Evolution Of Nursing Theories

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1. Students must post a minimum of  twice (an  initial  posting. And  at least one additional  posting) per Discussion Board. The initial response and additional posting(s), including response to student. Must reflect  students own work-no plagiarism.

2. Students  initial (first) post  ( students original post-not copied or based on another student’s post ) must address all Discussion Board items by  Thursday  at 11:59 pm  Eastern Time  for each module  except  for  Module one  and  Module seven. Exceptions: Module one initial post  may be posted  with response to classmate  by  Sunday at 11:59 pm Eastern Time .  Module seven initial post is due Wednesday at 11:59 pm Eastern Time .

The initial post is one post that includes responses to every weekly discussion board question listed. Questions to peers to deepen the discussion may be included in the initial post. 3. Respond to at least one other classmate’s post by 11:59 pm Eastern time Sunday. The last (final) posting should be completed by 11:59 pm Eastern Time Sunday,  except  for Module seven when last post is due at 5:00 pm Eastern Time on Friday. The response to classmate post may be the final post.

professional sources

4. Students are expected to include,  at minimum , two to five  current (within the last three to five years)  professional sources beyond the assigned readings to extend learning.

5. Students must provide citations and references for the initial posting and the final posting.  Please use APA for references and citations. Students must  apply assigned readings plus other professional readings . Students must also have  citations in the text  of their responses as well as  references at the end of their responses . Citations and references are  required for all postings (initial, final/response to peer, and any additional posts) . References for other professional readings need to be  current, within the last three to five years.

6.  Grading: Discussion Board Grading Rubric reflects 50 points possible per module discussion board. Student assignment will be graded according to Discussion Board Grading Rubric (displayed below), discussion board guidelines/instructions, and MSN 600 syllabus.

MSN 600 Discussion Board Grading Rubric:  MSN 600 Weekly Discussions Grading Rubric-May 2021.docx

Actions

 

American Psychological Association (APA) is required for writing, citing, and referencing. Please post a response specific to each of the questions listed. Students must address each component of each question. Please respond by addressing each question/item individually. For example:

1. State the provided question or statement to be addressed.

Write your response to the stated question or statement using APA format.

2. State the provided question or statement to be addressed.

Write your response to the stated question or statement using APA format.

Please write responses to each of the two questions listed below for Module 1 Discussion Board:

1. Theories seem to be such esoteric notions for a profession of nursing that seemed to function well for decades, without highlighting theories. Can nursing practice history guide nursing practice future with theories? Why/not?

2. Define both rationalism and empiricism. Differentiate between these two scientific approaches.

Clinical Issue And Research Questions Developed Using PICOT

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PICOT is an acronym used to help develop clinical research questions and guide you in your search for evidence:

P = Patient population

I = Intervention or issue of interest

C = Comparison of interventions or comparison of interests

O = Outcome

T = Time frame

For example, you may wish to research the effects of interrupted sleep on cognition of ICU patients 65 or older.

Using this PICOT model,

In _________(P), how does __________ (I) compared to _________ (C) influence _________ (O) over ________ (T)?

In ICU patients who are 65 or older, how does interrupted sleep (awakened one time or more in four hours) as compared to uninterrupted sleep influence the patient’s cognitive ability over 5 days?

 

Assignment Directions

Begin by selecting a  topic in nursing  that is of interest to you. Next, use PICOT to format possible research questions about that topic. Provide 3 possible PICOT research questions.

Include the following:

· Title page

· Provide a brief description of the topic and background information.

· Explain the significance of the topic to nursing practice.

· Provide 3 clearly stated PICOT questions.

Your paper should:

· Be 2–3 pages (not including the title page and reference page)

· Use current APA format to style your paper and to cite your sources.

The LGBT Communities.

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Health Issues Relevant To The LGBT Communities.

develop two separate infographics (informative posters) to discuss two separate health issues relevant to the LGBT communities. In each infographic you will discuss:

  • What is the health problem?
  • Which group(s) are most likely to be at risk?
  • What social/behavioral/health system determinants affect this?
  • Identify at least two potential interventions/activities the community, community health agency, community health nurse could offer to prevent and or support this health issue
  • What resistance might be met in implementing the intervention/activity?

Nursing Practice Regulation

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To Prepare:
  • Review practice agreements in your state.
  • Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.
  • Research the following:
    • How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state?
    • What is the application process for certification in your state?
    • What is your state’s board of nursing website?
    • How does your state define the scope of practice of a nurse practitioner?
    • What is included in your state practice agreement?
    • How do you get a DEA license?
    • Does your state have a prescription monitoring program (PMP)?
    • How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?
By Day 3 of Week 1

Post a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

Healthcare spending in the United States

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400-600 words APA 6 format, in-text citation, Use at least two (2) scholarly references to substantiate your work.  Please use the article as a reference. Please provide a copy of all references used.

**The links to the mentioned articles are provided below. **

Assignment Details:

Healthcare spending in the United States has continued to increase over the past several decades at a rate that far exceeds that of other nations. People have seen these increases on everything, from the cost of insurance premiums going up, to the costs of drug prices and office visits increasing. To familiarize yourself with some of the many areas and ways costs and spending are increasing, please review the NHE fact sheet.

  • Discuss 1 area that you or someone close to you have seen these increases in costs.
  • Examine these increased costs from the perspective of the leader of a healthcare organization. Consider the following:
    • Why do you feel there was an increase in the cost?
    • What, if anything, could have been done to react to the rise in costs and decrease their impact on the organization?
    • What can the organization do to help avoid these increases in the future?

    **NHE Article**

    https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NHE-Fact-Sheet#:~:text=Historical%20NHE%2C%202019%3A&text=Private%20health%20insurance%20spending%20grew,the%204.2%25%20growth%20in%202018

Health Disparity Statistics

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Health Disparity Statistics

Using the various statistical and data websites, discuss your population of interest using data. What statistics define the population? Provide background data that allow readers to understand your population of interest. What health disparity statistics can you share with the group? This would allow readers to understand the critical disparities among your population of interest

care of the patient in the clinical case

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Instructions

SOAP Note Assignment

Click here to download and analyze the case study for this week. Create a SOAP note for disease prevention, health promotion. And acute care of the patient in the clinical case. Your care plan should be based on current evidence. And nursing standards of care.

Visit the online library and research for current scholarly evidence. (No older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States. To classify and assign codes to health conditions and related information.

Click here to access the codes.

Download the SOAP template to help you design a holistic patient care plan. Utilize the SOAP guidelines to assist you in creating your SOAP note. And building your plan of care. You are expected to develop a comprehensive SOAP note based on the given assessment, diagnosis. And advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions. And incorporate the knowledge that you have gained into your patient’s care plan.  If the information is not in the provided scenario please consider it normal for SOAP note purposes. If it is abnormal please utilize what you know about the disease process. And write what you would expect in the subjective. And objective areas of your note.

Format

· Your care plan should be formatted as a Microsoft Word document. Follow the current APA edition style. Your paper should be no longer than 3-4 pages excluding the title. And the references and in 12pt font.

Pharmacological-Herbal Management Project

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Pharmacological-Herbal Management Project

Student Name

NSG6005

Faculty name

Assigned Herbs & Reported Uses

Herbs: Comfrey

 

 

Herbs: Evening Primrose

Reported Uses: ADHD, Asthma, Atopic Dermatitis, Biliary Disorders, chronic fatigue syndrome, diabetes mellitus

Reported Uses: anti-inflammatory, bronchitis, bruises, cancer, cough, fractures, myalgia

Reported Doses of the Assigned Herbs

Herbs: Comfrey

 

100mcg/day pyrrolizidine alkaloids for up to 10 days; total duration up to 4-6wk/year

Herbs: Evening Primrose

 

2-3 gram PO BID

Cautions of the Assigned Herbs

Herbs: Comfrey

 

Avoid if breastfeeding, broken/damaged skin, pregnancy; caution if hepatic disease

Herbs: Evening Primrose

 

Avoid if surgery within 2 weeks; caution if coagulation disorder, schizophrenic, and seizure disorders

Drug Interactions of the Assigned Herbs

Herbs: Comfrey

 

No significant interactions known or found for this drug. Caution is always advised with multiple medications

Herbs: Evening Primrose

 

Antiplatelet/anticoagulant effects

Adverse Reactions of the Assigned Herbs

Herbs: Comfrey

 

Abdominal distension, abdominal pain, anorexia, hallucinations, hepatotoxicity, lethargy, liver cancer

Herbs: Evening Primrose

 

Abdominal distension, acne, bleeding risk increased, diarrhea, dizziness, dyspepsia, flatulence, headache

Conclusion

Summarize what you learned on this slide – what are the important things to know about the disease, the classifications, drugs and risks

References

Include all the references used following the APA 7th Edition

designated patient population

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PICOT Question Paper  

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution

2. Nursing intervention

3. Patient care

4. Health care agency

5. Nursing practice

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

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

RUBRIC

Attempt Start Date: 02-Aug-2021 at 12:00:00 AM

Due Date: 29-Aug-2021 at 11:59:59 PM

Maximum Points: 50.0

strategic planning and project management processes.

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During the NUR-495 course, you will actively engage in strategically planning for. And managing a planned change project within the scope of your current professional role.  For this field-based project, you will identify a specific problem. Or need to serve as the foundation for a faculty-guided capstone experience.  Project-related experiences are integrated throughout the course. And will involve application of strategic planning. And project management processes.

For the purpose of your coursework, application of the strategic planning. And project management processes is broken down into six distinct phases. In order to integrate the assessment components throughout the eight workshops.

In this discussion, you will share the initial strategic plan for your capstone project. And learn more about your role as the project manager.  You will apply concepts learned in NUR-415 and Discussion 1.2 through the identification of a specific problem statement. Or statement of need, along with the background to support the need for change which you are proposing.  You will revisit the work you initiated in Discussion 1.2. And identify a specific outcome for the capstone project as well as activities, a timeline, and a plan for evaluation.

Upon successful completion of the course material, you will be able to:

  • Construct a strategic plan to guide the capstone project.

Resources

  • Textbook: Fundamentals of Project Management
  • File: Strategic Planning Tool.docx
  • File: Strategic Planning Tool Resource.docx

Background Information

As discussed in Discussion 1.2, the planned change process is rather iterative in nature. With dynamics that are organic rather than static.  For this reason, we tend to think of a planned change project as a work in continual process.  With each workshop, you will polish. And fine-tune aspects of your plan as part of the learning process.  Each facet of the planned change process will be unpacked, examined. And critically applied to your capstone project.  As you advance in the course. Each workshop will bring an opportunity to carefully reflect upon and streamline your work.  When the capstone course ends. Your final project documentation will accurately articulate the planned change process. That you have created and managed.

Instructions

  1. Review the rubric to make sure you understand the criteria for earning your grade.
  2. In the textbook, Fundamentals of Project Management, review chapters 3,18, 28, & 30.
  3. Revisit your Strategic Plan assignment from the NUR-415 course. Or your new plan under development in Discussion 1.2.  Your project must be patient-focused and include a goal to improve patient outcomes.  Your assessment of the problem  and feasibility of a solution must include direct input from patients or recipients of care (survey results, comments, interviews, patient data, etc).  Review chapter 22 in the textbook, Leading and Managing in Nursing (Yoder-Wise, 2019) regarding patient-centered care.
  4. Download the Strategic Planning Tool Resource.docx file.  Review this document before completing your Strategic Planning Tool document.
  5. Download the Strategic Planning Tool.docx file.
  6. Complete your strategic plan according to the following instructions.
    1. Using the Strategic Planning Tool.docx. Update/adapt your strategic plan from NUR-415, or your new plan under development in Discussion 1.2 that meets the criteria listed above, to reflect the following components in a succinct manner:
      1. Clearly defined need or problem statement to be addressed through the planned change process
      2. Background support to validate the need (minimum of three scholarly sources current within the last five years)
      3. Desired SMART patient care focused outcome for the planned change capstone project
      4. Specific activities/action plan (to correspond with the outcome) that will facilitate achieving the outcome, along with a time frame for implementation (project scope of eight weeks)
      5. Evaluation plan corresponding with the SMART, patient care focused outcome to define specifically how achievement of the outcome will be determined

  7. Navigate to the threaded discussion.

    1. Post your completed tool and share a succinct one paragraph summary of the impetus. For your proposed project by the end of the fifth day of the workshop.  Be sure to await feedback from your instructor regarding your strategic planning tool. Modify your strategic planning tool as recommended by your instructor before submitting your final draft to the 1.4 Assignment submission page.
    2. Read and respond to at least one of your classmates’ postings. As well as all follow-up instructor questions directed to you, by the end of the workshop.  You are expected to choose a classmate’s posting that has not received peer feedback.  If all classmates have received feedback, respond to a classmate of your choice.
    3. Your postings should be at least six sentences in length. And be well developed by providing substantive feedback. Specific suggestions, with evidence of critical thinking.