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Professional Capstone and Practicum Reflective Journal

Throughout the course, students will engage in weekly reflection and scholarly activities. These assignments are presented in Topic 1 to allow students to plan ahead, and incorporate the deliverables into the Individual Success Plan if they so choose.

The weekly reflective journals and scholarly activities will not be submitted in LoudCloud each week; a final, culminating submission will be due in Topic 10. No submission is required until Topic 10.

Professional Capstone and Practicum Reflective Journal

Students are required to maintain weekly reflective narratives throughout the course to combine into a final, course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. This course-long journal assignment will be due in Topic 10.

In each week’s entry, you should reflect on the personal knowledge and skills gained throughout the Professional Capstone and Practicum course. Your entry should address a variable combination of the following, dependent on the specific practice immersion clinical experiences you encountered that week:

  1. New practice approaches
  2. Intraprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Population health concerns
  6. The role of technology in improving health care outcomes
  7. Health policy
  8. Leadership and economic models
  9. Health disparities

In the Topic 10 submission, each of the areas should be addressed in one or more of the weekly entries.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how they met competencies and course objectives.

Scholarly Activities

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

In Topic 10, you will submit a summary report of your scholarly activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

RN-to-BSN program,

Details:
Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

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

You are not required to submit this assignment to Turnitin.

Role Strain and Burnout in Nursing

Role Strain and Burnout in Nursing

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  • What happens to the nurse when role stress or strain becomes too overwhelming? What happens to patient care? How is this related to possible ethic and legal issues? Discuss how nurses can manage or reduce role stress and role strain.
  • Explain two issues that lead to nurse burnout and discuss a solution for each issue.
  • Think of an experience in your nursing profession where you either felt strain or burnout and how you overcame this event. (Since this is personal experience, you can use first person narration for this portion of your essay.)

Assignment Expectations:

Length: 1000-1500 words; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Cathedra

“Cathedral.” (Ch. 3) Due 4 hour

Read the story “Cathedral” by Raymond Carver (pages 103-113); Part 1, Chapter 3).  Stories explore some aspect of human experience.  Good stories cause the reader to think more deeply about how people interact with each other or with the world they live in.

Discuss how the story “Cathedral” explores human experience, giving details from the story.  What do we, as readers, learn about human interactions from this story?  What is the significance of drawing the cathedral?

Your answer should demonstrate thoughtful analysis, using elements of the story to support your point.  You should make a short comment (about a paragraph long, at least 100 words) and you should respond to a comment by another student.  Superficial comments will receive a lower grade; comments that show engagement with the story on a deeper level will receive a higher grade.

For the topic, put your name first, then what you want to focus on in your discussion.  For example, Brown: Stereotypes.

Class Learning Resources:

Post an explanation of the pathophysiological mechanisms of iron deficiency anemia and pernicious anemia. Compare these two types of anemia, considering the similarities and differences between them, as well as their potential causes. Finally, explain how genetics, gender, ethnicity, age, and behavior might impact the anemic disorders.

Class Learning Resources:

**Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby.

  • Chapter 20, “Structure and      Function of the Hematologic System”

This chapter examines components of the hematologic system, development of blood cells, mechanisms of hemostasis, and hematologic value changes in pediatrics and geriatrics. It also focuses on common blood tests for hematologic disorders.

  • Chapter 21, “Alterations of      Hematologic Function”

This chapter focuses on common alterations of hematologic function, including alterations of erythrocyte function, leukocyte function, lymphoid function, splenic function, platelets, and coagulation.

  • Chapter 22, “Alterations of      Hematologic Function in Children”

This chapter expands on alterations of hematologic function by presenting disorders that affect children, such as disorders of erythrocytes, coagulation, and platelets.

**Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

  • Chapter 6, “Blood Disorders”

This chapter begins by exploring the anatomy and physiology of blood and the coagulation system. It then examines two types of anemia caused by red cell disorders. White blood cell disorders and platelet disorders are also examined.

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

– This work should have Introduction and Conclusion

– It should have at least 3 current references (Year 2013 and up)

medical community

During Skloot and Deborah’s meeting with Christoph Lengauer, he emphasizes the importance of Henrietta Lacks’s contribution to science and how she is remembered in the medical community. He states, “Whenever we read books about science, it’s always HeLa this and HeLa that. Some people know those are the initials of a person, but they don’t know who that person is. That’s important history.”

Write a 525- to 700-word article that addresses the following:

  • Evaluate whether the book effectively illustrates the significance of Henrietta Lacks’s life, her contributions to science, and their impact on her family. Answer the following questions in your evaluation:
    • Are there problematic elements as to how Skloot portrays Lacks and her family?
    • Do you agree with Lengauer’s quote that it is important to know about Henrietta Lacks? Why or why not?
    • Explain how learning about Henrietta Lacks’s story helped you become a more ethical leader.
    • Provide 2 to 3 examples of what medical professionals can do to prevent unethical practices.

Use 3 examples from the book to support your response and cite the novel.

historical background

Read chapter 15 and 32 of the class textbook and review the attached Power Point presentations.  Read content chapter 32 in Davis Plus Online Website.  Once done answer the following questions;

1.  Discuss the historical background of these two heritages.

2.  Discuss the health care beliefs of these two heritages and mention if there is any similarity with the health care beliefs in United States.

3.  Do you think that the health care beliefs of these two heritages influence the delivery of evidence base nursing care?  Explain why.

As previous weeks and stated in the syllabus please present your assignment in an APA format word document, Arial 12 font, attached to the forum in the discussion tab of the blackboard title “week 8 discussion questions”.  A minimum of 2 evidence based references (excluding the class textbook) are require.  You must post two replies sustained with the proper references to any of your peers postings.  A minimum of 500 words are required.

i send the power point but you can take internet information, thanks

menopause symptoms

Assignment Directions: Case: Jane

For this Assignment, using the case information and best evidence, complete the chart below. Make sure to address all columns in the chart.

Case #1: Jane

Jane is a 42-year-old G4P2103. Jane is divorced and works long, hard hours as a real estate agent. Jane was having irregular and heavy menses for 6 months, and then they abruptly stopped 3 months ago.

Jane has been having nausea and vomiting for 6 weeks but attributed it to having the flu recently. She also admits to gaining about 10 pounds in the last few months and experiencing breast tenderness.

Jane comes to the clinic today to discuss menopause symptoms and treatment. During the visit, a urine pregnancy test came back positive. During the exam, you palpate a 16-week-size uterus and get fetal heart tones of 165. Jane is in disbelief.

Alzheimer’s Disease

Examine Case Study: An Elderly Iranian Man With Alzheimer’s Disease. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

  • At each decision point stop to complete the following:
    • Decision #1
      • Which decision did you select?
      • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
      • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
      • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
    • Decision #2
      • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
      • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
      • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
    • Decision #3
      • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
      • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
      • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
  • Also include how ethical considerations might impact your treatment plan and communication with clients.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

Integration of Health Systems

Integration of Health Systems

Note: Before completing this Assignment, please familiarize yourself with the Week 4 Assignment Rubric, located in the Course Information area of the course navigation menu.

Intermountain Healthcare is a high-performing integrated health system with facilities in Utah and Idaho. The health system has a long-standing clinical integration structure that encourages professional collaboration. Despite this, in 1999, many physicians at Intermountain Healthcare found it difficult to fulfill the needs of patients with co-occurring physical and mental health conditions. To efficiently and effectively address this issue, Intermountain Healthcare adopted a mental health integration model in many of its primary care facilities, as well as some of its specialty clinics and partner clinics. The team-based approach has improved the coordination of services, resulting in higher quality care at a savings of cost.

Consider the example above. What advantages does integration afford Intermountain Healthcare? Do other integrated health systems experience similar benefits? Are there disadvantages to integration? If so, what are they?

To prepare for this Assignment, review the information related to vertical and horizontal integration presented in the Learning Resources.

Select one of the following horizontally integrated health systems:

  • National Surgical Hospitals
  • Select Medical Healthcare
  • Sunrise Senior Living
  • Labcorp
  • Quest Diagnostics
  • Pfizer Pharmaceuticals

Also select one of the following vertically integrated health systems:

  • Kaiser Permanente
  • Mayo Clinic
  • Cleveland Clinic
  • MedStar Health
  • Memorial Hermann Healthcare System Houston

As an alternative, you may use Becker’s Hospital Review resource to identify a vertically integrated health system.

Using the Walden Library and credible sources on the Internet, research your selected health systems. Investigate the rationale for pursuing integration and the strategies each health system has used to achieve integration. Note information related to the size of each health system, settings/locations, and types of services it provides.

Based on your research, consider the ways in which the two health systems are similar to and/or different from one another.

Assess the business and health care-related implications of horizontal and vertical integration of your selected health systems. How does integration impact the management of your selected organizations and the patients/consumers they serve, especially in terms of cost, quality, and access?

Consider any applicable insights you have gained through the Discussion for this week.

The Assignment

Write a paper in which you:

  • Compare the horizontally integrated health system and the vertically integrated health system you have selected (e.g., size, settings/locations, and types of services).
  • Explain each health system’s rationale for pursuing integration and the strategies it has used to achieve integration.
  • Assess the business and health care-related implications of integration for your selected health systems, including how integration impacts the patients/consumers the organization serves.

General Guidance on Assignment Length: Your Assignment should be 3–4 pages, excluding a title page and references. Refer to the Week 4 Assignment Rubric for grading elements and criteria. Your Instructor will use the rubric to assess your work.

Required Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Readings

  • Shi, L., & Singh, D. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett.
    • Chapter 9, “Managed Care and Integrated Organizations” (pp. 361–368)
  • Cohen, A., Klein, S., & McCarthy, D. (2014). Hill Physicians Medical Group: A market-driven approach to accountable care for commercially insured patients. Retrieved from http://www.commonwealthfund.org/~/media/files/publications/case-study/2014/oct/1770_cohen_hill_physicians_aco_case_study.pdf
  • Cutler, D. M., & Morton, F. S. (2013). Special communication: Hospitals, market share, and consolidation. JAMA, 310(18), 1964–1970.
    Retrieved from the Walden Library databases.
  • Sanford, K. D. (2013). Integration requires new roles and responsibilities. Healthcare Financial Management, 67(3), 56–60.
    Retrieved from the Walden Library databases.
  • Summer, L. (2014). Research insights: Integration, concentration, and competition in the provider marketplace. Retrieved from http://www.academyhealth.org/files/publications/AH_R_Integration%20FINAL2.pdf

Use the following resources to select integrated health systems on which to focus for your Assignment. You may also use this list to develop background information as you research health systems in your area for the Discussion.

Vertically Integrated Health Systems

Horizontally Integrated Health Systems