self evaluation

Discussion questions (self evaluation)

Examine nursing roles that meet the emerging health needs of individuals, families, communities and populations.
Explore historical, legal, social, cultural, political. And economic forces that influence the client, nursing practice, and the health care system.
Evaluate strategies that can be used by public and community health nurses to improve the health status and eliminate health disparities of vulnerable populations.
Predict trends in lifestyles that will affect the health of communities and the future challenges for nursing.
Plan, analyze, implement and evaluate public health surveillance and outbreak investigation
Develop strategies to deliver nursing care in the preparedness, response, and recovery phases of disaster management.

Initial should have 400 words. Reference in APA format 7th edition.

Urinary System Disorders

In this assignment, you will examine the clinical manifestations, pathophysiology, and developmental considerations for two urinary disorders of your choosing.  Consider how one disorder would affect adolescents and the other adults or older adults.

Step 1 Locate at least one evidence-based resource to support your response.

Step 2 Download the  worksheet that attached.

Complete the worksheet.

  • In the header row of the table, enter names of the disorders.
  • In the remaining rows of the table, enter a description of the disorder, the clinical manifestations, the underlying pathophysiology, and developmental considerations (consider the age of onset with respect to the physiological, psychological, and social implications of the disease).
  • Be sure to cite all sources used to complete the worksheet and provide a reference using proper APA formatting.

The Institute of Medicine (IOM) nursing reports from 2010 to 2016

Peer 1

The Institute of Medicine (IOM) nursing reports from 2010 to 2016 are the summarized findings of the IOM committee that examined changes in the field of nursing since the publishing of “The Future of Nursing: Leading Change, Advancing Health” (Shalala et al., 2011). The summarized findings found in our class reading assignments outline recommendations and provide an essential path for the individuals involved to implement the changes outlined in these works. Some of the direct “take away” from the IOM nursing reports align with the nursing scope of practice. They identify that nurses should practice to the full extent of their education and training, achieve higher levels of education through an improved educational system, gain rights as full partners with physicians and other health care professionals and require effective workforce planning and policy making through better data collection and an improved information infrastructure.

Throughout my career, I will directly be addressing these main points as I work to achieve and work with full practice autonomy. I recently moved from Maryland, which is one of 28 states that allow nurse practitioners full practice authority to treat and prescribe without formal oversight (Weiland, 2015). This report calls all advanced practice nurses to practice to their full extent, meaning we should implement all necessary and appropriate interventions within our scope of practice as defined by the American Nurses Association. In Maryland, this is an expected outcome in my daily practice where I use my full power to treat patients for the optimal health outcomes. Another area I will strongly indulge in is the necessity for continuing education.

As a health care professional, we take on the role of a lifetime learner as we continue to learn best practices and evidence-based practice updates that form as time goes on. Health care is an everchanging field and staying up to date on your education and health understandings can be the difference between patient outcomes. We have a professional duty to our patients to learn everything we possibly can to make the best decisions when developing a plan of care for our patients who expect nothing but competent care. Overall, these nursing reports do a phenomenal job of outlining how nurses in advanced roles can best prepare themselves to provide optimal patient care and how to protect the health of the community through policies and best practices.

References:

Shalala, D., Bolton, L. B., Bleich, M. R., Brennan, T. A., Campbell, R. E., & Devlin, L. (2011). The future of nursing: Leading change, advancing health. Washington DC: The National Academy Press. doi: 10.2956.

Weiland, S. A. (2015). Understanding nurse practitioner autonomy. Journal of the American Association of Nurse Practitioners, 27(2), 95-104.

Peer 2

Describe how you will utilize and implement the IOM Nursing Reports from 2010 and 2016 in your role as an Advanced Practice Nurse.

In 2008, The Institute of Medicine (IOM) along with The Robert Wood Johnson Foundation (RWJF) comprised a report that would made recommendations for an action-oriented blueprint for the future of nursing. This was in response to a need to assess and transform the nursing profession. Nurses have an important role in transforming our current health care system (IOM, 2010). The IOM nursing reports have several recommendations that will propel us into the future of nursing.

There are eight total recommendations and it is important for all advanced practice nurses to focus on the recommendations to provide better practices. There is a lot of focus on education for nurses. IOM states that nurses should have lifelong continuing education, the number of nurses with a DNP should double by 2020, and the number of nurses with a baccalaureate degree should be increased to 80% by 2020 (IOM, 2010).

implementing nurse residency programs

I will have my master’s degree as an advanced practice nurse and depending on the setting of my practice, I will encourage other registered nurses to complete continuing education courses as well as pursue a higher degree in nursing. I, myself, plan to obtain a doctorate of nursing in 2020 if not before that time. Continuing education will help prepare nurses to lead change in advancing health and providing positive patient outcomes, another recommendation of IOM. It is my plan to participate in any continuing education course that is pertinent to my patients and specialty.

According to the IOM (2010), implementing nurse residency programs will be extremely helpful to nursing. This not only applies to new graduate nurses but nurses going from one position to another. As a nurse practitioner, I will make myself available to participate in these residency programs. If there is a nurse advancing from a staff nurse position to nurse practitioner, I will volunteer to be a mentor or preceptor to them just as I have with nursing students. I currently work at a teaching facility and recently a nursing residency program was implemented. Many advanced practice nurses function in helping this program succeed by teaching and mentoring. Nurse residency programs improve nurses’ work experiences, increase retention of new nurses, and show financial return for organizations investing in nurses as resources. Residency evaluations show increases in leadership and communication skills and decreases in stress and turnover (Kosman, 2011).

Collaborating with an interdisciplinary team is also a recommendation of the IOM. As a nurse practitioner it will be my duty to collaborate with others so that my patient receives adequate care. The patient should be treated holistically so if there is a service that I can not provide, it would be wise of me to collaborate with other people so that the patient gets the best care possible. Collaboration could include working with other physicians, physical therapists, occupational therapists, case managers, or social workers.

As a nurse practitioner, with my knowledge and experience, I should be able to practice to the full extent of my education. Working in Georgia, I will be aware of what my scope of practice allows me to do in this state. If there is something outside of my scope of practice, I will be sure to refer my patient to someone more appropriate. Along with my contributions, congress and legislative members should be diligent in allocating funds to research and appropriate technology as well as making sure that nurse practitioners get proper insurance reimbursements.

With recommendations from the IOM, nurses should be able to provide effective and efficient care. Patients will receive the best care because the nurses will be up to date on current evidence based practices.

References

Institute of Medicine of the National Academies. (2010). The Future of Nursing Leading Change, Advancing Health, Report Recommendations. Retrieved from https://myclasses.southuniversity.edu/content/enforced/16337-2360697/media/transcripts/Future%20of%20Nursing%202010%20Recommendations.pdf?_&d2lSessionVal=Zo3eS3GHNjkvUMYMbPaQtri9Y

Kosman, S. (2011). Nurse Residencies: Building a Better Future for Patients and Nurses. Robert Wood Johnson Foundation. Retrieved from https://www.rwjf.org/en/culture-of-health/2011/10/nurse-residencies-building-a-better-future-for-patients-and-nurses.html

Health Care Research Literature Review

Health Care Research Literature Review

The purpose of this assignment is to conduct a review of literature concerning a health care issue. That is important to you in order to develop a proposal for implementation.

Conduct a literature review of nine articles. The articles must be published within the last 5 years. And only one article may be a meta-analysis or systematic review. Collect articles that both support and oppose the health care issue and implementation you are proposing.

Use the “Literature Review Table” template to complete this literature review assignment, including a 250-500-word summary of the identified health care issue that is important to you and explain why.

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

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

The Institute of Medicine’s (IOM) landmark publication

The Institute of Medicine’s (IOM) landmark publication

The Institute of Medicine’s (IOM) landmark publication. The Future of Nursing: Leading Change, Advancing Health has significantly changed the nursing profession. Review the IOM 2010 Report – The Future of Nursing: Leading Change, Advancing Health. Identify and discuss one (1) example of the impact the Future of Nursing report has had on the Advanced Practice Nurse role – Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, or Leader. IOM Report Retrieved August 20, 2018 from The Future of Nursing

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

Jean Watson’s Theory of  Human Caring

Jean Watson’s Theory of  Human Caring/Caring Science is one theoretical framework used throughout the USU College of Nursing courses. The practice implication of Watson’s Human Caring Theory evolves our thinking and approaches to patient care from a mindset of carative (cure) to one of caritas (care). The core principles/practice are founded on a:

  • Practice of loving-kindness and equanimity
  • Authentic presence: enabling deep belief of other (patient, colleague, family, etc.)
  • Cultivation of one’s own spiritual practice toward wholeness of mind/body/spirit—beyond ego
  • “Being” the caring-healing environment
  • Allowing miracles (openness to the unexpected and inexplicable life events)

Some individuals are comfortable framing their practice with Watson while others prefer different theories or a collection of theories. However, Watson is based on caring which is a foundation of nursing. Anyone could use the core principles to guide decision making. Select one of the core principles and discuss ways you might be able to apply the principle in guiding your advanced practice nursing practices.

Resources:

Watson, J. (2021). Caring science & human caring theory. Watson Caring Science Institute. https://www.watsoncaringscience.org/jean-bio/caring-science-theory/

Jean Watson’s Philosophy of Nursing. Jean Watson’s Philosophy of Nursing (currentnursing.com)

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

Nursing Theories

Nursing Theories

Step 1 Write a two-page (minimum) paper, not including the title page or the reference page. For all professional papers, you will need a title page, an introduction paragraph, the body with research, a conclusion and a reference page. All format must be in 7th edition APA. For the body of your paper, address the following objectives and separate using distinct paragraph headers:

  • Define and/or describe grand, middle range, and micro-range nursing theory. For each type of theory, give one theorist and his or her theory as an example.
  • Which theory are you most likely to use in your practice? Explain your reason.
  • Which theory would you like to incorporate more into your practice in the future? Explain your reason.

family’s cultural background

Please respond to the following discussion questions (5 points each)

1. During morning rounds, your patient states, “I will never get better, I can’t get any sleep in this place…can you help me?”  What are some independent nursing interventions you could implement to assist this patient?”

2.  What is your family’s cultural background?  How do your various family members respond to pain?  Is your response to pain consistent with your cultural influence?

3.  As a nurse, how would you respond if you were caring for a patient with a terminal illness who said to you, “I am in such pain and I can’t take it anymore, please help me die now.”

4.  A patient is stressed about an upcoming surgery and asks you to pray with her.  Would you?  Is this the role of the RN?  How could you facilitate prayer with the patient?

Maternal Child Care Of Nursing

Module 05 Content

  1. Purpose of Assignment
    The goal of creating a newborn nutrition teaching presentation is to prepare the nursing student to provide evidenced based education to the pre and postpartum client on lactation.
    Competency
    Select safe, effective nursing interventions for the postpartum client and newborn.
    Instructions
    Create a teaching tool to promote breastfeeding. The material created to educate new mothers on breastfeeding will influence the mother’s decision to breastfeed, including duration, based on the quality and content of the teaching.
    Assignment Requirements
    Your teaching tool will be a trifold and must include this relevant content for a mother considering the risks and benefits of breastfeeding a newborn.

    • Explain how breast milk is formed in the mammary glands and the physiology of breast milk
    • Include two 2020 National Health Goals related to newborn nutrition to support breast feeding as the best choice. See the link below:
    • https://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health
    • Discuss the advantages of breastfeeding related to immunities transferred to the newborn
    • Describe three additional benefits of breast feeding with supporting rationales
    • Include at least two supporting resources
    • Document must be written
    • Format
    • Standard American English (correct grammar, punctuation, etc.)
    • Logical, original and insightful
    • Professional organization, style, and mechanics in APA format
    • Submit document through Grammarly to correct errors before submission

Epidemiological surveillance data 

Epidemiological surveillance data

Epidemiological surveillance data can be used to guide public health interventions. Support funding, develop policy, and educate the community and specific populations in order to decrease burden. The purpose of this assignment it to analyze, interpret. And disseminate Morbidity and Mortality Weekly Report (MMWR) surveillance data to both technical and nontechnical audiences. And provide recommendations for public health action for a selected disease or heath issue using audience-appropriate language and information.

Select a MMWR health issue published within the past 5-10 years to disseminate data to a technical and nontechnical audience.  Select a technical audience, such as public health practitioners, clinicians and other health care providers, policymakers and other decision makers, and a nontechnical community group or target population. Provide the reason for the dissemination from the following, be specific, and provide details tailored to your data and health issue:

  1. Educate about recent findings or accomplishments.
  2. Elicit immediate action.
  3. Solicit support or participation.
  4. Justify program/prevention activities.
  5. Prepare for an upcoming intervention or program.
  6. Provide rationale to develop new policy or support current policy.

For the technical audience, create a PowerPoint presentation (10-13 slides)  to disseminate surveillance data from the MMWR report for a selected purpose using the slide headings outlined below. Include speaker notes for each slide. For your final slide, develop an educational “fact sheet” about the issue that is appropriate for a nontechnical community group or target population.

Add two additional slides for the Title and References slides.

Refer to Morbidity and Mortality Weekly Report (MMWR), “Introduction to Public Health Surveillance,” and “Data Dissemination” to assist you in completing this assignment.

PowerPoint Headings

  1. Title Page: Include your health issue topic which identifies a specific technical and nontechnical audience and group member names.
  2. Audience Appropriate Data Dissemination (1-2 slides): Explain the importance audience appropriate messages for data dissemination. Identify your health issue, technical and nontechnical audiences, and the reason for the dissemination
  3. Data Collection (1-2 slides): Identify and describe a MMWR for a health issue and the data collection timeframe and methods.
  4. : Summarize the data and document the magnitude of the health issue using descriptive statistics (person, place, time), rates, include tables, graphs, maps, or charts.
  5.  Interpretation (1-2 slides): Summarize the report results and provide the implications for public health practice.
  6. Recommendations for Action (1-2 slides): Provide recommendations or support for policy, policy development, funding for screening or implementation of an intervention or program to address the health issue. Include the factors (e.g., unique behaviors, exposures, or environmental factors) that contribute to the health issue that will be addressed.
  7. Fact Sheet: Data Dissemination to a Nontechnical Audience (1 slide): On the last slide of your presentation, create an audience appropriate fact sheet that explains and brings awareness to the health issue and the steps in addressing/mitigating the health issue for a community group or population. Include both text and photos, images, or illustrations to make it eye catching and compelling.
  8. Conclusion (1 slide)
  9. References page

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and public health content.

 

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MPH 2.1; MSN Public Health Nursing 6.2

Apply epidemiological methods to the breadth of settings and situations in public health practice.