Category: Nursing

Professional Identity and Stawardship I

Interview a fellow peer in your class who works in a different health discipline than you. Begin your interview with the following questions:(note the answers to the interview have been provided

1.What is your role as a health care team member?

-I am the nurse specialist in the dialysis unit. I work with other disciplines in the unit to help keep our changing nursing practice current and relevant. Professional Identity and Stawardship.

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2.How do you define professionalism and how does professional responsibility influence your work?

-Professionalism can be defined as a person that presents with a set of skills and is able to skillfully perform his/her skills and also articulate the details of that particular skill set. My professional responsibilities enable me to keep current on the most current nursing practices.

3.Do you consider leaders in your organization stewards of health care? Why or Why not?

-Yes, I believe anyone can be a leader. We can all learn something new daily from our co-workers. We are all stewards of care.

4.Is it important to you that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues? Why or why not?

-It is important that everyone, especially leaders display professional advocacy and authenticity. Leaders should be able to guide others without micro managing their staff.

In 500-750 words, summarize your interview and share your impressions of your peer’s responses.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite. Professional Identity and Stawardship.

RUBRIC

Criteria

Achievement Levels

Description

Percentage

Unsatisfactory 0-71%

0.00 %

Less Than Satisfactory 72-75%

75.00 %

Satisfactory 76-79%

79.00 %

Good 80-89%

89.00 %

Excellent 90-100%

100.00 %

Content

80.0

Detailed Summary of Peer Interview

80.0

Summary of peer interview is not provided or is incomplete.

Summary of peer review is unclear or inconsistent with professionalism and the role of stewardship.

Summary of peer review is clear, but one of the four components of the interview is lacking.

Summary of peer review is provided with detailed explanation of each component of professionalism, stewardship, advocacy, and authenticity. Professional Identity and Stawardship.

Comprehensive summary of peer review is provided with detailed explanations of each component of professional identity and a thoughtful discussion of the interviewer’s perceptions of the interview experience.

Organization and Effectiveness

15.0

Thesis Development and Purpose

5.0

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.

Thesis and/or main claim are apparent and appropriate to purpose.

Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Professional Identity and Stawardship.

Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.

Paragraph Development and Transitions

5.0

Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident. Professional Identity and Stawardship.

Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5.0

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used Professional Identity and Stawardship.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English.

Format

5.0

Paper Format (Use of appropriate style for the major and assignment)

5.0

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct Professional Identity and Stawardship.

Total Percentage

100

Professional Identity and Stawardship II

Interview a person in a formal position of leadership within your organization (e.g., a supervisor, a manager, a director). Begin your interview with the following questions:(Note answers to interview question have been provided afer the question below)

1.What is your role as a health care team member?

-As a healthcare team member, I am responsible for working with the interdisciplinary team to coordinate patient care efficiently.

2.How do you define professionalism and how does professional responsibility influence your work?

-I define professionalism as practicing to your core values and the hospital Core Values. I align my values with the Medical center. ICARE Professional Identity and Stawardship

3.Do you consider yourself a steward of health care? Why or Why not?

-Yes, it is important that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues. We are each other’s customers. It is very important to exhibit characteristics we want to convey the message of care, trust and expertise.

4.Is it important to you that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues? Why or why not?

In 500-750 words, summarize your interview and share your impressions of the leader’s responses.

Compare and contrast responses provided by your peer (in Professional Identity and Stewardship – Part I: Peer Interview assignment) with those provided by the leader. Share your impressions of their differences and similarities.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite. Professional Identity and Stawardship.

RBRIC:Criteria

Achievement Levels

Description

Percentage

Unsatisfactory 0-71%

0.00 %

Less Than Satisfactory 72-75%

75.00 %

Satisfactory 76-79%

79.00 %

Good 80-89%

89.00 %

Excellent 90-100%

100.00 %

Content

80.0

Detailed Summary of Leader Interview

70.0

Summary of leader interview is not provided or is incomplete.

Summary of leader review is unclear or inconsistent with professionalism and the role of stewardship.

Summary of leader interview is clear but one of the four components of the interview is lacking.

Summary of leader interview is provided with detailed explanation of each component of professionalism, stewardship, advocacy and authenticity. Professional Identity and Stawardship.

Comprehensive summary of leader interview is provided with detailed explanations of each component of professional identity and a thoughtful discussion of the interviewer’s perceptions of the interview experience.

Compares and contrasts the peer responses, from Professional Identify and Stewardship-Part 1, with those provided by the leader. Shares impression of differences and similarities.

10.0

No comparison and contrast of peer responses with those provided by the leader are provided.

Comparison and contrast of peer responses with those provided by the leader and student’s impression of those differences and similarities are not adequately addressed.

Comparison and contrast of peer responses with those provided by the leader and student’s impression of those differences and similarities meet the basic expectations of the assignment as indicated by the assignment instructions.

Comparison and contrast of peer responses with those provided by the leader and student’s impression of those differences and similarities demonstrate a clear understanding of roles, professionalism, stewardship, and advocacy as it applies to leadership Professional Identity and Stawardship.

Comparison and contrast of peer responses with those provided by the leader and student’s impression of those differences and similarities demonstrate a clear understanding of roles, professionalism, stewardship, and advocacy as it applies to leadership, while demonstrating higher level thinking as indicated by evidence of reflective thought.

Organization and Effectiveness

15.0

Thesis Development and Purpose

5.0

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.

Thesis and/or main claim are apparent and appropriate to purpose.

Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear. Professional Identity and Stawardship.

Paragraph Development and Transitions

5.0

Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5.0

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English. Professional Identity and Stawardship.

Format

5.0

Paper Format (Use of appropriate style for the major and assignment)

5.0

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

Total Percentage Professional Identity and Stawardship

Policy/Regulation Fact Sheet Assignment

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

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In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate. Policy/Regulation Fact Sheet Assignment.

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.

• Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).

https://www.aanp.org/practice/practice-management/quality-improvement/macra-mips Policy/Regulation Fact Sheet Assignment.

 

• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.

• Address the impact of the policy or regulation you selected on system implementation.

• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow. Policy/Regulation Fact Sheet Assignment.

• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

8/5/2019 Rubric Detail – Blackboard Learn

https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16569051_1&rubric_id=_1068954_1 1/3

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Excellent Good Fair Poor

Create a 1-page

fact sheet that

your healthcare

organization

could

hypothetically

use to explain

the health or

nursing

informatics

policy/regulation

you selected.

Your fact sheet

should address

the following:

· Briey and

generally explain

the policy or

regulation you

selected.

· Address the

impact of the

policy or

regulation you

selected on

system

implementation.

· Address the

impact of the

policy or

regulation you

selected on

clinical care,

patient/provider

77 (77%) – 85

(85%)

A fully

developed and

detailed Fact

Sheet is

provided for the

Assignment.

The responses

accurately and

thoroughly

explain in detail

the policy and

regulation

selected.

The responses

accurately and

thoroughly

explain in detail

the impact of

the policy or

regulation

selected on

system

implementation.

The responses

accurately and

thoroughly

explain in detail

the impact of

the policy or

regulation

selected on

clinical care,

patient/provider

interactions,

68 (68%) – 76

(76%)

A developed

Fact Sheet is

provided for the

Assignment.

The responses

explain the

policy or

regulation

selected.

The responses

explain the

impact of the

policy or

regulation

selected on

system

implementation.

The responses

explain the

impact of the

policy or

regulation

selected on

clinical care,

patient/provider

interactions,

and workow.

Accurate

responses

highlight the

organizational

policies and

procedures that

60 (60%) – 67

(67%)

A vague or

inaccurate Fact

Sheet is

provided for the

Assignment.

The responses

explaining the

policy or

regulation

selected are

vague or

inaccurate.

The responses

explaining the

impact of the

policy or

regulation

selected on

system

implementation

are vague or

inaccurate.

The responses

explaining the

impact of the

policy or

regulation

selected on

clinical care,

patient/provider

interactions,

and workow

are vague or

inaccurate.

0 (0%) – 59 (59%)

A vague and

inaccurate Fact

Sheet is

provided for the

Assignment, or

is missing.

The responses

explaining the

policy or

regulation

selected are

vague and

inaccurate, or

are missing.

The responses

explaining the

impact of the

policy or

regulation

selected on

system

implementation

are vague and

inaccurate, or

are missing.

The responses

explaining the

impact of the

policy or

regulation

selected on

clinical care,

patient/provider

interactions,

and workow

Name: NURS_5051_Module06_Week11_Assignment_Rubric EXIT

Grid View List View

8/5/2019 Rubric Detail – Blackboard Learn

https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16569051_1&rubric_id=_1068954_1 2/3

Excellent Good Fair Poor

interactions, and

workow.

· Highlight

organizational

policies and

procedures that

are/will be in

place at your

healthcare

organization to

address the

policy or

regulation you

selected. Be

specic.

and workow.

Specic and

accurate

responses

thoroughly

highlight in

detail the

organizational

policies and

procedures that

are/will be in

place at a

healthcare

organization to

address the

policy or

regulation

selected.

Includes: 3 or

more peerreviewed

sources and 2

or more course

resources.

are/will be in

place at a

healthcare

organization to

address the

policy or

regulation

selected.

Includes: 2 peerreviewed

sources and 2

course

resources.

The responses

highlighting the

organizational

policies and

procedures that

are/will be in

place at a

healthcare

organization to

address the

policy or

regulation

selected are

vague or

inaccurate.

Includes: 1

peer-reviewed

source and 1

course

resource.

are vague and

inaccurate, or

are missing.

The responses

highlighting the

organizational

policies and

procedures that

are/will be in

place at a

healthcare

organization to

address the

policy or

regulation

selected are

vague and

inaccurate, or

are missing.

Includes: 1 or

fewer

resources.

Written

Expression and

Formatting –

Paragraph

Development

and

Organization:

Paragraphs

make clear

points that

support well

developed ideas,

ow logically,

and demonstrate

continuity of

ideas. Sentences

are carefully

focused–neither

long and

rambling nor

short and lacking

substance.

5 (5%) – 5 (5%)

Paragraphs and

sentences

follow writing

standards for

ow, continuity,

and clarity.

4 (4%) – 4 (4%)

Paragraphs and

sentences

follow writing

standards for

ow, continuity,

and clarity 80%

of the time.

3.5 (3.5%) – 3.5

(3.5%)

Paragraphs and

sentences

follow writing

standards for

ow, continuity,

and clarity 60%-

79% of the time.

0 (0%) – 3 (3%)

Paragraphs and

sentences

follow writing

standards for

ow, continuity,

and clarity < 60% of the time. 8/5/2019 Rubric Detail – Blackboard Learn https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16569051_1&rubric_id=_1068954_1 3/3 Excellent Good Fair Poor Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/intext citations, and reference list. 5 (5%) – 5 (5%) Uses correct APA format with no errors. 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors. 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors. 0 (0%) – 3 (3%) Contains many (≥ 5) APA format errors. Total Points: 100 Name: NURS_5051_Module06_Week11_Assignment_Rubric Policy/Regulation Fact Sheet Assignment

NRS-434V Week 5 Movie Character Health Assessment Presentation

In this assignment, you will be creating a PowerPoint presentation based on the application of the functional health assessment of a movie character. To complete this assignment, choose a movie from the following list and identify a character from the movie on whom you would like to do a health assessment. If you wish to use a character from a movie not included on the following list, get the approval of your instructor.

Away From

HerLorenzo’s Oil

Mask

My Sister’s Keeper

Philadelphia

Rain Man

Steel Magnolias

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Stepmom

The Elephant Man

The Mighty

The Tic Code

 

1.Create a PowerPoint presentation of 10-12 slides using the template “Movie Character Presentation.”

2.Provide an introduction and background overview of the movie character (client). NRS-434V Week 5 Movie Character Health Assessment Presentation.

3.Assess the client using the “Functional Health Pattern Assessment.”

4.Based on your “observations” and thoughts, document your assessment, providing examples from the movie.

5.Describe any observed or potential cultural, geographic, religious, ethnic, or spiritual considerations of this client.

6.Describe two normal health patterns of the client as well as two abnormal health patterns that you observe, and provide examples.

7.Develop an appropriate nursing diagnosis for the client based on your assessment.

8.Identify and describe three interventions for the client: health promotion, health prevention, and maintenance.

9.Identify at least two possible resources or community services to which you would refer this client and provide rationale for your choices.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. NRS-434V Week 5 Movie Character Health Assessment Presentation.

 

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 

Post your assignment to the Movie Character Health Assessment Presentation Main Forum as directed by instructor. Respond to other learners’ posts in a manner that initiates or contributes to discussion. Each person should make at least three substantive comments.

 

Submit your assignment to the drop box addition to posting it to the Movie Character Health Assessment Presentation Main Forum. NRS-434V Week 5 Movie Character Health Assessment Presentation

Ethics in pediatric and adolescent nursing essay

Ethical Dilemma: A Pediatric Patient

Adolescents experience many changes in transitioning into adulthood; it is the most plausible period in life to be referred as the time of “storm and stress” (Hockenberry & Wilson, 2014).  Self-image is a component in their development that can be easily altered through the thoughts of their peers, the labels in media, family views, etc., which can mislead their perception of health and individual growth.  An unfortunate and common impedance towards a healthy development in adolescence is eating disorders; anorexia nervosa being one of the most prevalent of all, can lead to considerable morbidity and mortality if left untreated (Smink, Hoeken, & Hoek, 2012). Ethics in pediatric and adolescent nursing essay Nurse’s face being placed in a difficult position when providing holistic care to the patient with anorexia nervosa becomes an ethical dilemma due to the conflicting beliefs between patients, their parent’s beliefs and the nurses/healthcare team.

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Ethical considerations in treating a hospitalized adolescent patient which the nurses face are conflicting values in their duty to providing an optimum level of care to promote an optimum level of health for the patient.  It is more difficult when the decisions for treatment go against that of the minor; and therefore, receiving treatment against the minor patient’s will; This then causing tension between the patient and nurse/healthcare provider in achieving a trusting-working relationship.

The American Nurses Association (ANA)has provided nurses with a scope of ethical standards, called the “Code of Ethics for Nurses” with detailed descriptions of the nine provisions, which aid in providing guidance to nurses in providing roles and obligations of nurses when delivering patient care and maintaining an ethical/moral healthcare environment between all healthcare providers (ANA, 2015). Ethics in pediatric and adolescent nursing essay Provision one states, “The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person” (ANA, 2015).  Although it is the nurse’s role to respect the rights of the patient without the need for the nurse to agree with decisions made.  The patient has “the moral and legal right to determine what will be done with and to their own person” (ANA, 2015) but when the decision of the patient are self-destructive, like the choice of anorexia; it is the nurse’s obligation to address the behavior and provide modifying behavior resources and help to eradicate the potential for any risks for the patient.  It is important to promote the patient’s autonomy; therefore, educating the patient and providing them with resources and opportunities to help him/her with making health-promoting decisions is an important aspect in caring for a patient dealing with anorexia.

Another provision made by the ANA that will aid the nurse in caring for the patient with anorexia is Provision four; “The nurse has the authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care”(ANA, 2015). Part of a nurse’s role is to create a trusting nurse-patient relationship, but with a patient that will refuse treatment as a pediatric patient hospitalized for treatment against his/her will this trusting relationship will most likely will be compromised.  Provision four understands this possible conflict and endorses nurses to assume authority and responsibility to accept or reject specific role demands in order to provide optimal nursing care. Ethics in pediatric and adolescent nursing essay.

All in all, the desired outcome of this ethical dilemma is to eliminate any health disparities to the patient by educating, caring, and promoting a healthy life to the pediatric patient.  Although some ethical dilemmas take time till they are resolved due to non-agreement to medical treatment and enablement of patient self-determination some resources that could help alleviate and hopefully eventually solve in the case of a pediatric patient hospitalized for treatment of anorexia are, family, providing physician, nutritionist, social worker, psychiatrist, and other healthcare staff; it is possible to provide holistic care for the patient and help alleviate or eliminate any conflict in treatment by following the standards of nursing and using the ANA Code of Ethics to aid in providing care Ethics in pediatric and adolescent nursing essay.

References

American Nurses Association. (2015).
Code of ethics for nurses with interpretive statements
. Retrieved from: http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics-For-Nurses.html

Hockenberry, M. & Wilson, D. (2014) Wong’s nursing care of infants and children (10th ed.). St. Louis, MO: Elsevier.

Smink, F. R. E., van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: incidence, prevalence and mortality rates.
Current Psychiatry Reports
,
14
(4), 406–414. http://doi.org/10.1007/s11920-012-0282-y

Required Uniform Assignment: Ethical Dilemma

P
URPOSE

For this assignment, you will examine ethical dilemmas that exist in pediatric acute care settings, particularly
those involving genetics/genomics issues. You will also explore the resources available to assist patients,
families, and healthcare professionals in solving these dilemmas, and integrate the principle of the ANA code of
Ethics. Ethics in pediatric and adolescent nursing essay.

C
OURSE
O
UTCOMES

This assignment enables the student to meet the following course outcomes.

CO #1: Provides individualized comprehensive care for children and their families with multiple health problems in
institutions and community care settings from birth through adolescence. (PO #1)

CO #4: Utilizes critical thinking skills in clinical decision making in the care of pediatric clients. (PO #4) Ethics in pediatric and adolescent nursing essay.

CO #6: utilizes legal, ethical, and professional standards and principles, including those related to child abuse recognition
and intervention, as a basis for pediatric clinical decision
‐
making. (PO #6)

D
UE
D
ATE

Refer to Course Calendar for details. The Late Assignment Policy applies to this assignment.

T
OTAL
P
OINTS
P
OSSIBLE

100 points

R
EQUIREMENTS


Write a 2
‐
3 page paper (not including the title page and reference page) using APA format.


Describe an ethical dilemma you encountered in your clinical setting. Example topics related to
genetics/genomics issues include, but are not limited to: genetic testing, diagnosis of a genetic disorder,
genetic counseling (or lack thereof), pharmacogenomics, lifelong surveillance, and recruiting individuals
for genetics research. Keep in mind to maintain the privacy of all members involved in the dilemma.

P
REPARING THE
A
SSIGNMENT


Identify all the relevant and applicable principles within the ANA Code of Ethics that relates to your
dilemma.


Describe in detail how your dilemma relates to the principle(s) you have identified.


Discuss the outcome of the dilemma to the best of your knowledge Ethics in pediatric and adolescent nursing essay.


Discuss the resources within the clinical agency for dealing with such ethical dilemmas.


Utilize resources such as your textbook, journal articles, Internet sites, etc, to aid in your discussion and
to support your perspective about the situations.


Complete the assignment using APA formatting. Include a reference page in APA format of sources
used. You must use at least two references in this assignment (one will be the ANA Code of Ethics).

N328 RUA Ethical Dilemma for JUL16.docx
Revised 06/2016
2
N328 Pediatric Nursing
D
IRECTIONS AND
A
SSIGNMENT
C
RITERIA
Assignment
Criteria
Points
%
Description
Dilemma
Description
(15 points)
15
15%
Describe the ethical dilemma, including how you became aware of the
situation and who was involved (family, health, care providers, etc…)
Identify the
Principle(s) from
the ANA Code of
Ethics
(10 points)
10
10%
Include all the ethical principles that are relevant and applicable to the
situation. Include a brief description of each principle identified.
Relate Principles
from ANA Code
of Ethics to the
Dilemma
(30 points)
30
30%
Describe how the ANA Code of Ethics principles relate to the dilemma.
Provide specific examples from the situation to demonstrate this
relationship.
Utilize resources such as your textbook, journal articles, professional
internet sites, etc. to aid in your discussion and to support your
perspective about the situations.
Must have at least 2 references, one being the ANA Code of Ethics and one
journal article from a primary source.
Discuss the
Outcome of the
Dilemma
(15 points)
15
15%
How did the situation develop over the time frame you were caring for the
patient? What outcome was hoped for, if no resolution occurred during
that time frame?
Identify the
Resources at the
Clinical Agency
to Assist Dealing
with Ethical
Dilemmas
(20 points)
20
20%
What resources are available? Which were being used and for what
reason(s)? In your opinion, were any other resources available, but not
being used and should have been used in this situation? Provide
rationales for your opinions. Support with literature (highly
recommended).
Writing Style,
APA format,
grammar,
spelling, and
mechanics
(10 points)
10
10%
Proper APA format, grammar, mechanics, and spelling.
Total
100
100

The main aim of the Pediatric Acute Care Unit is to prepare graduate nurses for specific opportunities in the care of unstable intensely ill children.  These graduates are prepared to provide services in hospital inpatient and outpatient situations such as the Emergency Room and pediatric intensive care, and mastering the crucial care of an extensive variety of clinical problems realized from infancy through young adulthood (Jaynes & Lundy, 2014)

There are ethical dilemmas in this setting ranging from genetics and genomics issues. I came to make this conclusion after visiting one such unit and found a nurse who was having these challenges with his patients and their families (Ladd, Smith, & Pasquerella, 2008)

Privacy and Confidentiality, the nurse was required to observe confidentiality with his adolescent patient and surviving with a revelation of diagnosis to him. His parents were also not adhering to his treatment. There were unpredicted responses from family members after he directed who should have access and control to his genetic information (Garvin & Meares, 2000)

Discrimination .This nurse had been required by the employer to take genetic examinations as a condition of hire. He was concerned about his results being misused, like in employment discrimination and also the genetic information being used to deny insurance coverage or to determine who is hiring or firing (Garvin & Meares, 2000) Ethics in pediatric and adolescent nursing essay

Unequitable access to Genomic equipment, this care had limited equipment, making genomic treatments challenging to offer. He mainly relied on governmental organizations that assisted him in endorsing genetic and genomic treatment by creating numerous tools and assets that address the role of genetics in public health. (Ladd, Smith, & Pasquerella, 2008)

Aiding treatments for genetic ailments affecting a small number of people was also a challenge. He realized that not many people were ready to fund for the treatment in marginalized groups such as the street children since the question about the beneficiary of such treatment was paramount among the potential funders. (Jaynes & Lundy, 2014)

Influence of genetic information. How did the person’s genetic information affect individual and society’s insight of that individual, how did this information affect members of minority communities. He was tasked with explaining to his patients the need for well-versed decision making and making them understand the nature, risks, and benefits of the procedure. (Garvin & Meares, 2000) Ethics in pediatric and adolescent nursing essay

Logical property matters surrounding access to and use of genetic Information. The nurse was involved in finding the patient kinfolk histories. There were situations where it is necessary to collect medical information from the patient’s family members, forcing him to explain the procedure to them and support their written agreement for the release of their medical information (Ladd, Smith, & Pasquerella, 2008)

Decent, lawful and social aspects that influence the conversion of genetic information to improved health (Jaynes & Lundy, 2014)

Issues of conducting genetic research.GWAS studies advocate for the use of traditional accord, binary, and tiered accord. Traditional consent had some participants who only participated and didn’t agree to share their data. This restricted the number of individuals willing to participate in it. A binary accord also saw participants who chose not to share their data (Ladd, Smith, & Pasquerella, 2008) Ethics in pediatric and adolescent nursing essay

Using the genetic information in non-health care situations; Genetic testing on DNA can be done on stored blood that has been collected for other works. Data sets of DNA are being established. The nurse found himself his workmates using their patient’s DNA sample for extra research and testing without the patients’ knowledgeable consent (Garvin & Meares, 2000)

The impact of genomics on the race ethnicity and individual identity are; Baby screening results were linked to psychological jeopardies among parents such as parental guilt in parents who were carriers. Infants recognized as carriers led to misunderstanding between parents, interfering with parent-child relationship resulting in social discrimination (Fowler, 2008)

ANA code of ethics

Respect for humankind. In the provision of care, the nurse ought to abide by the beliefs of the individual. The nurse considers the values of all persons in the professional relationship (Fowler, 2008)

Relationships to patients; Health care is worldwide regardless of patient’s variances. The nurse creates helpful links with patients and respect for the morals and beliefs of the patient should not demand the nurse condone those beliefs on an individual level. (Association, 2011)

Nature of health complications; the nurse should not allow the illness of the patient to control his/her worth. This encompasses the relatives of the patient and the health field. The nurse should offer unbiased information and provide security to the patient even when those measures accelerate death. This prevents suffering in the dying process. The nurse does not act with the individual intent of ending a patient’s life (ANA code of ethics)

Right to self-determination; Patients have the right to choose what is to be done to them and part of this includes the right to information needed to make progressive decision on health care (ANA code of ethics) Ethics in pediatric and adolescent nursing essay

Relationships with colleagues; the nurse upholds caring relationships and is compassionate with commitment to fair handling of others (ANA code of ethics)

Interests of the patient are prime; the vital interest of the nurse is to provide unique care based on the necessities of the patient. The nurse guarantees the patient that he finds the plan of care acceptable (Association, 2011)

Conflict of interest for nurses. Nurses may encounter circumstances with conflicts of interest. The nurse shouldn’t exploit the patient for personal gain. This principle can prevent using Genetic Information in Non-Health Care Settings since it advocates for the nurse to others what he would like done towards him (Association, 2011)

Privacy. The nurse acts as an advocate for the patient’s right to privacy. He safeguard’s the patient’s privacy and sensitive information. This can be used to solve privacy and confidentiality. Dilemma (ANA code of ethics)

Guarding the patients in research; The patient has the right to make a well-versed conclusion on their partaking is an investigation, nurses have an accountability to ensure patients are offered with information on any research performed. This principle relates closely to the challenge of information confidentiality (Fowler, 2008) Ethics in pediatric and adolescent nursing essay

Moral self-respect. Nurses have the moral obligation to self as they do to others. They must uphold self-respect, character, and integrity. This can be used to solve the issue on using Genetic Information in Non-Health Care Settings (Association, 2011)

Dilemma outcomes

Difficult interactions with patients and their families on issues like ensuring confidentiality, especially in adolescent care are common.

Challenges in incurable circumstances like accepting the decision of coworkers of admitting the patient in ICU

Health professionals are disagreeing with the breach of confidentiality or inappropriate use of medicines.

Coping with violence against children and neglect where no one was willing to fund them.

The following resources were available at the clinical agency I happened to visit:

Journal of pediatric health care

Journal of pediatric nursing

Pediatric nursing journal

Ethics in pediatric and adolescent nursing essay

A copy of ANA code of ethics.

However, I noticed that these resources were not well utilized and only the ANA code of ethics was being used widely due to its availability. The other resources were scarce and couldn’t be utilized as required.

 

References

Association, A. N. (2011).
Code of Ethics for Nurses with Interpretive Statements.
Retrieved from https://books.google.com/books?isbn=1558101764

Fowler, M. D. (2008).
Guide to the Code of Ethics for Nurses.
Retrieved from https://books.google.com/books?isbn=1558102582

Garvin, C., & Meares, P. A. (2000).
The Handbook of Social Work Direct Practice.
Retrieved from https://books.google.com/books?isbn=0761914994

Jaynes, S., & Lundy, K. S. (2014).
Community Health Nursing.
Retrieved from https://books.google.com/books?isbn=1449691498

Ladd, R. E., Smith, S., & Pasquerella, L. (2008).
Ethical Issues in Home Health Care.
Retrieved from https://books.google.com/books?isbn=0398085978 Ethics in pediatric and adolescent nursing essay

Worldview Analysis and Personal Inventory Essay Examples.

Based on the required topic study materials, write a reflection about worldview and respond to following:

In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.

In 250-300 words, explain what scientism is and describe two of the main arguments against it.

In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview: (a) What is ultimate reality? (b) What is the nature of the universe? (c) What is a human being? (d) What is knowledge? (e) What is your basis of ethics? (f) What is the purpose of your existence?

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Remember to support your reflection with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Worldview Analysis and Personal Inventory Essay Examples.

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

Introduction

The term spirituality has many different interpretations.  It can be defined in numerous ways as it relates to different worldviews.  This paper will discuss worldview based on the different concepts of pluralism, scientism and postmodernism.  James Sire’s seven basic worldview questions will also be addressed.  How does one define the term worldview?  James Sire (2004) defines a worldview as:

a commitment, a fundamental orientation of the heart, that can be expressed as a story or in a set of presuppositions (assumptions which may be true, partially true or entirely    false) which we hold (consciously or subconsciously, consistently or inconsistently)     about the basic constitution of reality, and that provides the foundation on which we live and move and have our being (p. 122).

Pluralism

Pluralism is the term used in many different arenas of philosophy, it is the expression that there are many different belief systems or worldviews that are similarly valid and significant.  When it comes to religion, it means there are multiple religious beliefs that exists with different interpretations and “no single religion can claim absolute truth” (newworldencyclopedia.org, 2015).  It is where all strive for the common good under different theories and explanation. Worldview Analysis and Personal Inventory Essay Examples.

Scientism

    
The term scientism is another worldview that is based solely in methods of research that conveys the entire truth about the world and reality (pbs.org, n.d.).  This theory comes from the dominant influence of scientific knowledge.  Theorists believe that science is the absolute power to tell the truth about the world and that it is the single foundation of human principles.

 

Postmodernism

    
The simplest way to describe postmodernism theory is the rejection of a common and impartial truth (allaboutworldview.org, n.d.).  These theorists deny the existence of God. They believe that there are truths that apply only through a certain group of people and based on individual insight.

What is Prime Reality?

    
In the Christian worldview, prime reality is that God exists.  It is believed that God is real and that He is the creator of mankind.  He is the eternal being who has the power to preserve all things.  He is trusted by all of mankind in time of pain and suffering, and serves as a guide until the very end.  God is the foundation of all reality.  He is the underpinning of the Christian worldview. Worldview Analysis and Personal Inventory Essay Examples.

What is the Nature of the World Around You?

The world is a creation of God.  Where there is God, there is order not chaos.  There is faith and hope through Him.  Chaos is created by those who do not believe in Him or who are lost from God’s ways.  World preservation is maintained and is dependent on God.  The world definitely has an element of Spirit in it thus allowing miracles to happen.

What is a Human Being?

A human being is a person who is created in the image of God and one who has a responsibility to Him.  It is a precious and delicate form of God’s creation that must not be taken for granted.  A human being is sensitive, intelligent, respectable and honorable.  In the Christian worldview, mankind is given perseverance, courage and faith.

 

 

What Happens to a Person at Death?

   
In the Christian worldview, it is believed that there another form of life after death.  The relationship with God continues in the afterlife.  Just as the body of Jesus Christ was resurrected after death, Jesus says “I am the resurrection and the life. He who believes in Me, though he may die, he shall live” (John 11:25).  Depending on what choices one has made in life, a person may be resurrected or condemned after death.

Why is it Possible to Know Anything at All?

When God created mankind, He included intelligence.  One must use this God-given gift in the daily life in order to survive.  Knowledge is a very powerful element and must be treated as such.  It is how one is able to make sound decisions and understand the nature of their existence.  It is from the teachings of God that knowing anything is possible Worldview Analysis and Personal Inventory Essay Examples.

How Do People Know What is Right or Wrong?

People learn what is right or wrong through the word of the Lord.  Children are taught by their parents’ good moral values from infancy.  Throughout life, mistakes are made through unwise decisions and poor choices that people make.  It is exceedingly conceivable that people learn from their mistakes, and make better judgment next time around.  Additionally, the strong belief in the teachings of God serves as a powerful influence towards choosing what it right from wrong.

What is the Meaning of Human History?

In the Christian worldview, the meaning of history is what reveals God’s plan for mankind.  Christianity uses the information based on history to spread the word of God.  It is through the historical evidence in the Bible that life, death and resurrection of Jesus Christ is learned.  Customs, moral values and cultures are learned through the history of humanity.  Christian faith is communicated through the solid evidence that history has provided.

Conclusion

Worldviews are essential, whether we see it or not.  It offers as the underpinning for moral values, decisions and actions.  It can be conscious or unconscious, consistent or inconsistent, true, partially true or completely false Worldview Analysis and Personal Inventory Essay Examples.  Understanding one’s personal worldview may be interpreted based on the answers given to the seven basic life questions and to get to the deepest meaning of anyone’s worldview.

 

References

James W. Sire, Naming the Elephant: Worldview as Concept (Downers Grove, Ill.: Inter-Varsity

Press, 2004).

Pluralism. (2015). Retrieved from
http://www.newworldencyclopedia.org/entry/Pluralism

Postmodern Philosophy. (n.d.). Retrieved from

http://www.newworldencyclopedia.org/entry/Pluralism

Scientism. (n.d.). Retrieved from
http://www.pbs.org/faithandreason/gengloss/sciism-body.html

Worldview Analysis and Personal Inventory Essay Examples

Rosemarie R. Parse Human Becoming theory critique

Directions:

Select one of the models
 listed on the table in Meleis (Table 10-1, page 177) and critique the theory you have selected to present.

Selected Theory is:  Rosemarie R. Parse

Address all criteria presented in the model you select.

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For
Barnum
that includes the
Internal Criticism and External Criticism
,
Chinn and Kramer
includes
Description of Theory and Critical Reflection
,
Fawcett
you should complete
Analysis & Evaluation of Nursing Models
if you are using a model  or Analysis & Evaluation of Nursing Theories if you are using a theory which most of you are using, and
Whall
  you should complete
Criteria for Practice Theory
, Criteria for Middle-Range Theory or Critieria for Conceptual Models which every is appropriate for your theory.

Assignment Details:

Maximum length five (5) pages

APA format

RUBRICS

Describes theory and rationale for selection

Identifies model for critique

Uses criteria for critique according to mode

Minimal grammar and spelling errors; adheres to page limit

Provides Appropriate Reference List in APA format

Rosemarie R. Parse Human Becoming theory critique

APA formatting

Introduction

Rosemarie R. Parse developed the theory of Human Becoming in 1981. The theory was formally known as the Man-Living-Health Theory until 1992 when it was changed (Parse, 2015). Tenets and theories of Rosemarie R. Parse’s theory borrowed from the principles and concepts of Roger and the phenomenon of existence. She has extensively written the Human Becoming theory in multiple literature materials including journals, her website, and books. This paper consists of a description, evaluation, and analysis of Human Becoming theory with regard to the guidelines of Chinn and Kramer. Rosemarie R. Parse Human Becoming theory critique.

The Chinn and Kramer model was utilized in the analysis of Parse’s Human Becoming theory. This model was formulated in 1983 by Maenoa Kramer and Peggy Chinn and it consists of a two-step process for theory evaluation. The first step entails theory description whereby assumptions, concepts, purpose, structure relationships and definitions are explored (Im, 2015). The second step is characterized by critical reflection whereby, the purpose of the theory is scrutinized. This model has been used to critique most of the traditional nursing theories and thus is effective in criticizing the Human Becoming Theory.

Description

This description of Parse’s Theory of Human Becoming section involves the identification of the purpose, definition of terms and phrases, explanation of concepts, structure, relationships, and assumptions related to the theory. The purpose of the Human Becoming Theory was developed to shift the perspective of a person to human science from the medical model (Parse, 2015). Parse sought to relate situations with the factors around them whereby, human beings are considered as participants. Rosemarie R. Parse Human Becoming theory critique. The Human Becoming Theory views the role of nurses as facilitation of healthcare decision making following the current situation and health status. As such, the nursing practice goal according to Parse theory of Human Becoming is to enhance the quality of life, based on the personal perspective of the patient. It offers alternatives to bio-psycho-social-spiritual and conventional bio-medical approaches of other theoretical frameworks of nursing.

Concepts define the central issues relating to the Human Becoming theory. Nursing theories define four concepts according to Fawcett which include; nursing, environment, health and person (Parse, 2015). The human becoming theory defines the environment as everything in the person, meaning that they are inseparable, evolve with and complement each other as they create experiences. The concept of health is related to the way of life and values which impact the wellness of an individual. Moreover, the concept of the nursing paradigm is considered by the theory of human becoming as the art of performing basic science through caring, loving and interaction of people to improve the quality of life. The person is obviously the center of Parse’s theory and is perceived as more than the summation of body parts.

Three main assumptions made by the Human Becoming theory include meaning, rhythmicity, and transcendence. The meaning assumption entails the free search for personal meaning in situations. It also presumes that personal lived experiences define the meaning of human’s reality and the surrounding and human beings in it co-create (Parse, 2015). Rhythmicity assumptions of Human becoming theory presume that mutual processes of interaction between the universe and the people are co-created by human beings in rhythmical patterns. Lastly, the transcendence stipulates that emerging possibilities are multidimensionally co-transcending with humans (Parse, 2015). It describes the transformation of people beyond their set limits.

Other assumptions relate to man and becoming. Theoretical assumptions about man state that human is coexisting while co-constituting rhythmical patterns with the universe, the human is open, freely choosing meaning in situation, bearing responsibility for decisions, the human is unitary, continuously co-constituting patterns of relating and the human is transcending multidimensionally with the possible (Current Nursing, 2011). Assumptions of becoming focused on becoming as unitary human’s emerging and human-living-health. It also assumes that becoming is an intersubjective process of transcending with the possible, the human’s patterns of relating value priorities and a rhythmically co-constituting human-universe process.

Critical Reflection

This critical reflection section of the paper seeks to provide an analysis of the clarity of the theory, its accessibility, generalizability, and simplicity with regard to the description explored in the first section. Human Becoming theory presents a transformative approach to all nursing levels.  It does not seek to fix problems; a character that differentiates it from the traditional nursing process. Rosemarie R. Parse Human Becoming theory critique. Instead, it allows nurse practitioners to practice according to the perspectives of the patient. Nurses are thus able to guide individuals towards achieving the life they perceive as quality based on their experiences. Practitioners are guided by the art of human becoming characterized by unfolding meaning, transcendence and synchronizing rhythms (Parse, 2015) Rosemarie R. Parse Human Becoming theory critique.

Human Becoming theory presents clear relationships that are consistent with the logical precision research methodology to the theoretical structures, principles, assumptions and practice dimensions. The familiarity of terminologies makes concepts clearer to the reader. Moreover, the Human Being theory is complex. However, simplicity is achieved through the differentiation of simultaneity and totality paradigms as well as the creation of nine assumptions from the analysis of concepts, principles, and tenets. Concepts are related to each other by theoretical principles.

On generalizability, Parse’s theory of human becoming is applicable to all human beings since its focus is on the unitarily of humans and their lived experiences (Parse, 2015). Consequently, the accessibility of the Human Being theory is limited in novice nurses. As such, it is not applied in the emergency room and acute care. The derivable consequence of this theory is associated with critical thinking of nurses in giving the correct guidance to patients as they select their preferable life. Rosemarie R. Parse Human Becoming theory critique. Critical thinking seeks to find meaning, mobilizes transcendence and synchronizes rhythms without judgment. On social significance, Parse’s theory makes a relevant contribution to the lives of nurses and patients. It is also congruence with personal, professional and social values which helps fulfill the nursing role expectations.

Strengths and Weaknesses

One of the strengths of Parse’s Human Becoming theory is that it differentiates other disciplines from nursing. It also provides assumptions, concepts, and principles of nursing practice and provides useful information with guidelines on administration sound practice (Current Nursing, 2011). Besides, it offers research methodologies and supports the inquiry of other theories from an effective framework.

The weaknesses include that it provides closed circle research with no room for expansion. Its results are also difficult to quantify and it does not use the nursing diagnoses. Additionally, the theory focuses on generalizes and undermines the uniqueness of an individual. It is not accessible and applicable in several healthcare departments including the emergency, acute acre and novice nursing (Current Nursing, 2011). Rosemarie R. Parse Human Becoming theory critique.

Conclusion

Theory critique using the Chinn and Kramer guidelines helps in describing and reflecting relevant aspects of theories.  The paper has criticized the Human Being theory effectively providing the purpose, concepts, assumptions and description. The weaknesses, strengths and characteristics reveal the simplicity, accessibility, social importance, clarity and generalizability of the theory and its significance in nursing practice. Rosemarie R. Parse Human Becoming theory critique.

 

References

Current Nursing (2011) Human Becoming Theory. Retrieved http://currentnursing.com/nursing_theory/Rosemary_Pars_Human_Becoming_Theory.html on February 12, 2019

Im, E. O. (2015). The current status of theory evaluation in nursing. 
Journal of advanced nursing
, 
71
(10), 2268-2278.

Parse, R. R. (2015). Rosemarie Rizzo Parse’s human becoming paradigm. 
Nursing theories and nursing practice
, 263-277. Rosemarie R. Parse Human Becoming theory critique.

Human Becoming Theory Essay Example – Rosemarie R. Parse

Assignment: Theory Project: Submit Content Outline

Directions:

Submitting
a text entry box, a website url, a media recording, or a file upload

Submit your theory project outline. Follow the rubric for the theory outline; use a PowerPoint slide presentation. Use bullet points in your presentation to address each section of the rubric. Human Becoming Theory Essay Example – Rosemarie R. Parse. Make sure you have addressed all aspects of the presentation according to the rubric. Remember to include your rationale for the theory selection.

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Note
: For project details, refer to the 
Theory Project Overview
.

(My selected Theorist is
Rosemarie R. Parse)

Rubric

Assignment 3.2: Theorist Project Reminder: Submit Content Outline Rubric

Assignment 3.2: Theorist Project Reminder: Submit Content Outline Rubric

Criteria

Ratings

Pts

Introduction to theorist, including rationale for selection

3.0 pts

Complete intro with rationale

2.0 pts

Partial intro

0.0 pts

No intro

3.0 pts

Overview of theory

3.0 pts

Complete overview

2.0 pts

Partial overview

0.0 pts

No overview

3.0 pts

Contributions to nursing/health care

3.0 pts

Complete contributions listed

1.0 pts

Partial list of contributions

0.0 pts

No contributions listed

3.0 pts

Theory – practice link

3.0 pts

Complete link identified

2.0 pts

Partial identification of link

0.0 pts

No link

3.0 pts

Presentation in bullet list, PowerPoint

3.0 pts

Complete presentation and bullet list items

2.0 pts

Partial presentation and bullet list items

0.0 pts

No presentation or bullet list items

3.0 pts

Total Points: 15.0

Introduction

Rosemarie Rizzo Parse graduated from Duquesne University, Pittsburg with a Bachelor of Science in Nursing.

She proceeded to earn a master’s degree and Ph.D.  in nursing from the same institution.

She thereafter purposed to improve the nursing perspective on the quality of life and dignity of humans from families, patients, and communities.

To achieve this, she set out a theory that was grounded in human sciences which would add to the knowledge in nursing. Human Becoming Theory Essay Example – Rosemarie R. Parse.

These thoughts were inspired by the idea that, in medical practice, humans were being served with the medical nursing models yet human beings are individuals with priorities in personal value and not machines that need to be fixed.

With time, rapid changes in technology, science, management, and economic planning have contributed to new challenges witnessed in the nursing profession.

Nursing theories have proven to be the best avenue in addressing most of these challenges

Parse’s human becoming theory is a perfect example of a nursing theory that helps to guide clinical practice and provide more holistic care.

Through this theory, Parse successfully managed to create-mentor, teach-learn, and lead-follow community and family models used by nurses and other healthcare practitioners in the society today.

The theory outlines that, how an individual perceives the world is indeed the particular reality of a person.

Theory Overview

The theory was first published in the year 1981 as the Man-living-health theory before being changed to human-becoming theory in the year 1992.

The human becoming theory provides guidance to nursing practice to focus more on life’s quality as it is lived and described.

It does so by presenting alternatives to the bio-medical approach with the bio-psycho-spiritual-social approach of other nursing theories (Parse, 2015).

Its model rates life’s quality from the perspective of an individual as the goal of nursing practice.

Therefore the theory is based on three major concepts namely: rhythmicity, meaning, and transcendence.

Under the meaning concept, human becoming is considered to be free in situations of the subjective living process of individually valued priorities such that, the authenticity of a person is obtained through experiences that are lived (Parse, 2015) Human Becoming Theory Essay Example – Rosemarie R. Parse.

The principle of meaning denotes that, people co-participate in engendering what is authentic for them through self-expression by living their values in a selected way.

Humans tend to create individual realities with others by relating their world in how they speak, maintain silence, move or remain still (Parse, 2015).

Basing on this knowledge, nurses are not able to comprehend the meaning of the reality of other people unless this meaning is verbally shared or expressed.

The second concept of rhythmicity tends to explain the notion of an accented patterning of the interaction of humans.

It explains that, by living from one moment to another, it is likely that an individual may or may not display oneself with the emergence of barriers and opportunities that may exist separately or with others.

Through these living patterns, people are more likely to reveal their personal meanings and values.

However, people may change their patterns by integrating themselves with new ideas and thoughts (Parse, 2015).

The last concept of transcendence denotes that, moving past the present moment is an avenue of forging a different way for a person when faced with perpetual changes and ambiguity.

The concepts of using ideas that are unfamiliar in life, transformation, one creating his/her own becoming by struggling with forces that propel one through life are mentioned as some of the ways that transcendence can be achieved(Parse, 2015).

This means that people progressively choose from countless opportunities in their lives.

Apart from these major concepts, Parse developed three major assumptions which are grounded on the ideas of becoming and humans by Rodgers Martha. Human Becoming Theory Essay Example – Rosemarie R. Parse.

These assumptions are:

-Human becoming is choosing freely individual meaning with situation and living                         intuitively with value priorities

-Humanbecoming entails configuring rhythmical relation patterns of relating with                                     the human-universe

-Human becoming is condescending with no limitation with emerging possibilities

Contributions to Nursing/Healthcare

The theory positively influences the use of a transformative approach to all nursing levels

It enhances the understanding of experiences that are human living, quality of health and nursing practice and health (Ortiz, 2018).

It also builds the nursing knowledge on experiences that are universally lived with may generally contribute to improved health and life quality.

The theory positively influences the ability of nurses to see patients from the patient’s perspective, to be with them and guide them in attaining desired health outcomes (Ortiz, 2018).

The theory also influences and cocreates changes in health patterns through nurse-patient relationships.

Linking Theory-Practice

In clinical nursing practice, Parse’s theory can be implemented in daily practice by maintaining a presence with a patient, dialogue facilitation and being respectful (Jones, 2016).

During processes of decision making, nurses can strive to empower their patients by assisting them to organize and prioritize their goals and beliefs. Human Becoming Theory Essay Example – Rosemarie R. Parse.

It is expected that nurses should remain non-judgmental and should not attempt to either influence or manipulate the decisions or emotions of a patient in whichever ways(Jones, 2016).

Conclusion

By developing the human becoming theory, Rosemarie Parse greatly contributed to the development of the nursing profession and clinical nursing practice.

The theory is grounded on three major assumptions and principles namely: rhythmicity, meaning, and transcendence.

Its major concepts revolve around a person, health, environment, and nursing

In nursing practice, this theory can be applied by nurses through maintaining a dialogue with patients, guiding patients in the decision making process and being non-judgmental.

 

References

Jones, K. A. (2016). Uniting nursing theory and current practice to manage suicide in Canada. 
Journal of Nursing Education and Practice
, 
6
(9), 73. Human Becoming Theory Essay Example – Rosemarie R. Parse

Ortiz, M. R. (2018). Leading-Following: Guiding Care in the Community. 
Nursing science quarterly
, 
31
(2), 180-184.

Parse, R. R. (2015). Rosemarie Rizzo Parse’s human becoming paradigm.
Nursing theories and nursing practice
, 263-277. Human Becoming Theory Essay Example – Rosemarie R. Parse

Clinical Nursing Practice – Maternal Health Nursing theory

Your Clinical Nursing Practice

Directions:

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Choose two or three of the articles below that describe various types of theories and relate them to your own clinical nursing practice:

Cooke (PDF)(Links to an external site.)Links to an external site.

Daddario (PDF)(Links to an external site.)Links to an external site.

Dunst (PDF)(Links to an external site.)Links to an external site.

Kaakinen (PDF)(Links to an external site.)Links to an external site.

O’Connell (PDF)(Links to an external site.)Links to an external site.

Przybylski (PDF)(Links to an external site.)Links to an external site.

Roden (PDF)(Links to an external site.)Links to an external site.

Ross (PDF)(Links to an external site.)Links to an external site.

Welford (PDF)(Links to an external site.)Links to an external site.

Williams (PDF)(Links to an external site.)Links to an external site.

 

**** Clinical Nursing Practice to relate to is Maternal Health Nursing (Postpartum)

Introduction

My clinical nursing practice is maternal health nursing. Maternal Health Nursing is a framework of a healthcare provider for the women who bare a child. Maternal Health Nursing practice seeks to approach the process of birth as a natural life event (Mattson & Smith, 2015). Additionally, this practice involves healthcare to mothers with a new born and prenatal care given to pregnant women. Clinical Nursing Practice – Maternal Health Nursing theory This paper seeks to address my role as a Maternal Health Nurse.

As a Maternal Health Nurse must retain knowledge and skills that will allow me to assist my patients. This is because the Maternal Health Nurse serves in roles which relate t operational, recovery, delivery, labor and managing high-risk pregnancies. Specific roles performed by Maternal Health Nurse include identifying postpartum complications, cesarean delivery, and fetal monitoring. Clinical Nursing Practice – Maternal Health Nursing theory. This means that as a Maternal Health Nurse, you need technical skills which can help you in understanding procedures and advanced equipment (Clark, Beatty & Fletcher, 2016). This also involves continuing with education to know new practices and stay up-to-date on the lattes innovations. Also, basic nursing skills are also a requirement in Maternal Health Nursing. These include families and patient education, pain management, communication, diagnosis, and assessment.

Areas of experience in Maternal Health Nursing include child treatment and treating a pregnant teenager. Furthermore, Maternal Health Nursing involves caring for a baby and a mother simultaneously (Mattson & Smith, 2015). Maternal health nursing practices also encompass health care dimensions during the prenatal period, preconception, and family planning to ensure a fulfilling and positive experience (Clark, Beatty & Fletcher, 2016). This will help to reduce the cases of maternal mortality and maternal morbidity. Hence, maternal health nursing is important because it helps in caring for mothers and their newborn.

 

 

References

Mattson, S., & Smith, J. E. (2015). 
Core Curriculum for Maternal-Newborn Nursing E-Book
. Elsevier Health Sciences.

Clark, K., Beatty, S., & Fletcher, T. (2016). Maternal and child health nursing services: perspectives of parents. 
Australian Journal of Child and Family Health Nursing
, 
13
(1), 8. Clinical Nursing Practice – Maternal Health Nursing theory

NURS 6050 week 3 Discussion: Financing of Health Care Essay

Discussion: Financing of Health Care

With coinciding concerns about health care costs and the imperative to improve quality of care, health care providers and others face difficult decisions in the effort to achieve an appropriate balance. Such decisions often are addressed in the policy arena. How do policymakers evaluate which health care services should be financed through government programs? NURS 6050 week 3 Discussion: Financing of Health Care Essay. How do ethics-related questions and other considerations play into this evaluation process? Is it possible to contain costs and provide accessible, high-quality care to all, or is the tension between cost and care inherent in the U.S. health care delivery system? These questions are central to health care financing decisions in the United States.

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For this Discussion, you will focus on the policy decision-making process that determines what types of care are covered by public and private insurers and the ethical aspects of such financial decisions. NURS 6050 week 3 Discussion: Financing of Health Care Essay.

To prepare:

Read the following case study, “Hard Economic and Finance Choices in US Healthcare” (Milstead):

Case Study 1: Hard Economic and Finance Choices in US HealthcareApplied economics is all about managing scarce resources. Economics is an amoral field of study: it is neither moral nor immoral. Morality and values are determined by individuals at the personal level and by group consensus or majority opinion at the national level. State and federal governments determine the ‘will of the people’ about how to use scarce resources for the good of a nation. NURS 6050 week 3 Discussion: Financing of Health Care Essay.The U.S. health care system is an exemplar of scarcity: primary care physicians, substance abuse treatment centers, trauma centers, registered nurses, and the money to pay for goods and services. Finance is all about how to pay for goods and services. The Medicare Payment Advisory Commission (MedPAC) is appointed by the Executive branch of the federal government to make decisions about what the Medicare program will and will not pay for. In this role, MedPAC makes decisions about medications, procedures and treatments NURS 6050 week 3 Discussion: Financing of Health Care Essay. Examples of MedPAC decisions include coverage for left ventricular assistive devices as a destination therapy, coverage for bariatric surgery, and in 2010, coverage of the drug Provenge™. By law, MedPAC is not allowed to use price or cost of any treatment in its decision-making processes.

Review the information in the Washington Post article “Review of Prostate Cancer Drugs Provenge Renews Medical Cost-Benefit Debate” in the Learning Resources.

Consider how policy decisions currently are made about what will and will not be paid for and what changes, if any, could improve the process. NURS 6050 week 3 Discussion: Financing of Health Care Essay.

Reflect on how the Washington Post example illustrates the tension between cost and care.

By Day 3

Post
your analysis and assessment of the ethical and economic challenges related to policy decisions such as those presented in the
Washington Post
article. How does this type of situation contribute to the tension between cost and care? Substantiate your response with at least two outside resources. NURS 6050 week 3 Discussion: Financing of Health Care Essay.

By Day 6

Respond
to at least two of your colleagues
on two different days
in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library. NURS 6050 week 3 Discussion: Financing of Health Care Essay.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Reference:

National Health Expenditures 2010 Highlights, Centers for Medicare & Medicaid Services (n.d.). Retrieved from https://www.cms.gov/NationalHealthExpendData/downloads/highlights.pdf

 

Main post:

The dynamics of this discussion puts us in the middle of a debate, in which I can see merit in both side of this coin. The “vaccine” treatment of advanced prostate cancer, with a price tag of $93,000, and has shown to extend patient lives about four months (Stein, 2010). Quite a hefty amount for a treatment to extend life for such a short period of time on the dime of the tax payer, some might think. NURS 6050 week 3 Discussion: Financing of Health Care Essay. Much of this debate is because the cost of Provenge, which was approved by the FDA was disclosed prior to approval and Medicare usually covers cancer drugs approved by the FDA. However in this case the price was disclosed and as Milstead stated, “By law, MedPAC is not allowed to use price or cost of any treatment in the decision-making process” (Milstead, 2016). Some felt that is the cost was not included that the debate for this drug wouldn’t exist. Another concern is that denial of this drug by Medicare would discourage pharmaceutical companies from developing cancer drugs (Stein, 2010).

Ethically, as health care providers we want the best and most effective treatment for our patients as possible. However, we must also consider that the some $1 billion that could be potentially spend on patients with “advanced” prostate cancer, might be able to be put to better use than the extension of life for several months. The United States leads the world in healthcare spending, yet we are not leading the world in any of the positive health aspects, (i.e. infant mortality, life expectancy, death rate, etc.) (Holtz, 2016) NURS 6050 week 3 Discussion: Financing of Health Care Essay. This type of health care spending may not be beneficial for the greater population. According to Milstead, studies continue to show that there is no correlation between increased spending on health care spending on health care in the United States and the reduction in population morality (Milstead, 2016). Because of this tension between cost and care can be greatly strained, we must face the question of “does this cost of $93,000 for a treatment 100,000 times over, worth causing more deficits in health than there currently is?” and “are we not following of commitment of nonmaleficence to ‘do no harm’ by denying a patient those extra moments of life”.

References:

Holtz, C. (2016).
Global Health Care Issues and Policies .
Burlington, MA: Jones & Bartlett.

Milstead, J. (2016).
Health Policy and Politics: A nurse’s guide.
Burlington, MA: Jones & Bartlett Learning.

Stein, R. (2010, November 8).
Review of prostate cancer drug Provenge renews medical cost-benefit debate
. Retrieved from The Washington Post: http://www.washingtonpost.com/wp-dyn/content/article/2010/11/07/AR2010110705205.html

NURS 6050 week 3 Discussion: Financing of Health Care Essay

Middle Range or Situation-Specific Nursing Theories Essay

Directions:

Select one middle range or situation-specific theory that is congruent with your clinical nursing practice.

Explain how it is congruent to your clinical nursing practice.

Give an example, including rationale, of how your example is congruent to your own clinical nursing practice.

** My clinical nursing practice is
Maternal Health Nursing

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Middle range theories are narrow and concrete since they are generally made up of limited propositions and concepts that focus more on different reality aspects.  Therefore, they can easily be tested and used as frameworks for clinical practice or even research by nurses. Perfect examples of middle-range theories are such as :the interpersonal relations theory by Peplau, the deliberate nursing process theory by Orlando and the human caring theory by Watson. However, there are many other middle-range nursing theories. Middle Range or Situation-Specific Nursing Theories Essay In this paper, Watson’s human caring theory and its congruency to clinical nursing practice as a maternal health nurse will be discussed.

The major concepts of Watson’s human caring theory as they can be applied to clinical nursing practice include a caring relationship that is transpersonal and goes beyond higher spiritual caring and a relational caring for others and oneself (Norman, Rossillo & Skelton, 2016).  Therefore, in applying this theory to clinical practice, nurses are required to be morally committed to enhance and protect human dignity, have love and respect for the patients that they care for and have an authentic presence that connects them to the patients they serve(Norman, Rossillo & Skelton, 2016).

As a maternal health nurse, I can show love and respect to pregnant mothers and those who have just delivered by honoring their wishes, needs, rituals, and routines as long as they benefit the patient (Yeter, 2015).  Nurses can also give mothers assistance and help them to gain positive energy that flows integratively from the body, mind and spirit for the benefit of the patient as well as the nurse. With Watson’s theory of human caring, nurses can also help mothers to maintain emotional sensitivity and an attitude of caring for clients who may be over-stressed or depressed. The benefits of emotional sensitivity not only promote self-actualization at a professional and patient level but are also immeasurable (Norman, Rossillo & Skelton, 2016). Therefore, the caring process turns out to be an experience that is mutually beneficial for the nurse as well as the patient. Middle Range or Situation-Specific Nursing Theories Essay.
 

References

Norman, V., Rossillo, K., & Skelton, K. (2016). Creating healing environments through the Theory of Caring. 
AORN Journal
, 
104
(5), 401-409.

Yeter Durgun Ozan Ph.D., B. S. N. (2015). Implementation of Watson’s theory of human caring: A case study.
International Journal of Caring Sciences
, 
8
(1), 25. Middle Range or Situation-Specific Nursing Theories Essay