Nursing

How nurses use models to make clinical judgments

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OVERVIEW

In addition to a code of ethics that protects the health and wellness of clients, the nursing profession is built on mentoring relationships that nurture intergenerational knowledge production, support the hands-on transfer of learning, and innovate best practices for patients and practitioners. In this assignment, you will prepare a short presentation for the hypothetical cohort of ADN students you will be mentoring over the course of this semester.

INSTRUCTIONS

Microsoft PowerPoint presentation for your cohort of ADN students that introduces the following concepts. Each concept should be covered on its own slide.
Overview of nursing models and theories
How nurses use models to make clinical judgments
The relationship between nursing theory and practice
On your Discussion Slide, structure a discussion questions for your ADN group. Your discussion should prompt the cohort to consider how they will apply these concepts in their own nursing practice.
On a final slide, have your reference
Grand theories
Middle-range theories
Practice theory
Stability model of change

Systems theory
Orem’s self-care deficit theory
Complexity theory
Parse’s human becoming theory

Psychology Question-Writing proficiency will also be used in determination of the grade for this paper. There is a Research Grading Rubric on Canvas that will show you the criteria used to grade your paper.

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You are to choose one major cognitive process from the course.

In a three page plus paper, you are to research this topic in depth This does not include Title page or reference page. You should have the instructor approve your topic before starting the research.

Your paper will be evaluated with respect to your ability to demonstrate an understanding of the Cognitive process. Paper should have a Title page and Reference page. You should use two or more Journal/Scholarly research articles to support your paper. You may use the textbook, but it does not count to the above requirement.

Writing proficiency will also be used in determination of the grade for this paper. There is a Research Grading Rubric on Canvas that will show you the criteria used to grade your paper.

Develop a plan to implement a similar initiative in a community in your area. Create a 12- to 15-slide Microsoft PowerPoint presentation, with detailed speaker notes, to present the plan for your community health initiative.

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Assignment Content

Question

As an advanced practice nurse, you are expected to participate in interprofessional collaboration for improving patient and population health outcomes. You will be expected to establish, participate, and lead collaborative teams when appropriate. For any collaboration to be constructive, solve problems, and seen as an opportunity to work with others for the achievement of shared goals and outcomes, it requires authenticity, a confident professional identity, and commitment to adhering to the interprofessional collaboration competencies.
In this assignment, you will explore these concepts as you develop an interprofessional collaborative initiative within your community.
Assessment Deliverable

Part 1 – Initiative to Improve Community Health

Review the Blue Zones Project.
Select one of the Blue Zone Project’s initiatives that were developed to improve the health of a community.
Develop a plan to implement a similar initiative in a community in your area.
Create a 12- to 15-slide Microsoft PowerPoint presentation, with detailed speaker notes, to present the plan for your community health initiative.
In your plan, address the following topics:
Create a profile of the community where you want to implement the health initiative. Include the following in the profile:
Define the challenge within the community that is impacting health and well-being. Provide data to support the challenge you identified.
Determine what the community’s needs are that must be addressed.
Describe the initiative and provide an explanation of the anticipated impact it will have on the community.
Provide an assessment of the perceived barriers to implementing the initiative.
Identify the types of interprofessional collaborators (stakeholders) you would need to implement your plan. Consider the barriers you listed when developing this list.
Explain the role each stakeholder will play in the initiative as well as your own role.
Discuss any communication and meaningful conversations needed in the community to implement the plan.

Part 2 – Reflection

Reflect on your role as an advanced practice nurse advocating for a healthy community.
Compose a 700- to 875-word reflection with responses to the following questions:

How does advocating for a community health initiative affect or expand your professional identity?

How does your professional identity influence interprofessional collaboration?
Consider the 4 interprofessional collaboration competency domains that were identified in Hamric and Hanson’s Advanced Practice Nursing, Ch. 12, “Collaboration from the University Library:
Values/Ethics for Interprofessional Practice
Roles/Responsibilities
Interprofessional Communication
Teams and Teamwork

How does each domain relate to your project initiative?
What competencies from the domains of interprofessional collaboration do you possess? Which ones do you lack or need to improve?
Cite a minimum of 4 scholarly references.
Include a slide with APA-formatted references.

Identify any information that may be of interest to the stakeholders of your healthcare system.

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1) Complete the 1 HR course below.
FEMA – Emergency Management Institute (EMI) Course | IS-907: Active Shooter: What You Can DoFEMA Emergency Management Institute (EMI) Independent Study Course overview: IS-907: Active Shooter: What You Can Do

2) Once you have completed the course. Review your healthcare system’s active shooter policy.

3) What is the criteria that you will use to evaluate the ethical dimension of this policy? (4 points)

4) Identify any information that may be of interest to the stakeholders of your healthcare system. (2 points)

5) Identify and address any deficiencies found in this policy. (2 points)

6) Please submit at a minimum a one-page paper double spaced utilizing 7th Edition APA format in WORD. Please answer all the questions. You are in graduate school so please do not list your answers, cite sources within the text, and use appropriate grammar and citation. Please do not count the title and reference page in the page limit. You are required to have three references for this paper. Please DO NOT use your employer’s policies as a reference. (2 points)

 

Describe your role a nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.

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Create a 2-resource paper that will describe databases that are relevant to Evidence-based practice (EBP) for Pneumonia to be used to help a new hire nurse better engage in EBP.

Scenario-You are supervising three nurses working on the medical-surgical floor of a local teaching hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is, CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies, procedures, and guidelines, and computers at nurse workstations that also have access to these resources. A new nurse who just completed orientation and training a week ago approaches you and tells you that one of the assigned patients has a diagnosis he or she is very unfamiliar with. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research that can be utilized to provide the best care for this patient. Describe how you would communicate with this nurse to encourage him or her to research the diagnosis. Assume you will assist in the quest to locate evidence, then describe where you would go within the facility and what resources you would look for. These resources may include websites, journals, facility policies or guidelines, or any other sources of online information.

diagnosis below-

• Pneumonia: An infection that inflames the air sacs in one or both lungs, which may fill with fluid.
o Interventions: Antibiotic therapy, oxygen therapy, chest physiotherapy, hydration, and coughing techniques.
o Keywords: Community-acquired pneumonia, hospital-acquired pneumonia, viral pneumonia, bacterial pneumonia, respiratory therapy.

The purpose of this assessment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical staff during the process of evidence location. As a prepared nurse, you will not only use research for self-improvement in your clinical role, but you will also serve as a mentor to supervised nursing staff. Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research, as well as support them through the initial evidence location process. In doing so, nurses can gain access to evidence that can be analyzed and utilized to stay current on best practices. This allows them to provide safe, patient-centered care and improve patient outcomes.

For this assessment:

Describe your role a nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.
Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to the diagnosis in this scenario and describe to which of these you would direct a nurse colleague to search for evidence.

Describe where you might go in the workplace to complete this research and how you would access the desired, relevant research within research databases or other online sources.
Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.

Describe communication strategies to encourage nurses to research the diagnosis/practice issue, as well as strategies to collaborate with the nurses to access resources.

Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis/health care issue within the context of a specific health care setting.

Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis/practice issue.

Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis/health care issue.

Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis/practice issue, you should still be citing the literature and best practices to support your descriiption of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the ****five sources***** of online information that you did.

Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, journal article, et cetera). You are not actually completing a search and selecting evidence. Consider the following examples: a nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy database found on a website may not be the best source of information on caring for a patient with a rare chromosomal abnormality.

Sources must be less than 5-years-old.

Must include a Descriiption of communication, collaboration, and evidence location process, including a list of databases or other sources with descriiption of why they are appropriate for clinical scenario diagnosis/health care issue (that is, something that would be useable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission.

Number of references: Cite a minimum of three sources of scholarly or professional evidence that supports your findings and considerations.

APA format

American Literature Please!!!!

Here is an example of how the paper should look and be written.

Locating Credible Databases and Research
Evidence-based practice (EBP) is the use of the best evidence available for problem- solving and decision-making in patient care. Pain is considered to be one of the most adverse outcomes of a surgery. If not treated effectively, pain can lead to sleep deprivation, anxiety, and acute neurohormonal changes. Pain management in postsurgical patients requires high-quality
care. Evidence suggests that a lack of encouragement or support of EBP research for postoperative pain management lowers nurses’ confidence in functioning efficiently (Mędrzycka-Dąbrowska et al., 2018). In this assessment, the scenario considered is that of a newly trained nurse assigned to a
patient suffering from prolonged postoperative pain. It is the nurse’s first assignment, and she is not confident about implementing evidence-based practice in the context of the patient’s diagnosis. The focus of this assessment is to identify communication strategies that a head or senior nurse can use to encourage newly trained nurses to effectively research their patients’ diagnoses. Recommendations on how to evaluate credible sources during the research process and the criteria to be considered when selecting the best sources will be identified. Finally, a list of recommended sources will be provided along with the rationale behind choosing them.

Communication Strategies to Encourage Diagnosis-Based Research
Learning while on the job through structured mentoring gives new nurses a clearer idea of how to approach a problem. Competent mentors help new nurses build confidence and enable an atmosphere that promotes communication within a practice. Mentors display personal characteristics such as empathy, respectfulness, and patience. They practice active listening by
conducting unscheduled discussions frequently with new nurses to address queries. They also provide constructive feedback to support the learning process (Mikkonen et al., 2020). Online training or video-based modules have also added value to the learning process. Interacting through visual aids such as the Practice Nurse Postcard tool can help mentors communicate necessary information to new nurses (Dadich & Hosseinzadeh, 2016).

The Best Places to Complete the Research
Credible sources can be identified using the CRAAP test, which stands for the five criteria for evaluating an online source, namely currency, relevance, authority, accuracy, and purpose (Central Michigan University, 2020). The CRAAP test provides a handy checklist to identify credible online sources. However, nurses must ensure that they look for resources in the right places. Practicing nurses have had the best EBP-oriented research experiences in health care settings and clinical trials (Galassi et al., 2014). Additionally, it is recommended that nurses use the hospital or university library, hospital policy manuals, and hospital guidelines to complete their research.

Identification of Five Sources for Evidence of Clinical Diagnosis
Based on the factors indicated in the CRAAP model, five credible online sources have been identified. The sources are as follows: the Cumulative Index to Nursing and Allied Health
Literature database run by EBSCO publishing, the PubMed website ( published by the National Library of Medicine, the Journal of Pain by the American Pain Society, the Journal of Pain and Relief, and the Columbian Journal of Anesthesiology by Wolters Kluwer. These sources provide validated information for research on postoperative pain management. Based on the CRAAP model, these five sources have been ranked in the order of their usefulness.

Explanation of Why the Sources Provide the Best Evidence
These sources have been selected because they provide access to vetted, full-text articles from the most sought-after medical journals and peer-reviewed articles by practicing nurses,
medical professionals, or research scholars in the field of medical science. These journals and websites provide information on EBP-oriented research on postoperative pain management,
which is backed by scientifically collected data. These sources are regularly updated with the latest findings. Credible articles in these journals are easy to find and most of them are available free of cost.

Conclusion
Competent mentoring by using appropriate communication strategies can help nurses adopt EBP-oriented research in their practice. Support from mentors helps new nurses research
effectively when they encounter new patient diagnoses. For effective research, nurses can evaluate the credibility of the online sources using the CRAAP model.

Write a 4–5-page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.

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Assignment Question

Write a 4–5-page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.

Instructions Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriiptions for each criterion to see how your work will be assessed. Describe the health care problem or issue you selected for use in Assessment 2 and provide details about it. Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking.

This approach was introduced in Assessment 2. Identify possible causes for the problem or issue. Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it. Identify at least three scholarly or academic peer-reviewed journal articles about the topic. You may find the How Do I Find Peer-Reviewed Articles? library guide helpful in locating appropriate references.

You may use articles you found while working on Assessment 2 or you may search the Capella library for other articles. Use scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic You may find the applicable Undergraduate Library Research Guide helpful in your search.

Review the Think Critically About Source Quality to help you complete the following: Assess the credibility of the information sources. Assess the relevance of the information sources. Analyze the health care problem or issue. Describe the setting or context for the problem or issue. Describe why the problem or issue is important to you. Identify groups of people affected by the problem or issue. Provide examples that support your analysis of the problem or issue. Discuss potential solutions for the health care problem or issue. Describe what would be required to implement a solution. Describe potential consequences of ignoring the problem or issue. Provide the pros and cons for one of the solutions you are proposing. Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented. Describe what would be necessary to implement the proposed solution. Explain the ethical principles that need to be considered (Beneficence, Nonmaleficence, Autonomy, and Justice) if the potential solution was implemented.

Provide examples from the literature to support the points you are making. Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like: example 4 (this is using the information in the 1st paper you wrote for me) Additional Requirements Your assessment should also meet the following requirements: Length: 4–6 typed, double-spaced pages, not including the title page and reference page. Font and font size: Times New Roman, 12 point. APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style. References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper. APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.

Organize your paper using the following structure and headings: Title page. A separate page. Introduction. A brief one-paragraph statement about the purpose of the paper. Elements of the problem/issue. Identify the elements of the problem or issue or question. Analysis. Analyze, define, and frame the problem or issue. Considering options. Consider solutions, responses, or answers. Solution. Choose a solution, response, or answer. Ethical implications. Ethical implications of implementing the solution. Implementation. Implementation of the potential solution. Conclusion.

One paragraph. *****this is the example given***** Analyzing Healthcare Issues Your Name Capella University NHS4000: Developing a Healthcare Perspective Instructor Name Month, Year Health disparities among individuals with low socioeconomic status (SES) remain a persistent challenge in healthcare reflecting systemic inequalities that impact access, outcomes, and overall well- being. This paper will explain this issue of health care disparities for low SES people, analyze the contributing factors, compare potential solutions, discuss ethical considerations surrounding the implementation of these solutions, and how solutions can benefit individuals with their chronic disease management. Health Disparities for Low SES People Low SES individuals face a health disparity because of social determinants that extend beyond the healthcare system. These determinants include income, education, employment, housing, and access to healthcare resources (Jones, et al., 2022). Individuals with low SES often encounter barriers in accessing quality healthcare services, leading to delayed diagnosis, inadequate treatment, and poorer health outcomes. Factors contributing to health disparities include limited financial resources, lack of health insurance, transportation challenges, and reduced health literacy (Garcia, et al., 2023). These individuals may experience higher rates of chronic conditions such as diabetes, hypertension, and obesity, which can be exacerbated by inadequate access to preventive care and health education (Jones, et al., 2022). Analyzing Health Disparities for Low SES People Studies consistently demonstrate that individuals with lower SES experience higher mortality rates, increased prevalence of chronic diseases, and reduced life expectancy compared to their higher SES counterparts (Smith & Johnson, 2021). The disparities due to lower SES can include limited financial resources, transportation and technology which can limit their ability to attend needed appointments to not only treat illness, but also provide preventative care. Individuals may want to attend needed appointments and take their prescriiptions as ordered but may lack the ability to do so because of financial limitations. Comparing and Contrasting Solutions One solution is the expansion of community health clinics and mobile healthcare units to enhance accessibility along with the use of telemedicine. These initiatives bring healthcare services directly to underserved populations. This eliminates the individuals missing their appointments because there is not adequate transportation. Another strategy involves targeted public health education campaigns that raise awareness about preventive measures, available resources, and the importance of regular health check-ups. Increasing health literacy empowers individuals to make informed decisions about their health and navigate the healthcare system more effectively. The goal of this strategy is to make individuals aware of the services available to them so they can improve their overall health and wellbeing. To help individuals be able to afford healthcare services, healthcare providers can implement financial assistance programs and sliding scale fees for low SES individuals (Smith & Johnson, 2021). These initiatives aim to reduce financial barriers, ensuring that cost does not deter individuals from seeking necessary medical care. Ethical Principles in Implementing Solutions The implementation of solutions to address health disparities for low SES individuals must be guided by ethical principles.

The creation of mobile healthcare units follows the four ethical principles of beneficence, nonmaleficence and autonomy and justice. Beneficence requires interventions that actively promote the well-being of individuals, focusing on improving access to healthcare, preventive services, and health education. Having a mobile unit ensures low SES individuals will have access to care available to them. Nonmaleficence calls for the avoidance of harm, emphasizing the importance of addressing the root causes of health disparities. The mobile clinics address the issue of individuals not having transportation to attend needed healthcare visits. Respecting autonomy involves recognizing low SES individuals in their healthcare decisions. The mobile healthcare units allow the individual to decide to seek treatment and give them the option to attend appointments they may not have been able to because of limited transportation. Justice is a fundamental ethical principle that underscores the need for fair and equitable distribution of healthcare resources. The utilization of a mobile healthcare clinic helps those in need to be able to seek out and obtain healthcare when needed, promoting equal access to quality healthcare for all. Solutions and Chronic Disease Management The proposed solutions to address health disparities for low SES individuals have direct implications for chronic disease management. Community-based interventions and increased access to healthcare services enhance the continuum of care for individuals with chronic conditions. Providing a mobile healthcare clinic is beneficial for chronic disease management among low SES populations. The mobile clinic provides a convenient and accessible means for individuals to consult healthcare professionals, monitor their conditions, and receive timely advice, especially in areas with limited healthcare infrastructure. Conclusion In conclusion, addressing health disparities for low SES individuals is a complex process that requires a comprehensive understanding of the contributing factors, thoughtful analysis, and ethical considerations in the implementation of solutions. The creation and use of a mobile clinic can help bridge the gap in healthcare access and promote preventive care while upholding ethical principles. A mobile clinic creates a location that benefits all individuals, particularly those facing chronic diseases in low SES communities. References Garcia, R., Hickey, M. T., Stillo, M., & Marquez, C. (2023). The impact of public transportation on health outcomes: A longitudinal study of low SES individuals. Journal of Nursing, 30(1), 78-91. Jones, M., King, O., Shaw, N. (2022). Access to primary care services for low SES individuals: A systematic Review. Journal of Health Equity, 8(2), 112-125. Smith, A., & Johnson, B. (2021). Bridging the Gap: Nursing interventions for low SES populations. Journal of Nursing Research, 25(3), 45-58

Describe three barriers that have slowed down the progress of advanced practice nursing and strategies to help overcome these barriers.

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Assignment Question

Role of a Nurse Practitioner

Describe three barriers that have slowed down the progress of advanced practice nursing and strategies to help overcome these barriers. (Saunders, 2014)

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

Discuss and describe the screening recommendations for the following: Cervical cancer Breast cancer Osteoporosis Colorectal cancer Lung cancer Ovarian cancer Intimate partner violence (IPV).

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Assignment Question

United States Preventive Service Taskforce (USPSTF)

Following the guidelines of the United States Preventive Service Taskforce (USPSTF), discuss and describe the screening recommendations for the following: Cervical cancer Breast cancer Osteoporosis Colorectal cancer Lung cancer Ovarian cancer Intimate partner violence (IPV).

Submission Instructions: The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling. The paper is to be no shorter than 3-4 pages in length, excluding the title and references page. Your paper should be formatted per APA. Incorporate current practice guidelines for diagnosis and treatment and a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).


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