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Personal Philosophy of Nursing

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Personal Philosophy of Nursing

In a 6- to 7-page paper in APA format describe your personal approach to professional nursing practice. Be sure to address the following:

  • Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it? Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.
  • Formulate and discuss your personal definition of nursing, person, health, and environment.
  • Discuss a minimum of two beliefs and/or values about nursing that guide your own practice.
  • Analyze your communication style using one of the tools presented in the course. In your paper, discuss the strengths and weaknesses associated with your style of communication and the impact on your ability to collaborate as part of an interdisciplinary team.
  • On a separate references page, cite all sources using APA format. APA format 

family structure

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 Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

  1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
  2. Summarize the overall health behaviors of the family. Describe the current health of the family.
  3. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
  4. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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. Please refer to the directions in the Student Success Center.

  • Posted: A Year Ago
  • Due: 19/12/2018
  • Budget: $30

patient and family care

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Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

Values/Health Perception
Nutrition
Sleep/Rest
Elimination
Activity/Exercise
Cognitive
Sensory-Perception
Self-Perception
Role Relationship
Sexuality
Coping
Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
Summarize the overall health behaviors of the family. Describe the current health of the family.
Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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. Please refer to the directions in the Student Success Center.

Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.
New AttemptTitleAttached DocumentsCitation ReportSimilarity IndexFinal Submission Click ‘New Attempt’ to start assig

Lifestyle Pattern

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No plagiarism please. You can use template provided in attachment to answer all medical questions.

 

SOAP Note Section II: Lifestyle Pattern and Section III: ROS

This section of the SOAP note will include history of lifestyle patterns and the review of systems (ROS).

  1. Document appropriate data in the relevant body system.
    1. Do not state “Negative, NA or Unremarkable” for any systems because the reader will not know which questions were actually asked by the provider.
  2. This is a comprehensive health history and should not contain physical exam findings. The focused history data is relevant to the chief complaint and identified by pertinent positive data documented during the health history.
  3. Address each component of the SOAP note as noted in the written guide with relevant data.
  4. You may continue with the same volunteer to complete each section of the SOAP note.
  5. Click here for the written guide for this Assignment.

patients cooperation

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Develop cooperative relationships with clients when teaching concepts concerning pathological states to individuals and families

Select one of the case studies below, and include discussion of your strategy for winning the patients cooperation while teaching concepts concerning pathological states to them and their families.

Requirements

  1. Make sure all of the topics in the case study have been addressed.
  2. Cite at least three sources; journal articles, textbooks or evidenced-based websites to support the content.
  3. All sources must be within five years.
  4. Do not use .com, Wikipedia, or up-to-date, etc., for your sources.

Case Study 1

Concepts of Altered Health in Older Adults

Joseph P. is an 82-year-old male living at home. He is in overall good health and enjoys taking long walks as often as possible. During his walks, he likes to stop for a cold glass of fruit juice at the local cafeteria. On cold or rainy days, he rides a stationary bicycle at home for 30 minutes to “stay in good shape.”

  1. What physiological factors would typically increase Joseph’s risk of falling while walking outdoors?
  2. What are the common changes in blood pressure regulation that occurs with aging?
  3. Joseph enjoys fruit juice when he walks. Considering the renal system in the older adult, why would dehydration be a particular concern?

Case Study 2

Structure and Function of the Kidney

Rivka is an active 21-year-old who decided to take a day off from her university classes. The weather was hot and the sun bright, so she decided to go down to the beach. When she arrived, she found a few people playing beach volleyball, and they asked if she wanted to join in. She put down her school bag and began to play. The others were well prepared for their day out and stopped throughout the game to have their power drinks and soda pop. Several hours after they began to play, however, Rivka was not feeling so good. She stopped sweating and was feeling dizzy. One player noted she had not taken a washroom break at all during the day. They found a shaded area for her, and one of the players shared his power drink with her. Rivka was thirstier than she realized and quickly finished the drink.

  1. In pronounced dehydration, hypotension can occur. How would this affect the glomerular filtration rate of the kidney? What actions by the juxtaglomerular apparatus would occur to restore GFR?
  2. What is the effect aldosterone has on the distal convoluted tubule? Why would the actions of aldosterone be useful to Rivka in her situation?
  3. What does a specific gravity test measure? If someone tested the specific gravity of Rivka’s urine, what might it indicate?

4 pages not including title page and ref page

Constructive Dialogue

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Chapter 32: Constructive Dialogue and ERM: Lessons from the Financial Crisis Case and provide response for following questions.

1. What are the preconditions for conducting constructive dialogue in an organization?
2. Is effective risk management possible without constructive dialogue?
3. What are the forces that tend to undermine effective risk management in an organization?
4. Given its obvious value in helping an organization to understand the major risks that could prevent it from accomplishing its mission and objectives, why was the financial sector, including a risk-sensitive organization such as Goldman Sachs, so slow in adopting ERM?

You are required to respond to the questions thoroughly, in 250 -to-300 words for each question. Be sure to include at least three reference sources. APA rules for formatting, quoting, paraphrasing, citing, and listing of sources are to be followed.

Patient Safety and Quality Improvement Evaluation

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Patient Safety and Quality Improvement Evaluation

A health care organization may have highly qualified doctors and nurses who meet quality indicators for technical quality; however, due to a lack of communication, empathy, and scheduled office hours, patient satisfaction is low. In the corporate world, the phrase “the customer is always right” is frequently used to emphasize the importance of meeting the needs and expectations of the consumer. How does this approach apply to health care?
Health care industries are now using quality improvement models that are very business-centric to improve the quality of care delivery, patient satisfaction, and safety. In this Discussion, you evaluate various quality improvement models and determine which model would best be applied in your practice setting to address a specific need. You also develop a mission statement for addressing the practice problem.
To prepare:

  • Reflect      on the various quality improvement models and their application in health      care presented in the Learning Resources.
  • Evaluate      the advantages and disadvantages of each model.
  • Consider      how these models have been, or could be, applied in your practice setting.
  • Based      on your selected area of need, define a practice problem and create a      corresponding mission statement.
  • Investigate      baseline data, and evaluate why this practice problem is a priority for      improvement. Ask yourself: How does this practice problem in my      organization compare to other organizations?

By tomorrow 01/03/2018 by 5pm New/York America time, post a minimum of 550 words essay in APA format with at least 2 references from the list of required readings below. Include the level one headings as numbered below: 

post a cohesive response that addresses the following:

1) Summarize any practice problem (hospital acquired-infections or handwashing) relevant to your setting (hospital setting) of interest and share a potential measurable goal for a QI (Quality Improvement) team. Be sure to include the data that justifies why you feel a change is needed in this specific area.

2) Explain how the PDSA (Plan to Do Study Act) model might be applied, giving specific reasoning as to why this model best fits the needs of your practice problem. Describe how the practice problem you describe might be of interest to any accreditation initiative.

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

Chapter 19: “Accreditation: Its Role in Driving Accountability in Healthcare”

Menaker, R. (2010). Leadership strategies in healthcare. The Journal of Medical Practice Management, 24(6), 339–343.

From increasing regulation to costs, this article evaluates the challenges that the health care industry faces. It then covers how transformational leadership and leadership strategies can help health care organizations address these challenges.

Boyd, S., Aggarwal, I., Davey, P., Logan, M., & Nathwani, D. (2011). Peripheral intravenous catheters: the road to quality improvement and safer patient care. Journal of Hospital Infection, 77(1), 37–41. doi:10.1016/j.jhin.2010.09.011

A unit within a health care organization implements measures that increase quality of care. This article studies this process and explains the research and results involved.Bottom of Form

antitative Research Designs

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Research, Theory, Design & Methods: Week 5

Week 5: Quantitative Research Designs

1. Returning to the Grand Canyon panorama, a few questions come to mind as you prepare to leave for your next trip: How should you go about pinpointing the exact spot from which to photograph? Will changes in the lighting make integrating new pictures into your panorama difficult? In any case, you now have a purpose for your trip, can state your intentions, and can identify key questions that invite a search for answers and focus your approach to your next trip.

2. You are now at a similar point in your understanding of the research process, such that an overall framework, including philosophical orientation, theory, literature, problem, and purpose, is falling into place. This week, you will continue to expand your understanding of this framework by analyzing and evaluating research questions and hypotheses in quantitative studies. You will also learn about various quantitative research designs that researchers use to answer their research questions. You will also continue to analyze the interrelated elements of a research study, making the connection among theory, problem, purpose and, now, research questions, hypotheses, and design.

Learning Objectives

Students will:

· Evaluate quantitative research questions and hypotheses in research studies published in peer-reviewed journals

· Identify quantitative designs in research studies published in peer-reviewed journals

· Explain use of quantitative designs in research studies published in peer-reviewed journals

· Analyze alignment among theory, problem, purpose, research questions and hypotheses, and design in quantitative research studies published in peer-reviewed journals

· Apply APA Style to writing

Learning Resources

Required Readings

· Babbie, E. (2017). Basics of social research (7th ed.). Boston, MA: Cengage Learning. Chapter 5, “Conceptualization, Operationalization, and Measurement”

· Burkholder, G. J., Cox, K. A., & Crawford, L. M. (2016). The scholar-practitioner’s guide to research design. Baltimore, MD: Laureate Publishing. Chapter 4, “Quantitative Research Designs

· Document: Journal Articles (Word Document)

For the discussion, download this document, refer to the assigned journal articles for your program, and find these articles in Walden Library.

This checklist is not meant to be used in a Yes/No response format in writing your discussion post, but rather as a guide to facilitate your evaluation.

Required Media

· Laureate Education (Producer). (2015). Overview of quantitative research methods [Video file]. Baltimore, MD: Author.

· Laureate Education (Producer). (2009d). Quantitative methods: An example [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 13 minutes.

Document: Research Questions and Hypotheses Checklist (PDF)

Discussion Part:

Discussion: Evaluating Research Questions, Hypotheses, and Quantitative Research Designs

1. With a clear purpose in place, quantitative researchers have a roadmap for crafting their research questions and hypotheses that will further focus the approach they will take to investigate their topic (i.e., their study’s research design).

The selection of a research design is guided by the study’s purpose and research questions and hypotheses, and the design then links the research questions and hypotheses to the data that will be collected. You should keep in mind, however, that the research process is interactive, not necessarily proceeding in a linear fashion from one component to the next. Rather, the writing of research questions could, for example, necessitate adjustments to the study’s purpose statement. Nevertheless, when presented together, the various components of a research study should align. As you learned last week, alignment means that a research study possesses clear and logical connections among all of its various components.

In addition to considering alignment, when researchers select a research design, they must also consider the ethical implications of their choice, including, for example, what their design selection means for participant recruitment, procedures, and privacy.

· For this Discussion, you will evaluate quantitative research questions and hypotheses in assigned journal articles in your discipline and consider the alignment of theory, problem, purpose, research questions and hypotheses, and design. You will also identify the type of quantitative research design the authors used and explain how it was implemented. Quasi-experimental, casual comparative, correlational, pretest–posttest, or true experimental are examples of types of research designs used in quantitative research.

· With these thoughts in mind, refer to the Journal Articles document for your assigned articles for this Discussion. If your last name starts with A through I, use Article A. If your last name starts with J through R, use Article B. If your last name starts with S through Z, use Article C.

By Day 4

Post a critique of the research study in which you:

· Evaluate the research questions and hypotheses (The Research Questions and Hypotheses Checklist can be used as a guide to facilitate your evaluation; it is not meant to be used in a Yes/No response format in writing your Discussion post.)

· Identify the type of quantitative research design used and explain how the researchers implemented the design

· Analyze alignment among the theory, problem, purpose, research questions and hypotheses, and design

· Be sure to support your Main Issue Post and Response Post with reference to the week’s Learning Resources and other scholarly evidence in APA Style.

Read a selection of your classmates’ postings

By Day 6

Respond to a classmate who was assigned a different article than you by further supporting his or her critique or respectfully offering a differing perspective.

Submission and Grading Information

Grading Criteria

To access your rubric: Week 5 Discussion Rubric

Post by Day 4 and Respond by Day 6

To participate in this Discussion: Week 5 Discussion

Medical Ethics

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A. Research and define the following terms as they relate to the legal and medical ethics presented in the story My Sister’s Keeper. These are the central issues needed to base a medical opinion about any case in court. (12 points)

Medical Ethics:

  • Autonomy
  • Veracity
  • Fidelity
  • Beneficence
  • Non-maleficence
  • Justice

B. Using these as 6 criterion, describe how each of these characteristics related back to the legal arguments and behaviors exhibited by the prosecuting and defense attorneys in this case. (12 points)

C. Then, in two to three paragraphs, describe the moral, practical, and emotional complication of putting one child in unnecessary pain and danger for the well-being of another? (6 points)

Critiquing Quantitative, Qualitative, or Mixed Methods Studies

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Application: Critiquing Quantitative, Qualitative, or Mixed Methods Studies

 

Critiquing the validity and robustness of research featured in journal articles provides a critical foundation for engaging in evidence-based practice. In Weeks 5 and 6, you explored quantitative research designs. In Week 7, you will examine qualitative and mixed methods research designs. For this Assignment, which is due by Day 7 of Week 7, you critique a quantitative and either a qualitative or a mixed methods research study and compare the types of information obtained in each.

 

To prepare:

 

  • Select a health topic of interest to you that is relevant to your current area of practice. The topic may be your Course Portfolio Project or a different topic of your choice.

    Using the Walden Library, locate two articles in scholarly journals that deal with your portfolio topic:  (does hand washing and appropriate staff dressing among the surgical ward nurses reduce cross infection during patient management?) 1) Select one article that utilizes a quantitative research design and 2)  select a second article  that utilizes either a qualitative OR  a mixed methods design.  These need to be single studies not systematic or integrative reviews (including meta-analysis and metasynthesis). You may use research articles from your reference list. If you cannot find these two types of research on your portfolio topic, you may choose another topic.

  • Locate the following documents in this week’s Learning Resources to access the appropriate templates, which will guide your critique of each article:
    • Critique Template for a Qualitative Study
    • Critique Template for a Quantitative Study
    • Critique Template for a Mixed-Methods Study
  • Consider the fields in the templates as you review the information in each article.
  • Begin to draft a paper in which you analyze the two research approaches as indicated below.
  • Reflect on the overall value of both quantitative and qualitative research. If someone were to say to you, “Qualitative research is not real science,” how would you respond?

    To complete this Assignment:

 

  • Complete the two critiques using the appropriate templates (see attached files).
  • Write a 2- to 3-page paper that addresses the following:
    • Contrast the types of information that you gained from examining the two different research approaches in the articles that you selected.
    • Describe the general advantages and disadvantages of the two research approaches featured in the articles. Use examples from the articles for support.
    • Formulate a response to the claim that qualitative research is not real science. Highlight the general insights that both quantitative and qualitative studies can provide to researchers. Support your response with references to the Learning Resources and other credible sources.

      As you complete this Assignment, remember to:

 

  • Submit your paper to Grammarly and Turnitin through the Walden Writing Center. Based on the Grammarly and Turnitin reports, revise your paper as necessary.
  • Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting.
  • Combine all three parts of this assignment into one Word document including both critique templates and the narrative with your references.  Submit this combined document.

     

 

Required Resources

 

.
TOTAL OF 6 REFERENCES, MINIMUM OF 3 MUST BE FROM THE LIST PROVIDED BELOW, THE OTHER THREE ARE EXTERNAL.

ALL EXTERNAL REFERENCES MUST BE LESS THAN 5 YEARS OLD AND MUST BE SCHOLARLY.

 

Readings

 

  • Polit, D. F., & Beck, C. T. (2012).  Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
    • Chapter 10, “Rigor and Validity in Quantitative Research”

      This chapter introduces the concept of validity in research and describes the different types of validity that must be addressed. Key threats to validity are also explored.

    • Chapter 11, “Specific Types of Quantitative Research”

      This chapter focuses on the specific types of quantitative research that can be selected. The focus is on the purpose of the research rather than the research design. These include such approaches as clinical trials, evaluation research, health services and outcomes research, needs assessments, or replication studies.

  • Cantrell, M. A. (2011). Demystifying the research process: Understanding a descriptive comparative research design. Pediatric Nursing, 37(4), 188–189.
    Retrieved from the Walden Library databases. (for review)

    The author of this article discusses the primary aspects of a prominent quantitative research design. The article examines the advantages and disadvantages of the design.

  • Schultz, L. E., Rivers, K. O., & Ratusnik, D. L. (2008). The role of external validity in evidence-based practice for rehabilitation. Rehabilitation Psychology, 53(3), 294–302.
    Retrieved from the Walden Library databases.

    This article details the results of a study that sought to balance concern for rigor with concern for relevance. The authors of the article derive and determine a rating format for relevance and apply it to cognitive rehabilitation.

 

Note: For the Discussion this week, you will need to read the method section of one of the following quasi-experimental studies. Refer to the details provided in the Week 6 Discussion area.

 

  • Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 18–25.
    Retrieved from the Walden Library databases.
  • Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24(4), 325–331.
    Retrieved from the Walden Library databases.
  • Yuan, S.-C., Chou, M.-C., Hwu, L.-J., Chang, Y.-O,, Hsu, W.-H., & Kuo, H.-W. (2009). An intervention program to promote health-related physical fitness in nurses. Journal of Clinical Nursing, 18(10), 1,404–1,411.
    Retrieved from the Walden Library databases.