Category: Nursing

NRS 490 Capstone Project Topic Selection and Approval GCU Examples

In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. NRS 490 Capstone Project Topic Selection and Approval GCU Examples. Examples of the integration of community health, leadership, and an EBP can be found on the ”Educational and Community-Based Programs” page of the Healthy People 2020 website.

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Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

The problem, issue, suggestion, initiative, or educational need that will be the focus of the project

The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.

A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.

Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.

Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.

A proposed solution to the identified project topic NRS 490 Capstone Project Topic Selection and Approval GCU Examples

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

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

You are required to submit this NRS 490 Capstone Project Topic Selection and Approval GCU Examples assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 

NRS 490 Capstone Project Topic Selection and Approval GCU Examples – 1

Problem the Project Will Focus On.

Meeting with the mentor at my practicum site, we collaborated a problem that the facility was facing which is nurse turnover. My practicum site is a long-term or rehabilitation care that is majority occupied by geriatric patients, age 65 and older. Nurse turnover is one of the biggest problems many organizations faces due to work environment, staffing issues, or better salary at another facility. However, this facility has a tough time retaining nurse, because of the poor working environment, and inadequate staffing.

Setting

Like previously said, my practicum site is at a long-term care or rehabilitation center. This long-term care or rehabilitation center can house 99 residents, but currently has 92 resident that are 65 years of age and older. With that said, high turnover rates in a long-term care or rehabilitation center can result in the organization functioning ineffectively, and poor patient outcome (Black, 2015) NRS 490 Capstone Project Topic Selection and Approval GCU Examples.

Problem Description

Many nurses have intentions to seek new employment with an employer that can create a good working environment. Many nurses at this facility has said that they work under a lot of stress, because they are short of nurses, and have a larger workload (Foster,2015). These nurses reported that they get fatigued, and burnout because they must stay over to complete unfinished work or work extra to ensure patient care.

Moreover, the nurses reported that they lack the necessary equipment or resources to perform task, lack a specific role and autonomy, and have no support from management (Jones, 2014) NRS 490 Capstone Project Topic Selection and Approval GCU Examples.

Impact and Significant of Problem

When nurse cannot perform to the extent of their practice, patient care and outcome seems to be affected. Nurse satisfaction decrease along with their performance which adds to the poor working environment (Data, 2013). This problem is significant to the nursing practice because the nursing practice promotes quality patient care and improves patient outcome.

Proposal to Problem

The proposed solution to this problem is to recruit and retrain nurses. The facility has made the incentive to recruit nurses by attracting nurses with a sign-on bonus NRS 490 Capstone Project Topic Selection and Approval GCU Examples. However, sign-on bonus doesn’t necessarily cause a nurse to be committed to the facility or organization the sign to. Some other solution that can prevent nurse turnover, is managers engaging in management or leadership skills training to better support and lead staff (Maas, 20145), and adequate nurse to patient ratio to decrease nurse workload ( Sookyung, 2008).

References

Black, P. (2015). DEVELOPING AN ENHANCED PERSPECTIVE OF TURNOVER AND RETENTION OF NURSES AND HEALTH CARE AIDES IN LONG-TERM CARE HOMES. Perspectives: The Journal Of The Gerontological Nursing Association, 38(2), 25-30.

Sookyung, H., Bakken, S., Douglas, K., & Stone, P. W. (2008). Evidence-Based Staffing: Potential Roles for Informatics. Nursing Economic$, 26(3), 151-173.

Adams, Susan Louisa. 2016. “Influences of Turnover, Retention, and Job Embeddedness in Nursing Workforce Literature.” Online Journal Of Rural Nursing & Health Care 16, no. 2: 168-195. CINAHL Complete, EBSCOhost (accessed July 30, 2018).

Foster, S. (2015). Setting our sights on a Pathway to practice improvement. British Journal Of Nursing, 24(20), 1043. doi:10.12968/bjon.2015.24.20.1043 NRS 490 Capstone Project Topic Selection and Approval GCU Examples.

Nelson, I. E. (2017). Nurse Manager Perceptions of Work Overload and Strategies to Address It. Nurse Leader, 15406-408. doi:10.1016/j.mnl.2017.09.009

Maas, M. L., Specht, J. P., Buckwalter, K. C., Gittler, J., & Bechen, K. (2015). Nursing Home Staffing and Training Recommendations for Promoting Older Adults’ Quality of Care and Life Part 2. Increasing Nurse Staffing and Training. Research In Gerontological Nursing, 1(2), 134-152.

DATA BITS. Does Shift Length Affect Patient Outcomes and Nurse Satisfaction?. (2013). Kentucky Nurse, 61(4), 3.

Jones, T. L., Murry, N., & Hamilton, P. (2013). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal Of Nursing Studies, 52(6), 1121-1137 NRS 490 Capstone Project Topic Selection and Approval GCU Examples.

 

NRS 490 Capstone Project Topic Selection and Approval GCU
Examples
2

Identified Problem

After meeting with the approved mentor and reviewing current problems within the clinical practicum site. It was decided that Central Line Associated Bloodstream Infections (CLABSI) would be the focus of the research project. It was identified that this site has struggled with reaching its zero CLABSI goal.

Setting

           
The practicum site is a 640 bed multi-specialty, teaching level 1 trauma center. The hospital has an associated and attached clinical setting. There is also a level 4 neonatal intensive care unit (NICU) within the facility. The facility is stroke certified and is a primary heart attack center. The majority of the patients are adults. NRS 490 Capstone Project Topic Selection and Approval GCU Examples.

Problem Description

           
CLABSI’s are usually preventable and avoidable (Haddadin & Hariharan, 2019). It is estimated that as many as 250,000 CLABSI’s occur each year and that the average cost of treatment is around $46,000 per occurrence (Haddadin & Hariharan, 2019).  More than 30,000 of those infections occurring in Intensive Care Units (ICU) alone, in the United States (US) (Centers for Disease Control and Prevention [CDC], 2019).

Impact of the Problem

CLABSI’s increase the cost of healthcare and cause unnecessary patient deaths each year (Haddadin & Hariharan, 2019). This is such a large and preventable problem that Joint Commission has listed CLABSI as one of the problems affecting patient’s health in the US (Joint Commission, 2012). CLABSI’s increase the morbidity and mortality of hospitalized patients each year (CDC, 2019). NRS 490 Capstone Project Topic Selection and Approval GCU Examples.

Significance of the Problem

CLABSI’s increase length of stay and patient morbidity and mortality rates (CDC, 2019). Increased length of stay increases the burden on nursing to continue to care for acutely ill patients. Nursing is the patients first line of defense against CLABSI’s. Nurses maintain and often place central lines. Centers for Medicare and Medicaid (CMS) will not reimburse for CLABSI’s incurred in inpatient settings (CMS, 2018).

Proposed Solution

An approach from multiple angles seems to be the best option for the facility to reach its zero CLABSI goal. The first change in practice would be to implement the use of alternative venous access devices when appropriate. The initiation of a central line placement protocol and checklist as well as the use of a central line care bundle. Reducing the number of patients who have central lines in place by removing them as soon as the patient no longer requires central access for the prescribed treatment or by screening patients for the need before a central line is placed can greatly reduce CLABSI rates. NRS 490 Capstone Project Topic Selection and Approval GCU Examples. Central line placement protocols for nurse led vascular access teams requiring two nurses to be present during the placement of central lines along with a real time checklist can reduce the risk of CLABSI related to placement. The use of central line care bundles can help reduce CLABSI rates by notifying staff as soon as a central line is no longer needed, the use of a sterile central line dressing change kit and requirement of two nurses being present during all dressing changes can also greatly reduce CLABSI rates.

 

References

Centers for Disease Control and Prevention (2019). Blood infection event (Central-line associated bloodstream infection and non-central line associated bloodstream infection). Retrieved from https://www.cdc.gov/nhsn/pdfs/pscmanual/4psc_clabscurrent.pdf

Haddadin, Y., & Hariharan, R. (2019). Central line associated blood stream infections. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK430891/ NRS 490 Capstone Project Topic Selection and Approval GCU Examples

Joint Commission (2012). New monograph aims to decrease central line associated bloodstream infections. Retrieved from https://www.pwrnewmedia.com/2012/joint_commission/clabsi/

Centers for Medicare and Medicaid (2018). Hospital acquired condition reduction program. Retrieved from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/HAC-Reduction-Program.html NRS 490 Capstone Project Topic Selection and Approval GCU Examples

AMP-450V Module 2 Developing a Shared Vision Essay

Leadership and Vocation – Communication, Collaboration and Developing a Shared Vision

Grand Canyon University

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Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)

Reorganization in Response to Merger or Consolidation of Services

Layoffs as a Result of Declining Revenues

Influx of Registry, Part-Time, and Temporary Contract Staff

Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars

Poor Job Satisfaction Rates Resulting in Turnover

AMP-450V Module 2 Developing a Shared Vision Essay

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

Inform the staff of the two issues (from the topics provided) your organization is facing.

Describe the impact of these issues on your department.

Describe how improved communication, collaboration, and teamwork can improve conditions in your department.

Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration. AMP-450V Module 2 Developing a Shared Vision Essay

A minimum of three academic references from credible sources are required for this assignment.

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. AMP-450V Module 2 Developing a Shared Vision Essay

 

AMP-450V Module 2 Developing a Shared Vision Essay

Nursing shortage continues to affect many healthcare facilities in America and is expected to be more severe given nurses will have to compensate for the shortage by working for long hours. The situation is complicated by the increase in the number of the aging nursing workforce, low unemployment, and the global trend that accounts for the shortages (Catalano, 2015).

This paper is a proposal that addresses nursing shortage and poor job satisfaction by exploring how these problems can be tackled through both short term, and long-term measures to incorporate sustained changes, among employees of an ancillary department of a large 500-bed hospital. AMP-450V Module 2 Developing a Shared Vision Essay. As the manager of the nursing department, I have decided to take the lead in bringing this to the attention of the staff and suggest solutions to it. AMP-450V Module 2 Developing a Shared Vision Essay. This issue has impacted my department tremendously. It has led to poor job satisfaction rates resulting in higher turnover rates.

Nursing Shortage Needs  

Modern healthcare facilities have challenges in meeting adequate supply of nurses, and developing solutions that address critical areas in education, healthcare delivery systems, and policies (Catalano, 2015).

The nursing shortage experienced today is different from the one experienced in the past; however, some factors that contribute to the shortages have remained the same with notable differences in the number of modern women pursuing career choices, age disparities in professional, shortage of support staff, and changes in global trend. Moreover, important changes in patient care environment contribute to decreasing length of stay in hospital,  improvement in ambulatory and acute care, improvement in home care, availability of skilled staff, and experts (Catalano,  2015) AMP-450V Module 2 Developing a Shared Vision Essay.

Economists view the shortage in Nursing as driven more by the balance between the demand and supply forces which is a complex situation likely to worsen in the near future  given more nurses will  retire from work. Previous efforts relied on temporary measures to retain staff such as awarding of bonuses and attractive premiums, which have not been successful, and mainly concentrate on redistributing the supply of nurses without addressing increase in nursing professionals. While the solutions continue to gain popularity as seen in newspaper advertisements, they are faulted for not being radical, and have failed to address past shortages and long-term issues (Couig & Kelley, 2012).  I remember when there were more nurses graduating then could be placed in Minnesota.  Friends were moving out of the state to find positions.  That caused a reduction of students going into the field.  Now we are seeing the opposite.  The same is holding true for teachers.  AMP-450V Module 2 Developing a Shared Vision Essay. We are now facing a teacher shortage in some areas.  It is indeed a cycle that works with demand and supply.

Key Areas to Address

Solutions for addressing proposed nursing shortage in resource limited health settings must account for the changing needs of care that traces the shortages to lapses in past needs that failed to develop strategies for managing them. Important distinctions should be made between the traditional role of manager, and the managed, and between the work environment and home. In addition, there is need to embrace modern technology to reduce the backlog of care by redefining the way work is done. Again, it is important to consider that the labor market faces stiffer competition, with hospitals competing more to hire and retain the best staff, which should put in place the best conditions to retain workers. We therefore need to offer bonuses to employees who sign longer contracts with the hospital. We must also offer lucrative benefits like tuition reimbursements to encourage those who wants to further their education to be able to do so. These measures will allow us to compete with other hospitals for competent staff.

Hywowitz (2000) points at important trends to be considered in managing the nursing shortages that continues to evolve over time. First, remuneration should be given utmost consideration given that employees today balance between the value of   personal time and the pay. Second, balancing professional and personal roles requires employees to be allowed to be active both at work and at home, and should not be allowed to choose between the two. Third, there is need to raise high cadre staff who should be provided with conducive working environment, and allowed enough time to participate in informal groups that suites their roles. AMP-450V Module 2 Developing a Shared Vision Essay Fourth, integrating home and work roles offer employees more freedom to handle their professional and personal lives (Couig & Kelley, 2012).

Fifth, provides for accounting for different employees needs based on ages and preferences, which has been found to give nurses autonomy, particularly when dealing with generation X employees who prefer greater autonomy and reduced bureaucracy. In fact, some employees opt for working independently which can be incorporated in temporary healthcare settings. Last, nursing shortages can be addressed through collaborative management, which increases the functions of teams by eliminating hierarchy AMP-450V Module 2 Developing a Shared Vision Essay. The arrangement allows workers autonomy to work in teams that are supervised by the manager (Couig & Kelley, 2012).

Poor Job satisfaction

Poor job satisfaction affects workers in many ways, and can adversely impair their output and commitment to goals.  A study published by the international Achieves of occupational Health found workers who reported low job satisfaction as likely to experience several other issues that affected negatively on their work.  Four areas contributing to poor job satisfaction includes job related stress, poor morale, lack of productivity, and high employees turn over (Riggio, 2015).

Job related stress occurs when employees are not happy with their jobs, which may cause them to experience or report stress on the job. Employees who are happy at work are less likely to report feeling stressed out by their jobs.  The nature of nursing jobs exposes employees to long working hours which when not balanced may cause burnouts and aggravate the situation (Riggio, 2015).

Second, poor job moral concerns employees who may feel miserable at their work because of sharing experiences with other employees with negative attitudes. The effects of this   spread quickly at the work place, which must be remedied quickly to prevent them from affecting the overall morale at the work place (Riggio, 2015) AMP-450V Module 2 Developing a Shared Vision Essay.

 

Third relates to lack of productivity, which often accompanies   low job satisfaction and in turn may create high turnover among employees. Employees are not likely to remain in jobs that they do not enjoy doing; hence, managers are challenged to find ways of motivating employees to retain high quality staff (Riggio, 2015).

Fourth relates to low job satisfaction resulting from high employees turn over, which sooner causes employees to quit jobs they earlier enjoyed doing. This presents a challenge to companies, which may want to retain the highly qualified staff, and managers are encouraged to find new ways of increasing job satisfaction.

Solutions   

Motivation needs must reconsider valuing workers and should incorporate initiatives at the local level that provides for adequate compensation and conducive working environment (Catalano, 2015)

Process theories are applicable in motivating nurses with low morale, and follow endogenous theories that mediate variables such as expectancies and attitudes, which can be modified to suit workers’ needs. Relevant for the manager is to apply the four endogenous theories that promote greater outputs and boost morale. AMP-450V Module 2 Developing a Shared Vision Essay.

First concerns the need to concentrate on internal processes to be mediated, which affects workers’ conditions and performances. Second involves meeting people’s expectations, which entail efforts that reward good performance, and value outcomes. This is closely related to equity theory that provides for fair conditions and commensurate inputs from both the employer and the employee (Catalano, 2015).

Last, managers should seek to promote intentional goals, and base it on performance when determining employees’ commitment to goals (Catalano, 2015) AMP-450V Module 2 Developing a Shared Vision Essay.

Conclusion

Managers should understand that behaviors in the organizations are learned, and depends on the perception, attitudes and goals. Consequently, this affects emotional reactions and skills that can be reinforced through practice. Last, nursing shortages can be addressed through collaborative management, which increases the functions of teams by eliminating hierarchy. The arrangement allows workers autonomy to work in teams that are supervised by the manager. As a manager, I think this proposal is the road map to resolving the problem of nursing shortage. AMP-450V Module 2 Developing a Shared Vision Essay.

 

References

Catalano, J. T. (2015).
Nursing now!: Today’s issues, tomorrow’s trends
. Philadelphia, PA : F.A. Davis Company

Couig, M. P., & Kelley, P. W. (2012).
Annual review of nursing research: Disasters and humanitarian assistance
. New York: Springer Publishing Company AMP-450V Module 2 Developing a Shared Vision Essay.

Roussel, L., Swansburg, R. J., & Swansburg, R. C. (2006).
Management and leadership for nurse administrators
. Sudbury: Jones and Bartlett.

Riggio, R. ( 2015).
Introduction to Industrial and Organizational Psychology
. New York: Routledge AMP-450V Module 2 Developing a Shared Vision Essay

Professional Identity and Stewardship – Part II: Leadership Interview

Professional Identity and Stewardship Interview Essay examples

 

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:

What is your role as a health care team member?

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

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

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?

Professional Identity and Stewardship Interview Essay examples

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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  Professional Identity and Stewardship Interview Essay examples

 

Professional Identity & Stewardship Leadership Interview

This week we are conducting interviews with various leaders both in the class and in leadership roles at a place of employment.  We will be discussing their opinions on the necessary characteristics one must possess to be a leader, whether they are a steward of healthcare and how, as well as the professional responsibilities a leader is to hold. Professional Identity and Stewardship Interview Essay examples.

ROLE

J.L is a registered nurse that holds the position of Patient Care Manger.  He manages a 24 bed trauma intermediate care unit at a Level 1 Trauma Center.  He worked as a PCT while pursuing his RN degree and upon completion of his schooling he transitioned to a 20 bed unit that was a trauma/surgical/oncology floor.  The hospital was experiencing a lot of growth at this time and expanding services.  Three years into his career a new unit was created for trauma patient’s only. Professional Identity and Stewardship Interview Essay examples He transitioned to that unit in the Clinical Leader role.  He worked as a CL for 5 years and then applied for the PCM position.  He has held that position since (J. Loya, personal communication, March 16, 2018).

PROFESSIONALISM/PERSONAL RESPONSIBILITY

J.L. was given the question of defining professionalism and his personal responsibility to influence others.  He defined professional as a means of working hard on the behalf of his staff using past experience as well as evidence based practice.  He sees his role and responsibility as being the collective voice of the whole when they don’t have the access or means to do so themselves. He has strived to accomplish this through creating a specific culture on his unit of teamwork and inspiring the staff to think outside the box for problem solving.  J.L. has brought unit specific education to the staff to build confidence and experience.  He fosters an open door policy and bi-monthly does a “check-in” individually with each employee to ask specific questions about what is working and what needs improvement with everything from fellow peers to supplies and workflow, etc. (J. Loya, personal communication, March 16, 2018) Professional Identity and Stewardship Interview Essay examples.

STEWARDSHIP

When asked about whether J.L. views himself as a steward of healthcare, he responds with an emphatic yes.  His greatest accomplishment in his current position was assisting in the creation of a burn program here in Tucson.  The closest services for any burn (8% and over) was at Maricopa Burn Center.  J.L. worked together with the Chief of Trauma to fill the need locally.  Burns average a hospital stay of 21 days and can exceed 6 months.  When the patient isn’t local to a burn center it can be a heavy burden on the family to be close during the hospital stay.  It also poses challenges for follow up care.  The hospital can now serve patient’s all the way from New Mexico and Nevada and have even had several patients from Mexico. Professional Identity and Stewardship Interview Essay examples. There are now 2 dedicated burn surgeons as well as a “burn team”.  The fact that the hospital is a teaching facility as well as a level one trauma center, the burn program is a perk in that it draws candidates here looking for the training as well.  (J. Loya, personal communication, March 16, 2018)

AUTHENTICITY

When asked about authenticity, J.L. believes is imperative to any leadership role.  Not only among the people you are leading, but your peers as well.  If you have demonstrated authenticity though strong core values, it shows strength and enables you to have a solid foundation of trust.  And with that comes an ability to influence, advocate and affect change.  (J. Loya, personal communication, March 16, 2018).

CONCLUSION

The differences between my peer and my manager were not that stark.  I don’t know if it has to do with the nursing foundation or not.  As a nurse you are expected to lead in so many different ways that the transition between those of us at bedside and our managers aren’t always that far apart.  At least not when you are dealing with a good manager! Professional Identity and Stewardship Interview Essay examples

 

Professional Identity and Stewardship- Part I: Peer Review

This paper will give a summary of the interview between author and critical care nurse Samantha Claudio. Samantha agreed to meet for a one-on-one interview to discuss a series of questions pertaining to her professional identity and stewardship as a staff nurse in the critical care unit. The questions asked were related to her role as a healthcare team member, what her definition of professionalism is and how it influences her work, if she considers the leaders in the organization stewards, and lastly if she feels it is important that the leaders exercise professional advocacy, authenticity, power and influence. If given the opportunity, professionalism has the capacity to influence one’s work ethic. It is important for all members of the health care team to show professionalism and stewardship.

Role

Samantha’s role as a health care team member is to ensure collaborative and high-quality care to not only her patients, but to their families, her coworkers, and the profession itself. She feels that her role is to provide the essential care to her patients and help facilitate communication between all disciplines involved Professional Identity and Stewardship Interview Essay examples.

Professionalism

Samantha defined professionalism as the ability to hold the competence and expected skill set as desired in nursing. She went on to explain that this competence is not just what she was taught to be a successful bedside nurse. This is also the strength and understanding on how to present oneself to her patients in times of desperation or agony. The professional responsibility influences her work by holding her accountable. With this she sees it her responsibility to hold the appropriate knowledge to adequately care for the patients that walk through the door. She feels nursing is held at a higher standard of professionalism due to having to handle so many situations with life and death. Professional Identity and Stewardship Interview Essay examples.

Stewards of Healthcare

It was expressed that she felt the leaders in her organization show great signs of stewards of health care. Including the patient care managers, hospital administration, and physicians Samantha explains that these leaders are active members in portraying their responsibility in upholding the organizations mission statement. The leaders take on the great battle of managing the staff and providing the wisdom needed to keep the facility operating appropriately. They are supportive, encouraging, and offer guidance to all workings members of the team.

Professional Advocacy, Authenticity, Power, & Influence

Samantha replied that is of the upmost importance to her that the leaders exercise professional advocacy, authenticity, power, and influence, especially in health care. When caring for people they deserve nothing less than everything we are able to offer them. It is because of this that Samantha feels strongly that leaders should not only encourage this behavior, but also show exemplary examples of this when working. Professional Identity and Stewardship Interview Essay examples. Respect towards her leaders is more important than some people realize. With respect, the followers are able to hold their own encouragement and continue to grow. Without respect, colleagues can often times lose their drive and force to better themselves and provide the best care.

Thesis

Samantha has been a registered nurse for 10 years. She prides herself on the ability to maintain a fulfilling home life, as well as a successful career. This interview offered the insight that professionalism is important in every position of nursing. It isn’t just for the managers and leaders of the organization. Professionalism and stewardship have a great influence for every member of the health care team Professional Identity and Stewardship Interview Essay examples.

 

Course Code

Class Code

Assignment Title

Total Points

AMP-450V

AMP-450V-O500

Professional Identity and Stewardship – Part II: Leadership Interview

50.0

Professional Identity and Stewardship Interview Essay examples

Criteria

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.

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.

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.

Professional Identity and Stewardship Interview Essay examples

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.

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.

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 Weightage

100%

Professional Identity and Stewardship Interview Essay examples

The purpose of this Personal teaching philosophy statement essay example assignment is to develop your personal teaching philosophy statement. This will be included in your e-portfolio to be submitted at the end of this course.

Begin by researching a developed teaching philosophy and use the information to shape your own philosophy.

In 250-500 words, develop a personal teaching philosophy statement that includes your beliefs on the purpose of education, how students learn, how your beliefs facilitate learning, the role of the nurse educator, and how you plan to implement this philosophy to grow as an educator as you seek to integrate the nurse educator competencies into your professional practice.

APA style is not required, but solid academic writing is expected. Personal teaching philosophy statement essay example.

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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Statement of Teaching Philosophy

The purpose of a Statement of Teaching Philosophy is not only to put your individual goals as an educator on paper, but to also enhance your likelihood of commandeering a job as an educator. First and foremost, the main goal behind putting your philosophy on paper is to remind you why you want to be an educator. Sometimes we have outside interference in our lives that can affect our goals and passions and this would serve as a little reminder as to why we want to be educators Personal teaching philosophy statement essay example. In other words, a teaching philosophy is a goal-oriented statement. Included in a statement of teaching philosophy should be your own personal goals as an educator, what methods you plan to use while teaching, why you plan to use those methods and how you will evaluate yourself and your methods. Overall, your personal statement of teaching philosophy will change as you do over time. As you learn more and more through experience, you will end up altering your views and goals on being an educator.

When I take a minute to jot down my fundamental beliefs about both learning and teaching, I see a direct correlation between the two. The commonality is that students need to be engaged in any lesson in the greatest capacity possible in order for the teaching to be effective. As for my beliefs about learning, I believe that students have a much higher success rate when they are in more of a “hands-on” learning environment. For example, from my own experience in an elementary setting; students who are lectured and then told to do an exercise tend to be less interested or do not know what to do when given the paper to do their work. However, when the students “learn” along with the teacher during the lesson, students have a much higher success rate when left on their own to do the activity. As for my beliefs about teaching, I have a hard time believing that educators enjoy lecturing students instead of working with them to help them understand a specific topic and or exercise. Personal teaching philosophy statement essay example. Personally, I believe in order to keep teaching fresh and prevent from getting in a routine considering education changes daily, I would constantly be looking for new ways to convey information and skills to students.

The fundamental values I would want to pass along to my students would be positive attitudes and their purpose for learning. First and foremost, conveying positive attitudes can do nothing but create an encouraging atmosphere around the classroom. If students are encouraged to be positive, this could lead into the successfulness of the “hands-on” learning environment. How these two go together is quite simple. If a student doesn’t understand even with the “hands-on” learning strategy, there will not only be the educators to help the child, but they would not feel embarrassed or ashamed asking a peer to help them better understand the material. When it comes to letting them know the purposes for learning, I would instill that in them by teaching them life skills along with educational skills. Those two types of skills essentially go hand in hand throughout life. Personal teaching philosophy statement essay example. As a student, I learned the English language and then eventually learned speech and people skills as I went on throughout my education.

Teaching to me means educating the younger generations in order to facilitate as successful of a future planet as possible. I understand that I will not be on this planet forever; therefore I feel the need to convey as much positive educational information to our younger generations as possible. Teaching also means shaping the minds of these children to become the best possible people they can be and enable them to make the biggest contribution they can to this planet as well. Personally working with a child one on one right now I can not only see the differences that one person can make in another’s life and this is the main reason why teaching means what it does to me. I honestly believe that without teaching or education this world would be a disaster. Education has been the one solid constant throughout the history of our country and it takes a special person to be a teacher. Personal teaching philosophy statement essay example.

In conclusion, education is full of different theories and philosophies, however the key factor in all of them is whether or not they are successful for you. This is the reason why creating your own philosophy of teaching is most ideal. There is no benefit from using other educator’s ideas and beliefs. We are all different therefore all share different views on education and how things should be taught. While we may get ideas from certain places, our philosophy should be our own without much if any influence. Education is an ever changing part of life in which there is ever changing educators educating our youth. These youth will one day go on and take our place, it is a never ending cycle that will forever evolve and it’s our duty to do our part and give what we can to our younger generations. Personal teaching philosophy statement essay example.

Formulating Your Philosophy of Education

Philosophy is in everything that we do. Dealing with parents and other.

Attitudes in life reflects your philosophy

Philosophy in Education includes this concepts:

–        Human person

–        True and good that needs to be taught

 

I believe that every child has a natural interest in learning and is capable of learning is an embodied spirit can be influenced but not totally by his/her environment is unique and so comparing a child to other children has no basis. I believe that my task as a teacher is to facilitate the development of every child to optimum and to the maximum. I believe that education is an individual, unique experience for every student who enters a classroom. In order for children to benefit from what schools offer, I think that teachers must fully understand the importance of their job. First, I believe that teachers must consider teaching to be a lifestyle, not a mere forty-hour-a-week job, because a teacher’s goals for his/her students encompass much more than relaying out-of-context facts to passive students. As professionals entrusted with the education of young minds, teachers must facilitate learning and growth academically, personally, and ethically. By providing a quality education to each individual in one’s classroom, a teacher equips children with the tools necessary for success in life.  I think that teaching and learning are a reciprocal processes. Personal teaching philosophy statement essay example. When teachers nurture individual talents in each child, educators can build self-esteem and may encourage a lifelong skill. By supporting these special abilities, teachers can, for example, guide students’ research, and students can, in turn, enlighten teachers about subjects in which they may not be as knowledgeable. This mutual respect for individual skills cultivates a professional academic relationship, leading to a give-and-take educational alliance. This liaison allows students to feel that they are on equal intellectual ground with their teachers, thus creating a strong academic atmosphere. In choosing to become a teacher, I have made the commitment to myself and my future students to be the best academic, personal, and ethical role model I can be Personal teaching philosophy statement essay example. It is my goal to have a mutually enriching teaching career by keeping an open mind and continually communicating with my peers and students. I am prepared to rise to the challenges of teaching in the 21st century, and I promise to try to provide an honest, well-rounded education to every student I encounter.

The Foundational Principles of Morality and You

 

“Even on your worst day on the job, you are still some children’s best hope.”

Morality- “The quality of human acts by” The quality of human acts by which we call them right or which we call them right or wrong, good or evil“ wrong, good or evil“

 

–        Your human action is right when it conforms with the norm, rule or, law of morality, otherwise it is said to be wrong.

 

 

PRINCEPS – a beginning a source

 

PRINCIPLES – is that on which something is based

founded originated initiate

The term “morality” can be used either

–        descriptively to refer to some codes of conduct put forward by a society or, some other group, such as a religion, or accepted by an individual for her own behavior or

–  normatively to refer to a code of conduct that, given specified conditions, would be put forward by all rational persons

 

Moral Principles of Education

–        The teacher needs to understand public opinion and the social order, as much as the public needs to comprehend the nature of expert educational service. – John Dewey

Teachers as Role Models

Teachers were expected to be morally upright individuals who displayed good character

They were expected to teach and discipline students

The public expects teachers to display behaviors such as

Fairness

Honesty

Adherence

 

 

7 Philosophies of Education

What are your beliefs about teaching?

 

Behind every school and every teacher is a set of related beliefs–a philosophy of education–that influences what and how students are taught. A philosophy of education represents answers to questions about the purpose of schooling, a teacher’s role, and what should be taught and by what methods. Personal teaching philosophy statement essay example.

Essentialism focuses on teaching the essential elements of academic and moral knowledge. Essentialists urge that schools get back to the basics; they believe in a strong core curriculum and high academic standards.

 

Perennialism focuses on the universal truths that have withstood the test of time. Perennialists urge that students read the Great Books and develop their understanding of the philosophical concepts that underlie human knowledge.

 

Progressivism is based largely on the belief that lessons must be relevant to the students in order for them to learn. The curriculum of a progressivist school is built around the personal experiences, interests, and needs of the students Personal teaching philosophy statement essay example.

 

Social Reconstructionist separated from progressivism because they desired more direct and immediate attention to societal ills. They are interested in combining study and social action, and believe that education can and should go hand in hand with ameliorating social problems.

 

Existentialism is derived from a powerful belief in human free will, and the need for individuals to shape their own futures. Students in existentialist classrooms control their own education. Students are encouraged to understand and appreciate their uniqueness and to assume responsibility for their actions.

 

The 21st Century Teacher

The 21
st
 century educator looks forward to the future. They are aware of the ever-changing trends in technology and are in tune of what the future may bring to education. A good 21
st
century teacher is aware of the career opportunities that will be in the coming years for their students, and are always advocating towards forward thinking and planning to ensure all students will not be left behind. Lastly, the 21
st
 century educator must use 
teaching strategies
 to ensure that the focus in education is on preparing today’s children for the future of where they will live and where they will work, not for our current world. The 21st century teacher is one that moves right along with it. Technology in the classroom, whether it’s for lessons, assignments, or grading, can help students learn better and faster, and help make a teacher’s time more effective. Personal teaching philosophy statement essay example. A 21st century teacher does not have to have a class set of tablets in every child’s hand, or the latest smart board. But they can have a nice balance of educational tools in their classroom. An effective teacher knows what technology in the classroom can truly help transform their students’ education. They know what the best tools are, and how and when to use them. An effective 21st century educator must be able to collaborate and work well in a team. Working with others is an important 21st century skill. Over the past few years, being able to collaborate effectively in the workplace has grown quite rapidly. Learning is deemed to be more effective when you can share your ideas and knowledge with others. Sharing your expertise and experience, communicating and learning from others, and being able to self-reflect is an important part of the learning and teaching process. The 21
st
century educator is a lifelong learner Personal teaching philosophy statement essay example. They don’t just expect their students to be lifelong learners, but they too stay current and on top of what’s new in education. Even though they may still use the same lesson plan from years before, they know how to change it to keep up-to-date with what is current. A great educator will not only embrace technology, but be willing to learn more about it. It’s a critical time in education and how it and teachers are being perceived. With the common core being implemented and judged, the teaching profession is being met with a close eye now more than ever before. Instead of sitting back, a 21
st
 century takes a stand for themselves and advocates for their profession. Personal teaching philosophy statement essay example. They pay close attention to the important issues and talk about them with their community. They keep parents and students informed on what’s going on in education and address on issues head on.

21st Century learning means teaching just as you have done in the past centuries, but with way better tools.  Today’s teachers have a great advantage, they have powerful learning tools at their disposal that they didn’t have before. 21st Century technology is an opportunity for students to acquire more knowledge. Teachers have the ability to move away from being the dispenser of information to someone who can guide them and prepare them for their future Personal teaching philosophy statement essay example. Ultimately, the 21
st
 century learner will be “learner-driven,” where they choose how and what they want to learn. The teacher will serve as a facilitator and guide to help embrace 21
st
century learning.

The National Competency-Based Teacher

An integrated theoretical framework that defines the different dimensions of effective teaching

Where effective teaching means being able to help all types of students learn the different learning goals in the curriculum.

all aspects of a teacher’s professional life and in all phases of teacher development

Standardizes the definition of what effective teaching is.

It provides a better guide for all teacher development programs and projects from school level up to the national level.

Various stakeholders and institutions use the NCBTS in their roles to maintain quality education through effecting teaching and learning. Personal teaching philosophy statement essay example.

Nurse Educator Nursing Plan

As a nurse educator, you will be responsible for creating effective lessons for various settings. Choose a teaching and learning experience from your clinical setting. You may use the clinical experience from your Topic 4 discussion response.

Based on the experience you chose, use the engagement, student learning, and creating effective learning environment strategies that you have learned in this course to develop a lesson plan on similar content for two additional settings (such as an asynchronous online session and teaching a nursing student in the clinical setting, etc.). Nurse Educator Nursing Plan Use the lesson plan examples found in the topic materials to assist you in creating your lesson outlines.

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This assignment will be used as an artifact for your electronic portfolio at the end of the course.

Include the following in your outline:

Lesson Objectives

Timeframe and target environment

Three to four teaching strategies-based on Evidence-Based Practice.

Activities

A summary of the types of assessments you would use in your lesson and why?

Provide rationale for the teaching strategies you implemented into each lesson and why they differ.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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

You are required to submit this assignment to LopesWrite

This assignment benchmarks the following competency:

Master of Science in Nursing with an Emphesis in Education

6.1: Apply instructional strategies grounded in evidence-based practice and learning theory that meet the unique needs of learners in diverse environments. Nurse Educator Nursing Plan.

Health Delivery System Competencies Reflection Sample essays

Week 8: ReflectionReflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #4, the MSN Essential IV, and the Nurse Practitioner Core Competencies # 7.

Program Outcome #4
:  Integrate professional values through scholarship and service in health care. (Professional identity)

MSN Essential IV:
Translating and Integrating Scholarship into Practice Recognize that the master’s-prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results.

Nurse Practitioner Core Competencies # 7

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Health Delivery System Competencies

Applies knowledge of organizational practices and complex systems to improve health care delivery.

Effects health care change using broad based skills including negotiating, consensus-building, and

partnering.

Minimizes risk to patients and providers at the individual and systems level.

Facilitates the development of health care systems that address the needs of culturally diverse

Health Delivery System Competencies Reflection Sample essays

populations, providers, and other stakeholders.

Evaluates the impact of health care delivery on patients, providers, other stakeholders, and the

environment.

Analyzes organizational structure, functions and resources to improve the delivery of care.

Collaborates in planning for transitions across the continuum of care.

In the past seven weeks, this course has taught me important concepts that enhance my understanding in the health promotion of numerous conditions affecting the primary care setting. We learned to optimize one’s health through disease prevention and treatment implementation for neurological issues, pulmonary conditions, cardiovascular and hematological problems, mental health, and inflammatory disorders. This course has helped me achieve the master’s program outcome number four, the Master’s Essential IV, and the Nurse Practitioner Core Competency number seven competency. Health Delivery System Competencies Reflection Sample essays

 

Master’s Program Outcome #4:
Integrating professional values via scholarship and the provision of service in healthcare

 

In this course, we achieved the program’s outcome of professional identity by analyzing how primary care practice is organized and influenced by ethical, legal, economic, and political factors (Chamberlain University, 2019). Through evaluation of clinical cases and research, I was able to integrate professional values and thus, develop professional identity as a family nurse practitioner (FNP). The professional core values of a nurse practitioner was not only learned in theory, but implemented in practice as well. Integrating the professional core values of compassion, trustworthiness, and  accountability in clinical practice helped further my development of professionalism and my identity as a FNP. One instance in which I had exposure to this outcome was during my clinical rotation when I addressed a young female with bulimia nervosa disorder. It was evident that she was extremely anxious and expressed concern about her body image and eating habits. It was important to allow her to openly communicate about her emotions. While it was difficult to address all of her concerns in a time-constraint environment, I did the best I could to provide compassion and give her ample time to talk and ask questions about her treatment plan. Developing the trust and respect between myself and the patient was critical in optimizing her health outcome. Another instance that helped achieve this particular outcome was in the implementation of treatment plans for patients who struggled to obtain proper services in healthcare. During my clinical rotations, I had a patient who had multiple comorbidities and came in with a chief complaint of constipation. Through imaging, she was found to have bile duct cancer and had issues getting an initial evaluation appointment with an oncologist. Instead of placing another referral that would take a significant amount of time to address the patient’s issue, we placed a call to an oncologist colleague to expedite the care and accommodate for the patient. Furthermore, she was also counseled and supported with financial resources.

 

Master’s Essential IV:
Transforming and incorporating scholarship into practice

 

The Master’s Essential IV of transforming and incorporating scholarship into practice was also met during this course through interdisciplinary team participation, application of research outcomes within the primary care setting, dissemination of research results, and utilization of practice guidelines to improve health outcomes (American Association of Colleges of Nursing [AACN], 2011). This particular master’s essential was heavily emphasized throughout this course by using reliable sources of information, applying national guidelines, and integrating clinical judgment and perspectives of other professionals for treatment plans of various illnesses (AACN, 2011). For example, we applied different evidence-based clinical guidelines to help formulate treatment plans for patients in the weekly discussion posts. Case studies of different illnesses, such as pulmonary, cardiovascular, and mental health disorders, during week 2 and 3 were heavily discussed and supported with the latest recommendations of scholarly research, as well as national treatment guidelines from healthcare associations and governmental agencies, including the American Heart Association, the Centers for Disease Control and Prevention, and the American Psychological Association. Applying these practice guidelines to improve practice fulfilled incorporating scholarship into the primary care practice. This master’s essential was also fulfilled in a second example during week 6 where we were assigned mental health disorder case studies to present. Various mental health disorders were discussed and supported by reliable sources and each peer took on a leadership position to facilitate the discussion throughout the week. As leader of an assigned topic, I responded to peers and demonstrated my knowledge of the mental health disorder through discussion of hallmark symptoms, diagnostic tools, and treatment plans while acknowledging results and conclusions of others. This example fulfilled knowledge and research dissemination to enhance health outcomes for each case study patient and incorporate scholarship into clinical practice.

 

Nurse Practitioner Core Competency #7:
Health Delivery System Competencies

 

Lastly, the nurse practitioner core competency #7, which was established by the National Organization of Nurse Practitioner Faculties (NONPF), focuses on the competencies related to health delivery systems. This competency involves the application of knowledge generated from organizational practices, the support of healthcare needs of culturally diverse populations, the impact of healthcare change, the organizational structure of the healthcare system, and the collaboration in the continuity of care (NONPF, 2017). This competency was achieved in the clinical rotation by supporting continuity of care and incorporating cultural competence in the primary care office. For example, I saw an elderly male patient in the clinical rotation with complaints of hematuria intermittently for the past three weeks. The patient had not established care with a primary care provider in many years. We obtained a urine sample, which showed frank blood. The patient required a higher level of care and was subsequently referred to the nearest ER. We were able to call the facility and give report to the receiving physician. The patient was then evaluated emergently. This example demonstrated the process of collaborating and planning for transitions across the healthcare continuum. Health Delivery System Competencies Reflection Sample essays. The second example of achieving this competency deals with cultural competence in healthcare. In the clinical rotation, I saw a young Hispanic female patient who had depression and an eating disorder. Her mother had brought her into the office, but they both primarily spoke Spanish. The office generally does not have a high Hispanic population, but we had interpreter services to help facilitate the visitation. We were able to utilize the interpreter services to help formulate a treatment plan for the patient, as well as discuss her emotions with her mother. The goal of culturally competent healthcare care services is to provide the highest quality of care to every patient, regardless of race, ethnicity, cultural background, and English proficiency. Both the patient and her mother were very appreciative for taking the time to address their concerns. This example demonstrated support of healthcare needs of culturally diverse populations. Therefore, the accomplishment of outcomes in this course helped me prepare to meet the program’s outcome number four, the master’s Essential IV, and the NONPF competency number seven. Health Delivery System Competencies Reflection Sample essays.

References

American Association of Colleges of Nursing. (2011). The essentials of master’s education in nursing
.
Retrieved from http://www.aacnnursing.org/Portals/42/Publications/MastersEssentials11.pdf

Chamberlain University. (2019). Academic catalog 2019-2020
.
Retrieved from https://www.chamberlain.edu/docs/default-source/academics-admissions/catalog.pdf

National Organization of Nurse Practitioner Faculties. (2017). Nurse practitioner core competencies content
.
Retrieved from Health Delivery System Competencies Reflection Sample essayshttps://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/2017_NPCoreComps_with_Curric.pdf

 
After reflecting over the course of Advanced Clinical Diagnosis and Practice Across the Lifespan, the student identified achievements of the course outcomes.  This course had a few specific areas that the student reflected on that assisted her in preparing for the Master of Science program outcome #4, the Master of Science in Nursing (MSN) Essential IV, and the Nurse Practitioner Core Competency #7.

The professional outcome #4 is to “Integrate professional values through scholarship and service in health care.”  This outcome was achieved by taking the week 4 APEA predictor exam.  As the student studied for the exam, she identified several areas of improvement. Health Delivery System Competencies Reflection Sample essays  By reviewing a wide knowledge base of concepts seen in the primary care setting the student was to identify her areas of strengths and weaknesses.  The test was broken down into categories and assisted the student to find her professional identity.  Another way the student found her professional identity was through clinicals.  The preceptor pushed autonomy and let the student formulate the treatment plan while she would offer suggestions and advice.  The student realized that in a few short months that she would be in practice with varying levels of guidance depending on job location. The student identified her professional identity in the clinic which will aide her in her next rotation and future practice.

The MSN Essential IV is “Translating and integrating scholarship into practice recognize that the master’s prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results.” Health Delivery System Competencies Reflection Sample essays.  Over the course, the student achieved the MSN Essential IV by discussion in week 6 mental health presentation and in the clinical setting.  The student is accustomed to seeing a lot of mental health patients but sometimes has difficulty categorizing the present illness.  The week 6 presentation allowed each student to formulate a patient scenario with a diagnosis provided by the instructor.  The student saw how mental illness was related, but also how it differed form patient to patient.  This assignment assisted the student in identifying patient’s chief complaints, differentiate from different ailments, educate and act as a change agent, and evaluate results over time.  In the clinical setting, the student was able to educate teens about IUDs.  The NP she followed at the FQHC would insert IUDs that lasted for 5 years for $20.  Many teenage girls would come to the clinic and admit to being sexually active without the use of protection or teenagers that already had a few kids would come in asking for birth control options.  The student felt as if she was able to minimize teenage pregnancy or unwanted pregnancies by providing patients with the appropriate knowledge and offer an affordable pregnancy prevention method. Health Delivery System Competencies Reflection Sample essays.

The Nurse Practitioner Core Competency #7 is geared towards Health Delivery System Competencies.  In the course, the students were exposed to case studies, expected to formulate case studies, and created diagnoses based upon case studies other students provided.  The different levels and dynamics of the case studies opened up opportunities for the student to review articles, clinical practice guidelines, and the most up-to-date information for each disease process.  Real-life scenarios allowed the student to apply practice knowledge to complex systems and improve healthcare outcomes.  In the clinic setting, the student had many Hispanic patients who were Spanish speaking only.  This opened up a concept of culturally diverse patients and populations.  The student learned that diabetes is common amongst the Hispanic race related to their culturally diverse diet and heritage.  The student incorporated a sliding scale pay plan to make it affordable for the patients, utilized an on-site translator, and reviewed costs of medications to ensure the patient would pick up the prescription and adhere to the treatment plan.  The FQHC clinic allowed for the student to identify the organizational structure, function, and resources available for these types of low socioeconomic patient classes. Health Delivery System Competencies Reflection Sample essays

Thank you,

Therapeutic assessment interview

Identify an older adult age 65 +, use a 1st and last initial. Execute a therapeutic assessment interview with them for at least two interview sessions assessing their self-identified:

·  Demographics, life time education and career/employment

·  Two most significant (positive) times in their lives

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·  What past hardship or loss has the client successfully negotiated in the past?

·  Two personal strengths Therapeutic assessment interview

·  Engage them in identifying what is healthy versus non-healthy coping skills

·  Inquire of 2 healthy coping skills they have used in the past and/or now

·  Three (3) pieces of advice they would give to their younger self if they could?

·  Support the client in taking the 
Geriatric Depression Scale.pdf

·  Support the client in taking the 
Fulmer SPICES Assessment.pdf

·  Perform a 
Mini Mental State Exam.pdf
 and 
Patient_Stress_Questionnaire.pdf
 (attach here)

·  Perform a 
Hall, Hall, and Chapman Article.pdf

·  Report the findings from the Geriatric Depression Scale, Fulmer Spices, Patient stress questionnaire and the mini mental status exam

·  Discuss your older adult’s level of ego integrity vs. despair as described by psychoanalyst Erik Erikson. If you had to rate them on a scale of 1-10, with 1 representing a full state of despair and 10 representing full ego integrity, what rating would you give your older adult?

·  Describe at least two nursing diagnoses for this client. Therapeutic assessment interview

·  Create a plan of care for the client to include at least three nursing goals with two nursing interventions each.

The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials. Therapeutic assessment interview

Strengths Finder self assessment

From self assessment below ,please give 
a brief description of your results from the Strengths Finder assessment Below. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your Strengths Finder assessment. Be specific.  In addition,

Do you believe you have the traits to be an effective leader? Perhaps you are already in a supervisory role, but as has been discussed previously, appointment does not guarantee leadership skills.

How can you evaluate your own leadership skills and behaviors from the assessment that you completed? And please identify your personal strengths, which have been shown to improve motivation, engagement, and academic self-conference. Strengths Finder self assessment. Through this assessment, you will discover your top five themes—which you can reflect upon and use to leverage your talents for optimal success and examine how the results relate to your leadership traits. In addition,
RANK
 
STRENGTH

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1Individualization

LEARN MORE

RELATIONSHIP BUILDING

People who are especially talented in the Individualization theme are intrigued with the unique qualities of each person. They have a gift for figuring out how people who are different can work together productively.

2Ideation

LEARN MORE

STRATEGIC THINKING

People who are especially talented in the Ideation theme are fascinated by ideas. They are able to find connections between seemingly disparate phenomena. Strengths Finder self assessment

3Achiever

People who are especially talented in the Achiever theme have a great deal of stamina and work hard. They take great satisfaction from being busy and productive.

4

Competition

People who are especially talented in the Competition theme measure their progress against the performance of others. They strive to win first place and revel in contests.

5Learner

LEARN MORE

STRATEGIC THINKING

People who are especially talented in the Learner theme have a great desire to learn and want to continuously improve. In particular, the process of learning, rather than the outcome, excites them. Strengths Finder self assessment

Social Determinate Of Health Contributing To A Family Health Status

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Values/Health Perception

Nutrition

Sleep/Rest

Elimination

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Activity/Exercise

Cognitive

Sensory-Perception

Self-Perception

Role Relationship

Sexuality

Coping

Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family. Social Determinate Of Health Contributing To A Family Health Status

Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.

Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.

Using the model, outline the steps for a family-centered health promotion. Include strategies for communication. Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria. Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required. Social Determinate Of Health Contributing To A Family Health Status

RUBRICS:
The SDOH directly affecting family health status are relevant, accurately identified and thoroughly described. The direct impact to the family, and why the factors are prevalent to the family, are discussed in detail. The discussion is well supported and illustrates insight into SDOH and their effect on family health status.

Screenings presented for each family member are age appropriate and highly relevant. Screenings correlate to the information gathered through family health assessment. Strong rationale and support is presented.

A health model is selected and thoroughly described. A detailed discussion of how the model will assist in creating a plan of action is presented. Reasons for why it is best for this family are clearly outlined. Strong rationale and support are provided to support reasoning Social Determinate Of Health Contributing To A Family Health Status

The health model is used to create a relevant and viable family-centered health promotion. The steps to achieve the desired outcome are described in detail. Appropriate strategies for communication with the family are clearly presented. The health promotion is well-designed and demonstrates an ability to assimilate findings and appropriately apply theoretical knowledge to achieve desired outcomes.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Social Determinate Of Health Contributing To A Family Health Status

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Writer is clearly in command of standard, written, academic English. All format elements are correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Social Determinate Of Health Contributing To A Family Health Status

Pakistani Woman with Delusional Thought Processes Decision Tree Case Study

sychosis and schizophrenia greatly impact the brain’s normal processes, which interferes with the ability to think clearly. When symptoms of these disorders are uncontrolled, clients may struggle to function in daily life. However, clients often thrive when properly diagnosed and treated under the close supervision of a psychiatric mental health practitioner. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with psychosis and schizophrenia. Pakistani Woman with Delusional Thought Processes Decision Tree Case Study.

Learning Objectives

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Students will:

Assess client factors and history to develop personalized plans of antipsychotic therapy for clients

Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring antipsychotic therapy

Evaluate efficacy of treatment plans

Analyze ethical and legal implications related to prescribing antipsychotic therapy to clients across the lifespan

 

To prepare for this Assignment:

Review this week’s Learning Resources. Consider how to assess and treat clients requiring anxiolytic therapy.

The Assignment

Examine Case Study: Pakistani Woman with Delusional Thought Processes.
You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. Pakistani Woman with Delusional Thought Processes Decision Tree Case Study

At each decision point stop to complete the following:

Decision #1

Which decision did you select?

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Pakistani Woman with Delusional Thought Processes Decision Tree Case Study

Decision #2

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

Decision #3

Why did you select this decision? Support your response with evidence and references to the Learning Resources.

What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

SAMPLE  ONLY

 

NURS 6630

WEEK SEVEN

Case 2:
 
Volume 2, Case #11: The figment of a man who looked upon the lady

Introduction

Briefly, this is a scenario of a 42 year- old woman with a complex psychiatric history extending from depression, posttraumatic stress disorder, insomnia, visual hallucinations (little man)and impaired behavior with aggression. In the course of more than 36 months, the client was treated with Paroxetine (SSRI), Bupropion ( NDRI), Tiagabine, Ramelteon and , but finally a combination of Lexapro, Bupropion and quetiapine was able to decrease her symptoms . The client’s medical history includes diabetes, hypertension, CAD, hyperlipidemia, COPD, OSA, GERD, Glaucoma, overweight and a remote history of substance abuse. Pakistani Woman with Delusional Thought Processes Decision Tree Case Study

Related Professional Questions

Certain medications or supplements can cause symptoms of mental illness and also due to her extensive medical history and usage of multiple medications I would ask the following questions:

1. Do you take any over -the – counter, herbal supplements or remedies and I would check for interactions with current medication regimen?

2. When and how often do you use your albuterol inhaler ? Some of the side effects of albuterol include anxiety, nervousness, and insomnia ( Cunha, 2016)

Sleep Hygiene: Do you keep regular sleep schedule ? Do you drink caffeine beverages close to bedtime?

Patient History

The patient may not be a reliable source of information, particularly that she has a significant mental illness that affects her functioning, hence verifying her responses with her direct family members, and mental social workers to get clues to the underlying or precipitating causes of mental crisis. Also checking facility records from previous encounters, or any psychiatric hospitalizations would be useful. Pakistani Woman with Delusional Thought Processes Decision Tree Case Study

Diagnostics Testing

1. Thyroid Stimulating Hormone (TSH). Based on recent evidence, the prevalence of depressive symptoms in hypothyroidism was nearly 50%, and clinical depression occurs in more than 40% of people suffering from hypothyroidism ( Bhagwat, 2017) Pakistani Woman with Delusional Thought Processes Decision Tree Case Study

2.
 Electrocardiogram (ECG) The client has cardiovascular diseases ( HTN, CAD), with risks of cardio complications. In the setting of taking antidepressants and antipsychotics, baseline ECG and possibly every three to six months would be appropriate.  Several atypical antipsychotics including quetiapine (Seroquel) are known to cause prolongation of the QT interval, hypothesized to occur via direct inhibition of the cardiac delayed potassium rectifier channel, which extends the ventricular repolarization process (Zhai et al., 2017)

Differential Diagnoses

1.
 
Posttraumatic Stress Disorder ( PTSD)_

2.
 
Major Depressive Disorder 
 
(MDD)

3.
 
Insomnia Disorder.

Pharmacotherapy Options for Sleep/ Wake cycle

1. Zolpidem (Ambien) 5mg oral at bedtime for Seven days.

Zolpidem is nonbenzodiazepine hypnotic, it works by enhancing GABA inhibitory actions that provide sedative hypnotic effects more selectively than other actions of GABA (Stahl, 2017). With its side effects of sedation,  low dose prescribed as the client has respiratory problems (sleep apnea OSA)).  Studies have shown that Zolpidem did not significantly worsen OSA as measured by the numbers and duration of pauses in breathing during sleep, but in one trial, it significantly lowered minimum oxygen levels during the night when compared with placebo ( Mason & Smith, 2015). Pakistani Woman with Delusional Thought Processes Decision Tree Case Study

2. Trazadone 25 mg oral at bedtime for Thirty days.

Trazadone is a serotonin 2 antagonist/reuptake inhibitor, used in management of depression and insomnia. It is absorbed well, metabolized by CYP 450 3A4 with average half life of 6hrs. It has less side sedative effects compared to zolpidem (Stahl, 2017)

The best choice for the client would be Trazadone as there is no reliable evidence of dependence or withdraws and it can also work for the client’s depression. Pakistani Woman with Delusional Thought Processes Decision Tree Case Study

Conclusion

The case was a perfect example how it is sometimes difficult to find effective pharmacological treatments of psychiatric illnesses. In the course of four years, the client was prescribed 5-6 medications targeting different neurotransmitters to improve the symptoms. Client’s polypharmacy increased risks of drug-drug interactions, and her medical comorbidities increased risks of adverse reactions. Lesson learned from this study was  that treatment  should be optimally initiated after diagnosis, and augment or switching to a new agent must be carefully  done in consideration of possible  side effects and better outcomes. Pakistani Woman with Delusional Thought Processes Decision Tree Case Study

References

Bhagwat, N., Tayde, P., Sharma, P., Sharma, B., Dalwadi, P., Sonawane, A., … Varthakavi, P. (2017). Hypothyroidism and depression: Are cytokines the link? 
Indian Journal of Endocrinology and Metabolism
, 
21
(6), 886. Retrieved from https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=7&sid=aeb79c1d-68dc-40a4-bd10-f956796bc9e8%40sessionmgr101

Cunha, J. (2016). Common Side Effects of Ventolin HFA (Albuterol Sulfate Inhalation Aerosol) Drug Center – RxList. Retrieved from https://www.rxlist.com/ventolin-hfa-side-effects-drug-center.htm Pakistani Woman with Delusional Thought Processes Decision Tree Case Study

Mason, M., & Smith, I. (2015). Effects of opioid, hypnotic and sedating medications on obstructive sleep apnoea (OSA) in adults with known OSA | Cochrane. Retrieved from http://www.cochrane.org/CD011090/AIRWAYS_effects-opioid-hypnotic-and-sedating-medications-obstructive-sleep-apnoea-osa-adults-known-osa

Zhai, D., Lang, Y., Dong, G., Liu, Y., Wang, X., Zhou, D., … Zhang, R. (2017). QTc interval lengthening in first-episode schizophrenia (FES) patients in the earliest stages of antipsychotic treatment. 
Schizophrenia Research
, 
179
, 70-74. Retrieved from https://resolver-ebscohost-com.ezp.waldenulibrary.org/openurl?ID=pmid%3a27727006&genre=article&atitle=QTc+interval+lengthening+in+first-episode+schizophrenia+(FES)+patien Pakistani Woman with Delusional Thought Processes Decision Tree Case Study