Tag: Clinical-Nursing

  • Rosemarie R. Parse Human Becoming theory critique

    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

    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

    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

    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

    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

  • NURS 6050 Developing Health Advocacy – Stroke Essay

    NURS 6050 Developing Health Advocacy – Stroke Essay

    Policy and Advocacy for Improving Population Health

    NURS-6050N

     

    Developing Health Advocacy

     
    Stroke

    Surprisingly, stroke is a top five leading cause of death and disability in the United States.  “Stroke kills almost 130,000 of the 800,000 Americans who die of cardiovascular disease each year – that’s 1 in every 19 deaths from all causes” (Centers for Disease Control, 2016, p.1)   According to the Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report (MMWR), stroke was the “fourth leading cause of death in the United States, and stroke was a leading cause of long-term disabilities” (“Prevalence of Stroke,” 2012, p. 1)  MMWR also noted, that “care for stroke survivors cost an estimated $18.8 billion in the United States during 2008” (2012).  Although efforts have been made to increase awareness of the signs and symptoms of a stroke, there remains “limited public knowledge about stroke recognition and the importance of seeking immediate medical attention” (Payne
    et al
    . 2010).  The purpose of this paper is to identify the population most at risk, identify effective advocacy campaigns and discuss educating the public of all ages and geographical areas and explore the possible implementation of education as it relates to other risk factors for public awareness. NURS 6050 Developing Health Advocacy – Stroke Essay.

    Population Health Issues

    According to the Centers for Disease Control and Prevention (CDC), “every year, about 610,000 in the United States have a new stroke” (2016a).  Risk factors for stroke include: certain conditions, behavior, and family history and other characteristics.   Some risk factors can be modified to reduce the risk for stroke (Center for Disease Control and Prevention, 2016, p.1).

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    Conditions that increase risk for stroke include: previous stroke or transient ischemic attack (TIA), high blood pressure, high cholesterol, heart disease, diabetes and sickle cell disease (Centers for Disease Control and Prevention, 2016b).  Behaviors that increase risk for a stroke include: an unhealthy diet, physical inactivity, obesity, too much alcohol and tobacco use places one at higher risk (Centers for Disease Control and Prevention, 2016c).  Family History and other characteristics that increase the risk for stroke include: genetics and family history, age, sex and race or ethnicity (Centers for Disease Control and Prevention, 2016d). NURS 6050 Developing Health Advocacy – Stroke Essay. “The chances of having a stroke about doubles ever 10 years after age 55” (Centers for Disease Control and Prevention, 2016, p.1).  Research demonstrates that stroke is more common in women and women are more likely to die from a stroke than men.  Blacks, Hispanics, American Indians and Alaska Natives are at higher risk than Asians and non-Hispanic whites (Centers for Disease Control and Prevention, 2016d).  According to the National Stroke Association (NSA), stroke is the third leading cause of death for women with an estimated 55,000 more women having a stroke in comparison to men (2016).  NURS 6050 Developing Health Advocacy – Stroke Essay. The NSA, also reported that women may report symptoms that are very different from the most common symptoms such as: loss of consciousness or fainting, generalized weakness, shortness of breath, confusion, agitation, hallucinations, nausea or vomiting, pain, seizures and/or hiccups (2016).

    Advocacy Campaigns

    Advocacy programs supporting the understanding and education on stroke awareness have made little impact to date.  According to an article published in the Journal of Public Health Management and Practice, “only 38 percent of US adults in the states surveyed were aware that all five were symptoms of stroke and cause for calling 911 (Payne, Fang, Fogle, Oser, Wigand, Theisen & Farris, 2010). NURS 6050 Developing Health Advocacy – Stroke Essay.

    “The Global Burden of Disease (GBD) study provides the most comprehensive state of health in the world since 1990.  The absolute number of people affected by stroke worldwide has significantly increased.  The increased global stroke burden strongly implies that the current high-risk and population-wide primary stroke prevention strategies are not sufficiently effective, and we need to develop strategies that have larger effect sizes” (Feigin
    et al
    . 2016 p.1).

    Two popular campaigns are Suddens and FAST.  Suddens was created by Brain Attack Coalition and incorporates the five sudden stroke warning signs, which was adopted by the American Heart Association (Payne
    et al.
    2010). NURS 6050 Developing Health Advocacy – Stroke Essay.

    The Suddens warning signs include:

    Sudden numbness or weakness of the face, arm or leg, especially on one side of the body

    Sudden confusion, trouble speaking or understanding

    Sudden trouble seeing in one or both eyes

    Sudden trouble walking, dizziness, loss of balance or coordination

    Sudden severe headache with no cause

    NURS 6050 Developing Health Advocacy – Stroke Essay

    The campaign FAST was created by researchers at the University of Cincinnati and is an acronym for:
    F
    ace,
    A
    rm,
    S
    peech and
    T
    imely action (Payne et al, 2010).  A much shorter version and easily remembered.

    Attributes of an Effective Advocacy Campaign

    In regards to the attributes of the SUDDENS stroke campaign, it is more informative by identifying all five warning signs.  In order to be effective, the message must be easily remembered and understood for everyone from school age children to elderly adults who are highest risk.

    The attributes of the FAST campaign is that it is much more easily remembered and easily taught to all ages.  From school age children to adults with less than a high school education, the FAST campaign seems to be intended for all age groups.  The important thing is to raise awareness and call to emergency action for earlier treatment.  The most important thing is to recognize symptoms and call 911.

     

    Development of Health Advocacy Campaign

    In order to be effective, a campaign not only needs to provide the information and education, but make it easily accessible to all through various means.  This would include: mass media, social media, billboards, pamphlets, flyers, and face-to-face education.  Education needs to be provided and made appropriate to nearly every age group.  Face-to-face education campaign consideration may include grade schools, health department, clinics and emergency room visits.  Many do not necessarily associate their behaviors and conditions they may experience to the potential risk of stroke.  That is why stroke awareness and education needs to be tied to other risk factors that a person may already have.  For example, if you are diagnosed with high blood pressure, high cholesterol, or diabetes or if you are black, Hispanic, a woman or a smoker, then you should receive stroke education from a licensed health care provider.  According to a published study in the Journal of Stroke and Cardiovascular Disease, the elderly population is increasing and especially pronounced in rural populations.  Another interesting article in the Journal of Stroke and Cerebrovascular Disease, identified a population group which was difficult to educate due to geographical location (Inoue
    et al
    . 2015).  In an effort to reach the rural areas and the elderly, a stroke educational campaign at super markets and grocery stores was implemented.  The campaign was conducted in rural Japan and the idea was simple, “grocery shopping is a necessity at any age and the average shopper goes to the grocery store twice weekly” (Inoue
    et al
    . 2015).  The campaign was conducted in a rural mountainous region with 4000 flyers being distributed to shoppers.  The flyers included all five of the warning signs and findings suggested that educational flyers should be structured to keep stroke campaigns as simple as possible (Inoue
    et al
    . 2015).  The results showed that the more difficult signs and symptoms such as visual disturbances, dizziness, difficulty understanding others remained low throughout the campaign (Inoue
    et al.

    2015).

    Summary

    A Stroke can affect anyone, at any age, and is one of the leading causes of death and disability in the United States alone.  The cost of stroke related disability is astounding and increasing as stroke related mortality decreases.  The recognition of signs and symptoms of a stroke and early intervention is critical.  The most effective advocacy campaigns keep it simple.  A consideration is to reach all demographics and geographical locations, including rural areas to decrease out of hospital delays in emergency treatment. One idea found effective is placing flyers in grocery bags at supermarkets (Inoue et al, 2015).  Education needs to also begin with the diagnosis of risk factors, conditions and behaviors such as high blood pressure, diabetes, gender, race and habits.  Therefore, a proposal to extend education in an appropriate manner to all ages, at various outlets, geographical areas and tie education to the diagnosis of risk factors should be incorporated.

     

    References

    Centers for Disease Control and Prevention. (2016c).
    Behaviors That Increase Risk for Stroke
    .  Retrieved from https://www.cdc.gov/stroke/behaviors.htm

    Centers for Disease Control and Prevention. (2016b).
    Conditions That Increase Risk for Stroke
    .  Retrieved from https://www.cdc.gov/stroke/conditions.htm

    Centers for Disease Control and Prevention. (2016d).
    Family History and Other Characteristics That Increase Risk for Stroke
    .  Retrieved from https://www.cdc.gov/stroke/family-history.htm

    Centers for Disease Control and Prevention. (2016a).  
    Know the Facts About Stroke
    . Retrieved from https://www.cdc.gov/stroke/docs/sonsumered_stroke.pdf

    Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report (MMWR): Prevalence of Stroke – United States, 2006-2010. (2012)
    . Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report (MMWR),
    61
    (20). 379-382. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6120a5.htm?s_cid=mm6120a5_w

    Feigin, V. L., Norrving, B., George, M. G., Foltz, J. L., Roth, G. A., & Mensah, G. A. (2016, July 22). Prevention of stroke: a strategic global imperative.
    REVIEWS
    . http://dx.doi.org/10.1038/nrneurol.2016.107

    Inoue, Y., Jonda, S., Wataabe, M., & Ando, Y. (2015, February). Education Campaigns at Point of Purchase in Rural Supermarkets Improve Stroke Knowledge.
    Journal of Stroke and Cerebrovascular Diseases
    ,
    24
    , 480-484. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2014.09.022

    Payne, G. H., Fang, J., Fogal, C. C., Oser, C. S., Wigand, D. A., Theisen, V., & Farris, R. P. (2010, July/August). Stroke Awareness: Surveillance, Educational Campaigns, and Public Health.
    Journal of Public Health Management and Practice
    ,
    16
    (345-358). http://dx.doi.org/10.1097/PHH.0b013e3181c8cb79 NURS 6050 Developing Health Advocacy – Stroke Essay

     

    Evaluation Criteria for Applications and Formal Papers

     

    Levels of Achievement

    Criteria

    Outstanding Performance

    Excellent Performance

    Competent Performance

    Proficient Performance

    Room for Improvement

    QUALITY OF WORK SUBMITTED –

    1. The extent to which work meets the assigned criteria and work reflects graduate level critical and analytic thinking (0-30 Points)

    30 to 30 points

    Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics

    25 to 29 points

    Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics

    20 to 24 points

    Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.

    16 to 19 points

    Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.

    NURS 6050 Developing Health Advocacy – Stroke Essay

    0 to 15 points

    Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.

    QUALITY OF WORK SUBMITTED: Purpose of the paper is clear (0-5 Points)

    5 to 5 points

    A clear and comprehensive purpose statement is provided which delineates all required criteria.

    5 to 5 points

    A clear and comprehensive purpose statement is provided which delineates all required criteria.

    4 to 4 points

    Purpose of the assignment is stated, yet is brief and not descriptive.

    1 to 3 points

    Purpose of the assignment is vague.

    0 to 0 points

    No purpose statement was provided.

    ASSIMILATION AND SYNTHESIS OF IDEAS

    The extent to which the work reflects the student’s ability to-

    1. Understand and interpret the assignment’s key concepts (0-10 Points)

    10 to 10 points

    Demonstrates the ability to critically appraise and intellectually explore key concepts.

    9 to 9 points

    Demonstrates the ability to critically appraise and intellectually explore key concepts.

    8 to 8 points

    Demonstrates a clear understanding of key concepts.

    5 to 7 points

    Shows some degree of understanding of key concepts.

    0 to 4 points

    Shows a lack of understanding of key concepts, deviates from topics.

     

    NURS 6050 Developing Health Advocacy – Stroke Essay

    ASSIMILATION AND SYNTHESIS OF IDEAS 2. Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources (0-20 Points)

    20 to 20 points

    Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.

    15 to 19 points

    Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.

    10 to 14 points

    Integrates specific information from 1 credible outside resource and 3 to 4 course resources to support major points and point of view.

    3 to 9 points

    Minimally includes and integrates specific information from 2-3 resources to support major points and point of view.

    0 to 2 points

    Includes and integrates specific information from 0 to 1 resource to support major points and point of view.

    ASSIMILATION AND SYNTHESIS OF IDEAS 3. Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, and textbook) by comparing different points of view and highlighting similarities, differences, and connections. (0-20 Points)

    20 to 20 points

    Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.

    18 to 19 points

    Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.

    16 to 17 points

    Summarizes information gleaned from sources to support major points, but does not synthesize.

    NURS 6050 Developing Health Advocacy – Stroke Essay

    14 to 15 points

    Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped.

    0 to 13 points

    Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.

    WRITTEN EXPRESSION AND FORMATTING 1. Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance. (0-5 Points)

    5 to 5 points

    Paragraphs and sentences follow writing standards.

    5 to 5 points

    Paragraphs and sentences follow writing standards.

    NURS 6050 Developing Health Advocacy – Stroke Essay

    4 to 4 points

    Paragraphs and sentences follow writing standards 80% of the time.

    3 to 3 points

    Paragraphs and sentences follow writing standards 70% of the time.

    0 to 2 points

    Paragraphs and sentences follow writing standards < 70% of the time.     WRITTEN EXPRESSION AND FORMATTING 2. English writing standards: Correct grammar, mechanics, and proper punctuation (0-5 Points) 5 to 5 points Uses correct grammar, spelling, and punctuation with no errors. 5 to 5 points Uses correct grammar, spelling, and punctuation with no errors. 4 to 4 points Contains a few (1-2) grammar, spelling, and punctuation errors. 3 to 3 points Contains several (3-4) grammar, spelling, and punctuation errors. 3 0 to 2 points Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. WRITTEN EXPRESSION AND FORMATTING 3. The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list (0-5 Points) 5 to 5 points Uses correct APA format with no errors. 5 to 5 points Uses correct APA format with no errors. 4 to 4 points Contains a few (1-2) APA format errors. 3 to 3 points Contains several (3-4) APA format errors. 0 to 2 points Contains many (≥ 5) APA format errors. NURS 6050 Developing Health Advocacy – Stroke Essay

  • Grand Theory and Clinical Nursing Practice Essay

    Grand Theory and Clinical Nursing Practice Essay Directions:

    Grand Theory and Clinical Nursing Practice

    Read the 
    Nicely article (PDF)(Links to an external site.)Links to an external site.
     as an example of a grand theory on clinical nursing practice.

    Choose one of the suggested articles for this week that link grand theory to clinical practice.

    Compare and contrast the two theories.

    Grand Theory and Clinical Nursing Practice Essay

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    Grand theory and clinical nursing practice

    A nursing theory is a contextual structure that is intended to organize knowledge while explaining existing phenomenon using concrete evidence specific to nursing practice. In fact, theories direct inquiry in nursing while distinguishing it from other professions through a unique focus on subject specific knowledge development. An example of this can be seen in organ donation practice after brain death. In this case, there is an acknowledgement that given the present medical technologies, serious brain damage eliminates the concept of ‘self’ and turns the patient into a potential organ donor. While this statement is true, there is need for a set of principles to determine how the ‘brain dead’ patient should be handled prior to the organs being harvested and how nurses should approach the donation process (Nicely, 2011). The present paper compares and contrast Virginia Henderson’s Need Theory and Dorothea Orem’s Self-Care Model as they concern nurses’ approach to the concept of patients’ care.

    Orem’s theory defines nursing care as a necessary practice when the patient is unable to fulfil biological, psychological, developmental and/or social needs. This implies that a patient is defines as such by the incapacity to be independent. Henderson’s theory similarly emphasizes the need for independence by identifying fourteen basic needs. Grand Theory and Clinical Nursing Practice Essay. This implies that an individual ceases to be a patient when he or she can successfully meet the self-care requisites, particularly with regards to developmental and universal need, as components of primary care to prevent ill health. To be more precise, the two theories describe the nurse’s role as a substitute who does something that the patient should have done if he or she had been independent, or a complement who accompanies the patient in the process of seeking independence (Kaakinen et al., 2015). In this respect, the two theories identify patients as dependent persons with the nurses acting to help them become as independent as possible. Another common feature of the two theories is the recognition that patients are graded within a spectrum that moves from slight deficit requiring little intervention to complete dependence that makes the patients rely wholly on the nurses. Orem’s theory acknowledges that nursing intervention will depend on how much the patient can do for himself or herself. Henderson’s theory similarly notes that a nurse can play a substitutive role when the patient requires little help or play a complementary role when the patient is unable to care for himself or herself (Meleis, 2017). Grand Theory and Clinical Nursing Practice Essay.

    Although the two theories share the mentioned similarities, there are significant differences between the two. Firstly, although a common feature in both models is that they demonstrate the same ‘players’ in terms of addressing dependence, the core concepts defining these players defer. Orem’s model notes that every person is a rational being capable of making decisions, whether good or bad. This means that every person is independent to direct self-care aspects so that there are those who would strive for optimum self-care while there are those who would strive for minimum self-care. Grand Theory and Clinical Nursing Practice Essay. In contrast, Henderson’s theory accepts that although people are independent beings, their capacity to make decisions can be overruled when striving for optimum self-care (Meleis, 2017). Secondly, the two theories consider health as a state and process of integrating the individual to the environment. Orem’s theory further adds that health is achieved through deliberate practices and activities over the individual’s lifetime. Henderson’s theory presents a contrasting opinion by noting that health focuses on independence with regards to basic human needs that include physiological, psychological, spiritual and social needs (Kaakinen et al., 2015) Grand Theory and Clinical Nursing Practice Essay. Based on this discussion, it is evident that although both Orem’s model and Henderson’s model highlight the need for nursing care within the healthcare environment, they present different interpretations of what constitutes nursing care and the position that nurses play in achieving health.

    References

    Kaakinen, J., Coehlo, D., Steele, R., Tabacco, A. & Hanson, S. (2015).
    Family health care nursing: theory, practice, and research
    (5
    th
    ed.). Philadelphia, PA: F. A. Davis Company.

    Meleis, A. I. (2017).
    Theoretical Nursing development and progress
    (6th ed.). Philadelphia, PA: Wolters Kluwer.

    Nicely, B. (2011). Virginia Henderson’s principles and practice of nursing applied to organ donation after brain death.
    Progress in Transplantation,
    21, 72-77. Retrieved from https://lmscontent.embanet.com/MVU/NURS600/Readings/W3_Nicely2011.pdf Grand Theory and Clinical Nursing Practice Essay

  • NURS 6050 wk Assignment: Advocating for the Nursing Role in Program Design and Implementation

    NURS 6050 wk Assignment: Advocating for the Nursing Role in Program Design and Implementation

    Assignment: Advocating for the Nursing Role in Program Design and Implementation

    As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

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    Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that makes them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives. NURS 6050 wk Assignment: Advocating for the Nursing Role in Program Design and Implementation.

     

    In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

     

    To Prepare:

    Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.

    Select a healthcare program within your practice and consider the design and implementation of this program.

    Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation. NURS 6050 wk Assignment: Advocating for the Nursing Role in Program Design and Implementation.

     

    The
    Assignment
    : (2–3 pages)

     

    In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions:

    Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?

    Who is your target population?

    What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? NURS 6050 wk Assignment: Advocating for the Nursing Role in Program Design and Implementation.

    What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

    What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?

    Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why? NURS 6050 wk Assignment: Advocating for the Nursing Role in Program Design and Implementation.

  • Grand nursing theorists essay

    Grand nursing theorists essay

    Directions:

    Select a grand theorist from each of the four types of grand theories, as identified by Meleis in Chapter 9 (of the book ‘Theoretical Nursing development and progress’ 6
    th
    edition), which includes a choice from the needs, interaction, outcome, and caring theorists.

    Compare and contrast, in tabular format, the following information:

    Example of tabular format that should be included in the paper.

    Theorist

    Theorist

    Theorist

    Theorist

    Educational background

    Philosophy of nursing

    Definition of nursing

    Goal/ purpose of theory

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    In narrative form, reflect on these theorists and explain which one is most congruent with your personal philosophy of nursing. Grand nursing theorists essay.

    This is an APA format paper which should include a title page, an introduction with purpose statement addressing the purpose of the paper, the tabular chart, the narrative, and an APA format reference page.  Remember to include your in-text citations for all information taken from another source whether paraphrased or direct quotes.

    Assignment Details:

    3-5 pages

    APA format

    Similarity Score

    After submitting your assignment, select Submission Details to view your similarity score.

    Your similarity score will appear as a percentage next to your submitted file.

    It may take up to 24 hours to view your similarity score.

    Criteria:

    Ideas and content reflect original thought and are clearly stated

    Paper is well organized (intro, body, conclusion) and includes the table comparing specific information for the 4 chosen theorists.

    Correct use of APA format throughout paper

    Minimal grammatical, spelling errors; adheres to page limit

    Provides appropriate reference list Grand nursing theorists essay

     

    Grand theory

    Introduction

    Grand theories in nursing refer to statements that broadly define the scope of a nurse’s activities within acceptable professional propositions and concepts. In fact, these theories are not intended to be tested, rather they are intended to offer insight into nursing practice through predicting, explaining and directing nurses on how to act within particularly circumstance, situations and cases Grand nursing theorists essay. Besides that, these theories are relevant to all nursing care since they present theoretical concepts with broad perspectives that direct nursing education and practice (Meleis, 2017). The present paper compares four grand nursing theorists and their contributions to nursing.

    Part 1.

    Table 1. Grand nursing theorists (Source: Meleis, 2017; Porter-O’Grady & Malloch, 2016)

    Jean Watson
    (1940 – ) – Theory of human caring

    Myra Levine
    (1920 – 1996) – Conservation model for nursing

    Hildegard Peplau
    (1909 – 1999) – Theory of interpersonal relations

    Virginia Avenel Henderson
    (1897 – 1996)

    Educational background

    1961
    – Diploma in Nursing from Lewis Gale School of Nursing in Roanoke, Virginia.

    1964
    – BSN from University of Colorado.

    1966
    – Master of science in nursing in psychiatric and mental health nursing from University of Colorado.

    1973
    – Ph.D. in educational psychology and counseling from University of Colorado.

    1944
    – Diploma in Nursing, Cook County School of Nursing.

    1949
    – BSN from the University of Chicago.

    1962
    – Master of Science in Nursing from Wayne State University.

    1931
    – RN from Pottstown, Pennsylvania Hospital School of Nursing.

    1943
    – B.A. in interpersonal psychology from Bennington College in Vermont.

    1947
    – M.A. in psychiatric nursing from Teachers College, Columbia, New York.

    1953
    – Ed.D in curriculum development from Teacher’s College Columbia University.

    1921
    – US Army School of Nursing in Washington, D.C.

    1931
    – BS in Nursing from Teachers College, Columbia University.

    1934
    – Master’s degree from Teachers College, Columbia University.

    Grand nursing theorists essay

    Philosophy of nursing

    Nurses should express intentional and authentic caring as a central tenet of nursing practice, while promoting health beyond the simple concept of medical cure.

    Nurses should focus on promoting adaptation and maintain wholeness by using the principles of conservation, while handling each patient as an individual entity.

    Nurses should consider their relationship with patients as the foundation of nursing practice, focusing on creating a give-and-take relationship where nurses partnered with patients as opposed to having patients act as passive participants to receive patients while nurses passively act on the doctor’s orders to provide treatment.

    Nurses are a substitute for what the patient lacks with their key function being to make the patient complete/whole.

    Definition of nursing

    Nursing is concerned with caring, helping patients to embrace positive energy that flows into all aspects of life to include spirit, body and mind while rewarding both the nurse and patient.

    Nursing is concerned with translating the unique range of adaptive responses that each patient presents with the intention of translating individual circumstances that are construed as health.

    Grand nursing theorists essay

    Nursing is a therapeutic interpersonal process that supportively functions alongside other human process to define health. It entails seven roles that include stranger, resource, teaching, counseling, surrogate, active leadership, and technical expert roles.

    Nursing is the practice of assisting patients in achieving independence as soon as possible through the performance of activities that facilitate their recovery, peaceful death or improved health, and that they would have performed if they had the necessary knowledge, will and strength.

    Goal/ purpose of theory

    The theory offers caring as a central nursing tenet with focus on the healing potential of caring-to-caring transpersonal relationship as being important to both the nurse and patient.

    The theory’s purpose is to facilitate a balance between the internal and external environments to ensure that patients receive holistic care even as their integrity and wholeness is preserved.

    The theory’s purpose is to ensure that nurses and patients (as stakeholders intimately involved in the primary care process) are engaged in the primary care as active participants.

    The theory’s purpose is to aid the patient in achieving independence with dignity through primary care, while helping nurses to know themselves, accept others and actively pursue growth.

     

    Part 2.

    The four grand theories as presented by Watson, Levine, Peplau and Henderson all draw on the theorists’ experiences to offer their personal and idealized understanding of what nursing entails. Watson’s theory acknowledges that although medical care is concerned with optimizing health, this should occur in a caring environment. Levine’s theory concedes that each patient would have a personal interpretation of health based on the interactions between internal and external environments so that what is considered good health for one patient does not necessarily translate into good health for another patient. Peplau explains that nursing care can only be optimized if the nurse and patient have a good relationship that allows the two to benefit. Henderson holds that nurses help patients to achieve independence through acting when they are unable to do so (Meleis, 2017; Porter-O’Grady & Malloch, 2016). Having gone through the four grand theories, I feel that Watson’s theory is most congruent with my personal philosophy of nursing. My personal philosophy is that I must care for the patient and use that as a motivation to provide the best possible care. This aligns with Watson’s idea that caring is the central tenet of nursing practice. Grand nursing theorists essay.

    References

    Meleis, A. I. (2017).
    Theoretical Nursing development and progress
    (6
    th
    ed.). Philadelphia, PA: Wolters Kluwer.

    Porter-O’Grady, T. & Malloch, K. (2016).
    Leadership in nursing practice: changing the landscape of healthcare
    (2
    nd
    ed.). Burlington, MA: Jones & Bartlett Learning. Grand nursing theorists essay.

  • Assignment: Assessing a Healthcare Program/Policy Evaluation

    Assignment: Assessing a Healthcare Program/Policy Evaluation

    Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

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    Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy. Assignment: Assessing a Healthcare Program/Policy Evaluation.

     

    To Prepare:

     

    Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.

    Select an existing healthcare program or policy evaluation or choose one of interest to you and get approval to use it from your Instructor. (The topic is about The Affordable Care Act and its impact on preventing and controlling diabetes). Assignment: Assessing a Healthcare Program/Policy Evaluation.

     

    Review the healthcare program or policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

     

    The Assignment: (2–3 pages)

     

    Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

     

    Describe the healthcare program or policy outcomes.

    How was the success of the program or policy measured?

    How many people were reached by the program or policy selected?

    How much of an impact was realized with the program or policy selected?

    At what point in program implementation was the program or policy evaluation conducted?

    What data was used to conduct the program or policy evaluation?

    What specific information on unintended consequences was identified?

    What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.

    Did the program or policy meet the original intent and objectives? Why or why not?

    Would you recommend implementing this program or policy in your place of work? Why or why not?

    Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation. Assignment: Assessing a Healthcare Program/Policy Evaluation.

    PLEASE FOLLOW BULLETS OF WHAT IS NEEDED FOR PAPER AND WHAT IS EXPECTED.

    USE APA FORMAT

    USE IN CITATION AT ALL TIMES

    USE RESOURCE PROVIDED WHEN NEEDED

    https://class.waldenu.edu/bbcswebdav/institution/USW1/201970_27/MS_NURS/NURS_6050/artifacts/USW1_NURS_6050_Shiramizu_et_al._2016.pdf

     

    Healthcare Program/Policy Evaluation Analysis  

    Template

    Healthcare Program/Policy Evaluation Analysis Template

     

    Use this document to complete the Module 6 Assessment
    Global Healthcare Comparison Matrix and Narrative Statement

     

     

    Healthcare Program/Policy Evaluation

     

     

    Description

     

     

     

    How was the success of the program or policy measured?

     

     

    Assignment: Assessing a Healthcare Program/Policy Evaluation

     

     

     

     

     

     

     

    How many people were reached by the program or policy selected? How much of an impact was realized with the program or policy selected?

     

     

     

     

     

     

     

     

     

     

     

    What data was used to conduct the program or policy evaluation?

     

     

     

     

     

     

     

     

     

     

     

     

    What specific
    information
    on unintended consequences were identified?

     

    What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.

     

     

     

     

     

     

     

     

     

     

     

     

    Did the program or policy meet the original intent and objectives? Why or why not?

     

     

     

    Assignment: Assessing a Healthcare Program/Policy Evaluation

     

     

     

     

     

     

     

    Would you recommend implementing this program or policy in your place of work? Why or why not?

     

     

     

     

     

     

     

     

     

     

     

    Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after one year of implementation.

     

     

     

     

     

     

     

     

     

     

     

     

     

    General Notes/Comments

     

     

     

     

     

     

     

     

     

    NURS6050-GridTemplateWeek10

     

     

    Assignment: Assessing a Healthcare Program/Policy Evaluation