Posts

  Identify, prioritize, and describe one problem.

I need you to use this video website: http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php. and the document attached bellow to respond  this assignment. This is a group assignment and I need you to:

Identify, prioritize, and describe one problem.
Provide substantiating evidence for the identified problem.
Identify and describe medical and / or nursing interventions.
Discuss your rationale for the interventions identified.

 

The identified problem, as well as the nursing interventions and rationales by the interventions must be added to the aggregate document

 

 TO ACCESS TO VIDEO WEBSITE PLEASE ENTER TO MY STUDENT PORTAL

GO TO: gcu student portal

USERNAME: iespinosa2

PASSWORD: Cartagena5

 

NAME OF THE ASSIGNMENT: Collaborative learning community

 

 

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CDC breastfeeding initiative

No plagiarism please.

Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations.

Discuss the CDC breastfeeding initiative and describe how you will support this when interacting with your pregnant and postpartum women in the primary care setting.

Peer Resp#1

Our bodies are amazing at what they do, there’s no way to fully replace what the body does naturally. That is why organ donation is such a great gift and why we should use our bodies to the fullest in every aspect of life and respect the wonderful life we’ve been given. Breastfeeding is the most essential, dynamic and profitable way of providing an infant with the nutrients they need as they enter the world outside of the womb (Farhan, Das & Malik, 2018).

Not only does breastfeeding benefit the infant, but it has important consequences for the mother as well. Breastfeeding can lower the risk for certain cancers including breast and ovarian as well as decrease the risk of developing type 2 diabetes (Grummer-Strawn et al., 2013). The CDC has started many initiatives to ensure that mothers in the United states have adequate access to lactation services and understand the best way to nourish their newborn. That being said, there are still many mothers who are unable to breastfeed but there is hope for those who desire to have breastmilk for their baby. Donor breastmilk is the milk of choice when a mother’s own milk is not available. Research clearly demonstrates that human milk decreases the rates of pediatric infections such as necrotizing Enterocolitis (NEC) and sepsis (Coutsoudis et al., 2011).

Encouraging mothers to research the benefits of breastfeeding and educating as the mother and family as they are willing is the goal of the nurse practitioner. Ultimately, it is the choice of the mother to partake in breastfeeding, but proper education and encouragement should be offered for new parents.

Peer Response#2

The CDC is currently on a mission to improve the breastfeeding in the nation by current, new, and prospective mothers. Nowadays the CDC is actively promoting and engaging with new and potential mothers and well as past mothers to gather information regarding their pregnancies, determining thoughts and practices and how to move forward with the promotion of breastfeeding (CDC, 2018). From years 2011 to 2015, the CDC has been conducting a study to determine the difference in breastfeeding by demographic variables, which provided them with information regarding cultures and areas where improvement could be made, and where their advocacy needed to be expanded and promoted. These areas have gained additional promotion regarding health benefits for both mom and baby, as well as the advantage of a cheaper alternative to formula (Anstey et al., 2017). A variety of issues with moms were discovered in these areas concerning breastfeeding and its practice. Some of these new moms are unsure of breastfeeding and unfamiliar with the method. Some of the moms are interested in breastfeeding but then revert to formula.

The CDC has adopted the ten breastfeeding steps that are being successfully implemented by the WHO and UNICEF organizations; and has been used for promotion throughout hospitals and a variety of healthcare settings as a tool to promote and to make breastfeeding a successful and healthy experience for mom and baby (Sriraman, 2017). This promotion could be critical as many mothers would attempt to breastfeed their baby as well. This guide and assistance gives new moms information and a guideline to help their newborns attach. They could also meet with a support team that assists them and has the specialized experience to encourage and teach the mom with the proper practice of breastfeeding.

As practitioner one should encourage a mother to breastfeed if possible, because of the significant benefits of it, such as the decrease chance of the baby of having an allergy to the mother’s breast milk. However, there could be contraindications to breastfeeding that must be looked at as well. According to the CDC (2018), a mother who is addicted or who has a disease should not breastfeed, such as a mother with HIV because the disease or drug could pass to the baby through the breast milk.

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reengineering of healh care

Topic 5 DQ 1

How does the nurse manager or leader play a role in the reengineering of healh care?

 

Topic 5 DQ 2

Continuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry. Provide an example of how you would apply CQI in your current or past position.

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value of a culture of excellence and leadership strategies

Paper part I and II

Purpose

The purpose of this assignment is to consider the value of a culture of excellence and leadership strategies that support a culture of excellence within the student’s selected MSN track. Students will identify organizational characteristics that support a culture of excellence. In addition, students will identify an existing organizational mission, vision, and values and create an original concept map to portray the interrelationships among the elements. The extent to which the organizational mission, vision, and values reflect a culture of excellence will be examined. Leadership strategies that promote a culture of excellence and support the Chamberlain Care Model® will be applied.

NR504: Week 5 Leading a Culture of Excellence Paper Guidelines and Rubric (Links to an external site.)Links to an external site.

This assignment will be submitted in two parts:

Part I: Concept Map. This portion of the assignment will be submitted below.

Part II: Submission of the written paper. This portion of the assignment will be submitted on the next page.

You will receive one grade for Part I and Part II.

Course Outcomes

Through this assignment, the student will address the following Course Outcomes:

· CO 1: Discern leadership approaches that facilitate achievement of health outcomes through interprofessional collaborative practice within micro-, meso-, and macro-level systems.

· CO 2: Appraise the role of the MSN-prepared nurse to lead safe, efficient, ethical, high-quality, person-centered healthcare across complex systems.

· CO 3: Integrate communication modalities that convey cultural humility, value the diverse nature of individuals, and cultivate healthful work environments.

Requirements

Criteria for Content

Part I Concept Map

1. Identify the mission, vision, and values of a selected organization.

2. Create a concept map that portrays the relationships among the organizational mission, vision, and core values, depicting how they do or do not support a culture of excellence. The concept map must be your own, original work.

1.

Preparing the Assignment

Criteria for Format and Special Instructions

1. Abide by the Chamberlain College of Nursing Academic Integrity Policy.

2. Part I: Create and submit a concept map as a pdf or Word document.

a. Concept map may be neatly drawn by hand or created using software.

b. Concept map must be clear and legible.

c. Concept map must be the student’s original work.

Part II: Written Paper

1. In a three- to four- page paper, address the elements below. Use a minimum of four peer-reviewed scholarly sources, current within 5 years, to support your work. See the rubric for specific, required content criteria within each section of the paper.

a. Provide an introduction to the paper.

b. Discuss the characteristics of a culture of excellence.

c. Present the mission, vision, and values of a selected organization, and explain the interrelationships between each element in the concept map. Describe how the mission, vision, and values do or do not support a culture of excellence.

d. Discuss application of three specific leadership strategies that promote a culture of excellence, and how they support the Chamberlain Care Model®.

e. Provide a conclusion to the paper.

Preparing the Assignment

Criteria for Format and Special Instructions

1. Abide by the Chamberlain College of Nursing Academic Integrity Policy.

2. Part II: Using Microsoft Word 2013, create the written paper for this assignment. Include a title page with your name, date, and course information, as well as a reference page.

a. The paper (excluding title and reference pages) should be three to four pages in length.

b. A minimum of four peer-reviewed scholarly sources, current within 5 years, are required.

c. Sources older than 5 years may not be used without the permission of the class professor.

d. Only one short quote (15 words or less) may be used within the body of your writing.

e. Title page, running head, pagination, subheadings, body of paper, citation of sources, and reference page must follow APA guidelines as found in the 6th edition of the manual.

f. Rules of grammar, spelling, word usage, punctuation, and sentence and paragraph structure are followed and consistent with formal, scholarly writing as noted in the APA Manual (6th edition).

g. First person may only be used in the self-reflection portion of the assignment (see Conclusion section for criteria).

Video from professor

 

Before we begin, I would like to encourage you to locate your week five assignment guidelines and rubric. It will be helpful to have that document available as we continue with the assignment overview. [BLANK_AUDIO] The capacity of the nurse to influence others and shape working relationships has been a clear idea of emphasis throughout our class readings.
From influencing one’s self, to facilitating collaborative practice with others, the MSN prepared nurse leader is equipped to cultivate a culture of excellence within the healthcare environment by fostering quality, safety, cultural humility, meaningful engagement, and a healthful work atmosphere. The purpose of this assignment is to consider the value of a culture of excellence, as well as the leadership strategies necessary to facilitate a culture of excellence within the work setting specific to the selected MSN track.
Through this assignment, you will identify characteristics and practices which support a culture of excellence within an organization. In addition, you will identify organizational mission, vision and values, and create an original concept map which portrays the interrelationships between each element. Also portrayed within the concept map will be the extent to which the mission, vision and values reflect a culture of excellence.
Finally, through this assignment, you will explore leadership strategies which promote a culture of excellence and support the Chamberlain Care model in the selected MSN role. [BLANK_AUDIO] As we begin our assignment overview, let’s look at a couple of fast facts regarding the Week Five assignments. The Leading a Culture of Excellence assignment includes two parts.
Part I will include a concept map which is the student’s own original work. And Part II will include a scholarly written paper. The concept map may be hand drawn and scanned as a PDF document. Or you may create a concept map using tools in the Word format. The concept map must illustrate the interrelationships between mission, vision, and values of an existing organization or your choosing.
You will want the concept map to portray how the organization’s mission, vision, and values do or do not reflect a culture of excellence. We will discuss the concept MAC requirement in further detail, just a little bit later in our overview. In addition to the concept map, Part II of this assignment is a three to four page scholarly written paper.
To support your writing, four current peer reviewed scholarly sources are required.The assignment in total is worth 175 points, which is 17.5% of the course grade.The assignment is due at 11:59 PM Mountain Time at the end of week five. The week five assignment addresses three of our course outcomes for Nursing 504, course learning outcome one, two, and three.
Course learning outcome number 1, discern leadership approaches that facilitate achievement of health outcomes through interprofessional collaborative practice within micro, meso, and macro-level systems. Course outcome 2, appraise the role of the MSN-prepared nurse to lead safe, efficient, ethical, high-quality, person-centered health care across complex systems. And course outcome number 3, integrate communication modalities which convey cultural humility, value the diverse nature of individuals, and cultivate healthful work environments.
Investigate the concept of a culture of excellence along with the organizational characteristics and practices, and leadership strategies, which help to facilitate and reflect a culture of excellence. You will need a minimum of four peer-reviewed scholarly sources current within five years to support your writing. Select an existing organizational mission, vision, and values to portray within your concept map.
You’ll create an original concept map to demonstrate and portray how these elements do or do not support a culture of excellence. And finally, you will develop a three to four page paper to address the content requirements noted in the rubric.You will submit two documents. Both Part I, the concept map, and Part II, the written paper, for final evaluation.
Let’s begin with Part I of the assignment, the concept map. For full credit, you will create a concept map, which is your own original work.
The concept map will express organizational mission, vision and values. To do this, you want to first identify an existing organization that is of interest to you. Perhaps it is the current organization where you are employed Or perhaps it’s another healthcare organization, where you may choose to seek employment after graduation as an MSN-prepared nurse.
Once you identify the organization, locate the mission, vision and values of that organization. Create a unique original concept map which portrays the organization’s mission, vision, and values, along with the interrelationships between those three elements. You will also want the concept map to portray how the organizational mission, vision, and values do or do not reflect a culture of excellence.
Now, in order to reflect this element in your concept map, you will want to integrate characteristics or practices which are reflective of a culture of excellence. And portray the degree to which they are reflected in the chosen organizational mission, vision, and values. It will be helpful for you to read about a culture of excellence and identify organizational characteristics and practices which support a culture of excellence.
This content is addressed in the week five lesson and readings. Once you are familiar with those characteristics and practices, you will be better able to create that element within your concept map, demonstrating how the organizational mission, vision, and values do or do not reflect the elements of a culture of excellence.
How might you create an original concept map for this assignment? Well, there are a couple of ways that you can do this. First, you can hand draw a concept map, scan that drawing to create a PDF file, and then submit the concept map as a PDF file. If you prefer and if you are familiar with software tools available, you can use software to create a concept map, such as tools that are available within Microsoft Word.
Once your concept map is created, you would submit that electronic file. Please note, artistic talent is not being graded in this assignment. Instead, fulfillment of the required assignment criteria will be evaluated. The concept map must be your own original work. It must be created by you and no one else.
Now that we’ve discussed the concept map, let’s shift gears and begin to review the content and format requirements for the written paper portion of the assignment. This is Part II of the assignment. And again, remember to refer to the guideline and rubric for full details. Let’s begin with the introduction section to your paper.
Within this section, be sure to include the importance of pursuing a culture of excellence within the healthcare industry, and the role of mission, vision, and value statements to guide organizational culture. You’ll be sure to identify the sections of the paper, and remember to include support from current, peer reviewed scholarly sources.
Your literature support should be used to validate the importance of a culture of excellence, and the roles which mission, vision, and value statements play in shaping and guiding organizational culture. After the introduction section to the paper, you will include a section to address the culture of excellence.In the culture of excellence section of the paper, you’ll include an explanation of the concept of a culture of excellence.
Identify at least three specific organizational characteristics or practices, which are congruent with and reflect a culture of excellence. And you will discuss how a culture of excellence is significant to your selected specialty track. Throughout this section of the paper, be sure that you provide support from current, peer-reviewed scholarly sources.
Literature should be integrated to support your explanation of a culture of excellence, three characteristics or practices within a culture of excellence, and the significance for your specialty track. [BLANK_AUDIO] Following the culture of excellence section of the paper, you will include a section to describe an overview of the concept map which you have created.
In this section, you will describe the mission, vision, and values of the selected organization which you have portrayed within the concept map. You will discuss the interrelationships which you have portrayed between those elements of the map.And you’ll discuss how the mission, vision, and values do or do not reflect a culture of excellence as portrayed in the concept map.
Throughout this section, be sure to include support from current peer-reviewed scholarly sources to validate the culture of excellence as it’s represented in the concept map. Also, be sure to credit the organization as the source of information for the mission, vision, and value statements that you include. [BLANK_AUDIO]Following that section of the paper, you will include a section which addresses leading a culture of excellence.
In this section, you will identify and discuss two specific leadership strategies which will promote a culture of excellence in the selected MSN specialty track role which you are pursuing. Explain how the two chosen leadership strategies also support the Chamberlain Care Model. Throughout this section, be sure to include support from current peer-reviewed scholarly sources to validate the points and the applications which you provide.
[BLANK_AUDIO] The last section of the paper is the conclusion. In this section, you will include a summary which addresses the following. The importance of a culture of excellence and leadership strategies to promote a culture of excellence.You will also include a brief synopsis of the selected mission, vision and values that you portrayed and how they do or do not support a culture of excellence.
Self-reflection of your learning regarding new insights gained by completing this assignment should be included. In addition, a self-reflection regarding implications for your future advanced nursing practice role in the selected MSN specialty track should be included. For this section, the two self-reflections may be written in first person. Because this is a scholarly paper, all other areas of the paper should not include first person, but the two self-reflective components may be written in first person.
As you review the guidelines and rubric, you will notice that after the content criteria, there are format criteria listed on the rubric. The format criteria include graduate level writing style, quality of literature support and paper length requirements. This slide provides you with an overview of the graduate-level writing expectations.
You will want to be sure that your writing is reflective of graduate-level practices by using correct spelling, grammar, punctuation, sentence and paragraph structure.You will also convey graduate-level writing style through clarity and a logical flow of ideas. With APA headings to organize your paper content. APA format should also be used for the citing and referencing of all sources.
In order to demonstrate your mastery and synthesis of content, no more than 1 short quote of 15 words or less may be included in this assignment. Additional graduate-level writing style standards include the use of APA format for the document. The format requirements includes margins, spacing, font style and size.
APA format for document structure is also required. The structure elements includes running head, pagination, tittle page and reference page. Also required are APA formats for the mechanics of style. The mechanics of style include the correct use of abbreviations, capitalization, italics, numbers and when applicable, the use of figures or tables within the assignment.
Please note that the concept map which you create does not serve as a figure or an image in the body of your paper. It will be a separate file that you submit. As a result, you will likely not be using any figure or table in this assignment. However, as we discuss mechanics of style, we like to follow all the items that are noted within the APA manual, including tables and figures.
This helps to prepare you with information that you might apply in a future assignment or a future course. But for this assignment, there probably will be no figures or tables needed on your part, unless you choose to do so.[BLANK_AUDIO] Following the graduate-level writing style expectations, the rubric includes criteria for the quality of literature support used in the assignment.
It is an expectation that a minimum of four peer review scholarly sources, current within five years, should be included to support your writing in the written paper component of the assignment. Failure to meet this requirement will result in points deducted, as noted on the rubric. [BLANK_AUDIO] Following the quality of literature support section on the rubric, there is a section which addresses assignment length.
It is an expectation that the paper is a minimum of three full pages in length. Typed with 12 point font size and double spaced and no more than 4 full pages in length.The paper length does not include the title or reference pages. Failure to meet this requirement will result in points deducted, as noted on the rubric.
[BLANK_AUDIO] Let’s take a few minutes before we close, to talk about some key reminders as you prepare your assignment. Some of this information might be familiar from previous courses or previous assignment overviews. Remember to review the assignment guideline and rubric document carefully. Use the rubric as a map to guide your assignment preparation and then as a checklist before submitting your work.
Carefully review all grammar, spelling, word usage, punctuation, sentence and paragraph structure, as well as APA format. Be sure to use the APA Manual sixth edition and do not rely on formatting software. Cite and reference each source that you use, so that there is congruence between the reference listing and the sources cited in your writing.
[BLANK_AUDIO] Follow the submission instructions where you have part I, an original concept map. And part II, a scholarly written paper, which is three to four pages in length, with a minimum of four current peer-reviewed, scholarly sources integrated to support your writing. First person may be used only in the self-reflection components of the conclusion.
And finally, no more than one short, direct quote, 15 words or less, may be used within this assignment. So to recap, remember there are two parts to this assignment. Part I, your original concept map, which will be a separate file. The concept map does not require a title page or reference pages.
Part II is the written paper, which will include a title page and reference, pages along with your written paper. [BLANK_AUDIO] As we’ve been talking about the APA format structure of a paper, this slide provides you with just a visual example of the use of APA headings. As you know, the title page is page 1 and the first page of your text for your paper will begin on page 2.
At the top of page 2 centered, you will place the title of your paper using upper and lower case letters with regular font. The introductory section of the paper will immediately follow the title. And will not include any level heading. After the introduction, your paper should include the following sections.
Culture of excellence, overview of concept map, mission, vision, and values, leading a culture of excellence and conclusion. Note that each of these sections are identified with level one headings, according to the APA format. They are centered, bolded, with upper and lower case letters. More information about level headings can be found in the APA Manual 6th edition, beginning on page 62.
Finally, the reference page begins with a subheading that is centered with regular font. On a new page of paper. [BLANK_AUDIO] I hope this assignment overview information will be helpful for you as you prepare your week five assignment. As you continue to gather resources, you may find it helpful to listen to and watch this assignment overview again.
Some students find that key points regarding an assignment are better understood after reviewing the information a second time and following along the assignment guidelines in rubric. There will be a live question and answer webinar, prior to the assignment due date. The webinar is not a requirement. However, it is an optional resource for students.

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Psychotherapy With Older Adults

Psychotherapy With Older Adults

According to the Institute of Medicine, more than 20% of the growing older adult population has a mental health disorder (IOM, 2012). In the past, many older adults avoided psychotherapy because of the associated social stigma, but with the growing acceptance of therapy and awareness of mental health issues, more of this population is seeking the help they need. In your role, as the psychiatric mental health nurse practitioner, you have the opportunity to help these older adult clients overcome challenges that may have plagued them for a lifetime.

Learning Objectives

Students will:

· Assess clients presenting for psychotherapy

· Evaluate effectiveness of therapeutic approaches for clients receiving psychotherapy

The Assigment:

· Describe an older client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes.

Note: Do not use the client’s actual name.

· Explain your therapeutic approach with the client, including the perceived effectiveness of your approach. EX CBT, existential approach, medications etc.

· Identify any additional information about this client that may potentially impact expected outcomes.

Resources for reference ( need 3 references).

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter 18, “Psychotherapy      With Older Adults” (pp. 625–660)
  • Chapter 20, “Termination and Outcome      Evaluation” (pp. 693–712)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

McGuire, J. (2009). Ethical considerations when working with older adults in psychology. Ethics & Behavior, 19(2), 112–128. doi:10.1080/10508420902772702

Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it occur? In Premature termination in psychotherapy: Strategies for engaging clients and improving outcomes (pp. 11–31). Washington, DC: American Psychological Association. doi:10.1037/14469-002

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Evaluating Culture From the Nursing Perspective

Evaluating Culture From the Nursing Perspective

This week, we will examine a case study about smokers in Poland. As noted in the Center for Global Development and Jassem, Przewozniak, & Zatonski (2014), prior to 1989, Poland had the highest rate of smoking in the world, with three-fourths of all men aged 20–60 smoking every day at a rate of 3,500 cigarettes per person per year. It should be noted that 30% of all women smoked every day, as well. This behavior resulted in a life expectancy of about 60 years due to the highest rates of lung cancer in the world and all-time high levels of smoking-related cancers and cardiovascular and respiratory disease.

To prepare for this Discussion, you will be required to read Case 14 by the Center for Global Development and complete readings in Stanhope and Lancaster, then respond to the following questions:

  • What happened to change the culture of smoking in Poland?
  • Understanding that we all have bias when discussing health issues and precipitating factors, what social and political factors allowed cigarette smoking to become a part of the Polish culture?
  • Reflecting on your own practice, how do you overcome cultural bias? Do you find it more difficult to deal with some groups than others? How do people use the cultural information that they learn about others? Do you think this leads to stereotyping? Does cultural knowledge influence or change your practice and interaction with others?

By Day 3

Post your response to this Discussion.

Support your response with references from the professional nursing literature.

Notes Initial Post: This should be a 3-paragraph (at least 250–350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old)

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External Factorsternal Factors

MSN degree APA format 1and half pages long with 3 references and 1 from walden university library. Due March 6, 2019 at 8pm EST

Discussion: The Impact of ExDiscussion: The Impact of External Factorsternal Factors
Consider the following scenario:
Linda has been a nurse educator at LiveWell Medical Center for about 3 years. Since taking over the position, she has received many accolades for the new evidence-based practices she has shared in nurse trainings. Linda is now looking to turn her attention to patient education. She hopes to initiate bimonthly sessions that will help current and recently discharged patients to better manage their health and/or cope with difficult health issues. At Linda’s next meeting with LiveWell’s board of trustees, she confidently shares her proposal for this new program. At once, she is taken aback at their dismissive responses. “That sounds great Linda, but we simply do not have time to implement something of that caliber here. And how do you know if patients would even be interested in such a service?”

Over the next hour, Linda contemplates these comments and realizes that, despite her best intentions, there was some truth to their remarks. Linda had initially been inspired to create this program after reading about a large rehabilitation center in San Antonio, Texas. The center had revolutionized their outpatient process, helping to demonstrate strong commitment to the community. Though it worked well in San Antonio, Linda had not conducted any preliminary research to learn if it could be effective in their small town of Pinedale, Wyoming.

What external factors should Linda have investigated before trying to develop such a program? In addition, how could these factors continue to impact her program if the LiveWell board of trustees approves her idea?

To prepare:

Review this week’s readings, specifically Chapter 3, “Needs Assessment: The External and Internal Frame Factors” (pp. 46-54), in the Keating text and Chapter 5, “Forces and Issues Influencing Curriculum Development,” in the Billings course text. Reflect on the various external factors that can impact the way curriculum is developed, assessed, and evaluated. Then, consider whether certain factors influence institutions (academic settings) more or less than they do agencies (clinical settings).
Select one external factor from the following list to further explore for your Discussion posting:
Community
Population demographics and trends
Political climate and body politic
Societal patterns
Health care system and health needs of the population
Characteristics of the setting
Need for the program
Nursing profession
Financial support
Consider how this factor might impact curriculum development, assessment, and evaluation in your own academic or clinical setting or in one with which you are familiar. In addition, conduct research to explore how this factor might impact nursing education as a whole. Discussion: The Impact of External Factors

Discussion: The Impact of External Factors

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problem or concern

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

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 relevant to nursing practice.

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.

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

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 Identification, discussion, and documentation

  • Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.

What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?

How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into my philosophy and practice?

What research supports these theories and concepts?

 

>>>>>This assignment is for this week<<<<<<<< then the next assignment will be connected to this one and has to be integrated as one essay at the end<<<<<<<<I am adjunting the first part of the essay completed that can serve as the beginning.

 

Format

Your project paper should be in Microsoft Word 2010. Follow the current APA style. Your paper should be double-spaced, Times New Roman, and in 12 pt. font.

****Quality of essay criteria*****

The essay enlisted two practice-specific concepts.
8
The essay included clinical examples for each of the chosen concepts.
8
The clinical examples illustrated the concepts in a manner, which further clarified the students’ use of the conceptual material.
8
The essay demonstrated consistency between concepts, assumptions, and clinical application.
8
The essay identified and discussed students’ perspective on two other concepts specific to their practice.
8
The essay included a numbered list of at least 5 propositions or assumptions.
8
The concepts were connected and integrated to reveal a meaningful sequence.
8

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Alterations of Cardiovascular Function

Requirements Format:

1) **********minimum 6 full pages (3 page each document) ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign

4) References not older than 5 years

5) Each answer must be identified according to the question number. Check the list of questions.

Your answer should start objectively answering the question

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

_______________________________________________________

Requirements submission

You must answer (3) question2 times. 

You must submit 2 documents (each one 1 page).

Copy and paste will not be admitted. 

You should address the questions with different wording, different references, but always, objectively answering the questions

_____________________________________________________________

Case:

 

Alterations of Cardiovascular Function

Charles Bennington, a 55-year-old carpenter, develops severe crushing substernal chest pain with dyspnea, dizziness, diaphoresis, and nausea while unloading plywood from a truck. He is admitted to the emergency department and states that his symptoms have not resolved in the 40 min since they began, and that they are still severe. He indicates that he has had milder episodes of chest pain in the past, especially in conjunction with strenuous work.

Questions:

 

1. What is the pathophysiology behind Mr. Bennington’s prolonged chest pain?

2. Mr. Bennington’s blood pressure is low, he is tachycardic, and you hear crackles in his lungs. What is the pathophysiology behind these findings?

3. Mr. Bennington has acute coronary syndrome. Which two conditions does this diagnosis include?

4. Why is it important to obtain an ECG for Mr. Bennington as soon as possible?

5. Which blood studies could confirm the diagnosis of acute myocardial infarction?

6. As you examine Mr. Bennington after his ECG, why should you look for diminished pedal pulses and bruits?

7. Why is myocardial infarction more likely to occur in the left ventricle than in the right ventricle?

8. Mr. Bennington says, “Why did I get dizzy? The FNPs are focusing on my heart. Is there something wrong in my head also?” How should you respond?

9. Mr. Bennington was diagnosed with unstable angina. He asks, “What is unstable angina? How is that different from a heart attack?” How should you respond?

10. Why is it important for you to teach Mr. Bennington how to modify his risk factors for atherosclerosis?

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