starting on Januvia (sitagliptin) or Jardiance (empagliflozin) or Byetta (exenatide) as initial monotherapy. You know you’ve seen it happen.

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In this discussion, please talk about how patients get put on these medications and why/how they should be transitioned to more evidence based treatments.

Is it ok to start a patient on a drug (particularly an oral drug) other than metformin as an initial drug? Please cite possible circumstances where this could be reasonable. Diabetes/Endocrine-Advanced Pharm Nursing

What anti-diabetic medications have compelling evidence for use in select populations and is this benefit a ”class” effect?

(eg. SGLT2Is – Patients with type 2 diabetes and a high risk of cardiovascular disease had reduced risk of a cardiovascular death, nonfatal myocardial infarction, or nonfatal stroke relative to those randomized to receive placebo)

How can patients and practitioners be convinced to change their behavior and opt for more evidence based approach to therapy? Diabetes/Endocrine-Advanced Pharm Nursing

Complete a 250‐word NUR 643E Health Assessment Topic Reflection 1 of what you learned during this topic. Include the following in your reflection:

1.Think about an experience you’ve encountered when viewing or completing the particular assessment.

2.Discuss difficulties that could potentially arise or specific questions related to completing this type of assessment.

3.Include illustrative examples of potential strategies used to overcome the difficulties encountered when completing (the particular) assessment. NUR 643E Health Assessment Topic Reflection 1

4.Describe how the Christian worldview and compassion for all plays a role in this type of assessment.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. NUR 643E Health Assessment Topic Reflection 1

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Response

Physical examination and history taking for the head and neck are essential functions of medical personnel, but they can be particularly challenging. In fact, this is usually the first activity that medical personnel undertake upon coming into first contact with the patient since these regions have a concentration of nerves that could be overlooked if the client presents with a seemingly non-related issue. NUR 643E Health Assessment Topic Reflection 1. As part of providing compassionate care that is in line with the Christian worldview, conducting physical examination of the head and neck is considered a priority to ensure that potentially debilitating conditions are not overlooked. Conducted when the patient is in a seated position, the physical examination of the head and neck can be length although varied dependent on the patient’s presenting history and complaint (Kauffman, 2014). There are five activities that are typically conducted when conducting physical examinations to include examinations of the head, ears, eyes, neck, and nose and throat. Perhaps the most challenging aspect of the examinations is checking the ears, particularly auditory acuity tests involving the use of tuning fork instruments. The challenge is in the use and interpretation of the test results when hearing loss is suspected. Firstly, Weber (lateralization) test that checks for asymmetric, normal and bilateral hearing. It is subjective since the client is required to indicate sound loudness for the vibrating tuning fork as compared for the two ears. NUR 643E Health Assessment Topic Reflection 1. The subjective nature of the test makes it difficult to interpret the results. Secondly, Rinne test that checks for conductive hearing loss. It checks for bone and air conduction by placing a vibrating tuning fork on the ear’s mastoid process. The challenge is in the subjective nature of the test since the patient must indicate when he or she stopes hearing the tone from the vibrating tuning fork. The identified difficulties noted in the subjective nature of the two tests can be addressed through experience in using the tests, making the nurse more skilled in noting the typically overlooked subtle differences that have implications for test findings and interpretations (Bickley & Szilagyi, 2013; Kauffman, 2014). NUR 643E Health Assessment Topic Reflection 1.

References

Bickley, L. & Szilagyi, P. (2013).
Bates’ guide to physical examination and history-taking
(11
th
ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins.

Kauffman, M. (2014).
History and physical examination: a common sense approach
. Burlington, MA: Jones & Bartlett Learning. NUR 643E Health Assessment Topic Reflection 1.

Complete a 250‐word NUR 643E Health Assesment Topic Reflection 2 reflection of what you have learned during this topic. Include the following in your reflection:

1.Think about an experience you’ve encountered when viewing or completing the particular assessment.

2.Discuss difficulties that could potentially arise or specific questions related to completing this type of assessment.

3.Include illustrative examples of potential strategies used to overcome the difficulties encountered when completing (the particular) assessment. NUR 643E Health Assesment Topic Reflection 2

4.Describe how the Christian worldview and compassion for all plays a role in this type of assessment.

APA style is not required, but solid academic writing is expected.

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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Health assessment topic reflection

The health assessment topic was informative with regards to identifying one facet of nurses’ function. It introduced the concept of health assessment as the first step in identifying the health care needs of a patient. Health assessment makes use of physical examination to develop an understanding of what patients need from the medical perspective and how nurses and other medical personnel can meet that need. In addition, the topic distinguished health assessment from diagnostic tests that are conducted when a specific disease/condition is suspected following the presentation of known symptoms and/or signs. Besides that, the topic identified that there are four types of health assessment NUR 643E Health Assesment Topic Reflection 2. The first type is initial assessment conducted to determine the nature of the health problem reported by the patient. The second type is focused assessment that exposes and treats the health problem. The third type is time-lapsed assessment that is conducted to assess the problem as the patient’s condition is stabilized and the treatment proceeds. The fourth type is emergency assessment that seeks to rapidly identify the root cause of the health problem along with assessing the patient’s circulation, breathing and airway (Finkelman, 2016) NUR 643E Health Assesment Topic Reflection 2.

Although health assessment improves the speed of nursing intervention through presenting a targeted for nursing care, there are concerns about accuracy and comprehensiveness. This is especially of concern when it is considered that nurses have different experience, knowledge, and skill levels so that there are no guarantees that two different nurses will always present the same health assessment results for a patient. This variation on assessment outcomes based on individual nurses has implications for the care approach selected. This concern is best addressed through having standards, protocols and policies targeted at ensuring that the most accurate assessment results are presented based on the current available verified evidence. NUR 643E Health Assesment Topic Reflection 2. Besides that, health assessment should be accompanied by diagnostic tests to gain an accurate understanding of the health issues affecting the patient. Overall, health assessment is an opportunity for nurses to offer compassionate care that is in line with the Christian perspective through empathizing with the suffering and pain of patients, and presenting an early treatment plan that relieves the pain and suffering even as other assessments proceed for more comprehensive care (Cherry & Jacob, 2016).

References

Cherry, B. & Jacob, S. (2016).
Contemporary nursing: issues, trends, & management
. Amsterdam: Elsevier Health Sciences.

Finkelman, A. (2016).
Leadership and management for nurses: core competencies for quality care
(3
rd
ed.). London: Pearson Education NUR 643E Health Assesment Topic Reflection 2.

SBAR template

Choose an experience from your nursing practice. Using the ”SBAR” template, explain the situation in detail, followed with background information. Then explain your immediate assessment and recommendations you have for the provider.

Include the following in the ”SBAR” template:

1.Be sure to include three or four evidence‐based references, not older than 5 years.

2.When giving your recommendation discuss how you would educate the client using evidence‐based research and guidelines. How would you deliver your recommendation in various learning environments? SBAR template

APA style is not required, but solid academic writing is expected.

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

 

SBAR

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Situation

 

 

 

 

 

 

 

Background

 

 

 

 

 

 

 

 

 

Assessment

 

 

 

 

 

 

 

 

 

 

Recommendation

SBAR template

 

 

 

 

 

 

 

 

 

 

 

References

 

 

 

 

 

 

 

 

 

 

NUR-643E-RS-SBAR

SBAR

As a nurse it is not uncommon to experience situations requiring the use of SBAR an abbreviation for situation, background, assessment and recommendation method SBAR template. An experience with the use of SBAR that standards out occurred during a night shift in the medical ward. In this case, I was attending to a patient who was admitted into hospital for treatment and observation. Her situation worsened during the course of the night and it was deemed necessary to call the attending physician. During the call, the first step was to explore the situation
(S)
in which I presented a brief and clear description of the situation. I reported that the patient was experiencing increasing shortness of breath and was complaining of chest pains. The second step was to report on the case background
(B)
in which I offer relevant and clear background information on the patient. I reported that the patient had back surgery three days ago. About three hours ago, he indicated shortness of breath and recklessness, complained of chest pain, blood pressure reading is 128 over 54, and pulse is 120. The third step was to report an assessment
(A)
that indicated a professional nursing conclusion of the case based on the situation and background information. I made the assessment and reported that the patient could be having a pulmonary embolism or cardiac event. The final step was to make a recommendation
(R)
on the case by stating what is required from the physician in a relevant and clear manner. SBAR template The recommendation made was that the physician should see the patient immediately, and that he should be started on oxygen to relieve the breathing difficulty. The case makes it clear that SBAR facilitates communication between medical personnel through offering accurate and timely reports about patients thereby preventing the precipitation of adverse events in clinical routine, and improving patient safety and care outcomes (Müller et al., 2018; Shahid & Thomas, 2018) SBAR template.

References

Müller, M., Jürgens, J., Redaèlli, M., Klinberg, K., Hautz, W. & Stock, S. (2018). Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.
BMJ Open
, 8(8), e022202. doi: 10.1136/bmjopen-2018-022202

Shahid, S. & Thomas, S. (2018). Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care – a narrative review. Safety in Health, 4, 7. doi: 10.1186/s40886-018-0073-1 SBAR template

Interest groups assignment- Emergency Nurses Association

Interest Groups: Emergency Nurses Association

Introduction

Emergency Nurses Association (ENA)

A national intradisciplinary specialty body for emergency nurses

ENA has members serving in federal advocacy groups

Advocates for patient safety

Interest groups assignment- Emergency Nurses Association

Advocates for excellence & professionality in emergency nursing practice

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Emergency Nurses Association Voice at Federal Level

ENA is an advocate on:

Regulatory & legislative matters that affect emergency patients

Regulatory & legislative matters affecting emergency nurses

ENA has a government relations team that:

Holds regular meetings with elected officials

Interest groups assignment- Emergency Nurses Association

Keeps tab on federal laws that affect emergency nurses & patients

Takes part in law-making process for policies and programs that affect emergency nurses & patients

Lobbies for solutions to emergency issues via the EN411 Action Network

Emergency Nurses Association Voice at National Level

ENA tracks emergency nursing and medical laws within all 50 states

ENA works with leaders at state level to:

Identify & advocate for law that support prevention of workplace violence and injury

Advocate for law addressing workforce matters like safe work environment, safe patient handling

Members of ENA participate in lawmaking process at state level

Interest groups assignment- Emergency Nurses Association

Guides development of polices regarding emergency healthcare

Key Obstacles

Lack of representatives in both local & federal governments

Lack adequate of policies to guide emergency nurses

Lack of adequate funds to support its programs/initiatives

Spending

In 2019, ENA managed to lobby for $87,500 for Emergency Nurses

In 2018 ENA spent $158,500 in lobbying

In 2018, ENA Foundation awarded:

Above$435,000 for scholarships, research & continuing education grants

50 conference scholarships to emergency nurses

Interest groups assignment- Emergency Nurses Association

89 educational scholarships to emergency nurses

Conclusion

ENA a leading and dominant influencer in regulatory & legislative issues that affect emergency nursing & healthcare

ENA ensures voices of emergency nurse are heard

ENA represents patients, nurses & the society through advocacy groups

References

Emergency Nurses Association. (2019). government relations. Retrieved from https://www.ena.org/#advocacy-policy Interest groups assignment- Emergency Nurses Association

Emergency Nurses Association (ENA). (2015b).
Mission statement.
Retrieved from
https://www.ena.org/about/Pages/Default.aspx

Laskowski-Jones L. (2016). The emergency nurse as a professional.
Reflections of Nursing Leadership
. 1(1).

Oestberg, F. (2015). Policy and politics: Why nurses should get involved.
Nursing, 42
(12), 46–49.

Interest Groups- Emergency Nurses Association

Interest groups assignment- Emergency Nurses Association

NURS 6003 – Transition to graduate study Week 2 discussion Essay

Discussion – Week 2

COLLAPSE

Strategies for Addressing Questions

In Module 1, you began building a foundation for your success by considering a network-individuals and teams who can help you to clarify and execute on the vision. A network is most helpful when you are comfortable asking questions. Chances are other members of your network have experienced similar questions and may have helped guide others toward resolutions that can now be helpful.

In this Discussion, focus on the questions you are ready to ask as your journey begins. Keep in mind that sharing questions is often a great way to help others who have similar questions even if they do not realize it!

BUY A PLAGIARISM-FREE PAPER HERE

To prepare:

Reflect on questions or concerns you might have as you begin the MSN program.

Consider the individuals, teams, and departments you previously considered in Module 1 as well as how they may provide support with addressing these questions and concerns. NURS 6003 – Transition to graduate study Week 2 discussion Essay

By Day 3 of Week 2

Post any questions or concerns that you are willing to share with the group. The Discussion board represents an opportunity to network with your course colleagues, and others may have the same questions or concerns.

By Day 6 of Week 2

Respond to at least two of your colleagues’ posts by offering a possible resolution to their questions/concerns with supporting documentation, if possible, or expanding on their thinking and providing an example as support.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. NURS 6003 – Transition to graduate study Week 2 discussion Essay

 

Transition to graduate study

Name

Institution

 

Transition to graduate study

Transitioning to graduate study is an opportunity for career development and advancement through improved education level, knowledge and skills. Although the transition is an opportunity, it also presents some unique challenges that could hinder me from completing the study program. The first concern is a lack of academic preparedness even with a bachelor’s degree that indicates qualification for the program. In fact, academic prepared is linked to previous tertiary experiences (identified as understanding of academic processes, experiences in field of expertise, previous qualifications, and involvement in scholarly activities prior to the enrolment) that has an influence on attrition and throughput rates. This concern should be addressed through having the minimum academic qualifications for joining the study program since they have a direct bearing on entry qualifications and academic performance. In addition, it should be addressed through more experience in the field of study prior to joining the study program. NURS 6003 – Transition to graduate study Week 2 discussion Essay. The assumption made is that persons with high academic preparedness will perform better than their counterparts with lower academic preparedness since they are influenced by prior academic success and learning experiences, and are more willing and motivated to engage of learning. Besides that, there is a link between academic preparedness and motivation since prior academic success and learning experience affect self-belief that in turn impacts willingness and motivation to engage in learning (Fitzgerald, 2015).

The second concern is the primary motivation for joining the graduate study program. This includes the eagerness to complete the study program, reason for pursuing the graduate study, meaning of the study, and confidence regarding the study program in terms of meeting career objectives. Confidence about the choice of graduate study program is a concern since it is typically based on personal interest rather than the pragmatic worth of the program as should be the case. In fact, it is not uncommon for individuals to be motivated by knowledge expansion, improving social status, self-actualization, and securing better compensation and employment. As such, the primary motivation for most individuals is educational and career aspirations, a concern since motivation is linked to goal commitment and perseverance, which are linked to the strength and nature of the desire to engage in learning activities within the limited timeframe. The concern can be addressed through ensuring that individuals join programs with pragmatic worth as a primary motivation and personal interest being a secondary motivation (Thomas et al., 2016). NURS 6003 – Transition to graduate study Week 2 discussion Essay

The final concern is the availability and utilization of university support services that include information communication services, academic writing center, mentors, school coaches, individual academic support, orientation program, and library services. The individual academic support is a one-on-one interaction with academics and supervisors who help in improving performance. The academic writing center helps in developing academic writing skills. Library services enable students to access academic material. The orientation program facilitates the integration of students into the academic culture of the university to help in minimizing transitional challenges. In essence, the university support services help in establishing a positive relationship between the university and students, helping in integrating the students into the university’s academic culture. Although the university support services facilitate smooth academic transition, the concern is that students do not typically use these services. This concern can be addressed through ensuring that the university provides maximum services that are easily available to the students, and ensuring that the students utilize these services (McCaffrey, 2016) NURS 6003 – Transition to graduate study Week 2 discussion Essay.

 

References

Fitzgerald, M. (2015).
Nurse practitioner certification examination and practice preparation
.  Philadelphia, PA: F.A. Davis Company.

McCaffrey, R. (2016).
Doctor of nursing practice: enhancing professional development
. Philadelphia, PA: F. A. Davis.

Thomas, P., Kern, D., Hughes, M. & Chen, B. (2016).
Curriculum development for medical education: a six-step approach
(3
rd
ed.). Baltimore, MD: John Hopkins University Press. NURS 6003 – Transition to graduate study Week 2 discussion Essay