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College of Nursing and Health Sciences F 23
15 Points
GOAL: Students explore the impact of the social determinants of health that result in health inequities among at-risk and marginalized populations in order to identify social justice and advocacy actions they might take to mitigate health inequities.
Chapter 17. Analyzing Community Problems and Solutions | Section 5. Addressing Social Determinants of Health and Development | Main Section | Community Tool Box (ku.edu)
1) View the PHN/CHN power point (Eardley & Schoon, 2022).
2) Review the two additional resources on school health.
Respond to the questions below in the open discussion forum:
Student: Instructor:
Grade: ____/15
CriteriaGradeInitial Post1. Described the social determinants of health and impact they have on different at-risk and marginalized populations with citations from textbook, Healthy People 2030 and/or Community Toolbox. (2 pts.)
2. Discuss important points your learned from one or more of the following websites: SDOH Public Health Actions, Public Health Professionals Gateway, Equitably Addressing Social Determinants of Health and Chronic Disease. How could you use this information in your own nursing practice or in your community? (2 pts.)
3. Discussed one or more social justice and advocacy actions that could be taken by the nursing profession in collaboration with others to reduce or eliminate the health inequities that result from specific social determinants of health with citations from two of the following: textbook, Healthy People 2020, and/or Community Toolbox. (2 pts.)
4. Identify the PHN/CHN specialty role and the at-risk population served. Cite Eardley & Schoon’s power point. Describe at least 2 SDOH that affect that at-risk population’s health. (1 pt.)
5. Describe what and what social justice and advocacy actions you could take if you were practicing in that PHN/CHN specialty role to reduce the impact of the SDOH on the at-risk population’s health status. Cite Chapter 13 in textbook to support your actions. (2 pt.)
/9 pts.Peer Responses – Respond to each peer individually.1. Compare one or more of the points you made in your initial discussion with the initial discussions of two peers. (1 pt.)
2. Responded to two peers comparing how the social determinants of health affected the health of the populations your peers discussed with the impact of the social determinants of health on the population you discussed in your initial post. (1.5 pts.)
3. Compare the advocacy actions you described with the advocacy actions your peers described. when working in a specific PHN/Specialty role. (1.5 pts.)
/4 pts.APA & Writing Style· Citations and References are included and in correct APA format with 2 mistakes or less in both initial and peer responses. (1 pt.)
· Discussion demonstrates critical thinking, and is organized with correct spelling and grammar. (1 pt.)
/2 pts.
Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna has a history of diabetes, obesity, and noncompliance with diet and medications to control her diabetes. She is a diesel mechanic, a single mother of three teenagers, and smokes regularly.
During the history review, Anna shared that she has not felt like herself for the past six months; she has been unusually tired and has a cough that won’t go away. In fact, for the last few weeks, she’s had a cough so bad that she coughed up rust-colored sputum.
She stated, “I am very busy with my children; I haven’t had time to get it checked out. When I had bronchitis before, the doc just gave me some antibiotics and they didn’t help.” Anna has a positive family history of bladder cancer; her mother and grandmother were also smokers who have been treated for breast cancer.
Anna has never had a mammogram. She has recently been experiencing a lack of appetite. During the examination, the practitioner noted she’d had a 15-pound weight loss since she was last seen and swollen lymph nodes in the neck. Based on the physical findings, Anna will undergo a diagnostic CT scan of the chest.
In a 2-page paper, describe the care that Anna would require and address the questions below.
1. What risk factors does Anna have that could predispose her to cancer development?
2. What signs and symptoms could indicate that Anna has developed cancer?
3. Based on Anna’s risk factors and presenting problems, identify three multidimensional care strategies that you would use to provide quality care to Anna. Provide a rationale to explain why you chose these strategies.
For assistance with citations, refer to the APA Guide.
For assistance with research, refer to the Nursing Research Guide.
Bottom of Form
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort, and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized.
Read over your paper – in silence and then aloud – before handing it in, and make corrections as necessary. Often, having a friend proofread your paper for obvious errors is advantageous. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12-point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. Letting your essay run over the recommended number of pages is better than compressing it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on each page’s top, bottom, and sides. When submitting a hard copy, use white paper and print it out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Arguably, there is an association between alcohol use and depressive illnesses, one that often results into poor health outcomes. The assessment and treatment of patients with depression cooccurring with alcohol use has many challenges. When considering treatment of such patients, several approaches have been proposed with each having both its advantages and disadvantages. The FDA approves the use of selective serotonin reuptake inhibitors (SSRIs) as first-line agents for the treatment of depressive illnesses (American Psychiatric Association, 2013).
SSRIs are tolerated better and are safer in MDD patients who have a history of alcohol use. Sertraline is an example of an SSRI used for the management of MDD. Studies have shown that patients, especially those with severe symptoms, benefit the most from sertraline. The recommended dose of sertraline is a maximum of 200 mg/d. SSRIs can also be combined with drugs used for the treatment of alcohol dependance such as Naltrexone (Gasparyan, 2021).
A study by McHugh & Weiss (2019) concluded that a combination of sertraline and naltrexone produced a more desired effect of reduced depressive symptoms and a longer delay before relapse of alcohol use. Combination therapy of both drugs yielded a longer relief when compared to single-medication. It is generally not advised to take SSRIs concurrently with alcohol as this may worsen the symptoms of depression. Also, it increases the risk of overdose, thereby increasing the chances of occurrence of such side effects as drowsiness and dizziness. It should take around 4- 6 weeks before the effects of treatment can be appreciated (McHugh & Weiss, 2019).
Within the health sector, anxiety disorders remain largely underrecognized despite their immense contribution to mental and physical disability among geriatric patients. In fact, being a chronic disorder, generalized anxiety disorder (GAD) has direct association with increased disability and suicide attempts. GAD is a multifactorial disorder and usually precedes major depression, and if often characterized by high stress levels. Among the risk factors for GAD draw from both proximal and distal factors, some of which can be modifiable by healthcare intervention.
Noteworthy though is that treatment of GAD is not easy, hence the need for early identification of the predictors of the disease among elderly patients. Aging is may be associated with psychosocial risk factors such as physical illness and disability. Aging also can be protective against anxiety due to the development of better coping strategies over the years changes in life perspectives which render certain anxiety triggers as less provoking. Principle predictors of late onset GAD are therefore:
As a mood disorder, MDD presenting with psychotic features has been associated with substantial morbidity and mortality. Structural and functional abnormalities of the brain are associated with MDD. Some of the potential neurobiology causes implicated in the pathogenesis of psychotic major depression are:
The DSM-5 (2013) outlines an episode of major depression as lasting at least 2 weeks with one or more symptoms of depressions. At least one of the symptoms should be a depressed mood or anhedonia (loss of pleasure). Other symptoms associated with major depression are:
Insomnia is a sleep disorder that can result in unrefreshing and non-restorative sleep. Various medication can precipitate the onset of this disorder. Some of these drug-classes include;
Evaluate how well the following social-emotional intelligence power skills were demonstrated during the Mursion simulation:
I was the service headline director of the Emergency Department (ED) during the simulation. I facilitated the meeting with the ED nursing manager, Raymond, and the ED pharmacy manager, Jenna. I was mindful, patient, confident, and I showed gratitude to practice self-awareness. I was always attentive and present-minded during the meetings. I built trust by allowing these managers to raise their concerns.
I maintained confidence and calmness during the meeting. I gave a listening ear to them as they raised their concerns and expressed their frustrations. I refrained from interrupting. I expressed my concerns to them after they were done. We had a dialogue thereafter. Before the meeting was over, I commended both departments and urged them to continue with the good work and emphasized gratitude for their service to the organization.
I paid attention to details, used impulse control, and set goals for the meeting, elements that are essential in self-management. The goal was to settle the conflict between the pharmacy ED and nursing ED. Setting this objective was useful in giving us the direction of the discussion and creating the necessary environment. I encouraged Raymond and Jenna to express their concerns about the institution’s initiative to reduce the labor workforce by 10%.
I noted the differences between the tone and conduct of the two managers. Raymond was incredibly aggressive and had a frustrated tone. Jenna, on the other hand, was soft-spoken and calm. Jenna was the first to speak but was harshly interrupted by Raymond. I kindly requested Raymond to allow Jenna to express herself to maintain Jenna’s psychological state’s stability. Impulse control, paying attention, and focusing on the set goals ultimately enabled us to resolve the conflict between the two departments.
I practiced active listening in the discussion and was actively involved. I was compassionate to the two managers and I allowed each one of them to express their concerns about the meeting topic exhaustively. I acknowledged their contribution using verbal and nonverbal communication cues such as nodding, smiling, and positive comments. I allowed the managers to share their inputs after expressing my strategies to create a better working environment.
This action aimed to make the managers feel acknowledged and to assure them that their concerns were valuable. By allowing the two managers to share their respective understanding of the issue, I had the objective of demonstrating that I was intervening to help solve the problem in an amicable manner. The goal was to ensure the environment in the Emergency department was calm, the tone reconciliatory and the outcome joyous.
I portrayed critical thinking, planning, organization, and problem-solving attributes that I believe are useful in exercising the executive function. Raymond was concerned about nurses’ ability to deliver safe patient care. He argued that nurses should take additional tasks. He singled out on medication reconciliation as one of the tasks which he believed would increase safety of patient care. I critically thought about the issue putting into consideration the rationality surrounding his thoughts and concerns.
I suggested that the two managers should organize ana staff in-service training designed to impart valuable knowledge on medical reconciliation. The primary goal of the in-service training would be to improve the nurses’ confidence and competency. The nurses would, in turn, offer safe, effective, and efficient patient care in the short- and long-term. The managers embraced the idea, and eventually, we came up with a realistic goal for the department’s benefit. They both agreed to my recommendation to set another meeting to monitor our goal’s progress and achievement and implement new strategies where need be.
During the meeting, I demonstrated empathy and cultural awareness. I was non-judgmental and culturally sensitive. I showed no favors or discrimination based on culture, religion, nor background. I listened to Raymond and Jenna with equal precision and showed emotional concern to both equally. I have realized that for me to become an excellent leader, I need to effectively leverage the information I have learnt from the Mursion simulation experience.
Physical and psychological safety is the first strategy for implementing the “IHI Framework for Improving Joy in Work.” According to Mehrdad and Farhana (2020), high infection rates, work-related injury, assault, and insults are some occupational challenges that healthcare workers must contend with when executing their duties. An organization can adopt several interventions to create a safe working environment.
These interventions could entail providing personal protective equipment, educating workers on policies and procedures, and offering extensive support to the employees. The workers should be psychologically safe to air their concerns without fear of humiliation or punishment. To provide a joyful work environment and promote a collaborative relationship, nurse leaders should listen to the employees and provide feedback.
Recognizing and rewarding positive actions is the second strategy that organizations canpursue. Recognition of hard work and provision of positive feedback helps ensure everyone feels important (Hammedi, Leclerq & Van Riel, 2017). Celebrating an achievement motivates employees to work harder and joyously in the workplace. It also promotes happiness and work productivity (Ertan & Sesen, 2019).
A nurse leader should recognize hard work and provide rewards to the colleagues. A leader can form a habit of congratulating the nurses and recognizing their hard work even in times of increased workflow as recently witnessed in various hospitals across the country due to Covid-19 outbreak. The simple act of recognizing and rewarding employees has the effect of enhancing employee satisfaction, which creates joy at the workplace and consequently increases productivity.
Leveraging participative management approach is the third strategy. Decision-making also requires the workers’ inputs and leaders should involve them in decision making (De Brún, O’Donovan & McAuliffe, 2019). All members should be allowed to participate in decision-making process when implementing new policies and procedures. For example, a nurse leader would involve all units’ nurses in implementing the SBAR tool report.
The nurses can listen, understand the concept, and share their views. Nurses could commit to newly implemented policies or procedures if they were involved in the decision making and implementation processes. Such direct participation enhances the nurses’ understanding of the proposed policies, thereby reducing the likelihood of change rejection. When the nurses are engaged, they feel supported, an aspect that promotes the creation of a joyful working environment that increases job satisfaction.
During the Mursion simulation, I portrayed a leadership role with the task of dealing with a difficult situation in the workplace. A meeting took place between the ED nurse managers
Raymond Mullin MSN, RN and the ED pharmacy manager Jenna Zielinski, PharmD to discuss the frustration nursing is feeling due to the reduction in workforce (RIF) that has caused an increase in workload. Medication reconciliation, a function of the pharmacy department has now shifted to the ED nursing staff due to the RIF. In the leadership role five social/emotional power skills were utilized to help resolve conflict and incivility between the two departments. The five social/emotional power skills utilized were self-awareness, self-management, interpersonal communication, executive function, and social awareness.
At the start and throughout the meeting, self-awareness was demonstrated by being mindful and patient. This was going to be a challenge as I was listening to both parties’ thoughts and feelings. Being mindful helped to be non-judgmental and compassionate during the conversation. It was apparent that Raymond was upset and speaking in an aggressive tone when explaining his side of the situation.
Remaining non-judgmental allowed him to express his feelings and for me to be completely engaged while listening to what he was saying. Initiating the conversation with social awareness in mind I asked open-ended questions to both Raymond and Jenna not only for my perspective taking, but in hopes that all would be able to empathize with the current situation and understand all point of views.
Hearing both perspectives helped to open the dialog about the state of the current situation and validate that feeling and concerns are being heard. The next important power skill utilized was executive function. Using the sub skills of problem solving and adaptability, I
expressed that I understood the frustration of both parties and given the current state of changes both departments have to be able to adapt effectively, and collectively come up with a plan that will produce a positive and better work environment. Additionally, planning and organizing was key to opening the conversation of securing a team of members from both departments to organize, analyze, and implement a plan of action that could cohesively change the current process of medication reconciliation.
After coming up with a possible solution to ease the tension between the departments the next step would be to encourage interpersonal communication. In an effort to build relationships between the departments I suggested that both work together to form a new process that includes team collaboration within the departments and other staff such as providers who may also be able to help with medication reconciliation, easing some of the workload.
I also suggested that both managers talk with each other first to try and resolve any issues versus bringing up any frustrations to other staff. Having compassion, caring and consideration, and actively listening is important in resolving conflict resolution. Each participant can be heard and hear what the other is experiencing as well as come up with solutions to the problem.
Analyzing the difficult situation, the skills of self-management were very important in this scenario. To come to a resolution, I demonstrated initiative taking by offering my assistance with the plan of action. This was done by offering to assist with recruiting team members and talking with other departments to get involved with the process. Finally, having self-discipline exemplified the positive attitude and behaviors needed to achieve goal setting and complete tasks.
Creating joy in the workplace is a concept that organizations and health institutions such as the Institute of Healthcare Improvement (IHI) believe is important in reducing burnout and improving morale and satisfaction in healthcare. In a whitepaper written by Perlo et.al (2017)
IHI Framework for Improving Joy in work, it states “Perhaps the best case for improving joy is that it incorporates the most essential aspects of positive daily work life” (p.7). The framework was created with the goal of improving joy in the workplace listing nine critical components and steps leaders can take. Weighing in on what matters and what is important in the daily lives of employees. The four-step approach first asks staff what matters to you.
The second step identifies unique impediments to joy in work in the local context. The third step is the commitment to a systems approach to making joy in work a shared responsibility at all levels of the organization. The fourth and final step is the use of improvement science to test approaches to improving joy in work in your organization (p.8). This four-step approach is a tool leadership of an organization can use to overcome potential obstacles to create joy in the workplace.
To ensure successful implementation of the four-step process, several approaches should be taken by the leaders. One such approach is the “Get Ready strategies” (Perlo, 2017, p5). It ensures the conversation is set for the subject matters. It designates an overseer to a conversation, and sure all leaders participate in the conversation at all levels. The three functions contribute to the creation and implementation of a joyful work environment. Sticking to the subject matter is essential in building trustful relationships and boosting morale. It also helps optimize the work environment by changing processes, employees, and patients/consumers that are detrimental to the working environment.
Furthermore, when the organization supports employs at all levels, they feel valued and appreciated. It is imperative to be involved in the change process rather than being informed about change that one was not consulted. Being involved has its advantages. It minimizes costs the organization incurs in filling positions lost and creates room for advancement among the employees. The overseer of a process of change is responsible for relaying information about the process, improvements it entails, and any necessary adjustments and that require implementation.
I learned a lot from the course exercises, and the information shall be useful in my future practice. The Mursion simulation, for example, was instrumental in presenting the experience of conflicts that occur at work. Leading the procession was a challenge, and it requires in-depth practice and skill for me to be a proficient leader in the future. Patience and mindfulness were the two most important factors during the simulation. The two factors were instrumental in determining the issue’s root cause and developing an effective plan to solve the issue at hand. “Being mindful at work simply refers to doing a task consciously and all concentration, paying attention, keeping your mental and emotional state in check” (Alidina, 2018).
During the meeting, both department leaders created tension and being emotionally neutral. I focused on finding and developing a solution that would favor all the teams despite the emotional tension. As the leader, I had to keep my emotions off the situation to ensure I offered sound advice. The Mindmap and the force field analysis were vital tools in determining factors that contribute to the lack of joy at the workplace during the simulation. Specifically, the Mindmap enabled me to develop a better understanding of the experience of conflicts at work, and that a proficient leader must be one with the relevant practice skills to lead the procession.
Additionally, the force field analysis equipped me with the necessary skills to assess the different forces within an organizational setting, and how they impact joy at the workplace. Through this, I believe I can comfortably translate the information in identifying the root cause of conflict and develop an effective intervention plan. Overall, from the simulation, I have learned that many factors contribute to conflicts at the workplace. The Identified issues coupled with other factors such as opposition or support from all levels in the organization require prior preparation. Despite the much effort done, the controlling aspect of leadership lacks data follow-up. Commitment to the change process is very minimal.
Mindful behavior has become a part of me in my current workplace. I take time to explore what is happening around me and my subjective feelings in all situations. I usually take in between task breaks, breathe fresh air and, at times, meditate. The article Getting Started with Mindfulness (Mindful.org, n.d) states that “Mindfulness meditation asks us to suspend judgment and unleash our natural curiosity about the workings of the mind, approaching our experience with warmth and kindness, to ourselves and others,” (para. 5).
Open-mindedness shall ensure I take in other people’s perspectives and reason from their point of view compassionately without judging them. The force field analysis and the Mindmap shall be essential tools in informing my advanced practice in the future in situations demanding change and adjustments. I shall use the tools to showcase factors that would potentially contribute positively to change or be a barrier to change.
This week, you will complete Part 3 of the Information Retrieval Paper, which you worked on in Module 3 and 4. You are using the template provided, do not create a new word document.
So far, you have developed a research question, identified the PICO components of your research question, included your rationale for selecting your research question, created a title page for your paper in APA format, located three peer-reviewed articles, summarized each article in APA format, and critically analyzed the articles.
In this module, you will summarize and synthesize the key points of the peer-reviewed, evidence-based articles and develop a reference page in APA format.
Be sure to review the previous assignments that relate to the Information Retrieval Paper. Incorporate your Coach’s suggestions and corrections so you won’t make the same mistakes again in this last section of the Information Retrieval Paper.
Performance Objectives:
Use this rubric to guide your work “Information Retrieval Paper, Part 3.”
Task?
AccomplishedProficientNeeds ImprovementMissing InformationWeek 5 Application:“Information Retrieval Paper: Part 3” (100 points total)
Task #1:
Conclusion: Summarize Key Points (Total 60 points)
Key findings are identified and discussed relating to the identified research question studied. Well written with at least 3 sentences per topic. Scholarly writing is fully observed. (60 points)Key findings are identified and minimally linked to the identified research question studied. Two sentences are written per topic and scholarly writing is predominately observed. (40 points)Key findings are not fully identified or discussed as related to the peer research question. One sentence per topic is noted and scholarly writing is not observed. (20 points)
Does not complete.
(0 points)
Task #2:Reference Page and In-text Citations
(Total 40 points)
Correct Grammar and APA Format are graded heavily.
References are cited in APA format, alphabetized and complete.
(30 points)
Uses 3 properly formatted in-text citations to support thoughts.
(10 points)
Uses correct mechanics and APA format in writing professional papers (1-2 APA errors).(25 points)
Uses 2 properly formatted in-text citations to support thoughts OR 1-2 APA errors r/t citations
(7 points)
3-4 APA and/or grammatical errors noted.
(15 points)
Uses 1 properly formatted in-text citations to support thoughts OR 3-4 APA errors r/t citations
(3 points)
Does not use correct mechanics and/or APA format (more than 5 APA and grammatical errors).(0 points)
No use of in-text citations to support thoughts OR >5 APA errors r/t citations
(0 points)
Information Retrieval Paper: Part 3
In this week’s assignment, you will complete your Information Retrieval Paper. Review the outline for the entire assignment before your begin.
APA Format ElementsTimelineTitle Page in APA formatCompletion TimelineAPA formatCitations in the body of the paper
Headings
Applicable each time sections are submittedWriting styleGrammar
Spelling
Paragraphs of at least three well-written sentences
Organization and flow
Applicable each time sections are submittedContent CriteriaTimelineIntroduction:Identification of clinical problem in a workplace setting
Research question stated correctly
Rationale for question
Title page
Completed Module 3Summary of 3 peer-reviewed articlesOverview: Where did you search? How did you decide on the 3 articles?
3 article summaries
Completed Module 3Critical AnalysisCompleteness of analysis
Completed Module 4ConclusionSynthesis of key points for the 3 articles
To be completed Module 5 (now)Reference PageAlphabetized
Sources cited in APA format
References complete
To be completed Module 5 (now)
In this part of the Information Retrieval Paper, you will synthesize the main points from the three peer-reviewed, evidence-based articles.
Directions:
In this section write a paragraph or two to synthesize the key points of the articles. Consider this section a conclusion of your findings.
For full credit, each of the 3 articles needs a minimum of 3 sentences. Each article topic requires an in-text citation (3 total).
Synthesis Points from Articles (Type Below)
The first article was a retrospective study exploring the Impact of a COPD comprehensive case management program on hospital length of stay and readmission rates. COPD accounts for the majority of chronic disease hospitalizations that are associated with substantial economic and social burdens in the form of impaired quality of life and increased healthcare utilization costs. COPD comprehensive case management program is a vital intervention that can be executed to counter the consequences of COPD hospitalizations. The COPD comprehensive case management program encompassing patient education, follow-ups, and home visits significantly reduces the length of hospital stay as well as readmission rates among COPD patients (Alshabanat et al., 2017). Consequently, nurse leaders should implement the program to improve the overall quality of care for COPD patients.
The second article was a systemic review and meta-analysis investigating the impact of health coaching on hospital readmissions and health-related quality of life among COPD patients. This systemic review and meta-analysis demonstrated that implementation of health coaching, a self-management intervention comprising of goal setting, motivational interviewing, and COPD-related health education, exceptionally reduces hospital readmissions and improves the health-related quality of life among COPD patients (Long et al., 2019). Nurse leaders should establish the most effective health coaching components and delivery modality to accrue its benefits among COPD patients.
The final article looked into the role of respiratory care education in reducing readmissions in COPD patients. This research conducted at Houston Methodist Hospital exhibited that respiratory care education in COPD patients remarkably reduces hospital readmissions (RajtakMuller & Berger, 2018). However, offering respiratory education to COPD patients should be a multidisciplinary approach with nurses as active and critical participants. Subsequently, nurse leaders should consider a multidisciplinary task force including respiratory therapists in the identification, development, and implementation of a care plan that educates the patients as well as their families on COPD as a disease process.
In this part of the Information Retrieval Paper, you will create the reference page for the entire paper in APA format.
Directions:
– cited in APA format.
– alphabetized.
– Must have 3 peer-reviewed, evidence-based articles
Reference Page (Type Below)
Submit this Assignment Document into Canvas for grading.
Nurses comprise the hugest percentage of the healthcare workforce in an epidemic, and they carry out many of the responsibilities regarding infectious disease containment. They are considered the backbone of healthcare and usually must cope with profound burnout levels (Ross, 2020). The COVID-19 pandemic has intensified the nurse burnout situation, with most nurses reporting high levels of physical and emotional fatigue ((Shanafelt et al., 2020).
The prolonged exposure of nurses to stress related to the pandemic crisis has a possibility of causing insidious long?term health effects such as an increased risk of physical and mental disorders, impaired cognitive function, and reduced productivity and absenteeism at work (Ross, 2020). According to Callus et al. (2020), higher levels of distress were reported by healthcare workers during the SARS pandemic, such as burnout, psychological stress, post-traumatic stress, hostility, and somatization.
Nurses have endured compassion fatigue when handling traumatic events and patients affected by the COVID-19. Therefore, they must be provided with adequate support programs to meet their emotional needs and well-being (Fessell & Cherniss, 2020). Stress?management interventions for nurses may be a useful approach in reducing burnout caused by emotional fatigue. According to a study in China by Que et al. (2020), insidious psychological problems were observed among health providers during the COVID-19 pandemic. The study found that the prevalence of anxiety, depression, insomnia, and the widespread psychological problems among health providers during the COVID-19 pandemic was 46.04, 44.37, 28.75, and 56.59%, respectively.
According to Chen et al. (2020), strategies such as staff training on the psychological aspect of patient care and relaxation techniques can help reduce stress. Furthermore, positive mental health can reduce work-related stress and burnout and should be fostered among healthcare workers in COVID-19 ((Shanafelt et al., 2020).Strategies suggested for decreasing the workload include mindfulness and promoting self-care. Mindfulness training is commended for nurses because it can foster self-care and well-being (Fessell & Cherniss, 2020). Besides, mindfulness programs are praised since they improve resilience to stress, quality of professional life, and self-compassion.
Section I
Section II
Section III
Section IV:
STUDENT: ____LaQuinta Legania_________________________DATE: __02/05/2021
(Electronic signature acceptable)
FACULTY: _________________________________________________ DATE: _____________
In Module 4 Assignment, you will continue to work on your Information Retrieval Paper. The focus of this Part 2 of the Information Retrieval Paper is to complete a critical analysis of each of your chosen articles. Space is provided in this document for you to enter your analysis of each article using the correct APA format. Each week, you are using the template provided, do not create a new word document.
Performance Objectives
Rubric
Use this rubric to guide your work on the Module 4 assignment, “Retrieval Paper – Part 2.”
Task?
AccomplishedProficientNeeds ImprovementMissing InformationPart 2: Information Retrieval Paper – Part 2(Total 100 points)
Critically analyze a research article for strengths and limitations.
(Total 60 points)
References and APA-
Use correct grammar, punctuation, and American Psychological Association (APA) format in writing professional papers.
Use of in-text citations
(Total 40 points)
Critically analyzes 3 research articles for strengths and limitations.
(60 points)
Consistently uses correct mechanics and APA format in writing professional papers (0 APA errors in references and 0 grammatical errors).
(30 points)
Uses 3 properly formatted in-text citations to support thoughts.
(10 points)
Critically analyzes 2 research articles for strengths and limitations.
(40 points)
Uses correct mechanics and APA format in writing professional papers (1-2 APA errors in references and/or 1-2 grammatical errors noted).
(25 points)
Uses 2 properly formatted in-text citations to support thoughts OR 1-2 APA errors r/t citations
(7 points)
Analyzes 1 research article.
(20 points)
3-4 APA errors in references and/or 3-4 grammatical errors noted.
(15 points)
Uses 1 properly formatted in-text citations to support thoughts OR 3-4 APA errors r/t citations
(3 points)
Does not analyze any articles
(0 points)
Does not use correct mechanics and/or APA format (more than 5 APA errors in references and/or more than 5 grammatical errors noted).
(0 points)
No use of in-text citations to support thoughts OR >5 APA errors r/t citations
(0 points)
Information Retrieval Paper: Part 2
In this week’s assignment, you will complete your Information Retrieval Paper. Review the outline for the entire assignment before you begin.
APA Format ElementsTimelineTitle Page in APA formatCompletion TimelineAPA formatCitations in the body of the paper
Headings
Applicable each time sections are submittedWriting styleGrammar
Spelling
Paragraphs of at least three well-written sentences
Organization and flow
Applicable each time sections are submittedContent CriteriaTimelineIntroduction:Identification of clinical problem in a workplace setting
Research question stated correctly
Rationale for question
Completed Module 3Summary of 3 peer-reviewed articlesOverview: Where did you search? How did you decide on the 3 articles?
3 article summaries
Completed Module 3Critical AnalysisCompleteness of analysis
Complete in Module 4 (now)ConclusionSynthesis of key points for the 3 articles
To be completed Module 5Reference PageAlphabetized
Sources cited in APA format
References complete
To be completed Module 5Guidelines for Critical Analysis of an Article
You completed your article summaries in Module 3. The next step is to complete a critical analysis of each article. For each article, ask yourself these questions when completing this section of your Information Retrieval Paper.
In the space below, post the reference for the first article in correct APA format. If you made errors in formatting your reference for this article in Module 3, now is the time to make the appropriate changes so you do not make the same formatting error over and over.
Alshabanat, A., Otterstatter, M. C., Sin, D. D., Road, J., Rempel, C., Burns, J., van Eeden, S. F., & FitzGerald, J. M. (2017). Impact of a COPD comprehensive case management program on hospital length of stay and readmission rates. International Journal of Chronic Obstructive Pulmonary Disease, 12, 961–971. https://doi.org/10.2147/COPD.S124385
In the space below, write a one-paragraph critique of your first research article. Apply correct APA format and scholarly writing style as you critique the article’s strengths and limitations related to your stated research question. Use 1 correctly cited in-text citation for full credit.
The Alshabanat et al. (2017) report on the impact of a COPD comprehensive case management program on hospital length of stay and readmission rates demonstrates several strengths. To begin, the authors employed a logical framework to structure the exploration in several sections including the abstract, introduction, methodology, results, discussion, limitations, and conclusion (Cathala & Moorley, 2018). An in-depth review of the study reveals minimal grammatical errors, the well-outlined purpose of the study, a sound methodology, vividly outlined findings, and its associated discussion. Apart from the structure, this study demonstrates a causal effect relationship.
For instance, the authors conclude that COPD comprehensive case management program causes a reduction in readmission rates and length of hospital stay. Moreover, the number of participants, as well as the duration of follow-up of this retrospective study, exceeded that of any previously conducted randomized controlled trials overemphasizing the significance and validity of the results of this exploration (Alshabanat et al., 2017). A sample size of 1564 participants across five hospitals is representative of the study population and therefore the findings from this study can be generalized.
On the other hand, the limitations of this research were precisely noted and include its retrospective design with no control group. A Control group is a requirement for a true experiment to demonstrate causal effect relationships (Cathala & Moorley, 2018). The study also lacked the risk factor information for individual participants. In addition, the study lacked medical history and pulmonary function data to assess the severity of COPD as well as the ability to systematically assess for mortality during the follow-up period. The environment was not effectively controlled. For instance, the authors could not evaluate the impact of alteration in medication prescribed postintervention.
The authors exhaustively covered all the recommended aspects of research except for a clear definition of the key concepts and the conceptual framework of the study. Meanwhile, barriers of the research were well discerned but not addressed. For instance, it was pinpointed out that COPD patients less effortlessly engage in self-management programs. Likewise, cognitive impairment and reduced literacy levels among the study population were identified as barriers.
The results of this study can be implemented and generalized on the rationale that the sample size was adequate, a sound and replicable research method, and a felicitous data analysis that yielded significant findings that met the objectives of the study. Furthermore, the authors contribute to the overall evidence-based clinical practice as they recommend the execution of a comprehensive case management plan for COPD patients in a healthcare setting after denoting its effectiveness.
In the space below, post the reference for the second article in the correct APA format If you made errors in formatting your reference for this article in Module 3, now is the time to make the appropriate changes so you do not make the same formatting error over and over.
Long, H., Howells, K., Peters, S., & Blakemore, A. (2019). Does health coaching improve health-related quality of life and reduce hospital admissions in people with chronic obstructive pulmonary disease? A systematic review and meta-analysis. British Journal of Health Psychology, 24(3), 515–546. https://doi.org/10.1111/bjhp.12366
In the space below, write a one-paragraph critique of your second research article. Apply correct APA format and scholarly writing style as you critique the article’s strengths and limitations related to your stated research question. Use 1 correctly cited in-text citation for full credit.
The power of this study lies in the fact that it is the first review to systematically examine the consequences of health coaching on health-related quality of life and other health outcomes in people with COPD. As a result, the study significantly contributes to the overall body of scientific knowledge. In addition, being a combination of systemic review and meta-analysis, it is ranked highest in the hierarchy of evidence and therefore the findings of this research are fundamental for evidence-based clinical practice (Tawfik et al., 2019). An in-depth review of the research reveals the slightest grammatical errors and a logically organized study.
This logical flow makes it straightforward for the reader to understand the purpose of the research without going through the entire details. Additionally, the researchers organize their search for data using the PICO tool, a highly recommended tool for searching evidence-based clinical information. Similarly, in their data analysis, the authors assess the heterogeneity across studies and use the Cochrane tool for assessing the risk of bias to improve the quality of the research. The sample size of 1959 from 10 randomized control trials across various nations further reflects the validity and reliability of the results of this study.
However, the authors mention several limitations of this research. The relatively short follow-up point employed in primary studies and the absence of concluding longer-term follow-ups is among the critical limitations outlined. Similarly, data to be included in the meta-analysis was only available for 6 studies. However, the environment was well controlled. The bias, as well as heterogeneity across studies, were dealt with using the Cochrane tool for assessing bias and chi-square test respectively. The authors of this research cover all the bases of a systemic review as recommended by Tawfik et al. (2019).
The barriers of this research that were identified include the inability to tell the most appropriate component of health coaching and the inability to assess the intervention fidelity in most of the studies. Likewise, the diversified nature of professionals that offered health coaching made it difficult to draw robust conclusions. The authors do not address these barriers in this research although recommend future studies to look into them.
The findings of this research, being a combination of systemic review and meta-analysis can be implemented due to the highest level of evidence. However, for better outcomes, head coaching as a candidate intervention, its components, delivery modality, and its economic impact must be effectively executed.
In the space below, post the reference for the third article in correct APA format. If you made errors in formatting your reference for this article in Module 3, now is the time to make the appropriate changes so you do not make the same formatting error over and over.
RajtakMuller, L., & Berger, M. (2018). Respiratory care education: A vital role for Respiratory Therapists in reducing readmissions in COPD patient population. Respiratory Care, 63(Suppl 10). http://rc.rcjournal.com/content/63/Suppl_10/3007422
In the space below, write a one-paragraph critique of your third research article. Apply correct APA format and scholarly writing style as you critique the article’s strengths and limitations related to your stated research question. Use 1 correctly cited in-text citation for full credit.
The strengths of this research include the logical organization of the study with very few grammatical errors making it uncomplicated to comprehend. Similarly, being a case review involving only one healthcare setting, it was cheap to conduct (Al-Jundi & Sakka, 2017). An in-depth review of this research report reveals its power as contributes to change COPD patient management practices at Houston Methodist Hospital and therefore this research can be utilized to make predictions. The sample size was appropriate given the condition that the study was only conducted at one specific healthcare facility. However, the limitations of this study are innumerable.
To begin with, the study being a case series has the lowest level of evidence and therefore its applicability in clinical practice is limited. In addition, the study by virtue was designed as a practice improvement intervention hence rapid implementation. Consequently, the eligible patients were therefore not adequately followed up. The researchers further do not vividly outline the purpose of the study from the onset. The author further cannot be able to provide any causal effect relationships among the variables under study and therefore low levels of validity and reliability (Al-Jundi & Sakka, 2017). The environment in this study was not controlled. The confounding variables such as a change in prescribed medications, diversity of the personnel offering the respiratory therapy were not taken care of despite the implementation of a standardized care plan.
The author left out definitions of key concepts, an in-depth review of the existing literature and the conceptual model of this research as well as a clear outline of the methodology section. The barriers of this research on the other hand were identified. For instance, the researchers used the readmission predictor tool app without indicating its sensitivity and specificity. Similarly, the infidelity of the various interventions by different respiratory therapists was not described, and therefore difficult to draw a robust conclusion on the best respiratory education therapist. These barriers were not addressed. Nevertheless, the findings of this research despite being significant to Houston Methodist Hospital, cannot be implemented into practice due to low-level evidence. Subsequently, further research is required to demonstrate the effectiveness and generalizability of the results.
Submit this Assignment Document into Canvas for grading.
N4685 Module 5 Capstone Project – Presentation and Evaluation Paper
Module 5: Capstone Project – Presentation and Evaluation Instructions
NOTE: You will create two new electronic files for this assignment instead of typing directly into this document.
N4685 Module 5 Capstone Project – Presentation and Evaluation Paper Overview
Your project should represent high-quality work – something you would expect to see in a professional setting. Perhaps your employer will be interested in facilitating its use in a real-life situation!
You will upload your PowerPoint for grading. You will also upload the forms or documents you would use for evaluation (two evaluation tools will be created) of your information dissemination.
These might be in the form of informal observation records and/or formal tests or questionnaires. (This evaluation portion will be submitted as one Word document. See below for all that must be included). There is a separate portal for each portion of the assignment.
N4685 Module 5 Capstone Project – Presentation and Evaluation Paper Objectives
Criteria
Target
Acceptable
Unacceptable
Accurate (70 Points)Accurate presentation of content with differentiation
between facts and opinions; well organized with in text citations for useful sources (at least 9). 10-15 content slides with comprehensive speaker notes.
(70 Points)
Essential information is included but speaker notes and/or slides lack depth and need additional content and/ or lacking in text citations for useful sources. Outside the required 10-15 content slides.
(50 Points)
Errors in content specific information or lack of references prohibit use in professional setting
(0 Points)
Required References(10 Points)
All 9 references included(10 points)
Less than 9 required references(0 points)
Attractive (10 Points)Professional, appropriate for setting with no spelling or grammar errors; designed with appropriate use of color, graphics, and fonts. Up to 5 points will be deducted if images used are not cited. No APA errors in references.
(10 Points)
One or more spelling or grammar errors; design missing graphics and/ or inappropriate fonts. Up to 5 points will be deducted if images used are not cited. 1-2 APA errors in references.
(5 Points)
Design or grammar/spelling errors prohibit reading or understanding content and if images used are not cited. 3 or more APA errors in references.
(0 Points)
Appropriate (10 Points)Developmentally and age appropriate for audience; within the appropriate time frame (clock time 20-30 minutes)
(10 Points)
Not Developmentally and/ or age appropriate for entire target audience and/ or inappropriate time frame for content delivery
(5 Points)
Project inappropriate for profession use as not developmentally or age appropriate for audience; and / or project length is too short or too long
(0 Points)
Rubric – Project Evaluation
Task
Target
Acceptable
Unacceptable
Evaluation (50 Points)Appropriate evaluation tool(s) to assess both quality of presentation and achievement of outcomes.
(50 Points)
Appropriate evaluation tool(s) to assess either quality of presentation or achievement of outcomes.(25 Points)
Evaluation tool(s) inadequate for effective assessment of both components
(0 Points)
Professional (10 Points)Professional format without spelling errors (this includes evaluation forms) Includes evaluation summary paragraph.
(10 Points)
Format with spelling and/ grammar errors and/ or missing evaluation forms. Missing evaluation summary paragraph.(5 Points)
Errors in formatting and/ or spelling and grammar prohibit use in professional setting present(0 Points)
Grid (20 points)Grid is present, complete, with accurate SMART objectives; and APA references specific to the topic
(20 points)
Contains errors, is inaccurate, or missing required information with missing grid(10 points)
Grid not included in submission(0 points)
APA Format (20 points)Title page and reference page listed in APA format with aminimum of nine peer reviewed sources
(20 Points)
Errors in Title page and/ or Reference page including inaccurate information and APA errors(1-10 Points)
Title page includes errors and references with inaccurate format;(0 Points)
The written portions for Assignment 2 and 3 are due Saturday night (see details below). However, you will plan and present by Wednesday night in order to have your evaluation tools that you create available to distribute to the audience and address results for the Module 5 Discussion Boards. You need audience feedback to finalize the written portion of the assignment.
You will submit a Power Point presentation containing a title slide, 10-15 slides each with comprehensive content demonstrating use of your peer-reviewed sources, and reference slides. Remember to include a source for each image or graphic included on the slides; this is easiest done directly on the slide under or next to the image.
Your “talking points” are considered speaker notes and should contain 20-30 minutes of “talk time.” Information read directly from the slide should be included in the speaker notes. We recommend you time yourself while reading your speaker notes to determine if your presentation is within the 20-30 minutes for content.
Your speaker notes should be written exactly as you would be speaking to your audience. You do need to include citations in your speaker notes. Be sure to include all of your references on the reference slide(s).
(This will be one document with all of the following included in that document)
Create a title page according to the standard for the UTA College of Nursing.
You may create a new Word document for most of the types of evaluation tools you would use, such as tests, questionnaires, charts for observations notes, etc. Create two evaluation tools. Include all in the same file as separate pages with clear headings and instructions designating the use of each tool.
Other types of evaluation tools you might use are databases or spreadsheets. It is important that you design such tools so that you need only to upload and submit one file, though, so if you use a combination of Word documents and spreadsheets, copy/paste the contents of the spreadsheets into the Word document to create a single file.
One form will address evaluation of content (example: a post-test or survey, audit form) and one form will address quality (rate the presentation, speaker, and environment; consider using a Likert scale).
Do not copy forms from other sources. Include the time, place, and who you presented presentation. Also, discussion on the methods you used to evaluate your project. Include why the method, how you will use the results, and plans for improvement.
You will include the full completed grid from Module 3. Please be sure to make any needed changes based on feedback from your coach.
You must include at least a paragraph (minimum 100 words) to discuss the methods to evaluate your Project. Include why the method you have chosen to evaluate the project is appropriate. Include in your paragraph how will you will take results from the evaluation and change or improve the presentation.
Create a formal reference page including all of your nine (or more) references from your project. Please be sure to use formal APA format. Refer to your APA manual for any questions.
N491 Concepts and Theories in Nursing All Assignments
Assignment:
Case Study:
Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy N491 Concepts and Theories in Nursing All Assignments.
Mrs. Adams apartment is located in a low income area of the city where crime is prevalent. Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light N491 Concepts and Theories in Nursing All Assignments.
Her cloths appeared unchanged and she had no food in the apartment. The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner.
Using Nightingales Environmental Theory, what actions would the nurse take upon the first assessment? What are the five essential components? N491 Concepts and Theories in Nursing All Assignments
What would be an appropriate plan of care be for Mrs. Adams? How would you prioritize the care plan?
Apply Nightingale’s Environmental Theory to an area of your nursing practice? What patient population would benefit from this approach? Support this practice change with at least one evidenced-based article.
The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 3 outside references and the textbook. The paper should be in APA format with a title page, level headings, and reference page. N491 Concepts and Theories in Nursing All Assignments
N491 Concepts and Theories in Nursing
Assignment:
This week you will create a two-part Power Point to discuss the following:
Part one:
Peplau was the first nursing theorist to identify the nurse–patient relationship as being central to all nursing care. Peplau valued knowledge, believing that the nurse must possess extensive knowledge about the potential problems that emerge during a nurse–patient interaction.
Peplau’s theoretical work on the nurse–patient relationship continues to be essential to nursing practice. N491 Concepts and Theories in Nursing All Assignments
Describe the phases of the Nurse-Patient relationship as defined by Peplau. Align your presentation regarding the use of Peplau’s theory with a current practice example.
Part two:
Provide a discussion of Orem’s Self-Care Deficit Theory. Identify and explain the three related parts? Identify a current nursing practice example where Orem’s theory would be relevant. Use at least one evidenced-based research article to support your practice example.
The PowerPoint should include at least 3 outside references and the textbook. It should include title and reference slides and be 14-20 slides. N491 Concepts and Theories in Nursing All Assignments
N491 Concepts and Theories in Nursing
Assignment:
Please create a Power Point to answer the following:
Case study
Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing N491 Concepts and Theories in Nursing All Assignments.
Mom used to take care of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn’t let me help him with his laundry. I felt terrible! I am at my wits’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility.
I work part time and have two small children to care for.†Susan’s father, Sam, sat quietly with tears filling his eyes. He was well nourished and well-groomed but would not make eye contact. Nurse Ann noticed that the house was clean and orderly N491 Concepts and Theories in Nursing All Assignments.
A tray in front of the TV had the remains of a ham sandwich and glass of ice tea. Mail was piled up, unopened on a small table near the front door. There was only one car in the driveway and the yard was in need of attention N491 Concepts and Theories in Nursing All Assignments.
What questions does Orlando’s theory guide the nurse to consider in caring for Susan and Sam?
Develop a family plan of care from the perspective of Orlando.
Explore the 1950 and 60’s in the United States:
Explore was happening in the United States during this time (culture, social, economics, struggles)
What did nursing look like during this time (what were their jobs like, responsibilities, dress, autonomy, respect)
What is the most influential accomplishment in nursing theory from the 1950’s and 1960’s?
Power Point should include at least 4 outside references and the textbook. It should include title and reference slides and be 14-20 slides N491 Concepts and Theories in Nursing All Assignments.
N491 Concepts and Theories in Nursing
Assignment:
This week you will be writing an APA paper to include a title page, level headings, and a reference page
Discuss and explain King’s Conceptual System Theory.
First explain the 3 systems and provide examples of each system
Explain how the systems influence goal attainment
How could King’s theory help define a clinical quality problem?
Apply this theory to a potential practice quality improvement initiative within your clinical practice.
How could a quality committee align outcomes with King’s Conceptual System Theory?
What additional nursing theory from our readings could also align with an improved quality of practice initiative?
This paper should include 2 outside references and the textbook. This paper should be 1250 to 1500 words in length.
Assignment:
Create a Power Point Presentation to discuss the following
Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep.
It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway.
He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe N491 Concepts and Theories in Nursing All Assignments.
They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him.
It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work N491 Concepts and Theories in Nursing All Assignments.
How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept. N491 Concepts and Theories in Nursing All Assignments
From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.
Your PowerPoint should include at least 1 outside reference and your book. The presentation should be 10 to 15 slides in length.
Assignment:
Your assignment this week will be an APA paper to include title page, level headings, and a reference page.
Case study #1
Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. N491 Concepts and Theories in Nursing All Assignments
She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. N491 Concepts and Theories in Nursing All Assignments
I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job.
There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!” N491 Concepts and Theories in Nursing All Assignments
Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge? N491 Concepts and Theories in Nursing All Assignments
Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
Discuss the strengths and limits to Leininger’s Theory.
Case Study #2
Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. N491 Concepts and Theories in Nursing All Assignments
Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor.
Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff. N491 Concepts and Theories in Nursing All Assignments
Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
How is love, as defined by Watson, evident in this caring moment?
How can the nurse creatively use self to create a healing environment?
Discuss the strengths and limits to Watson’s Theory.
This paper should include 2 outside references and your book. The essay should be between 1500 and 1750 words in length.
N491 Concepts and Theories in Nursing
Assignment:
Your assignment this week will be an APA paper to include title page, level headings, and a reference page. N491 Concepts and Theories in Nursing All Assignments
Case Study
The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. N491 Concepts and Theories in Nursing All Assignments
As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his N491 Concepts and Theories in Nursing All Assignments.
These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big N491 Concepts and Theories in Nursing All Assignments.
When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sigh escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe. N491 Concepts and Theories in Nursing All Assignments
Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?
What are characteristics of a human becoming nurse? What are strengths and weaknesses to this theory of nursing?
What challenges exist for healthcare institutions to switch to this nursing approach?
How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?
From the nursing theories we have discussed, what additional theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)
The APA formatted paper should include 2 outside references and your book. The essay should be between 1250 and 1500 words in length.
N491 Concepts and Theories in Nursing
This week, you will develop a PowerPoint presentation reviewing the theories from each module. Please select one theory from each module (1-8) and answer the following questions. You should have two slides per theory:
N493 Community Health Nursing II Module 8 Project Summary Assignment
Summary
Briefly summarize your project: How was the assessment completed? Who was your target audience and how many were in the audience? What was your topic? How did you determine what your topic should be (justification)? When and where did you present the community education project? Who gave you permission to present at the location, was the permission form completed? How did you advertise your presentation? What educational materials did you use or provide to the audience? (Provide ID of yourself and action picture for proof.) N493 Community Health Nursing II Module 8 Project Summary Assignment
Explain how you would evaluate whether the efforts to improve the health concern were effective. Include in your explanation the tools you might use to do this evaluation. Also, critically appraise your performance of the activity/project for this population.
How did the population respond? What aspects were you most satisfied/least satisfied with? What went well (at least 3 things)? What changes would you make in the future (at least 2 things)?
For nurses, reflection is integral to higher-level thinking. You should be able to critically analyze scenarios and possible outcomes as opposed to simply asking the right questions. Acute perception of the entire situation will be obtained because you are open to dealing with the contradictions that may challenge your initial bias.
Reflect on how your perspective of the community’s health and the national, state, and local efforts toward a healthier population has changed as a result of your fieldwork. Discuss the health of the target community population compared to national, state, local health findings N493 Community Health Nursing II Module 8 Project Summary Assignment. Discuss how the interventions used would impact at the local, state, and national level (include information on your chosen Healthy People 2020 goals). Finally, what impact did your project have on your target population?
Please submit a recorded presentation of between 7 and 9 minutes that is a reflection of the project based on a full representation of all three parts above. You may video yourself discussing the project or you may create a PowerPoint presentation and record your voice to the presentation.
Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox. ***Please do not record as voice-over PowerPoint because this cannot be saved in mp4 format or a link.*** If you submit your assignment as a powerpoint with voice over recording you will not receive credit for your assignment (or partial credit as you did not meet the full requirements of the assignment.
The presentation should include at least two scholarly sources other than provided materials. Please be sure to provide a photo of you at the location where you completed your education project and your ID again. You may submit your Reference page and photos in a separate file in the dropbox or insert them into the PowerPoint.
project Concert: each module had a minimum required practice hours related to your work on the main education project. Practice hours relate to time spent on project work (Discussion Board work does not apply). Document your hours for Module 8 in Project Concert. You should have an estimated 10-15 hours for Module 8. Access Project Concert.
Check your total practice hours for the course in Project Concert; each Module should have the minimum hours logged and there should be a total of between 70 and 100 hours for this course. Minimum required hours must be entered into Project Concert for Module 8 (8 hours). Some states/entities require hour logs for certification or employment N493 Community Health Nursing II Module 8 Project Summary Assignment.
It is the student’s professional responsibility to ensure all hours are entered correctly in order to meet these requirements. Please see the Project Concert directions document in the Learning Materials on how to enter hours. N493 Community Health Nursing II Module 8 Project Summary Assignment
Create a 7–9-minute video based on the following questions:
Briefly introduce your project:
Self-Evaluation
Conclusion
Please submit a recorded presentation of between 7 and 9 minutes that is a reflection of the project based on a full representation of all three parts above. You may video yourself discussing the project, or you may create a PowerPoint presentation and record your voice in the presentation.
You may also choose a recording platform of your choice, such as Screencast-o-matic, Zoom, Webex, YouTube, PowerPoint (utilizing audio slide recording), etc. Save the recording as a link, MP4, or PowerPoint file with audio and upload directly the dropbox.
The presentation should include at least two scholarly sources other than provided materials. You may submit your reference page in a separate file in the dropbox or insert them into the PowerPoint. You may submit your reference page in a separate file in the dropbox or insert them into the PowerPoint.
(0 – 104 pts.)
Discussion on the individualized learning objectives are missing or inaccurate. Recommendations for future changes are not included or are inaccurate.
105 points(105 – 119 pts.)
Discussion of some of the individualized learning objectives lack key information and details, are vague, and/or inaccurate. Recommendations for future changes are included but not detailed enough for a full picture of changes.
120 points(120 – 134 pts.)
Discussion of all individualized learning objectives are included and appropriate. Recommendations for future changes are appropriate.
150 points(135 – 150 pts.)
Discussion of all individualized learning objectives is practical, insightful, and credible. Recommendations for future changes are enlightening, highly effective, and insightful.
Score of Introduction to Project Weight: 30%,/ 150
Self-Evaluation Weight: 30%0 points(0 – 104 pts.)
Video recording is missing.
105 points(105 – 119 pts.)
Video is present but lack details and thought to accomplish the project. Video is missing key elements in order to be effective.
120 points(120 – 134 pts.)
Video reflects thought and meaning in order to accomplish the project. Self-evaluation, tools performance and response all included.
150 points(135 – 150 pts.)
Video reflects effective and meaningful self-evaluation, tools, performance and responses. Project is detailed and elegantly crafted.
Score of Self-Evaluation Weight: 30%,/ 150
Conclusion Weight: 20%0 points(0 – 69 pts.)
Demonstrates little logical reasoning for the claims and thoughts within assignment; Many claims are weak or illogical.
70 points(70 – 79 pts.)
Lacks some logical reasoning for the claims and thoughts within the assignment/video.
80 points(80 – 89 pts.)
Uses solid logical reasoning for the claims and thoughts within the assignment.
100 points(90 – 100 pts.)
Provides exemplary logical reasoning for the claims and thoughts within the assignment.
Score of Conclusion Weight: 20%,/ 100
Organization Weight: 10%0 points(0-34 pts.)
Organization is confusing and interferes with reader’s ability to follow ideas. Weak or no introduction of topic or purpose is unclear, weak, or missing. Conclusion lacks a summary of topic or is missing or irrelevant.
35 points(35 – 39 pts.)
Organization is disorganized or irrelevant. Basic introduction that states topic but is presented in an uninteresting way. Conclusion contains basic summary of topic without final concluding ideas, may inappropriately introduces new information.
40 points(40 – 44 pts.)
Structures ideas in a coherent, organized order that has good, logical flow and an obvious framework. Proficient introduction that is interesting and states topic. Conclusion contains good summary of topic with credible concluding ideas and introduces no new information.
50 points(45 – 50 pts.)
Excellent concluding summary with succinct and precise ideas that impact reader.
Organization pattern is skillful and permits a cohesiveness in the presentation.
/ 50
Quality of Verbal Communication Weight: 10%0 points(0-34 pts.)
Word choice is excessively redundant, clichéd, and unspecific. Central message cannot be deduced, nor is it explicitly stated in presentation; delivery techniques (posture, gestures, eye contact, vocals) detract from understandability of presentation and speaker appears nervous and uncomfortable; language choices are unclear, minimally support effectiveness of presentation, or are inappropriate for audience.
35 points(35 – 39 pts.)
Word choice is often unspecific, generic, redundant, and clichéd. Central message is basically understandable, but information is repeated and somewhat disorganized; delivery techniques make speaker appear tentative and unsure; language choice is mundane and commonplace, though somewhat appropriate for audience.
40 points(40 – 44 pts.)
Word choice is specific and purposeful, and somewhat varied throughout. Central message is clear and consistent with content; delivery techniques make speaker appear comfortable; language choices are thoughtful and appropriate for audience.
50 points(45 – 50 pts.)
Word choice is specific, purposeful, dynamic and varied. Central message is compelling and well supported; delivery techniques make speaker appear confident and polished; language choices are imaginative, memorable, and compelling to support the effectiveness of the presentation.
Score of Quality of Verbal Communication Weight: 10%,/ 50