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NSG 4411 Clinical Journal Log Guidelines

This Clinical Journal provides an opportunity to reflect and share the lived experience of the NSG 4411 Population Health Nursing practicum.  Following each clinical experience of gathering assessment data or interviewing or teaching an aggregate group, you should describe how your clinical experience stimulated your thinking in your journal.  The final journal submission should summarize your areas of strengths and weaknesses, your perceptions of what you have experienced, and how you have grown into the BSN role.  Be sure to attach your Clinical Log.  The Log includes the dates, times of the experience, and preceptor’s signature.  

INSTRUCTIONS:

Download this form as a Word document and click “enable editing”, then “save as” in order to edit it with your information. DO NOT delete this page. Simply start on the next page.

Fill in your information directly onto the form. DO NOT CHANGE ANY PART OF THIS FORM INCLUDING THESE INSTRUCTIONS. DO NOT CHANGE THE FIRST PAGE TO A TITLE PAGE.

Type information directly onto this form in black, NON-BOLDED, non-underlined type.

Failure to follow any instructions will result in an automatic 5-point penalty and there may additional penalties deducted as well for failure to follow any of these instructions.

Type the summary of your daily journal experiences for each clinical day. Write in COMPLETE sentences. DO NOT write like a nurse’s note or texting.

Your journal must include APA references to support information.  A minimum of three (3) peer-reviewed journal articles dated within the last 5 years must be included in your journal, cited correctly throughout the journal to support the information and put on a separate reference page in APA format. Citations and references MUST be in correct APA format.

Under the course outcomes (SLOs) type each of the activities you selected on your DMPE and thoroughly describe the activities done to accomplish the SLO in complete sentences with citations from the references.  All course outcomes must be addressed in your clinical journal.

Make sure you address your Community Assessment Analysis Survey and your Community Intervention/Teaching Plan in your final journal under the appropriate SLO activities. Give a synopsis of each paper that is applicable to the SLO.

Your journal will be graded on the completeness of information (i.e. areas 1-9), grammar, spelling, & punctuation and APA. There will be 0.25 deduction for each grammar, spelling, grammar, & punctuation error (up to 10 points) and 0.25 deduction for each APA error up to 10 points).

This journal, the signed clinical log (with dates, start & end times), and the preceptor evaluation will be due as given on the course calendar by 11:59 PM (CT).  The clinical log must match the clinical schedule you submitted. Attach your Clinical log with signatures on a page at the end of the Clinical Journal.

See page 3 for the start of the Clinical Journal.

Only submit SLOs 1(a), 3 (c), 4 (d), 6 (f), and 8 (h) by Thurs., Oct. 15th @ 11:59 PM (CT).

NSG 4411 Population Health Practicum

Clinical Journal

SLOs 1(a), 3 (c), 4 (d), 6 (f), and 8 9h)

Student’s Name:

3. Identify how each of the learning outcomes were obtained and met (Try to vary learning experiences each day addressing the assignments in the DMPE). Type out each required and selected activity chosen for each SLO from your DMPE and fully describe how each activity was accomplished & met the SLO. (worth 60 points- 6 points each outcome)

1. Incorporate theoretical and empirical knowledge from nursing, scientific, and humanistic disciplines to promote population health nursing practice.

The vulnerable population in the community assessment includes pregnant women who are teenagers and older women. Various risks facing pregnant women were assessed including obesity, hypertension, eclampsia and cardiovascular diseases.

1. Participate in clinical prevention and population-focused interventions with attention to environmental, global, cultural, political and financial dimensions of population health.

The primary care services involve providing health education and counseling to expectant women. Health promotion activities comprised chiefly disseminating information pertaining to child care. Vaccination services were also availed to the community to help in diminishing the incidences and prevalence of infections. The health education involved fertility topics that are vital in young mothers’ care. The primary intervention sought to manage conditions including cardiovascular diseases and obesity. This goal was attained via education and providing physical exercise activities to the community.

1. Provide population health nursing care for vulnerable individuals, families, communities, and populations of all ages.

The secondary care interventions comprised pregnancy tests and ultra-sounds. These steps were crucial to enhance maternal and baby health. The institution employed mentoring activities in management of the mothers. The mentoring activities gave mothers vital information that was essential in the promotion of their well-being. Thereafter, the institution continued providing nursing services to families in need of child health, nutrition and mental well-being. The services were significant to advance the health of the young families served by the institution. Management of diabetes in pregnant women cannot be overlooked. Its effective management helps control hypertension and other conditions which could be fatal to the mother.

Tertiary intervention involved providing counseling particularly related to pregnancy loss. This was a crucial treatment program which helped mothers to cope with loss. The institution also offered continuous support regarding grief following abortion, which enhanced their mental well-being. These services engaged the women in activities designed to help them to re-integrate into the society.

1. Utilize evidence-based clinical decisions in providing population health nursing care.

The role of an individual’s lifestyle and diet in preventing diabetes, hypertension and obesity cannot be overemphasized. Engaging in active lifestyle with reliable physical exercise has been proven to reduce the risks of developing obesity and hypertension (Marchi et al., 2015). Also, diets rich in high-density lipoprotein and with less low density lipoprotein reduce the chances of obesity and cardiovascular disorders related to dyslipidemia.

Therefore, expectant mothers were advised to eat healthily and engage in light physical exercise. They were also counseled to avoid emotional and mental stressors that may result in anxiety and precipitate hypertension.

1. Evaluate research and evidence for the applicability of findings for the improvement of population health.

Hypertension, gestational diabetes and depression are common challenges facing expectant women. These challenges are compounded by the existing stigma and inadequate social support and communication surrounding the medical conditions. Recent reliable studies reveal that majority of women suppress or totally avoid conversations concerning their body weight. Avoidance of in-depth conversations prevents health workers from acquiring information and disseminating knowledge that would be beneficial in checking the women’s body weight. Regarding stigma, majority of community members avoid engaging in body weight discussions since the topic is related to body shaming. Instead, providing social support would significantly promote positive health decisions among women.

The birth weight of infants closely relates to the mother’s obese state, which predisposes the child to further health complications. This finding explains the strong association between maternal obesity and fetal death (Marchi et al., 2015). The primary cause of obesity is insufficient knowledge among mothers. Reliable studies also reveal that the larger proportion of pregnant women engages in limited physical activity and eating less healthy diet. Also, obese mothers present with difficulty in initiating breastfeeding, further predisposing the infant to malnutrition risks and associated health complications.

1. Discuss environmental, global, cultural, financial, legal, and political dimensions on the development of healthcare policy.

Developing health policies poses intricate ethical, social, legal and political questions. The goal of any health policy comprises primarily to protect and promote the health of individuals and the community (Oneka et al., 2015). The role of government officials in developing health policies include ensuring that respect of human rights is adhered to, primarily the rights to non-discrimination, self-determination and privacy.

Financial implications for a healthcare policy include cost coverage with implementation of particular policies. For instance, vaccination of newborns against particular illnesses requires statement of details of how the vaccination policy will be achieved, in terms of who will take responsibility of the costs. In addition, provision of equitable health services to persons of all races, genders and ethnicities requires consideration of health insurers terms of engagement. The government should also take into account the accessibility of all citizens to health insurance services.

Environmental influence on health policies is significant particularly when dealing with conditions endemic to specified geographical regions. For example, within the United States and the United Kingdom, lifestyle diseases are the primary health concern. Within the developing world, infectious diseases are the main health concern. The health policy should seek to meet the primary health concern within a specified geographic location.

1. Demonstrate strategies for facilitating inter-and intra-professional communication and collaboration with other health care providers and key stakeholders for the promotion of optimal health in individuals, families, communities, and populations.

Individuals different professions engage themselves in distinct professional cliques. Whereas socializing with persons of the same discipline may promote job satisfaction, it may significantly inhibit effective inter-professional knowledge transfer. Communication among members of the same and different professions may be enhanced by establishing networks integrating the several professions (Tasseli, 2015). Then central actors such as clinical directors may facilitate transfer of knowledge between nurses and doctors.

Within the clinical setup, vertical, horizontal and diagonal communication are important. While horizontal communication happens amongst colleagues of the same professional level, vertical communication occurs from superiors to juniors or juniors to superiors. Junior doctors and nurse managers with access to networks of medical databases may find substantial information that is integral in providing optimal patient care. Also, during my community assessment, we held various meetings involving doctors, nurses and physicians to provide multiple team-player healthcare to the pregnant women and the community.

1. Accept responsibility and accountability for personal and professional behaviors and values related to excellence in population health nursing practice.

During the assessment, I signed against my name, the date and time when reporting for duty in the morning and when exiting duty in the evening. In addition, I put on my nurse nametag each time I was handling the expectant women. I ensured that the conversations with the women were lively, but also avoided veering off the main discussion points. I engaged in healthcare practice with competence and endeavored to learn each day.

1. Adhere to ethical and legal standards when providing population health nursing care.

Ethical and legal standards implicated in population health nursing care are vast. For starters, every patient I attended to had the autonomy to reject or accept the procedure. I informed the expectant women of what I was intending to do, its effects, benefits and possible risks. The women had the freedom to accept or reject the procedure. Also, they had the right to quit the assessment at any stage without negative consequences. The interventions were also aimed at doing good and no harm.

1. Utilize information technology to support the delivery of safe, quality population health nursing care.

Information technology was applied to enhance simpler and more effective delivery of nursing care to the population under assessment. Health messaging services were used to remind the expectant mothers of important processes such as taking plenty of fluids to keep hydrated, eating meals rich in vegetables and fruits and engaging in light exercise. These activities were aimed at preventing hypertension and obesity in the at-risk population. Further, the use of telemedicine allowed nurses to communicate with the pregnant women from their homes or offices, without being physically present at the nurse’s clinic. The use of video messages, images and voice notes sent over the internet made consultation and assessment flexible and non-exhausting.

References

• Dikmen, Y., Karata?, H., Arslan, G. G., & Ak, B. (2016). The level of professionalism of nurses working in a hospital in Turkey. Journal of Caring Sciences, 5(2), 95. https://dx.doi.org/10.15171%2Fjcs.2016.010
• Marchi, J., Berg, M., Dencker, A., Olander, E. K., & Begley, C. (2015). Risks associated with obesity in pregnancy, for the mother and baby: a systematic review of reviews. Obesity Reviews, Vol. 16, 621-638. https://doi.org/10.1111/obr.12288
• Oneka, G., Shahidi, F. V., Muntaner, C., Bayoumi, A. M., Mahabir, D. F., Freiler, A., O’Campo, P. & Shankardass, K. (2017). A glossary of terms for understanding political aspects in the implementation of Health in All Policies (HiAP). Journal of Epidemiol Community Health, 71(8), 835-838. http://dx.doi.org/10.1136/jech-2017-208979
• Tasselli, S. (2015). Social networks and inter-professional knowledge transfer: the case of healthcare professionals. Organization Studies, 36(7), 841-872. https://doi.org/10.1177%2F0170840614556917

 

NSG 5002 Week 3 Nursing Theory Sources

NSG 5002 Week 3 Nursing Theory Sources

Ideas, questions, and phenomena within the domain of nursing are the sources of ideas for theory development.

Past

Initially, nursing was almost completely dependent on other disciplines for sources of theoretical content in order to provide the underpinnings of nursing practice. This allowed other disciplines, particularly medicine, to dictate the problems of nursing instead of allowing nursing to generate its own questions.

In the early days of nursing education, theoretical content was derived from the domain of medicine, as the medical paradigm was far more powerful and better developed. Thus, medicine controlled nursing theory and, as a result, the domain of its knowledge.

At the same time, nursing practice was also taking the first tentative steps toward becoming a source of theory. The patient, as the recipient of care, and actual nursing acts formed the focus of early theory development, and this change in focus reflects the initial efforts to differentiate nursing and medicine.

Consequently, nurses’ experience became a major source of theory because nursing care knowledge was based on personal experiences, transmitted through apprenticeship, teaching, and texts.

Present

In the recent times, nursing theory has originated from:

• Role Proliferation: Conceptualization of nursing as a set of functions became the focus of investigation, with theory evolving on how to prepare nurses for various roles.
• Basic Sciences: PhD education of nurses in sociology, psychology, anthropology, and physiology introduced ideas from other disciplines and stimulated new ways of looking at nursing phenomena.
• Nursing Process: Examination of processes in nurse-patient relationships and patient care triggered ideas and questions related to problem solving, priority setting, and decision making.
• Nursing Diagnosis: Labels were given to and a universal nomenclature was developed for problems that fall within the domain of nursing. These are actually conceptual statements about the health status of patients and, therefore, the first step in theory development.
• Concept Identification: Theory development encouraged identification of concepts central to nursing. Identification of relationships between concepts (propositions) defined a new nursing perspective.

NSG 5002 Week 3 Nursing Theory Sources Week 3 Project

Your “Personal Philosophy and Theoretical Concepts” Paper is due this week. Your paper should contain the following sections:

• Nursing Autobiography: A brief (1 page) discussion of your background in nursing. This does not include future goals.
• The Four Metaparadigms: Describe what the literature says about the basic four metaparadigms/concepts of patient, nurse, health, and environment. Do not relate the metaparadigms to the theory you have chosen.
• Briefly describe the theory you have chosen.
• Two Practice-Specific Concepts: in separate subsections discuss each of your two concepts:
  • What is the definition of the concept (outside of the theory)?
  • How does your theorist define your concept?
  • How does this concept apply to your clinical setting? Give an example of how nurses in your area provide care that correlates with the theorist’s definition of the concept.

You MUST use the attached template here to complete your paper.

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains.

The paper, excluding references or appendices, is to be limited to 3-5 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.

NSG 5002 Week 3 Nursing Theory Sources Submission Details:

• Save your document as W3_Project_NSG5002_Lastname_Firstname.
• Submit your document to the Submissions Area by the due date assigned.

Nursing Philosophies

The identification of nursing theory sources that are compatible with nursing work and accommodate the nursing perspective paved the way for the emergence of nursing philosophies. Nursing philosophy consists of assumptions and beliefs that guide the framework of nursing practice. This philosophy encompasses societal and individual human experiences (Salsberry, 1994)1, and addresses two central areas of commonality: the nature of human beings and the focus of nursing.

Inherent fundamental assumptions provide the foundation of nursing philosophy. These philosophies help nurses to identify the focus of nursing as something quite different from that of the biomedical sciences.

Nursing philosophies also initiate reflective practice and encourage nursing professionals—from the novice to the expert—to explore their own values regarding health, nursing, and interaction with clients.

Though there are numerous philosophies and conceptualizations which have been developed over the past few decades, in this course we’ll be focusing on only a select few which have guided nursing endeavors.

Philosophy of Virginia Henderson

NSG 5002 Week 3 Nursing Theory Sources: Week 3 Discussion

A phenomenon is the term used to describe a perception or responses to an event. Examples of phenomena in nursing include caring and responses to stress. Assumptions are the ideas that we take for granted. They explain the nature of the concepts in the theory, giving it structure.

Choose a middle-range theory or grand theory that, in your opinion, can be applied to research.

• What is the phenomenon of concern in this theory?
• What are the assumptions underpinning this theory?

NSG 5002 Week 3 Nursing Theory Sources Submission Details

• In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; and demonstrates a clear connection to the readings.
• Post your response to the Discussion area by the assigned due date.
• Be sure to correct any spelling, grammar, or punctuation errors before you post.
• By the end of day four (4), respond to at least 2 of your peers’ submissions. In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.
  Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, and Late Policy available by clicking on the South University Policy and Guidelines navigation tab here. The late policy applies to late discussion question responses.

Feedback36 / 4090 %Good work with nicely cited posts – just missing information in several references – most of your web references are not in the correct format.  Also, Henderson is a grand theorist, which you had not noted. Otherwise nice work!

NSG 5002 Week 3 Nursing Theory Sources Rubric

Response

No Submission

• 0 points

Emerging (F-D: 1-13)

• 13 points

Satisfactory (C: 14-16)

• 16 points

Proficient (B: 17-18)

• 18 points

Exemplary (A: 19-20)

• 20 points

Criterion Score

Quality of Initial Posting

• No initial posting exists to evaluate.

• The information provided is inaccurate, not focused on the assignment’s topic, and/or does not answer the question(s) fully. Response demonstrates incomplete understanding of the topic and/or inadequate preparation.

• The information provided is accurate, giving a basic understanding of the topic(s) covered. A basic understanding is when you are able to describe the terms and concepts covered. Despite this basic understanding, initial posting may not include complete development of all aspects of the assignment.

• The information provided is accurate, displaying a good understanding of the topic(s) covered. A good understanding is when you are able to explain the terms and topics covered. Initial posting demonstrates sincere reflection and addresses most aspects of the assignment, although all concepts may not be fully developed.
• The information provided is accurate, providing an in-depth, well thought-out understanding of the topic(s) covered. An in-depth understanding provides an analysis of the information, synthesizing what is learned from the course/assigned readings.

18 / 20

Criterion Feedback

You have done a very good job with your initial post. You have addressed the main components of the assignment, but you may want to take some time to reinforce your understanding on some of the topics for the week and be sure to answer every question asked as part of the assignment going forward.

This table lists criteria and criteria group name in the first column. The first row lists level names and includes scores if the rubric uses a numeric scoring method.

Participation

No Submission

• 0 points

Emerging (F-D: 1-6)

• 6 points

Satisfactory (C: 7-8)

• 8 points

Proficient (B: 9)

• 9 points

Exemplary (A: 10)

• 10 points

Criterion Score

Participation in Discussion

• No responses to other classmates were posted in this discussion forum.

• May include one or more of the following:
  *Comments to only one other student’s post.
  *Comments are not substantive, such as just one line or saying, “Good job” or “I agree.
  *Comments are off topic.

• Comments to two or more classmates’ initial posts but only on one day of the week. Comments are substantive, meaning they reflect and expand on what the other student wrote.

• Comments to two or more classmates’ initial posts on more than one day. Comments are substantive, meaning they reflect and expand on what the other student wrote.

• Comments to two or more classmates’ initial posts and to the instructor’s comment (if applicable) on two or more days. Responses demonstrate an analysis of peers’ comments, building on previous posts. Comments extend and deepen meaningful conversation and may include a follow-up question.

10 / 10

Criterion Feedback

You have done an outstanding job in your discussion this week with your classmates. You have a great level of substance and you have contributed to the dialog in a very meaningful way. This is what a discussion should look like!

This table lists criteria and criteria group name in the first column. The first row lists level names and includes scores if the rubric uses a numeric scoring method.Writing

No Submission

• 0 points

Emerging (F-D: 1-6)

• 6 points

Satisfactory (C: 7-8)

• 8 points

Proficient (B: 9)

• 9 points

Exemplary (A: 10)

• 10 points

Criterion Score

Writing Mechanics (Spelling, Grammar, Citation Style) and Information Literacy

• No postings for which to evaluate language and grammar exist.

• Numerous issues in any of the following: grammar, mechanics, spelling, use of slang, and incomplete or missing citations and references. If required for the assignment, did not use course, text, and/or outside readings (where relevant) to support work.

• Some spelling, grammatical, and/or structural errors are present. Some errors in formatting citations and references are present. If required for the assignment, utilizes sources to support work for initial post but not comments to other students. Sources include course/text readings but outside sources (when relevant) include non-academic/authoritative, such as Wikis and .com resources.
• Minor errors in grammar, mechanics, or spelling in the initial posting are present. Minor errors in formatting citations and references may exist. If required for the assignment, utilizes sources to support work for both the initial post and some of the comments to other students. Sources include course and text readings as well as outside sources (when relevant) that are academic and authoritative (e.g., journal articles, other text books, .gov Web sites, professional organization Web sites, cases, statutes, or administrative rules).

• Minor to no errors exist in grammar, mechanics, or spelling in both the initial post and comments to others. Formatting of citations and references is correct. If required for the assignment, utilizes sources to support work for both the initial post and the comments to other students. Sources include course and text readings as well as outside sources (when relevant) that are academic and authoritative (e.g., journal articles, other text books, .gov Web sites, professional organization Web sites, cases, statutes, or administrative rules).

8 / 10Criterion Feedback

Overall, you have done a good job with your communication and citation for this assignment, but you need to be cautious of citation formatting errors and be sure to use credible academic sources in all of your assignment submissions. If you need any help on citations or formatting, you can learn more here: Citations 101

Rubric Total Score 

Total 36 / 40

Overall Score

Overall Score

No Submission 0 points minimum

• There was no submission for this assignment.

Emerging (F to D Range)1 point minimum

• Satisfactory progress has not been met on the competencies for this assignment.

Satisfactory (C Range)28 points minimum

• Satisfactory progress has been achieved on the competencies for this assignment.

Proficient (B Range)32 points minimum

• Proficiency has been achieved on the competencies for this assignment.

Exemplary (A Range)36 points minimum

The competencies for this assignment have been mastered.

NSG 5002 Week 3 Nursing Theory Sources (Example Discussion Approach)

Kristen Swanson’s Theory

Kristen Swanson’s middle-range theory, The Theory of Healing and Caring (1991), was created for women who miscarried, the neonatal intensive care unit caregivers who are the parents and healthcare professionals, and for any at-risk mothers. Swanson (1991, p.162) defined caring as, “a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility”.

She felt that by adopting her five concepts into the care that is provided, the professional could focus on the patient not so much on the tasks. The five concepts are known as maintaining belief, knowing, being with, doing for, and enabling. Butts and Rich (2017, p.552) states, “ Swanson believed when a provider takes the time to know, be with, do, enable, and maintain belief in the other, the recipient feels a sense of wholeness”.

Theory Philosophy

Kristen Swanson quickly had an interest in caring at the very beginning of nursing school at a clinical site when she witnessed the nursing professional and primary care. Swanson credits other theorists who helped influence her beliefs and theory such as Dr. Jacqueline Fawcett and Dr. Jean Watson.

Fawcett inspired her through understanding the relationship of caring for others and their well-being. Watson and Swanson’s parallel work was based on research and crediting each others work, all while seeing the individuality in each one. Furthermore, Dr. Kathryn M. Bernard encouraged Swanson to test her caring theory in randomized trials. (Peterson and Bredow, 2017, p.139)

Phenomenon of Concern

The main concern of Swanson’s theory is actually defining what caring is. If you were to speak to each nurse in this profession, majority will say that they became a nurse because they care. However, that could mean something different to each nurse and can be displayed in various ways. Peterson and Bredow (2017, p.136) state, “Over the past few decades, philosophical debates, research, and theory development have ensued to define the concept of caring, articulate caring behaviors, and identify outcomes of caring for patients, families, nurses, organizations, and society”.

Each person can show how he or she care in different ways and the outcome can vary depending on how the person receives it. Furthermore, Peterson and Bredow (2017, p.136) state, “Also of deep concern is detecting and eliminating barriers to caring in clinical practice”. Many times, us nurses forget about the main reason we can into this profession and its not due to carelessness but to the overwhelming and increasing amounts of tasks we are required to do mostly from management.

Redundant and unnecessary paperwork takes away from the bedside where we need to show our caring capabilities to overall improve patient care.

Underpinning Assumptions

One assumption Swanson identifies is that caring is not solely limited to nursing, yet it is a component from the nurse and patient relationship. This can occur in any nurse-patient relationships that possess the five concepts. Another assumption is that caring does not come from the amount of nurses’ experience but from attitude, understanding the experience, having verbal and nonverbal conversations with the patient, enabling, and the outcome of the patient.

Peterson and Bredow (2017, p.140) identifies another assumption as, “caring processes coexist and overlap and cannot be delivered in a linear way or in separation from one another”.  The last assumption is that if Swanson identified the definition of caring is a more clear way, than her theory could be applied to any relationship.

Conclusion

In summary, The Theory of Healing and Caring by Kristen Swanson was focused on three phenomenons: the grieving mother, the NICU caregiver, and the at risk mother. Caring is not only for nursing but can be applied to any relationship. By utilizing the five concepts, the nurse can focus on the patient through caring rather than the tasks. Swanson was inspired by many theorists but understood the individuality between hers and Dr. Watsons’ theory.

Caring can be understood and shown in different ways. Jarvis (2019, p.266) states, “Defined as such, caring is an abstract concept that must be clarified in terms of concrete concepts”. Caring does not come from the nurses experience but by the attitude and outcome toward the patient. When defined clearly, caring can be applied to any working relationship.

NSG 5002 Week 3 Nursing Theory Sources References

• Butts, J. B., & Rich, K. L. (2017). Philosophies and theories for advanced nursing practice (3rd ed.). Jones & Bartlett Learning.
• Jarvis, K. (2019). Swanson’s Theory of Caring: An Application to the Role of Nursing Education. International Journal for Human Caring, 23(3), 266–271. https://doi-org.su.idm.oclc.org/10.20467/1091-5710.23.3.266
• Peterson, S. J., & Bredow, T. S. (2017). Middle range theories: Application to nursing research (4th ed.). Lippincott Williams & Wilkins.
• Swanson, K. M. (1991). Empirical development of a middle range theory of caring. Nursing Research, 40, 161–166.

NSG 6620 Week 8 Discussions 1 and 2 Latest SU

NSG 6620 Week 8 Discussions 1 and 2 Latest SU

Discussion Question 1: Key Attributes for Successful Communication

One of the significant challenges in nursing and healthcare is learning to communicate effectively and safely with other nurses, staff, interprofessional healthcare teams, patients, and patient’s families. Nurses and other healthcare workers are often stressed and overworked as they deal with significant work-hours complexities.

Nurses and nurse leaders need to have difficult conversations with staff and patients. For example, part of being an accountable nurse or leader is being a good communicator and having critical discussions, even when the conversations involve giving bad news or feedback for improvement.

Communication is a powerful skill and competency integral to every nurse leader’s role. Communication is not enough; the challenge in a twenty-first-century healthcare organization is communicating effectively in written words, through body language, and by being mentally and emotionally present during every conversation.

Using the readings for the week, the South University Online Library, and the Internet, respond to the following:

• Describe the key attributes of successful communication and relationship management strategies.
• Describe the nurse leader’s role in improving communication to enhance nursing professionalism.
• Identify two challenges you face when communicating during a conflict.
• Discuss communication strategies you would use as a nurse leader to terminate an employee who has violated the organizational policy.
• Describe how being emotional during conflict can be ineffective and compromise successful communication.
• Comment on the postings of at least two peers.

Evaluation Criteria:

• Describe the critical attributes of successful communication and relationship management strategies.
• Describe the nurse leader’s role in improving communication to enhance nursing professionalism.
• Identify two challenges you face when communicating during a conflict. NSG 6620 Week 8 Discussions 1 and 2 Latest SU
• You discussed communication strategies you would use as a nurse leader to terminate an employee who has violated the organizational policy.
• Describe how being emotional during conflict can be ineffective and compromise successful communication.
• Justify your answers with appropriate research and reasoning.
• I commented on the postings of at least two peers.

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NSG 6620 Week 8 Discussion Question 2: Decision Making

Decision-making is a skill, and a competency nurse leaders must use in every act, word, and deed. A decision involves choosing between alternatives, and it is selecting the best plan of action given the information at hand when the decision is made. NSG 6620 Week 8 Discussions 1 and 2 Latest SU

Nurse leaders must be decisive as a decision leads to a definitive action plan. Some decisions must be taken immediately, while others may allow more time. An important concept to remember concerning decision-making is that not making a decision or taking any action is also a decision.

Considering this, nurse leaders must be attentive to every detail. For example, suppose there is no decision to honor the organizational policy regarding an employee’s unacceptable behavior or action. In that case, the inappropriate behavior or activity is then condoned or perceived as acceptable and may occur again. Nurse leaders’ decisions drive actions!

Using the readings for the week, the South University Online Library, and the Internet, respond to the following:

Describe the importance of making data-driven decisions.

Explain a decision your current or former nurse leader made and how this decision impacted the healthcare organization.

As a nurse leader, you have received information about an executive administrative decision from the board of trustees that you believe is likely to be unpopular. Formulate a plan to share this decision with the nursing staff. NSG 6620 Week 8 Discussions 1 and 2 Latest SU

Comment on the postings of at least two peers.

NSG 811 Population Health and Epidemiology Week 6-7

Module 4: Epidemiology Methods and Measurements: Part II  (Cupp Curley Ch 4);

Applying Evidence at the Population Level  (Cupp Curley Ch 5)

Using Informatics Technology to Improve Population Outcomes (Cupp Curley Ch 6)

Epi-Assessing the Validity and Reliability of Diagnostic and Screening Tests (Gordis Ch 5)

Epidemiology-Natural History of Disease: Ways of Expressing Prognosis (Gordis Ch 6)

2 Week Module – Feb. 28 – March 6

Module Objectives:

1. The student will identify and locate appropriate population-focused sources of data and resources available to HCP. (CO 1,2,3,6)
2. The student will utilize epidemiological methods to determine and apply data of populations including cultural and psychosocial aspects relevant to natural history of disease and survival over time. (CO 1,2)
3. The student will utilize, apply, and evaluate a variety of epidemiological methods with health conditions in problem-solving current health status of the population. (CO 1,2,3)
4. The student will further explore more epidemiological methods for use in evaluating the health of populations and translating this evidence into change in clinical practice. (CO 1)

The student will compute and interpret epidemiologic problems and apply to population-based health strategies and/or outcomes.                                      CO: Course Objectives

Required Readings:

• Cupp Curley and Vitale, Ch 4, 5, 6
• Gordis Ch 5 & 6
• Review Gordis Ch 1-3 for Epi Quiz 1. Wednesday, Feb 24 and open from 11:00 AM CST- closes at 11:45 pm CST

Materials-Review:

• Powerpoint Lecture
• Search EBP articles for application of population and topic
• Link to Websites and Full Text Databases of Interest on USM Library Site
• National Clearinghouse/Clinical Practice Guidelines and other Resources Cupp Curley pgs.151-153
• Online Discussion Forum posting and response to another student

From Cupp Curley:

• Review and Consider: Read and Review Concepts of Ch 4-5-6

Epidemiology Methods and Measurements in Population-based Nursing-Part II

Discussion 2

To Discussions-USE Headings with your post.

(A) Post your population of interest while in this course (this may have changed-list).

(B) Explore the literature and evidence. List at least two (2) possible interventions from the literature (article) for your population of interest. This search can be USM Library, GoogleScholar, CDC, data base, state or federal sponsored agencies (HRSA, SAMSHA, other), and/or the informational resources  in Ch 6. Cite source(s).

(C) Report how will you evaluate these interventions-what measures could you report? (Epi Methods).

(D) Propose 2 PICO(T) questions p 110-114) for a population-focused study. Use format of PICOT and address each (Population, Intervention, Comparison, Outcome, Time). Second PICOT should be

addressing another aspect of the care or needs of this population or for another group or participants who care or interact with this population (think of this as an alternate).

Examples: Population: A. Children ages X-X or B. Parents or caregivers of the children or C. Nurses who care for Children ages X to X

Examples: Intervention: A. Tolerance to new exercise program post-surgery for X or B.  Knowledge gap in home care for the child with X or Nurses knowledge/or need for current education of X with children.

Now put the PICOT together in this order in a sentence. Let’s collaborate for clarity with PICOT.

(E) What type of data would you need to collect (remember your outcomes)? Locate and post 1 source of this data (See Ch 6)

Note: you should begin to look for peer-reviewed journal articles on your topic and possible interventions for the populations (not blogs or editorials). Collect them in an online folder.

(F) With one of the PICOT questions listed above, discuss how you can control selection bias (p 89-90)

(G) Offer an explanation to non-nursing person about these terms: validity and reliability in your field.

(H) Include your citations.

Submit all in 1 Discussion Post with A-H Headings used and responses to each.

Posting of Discussions of posted questions on Canvas and responses to at least 2 other students. Primary post should be done by Thursday of 2nd week of module. First response to 2 other students due by Thursday night (prefer Tuesday 2nd week) module due date.  Cite Source(s).   (Discussion/Response)

Submission from Gordis in Assignments: 

• Gordis Problems CH 5 & 6 as listed below. See instructions.

From Gordis: Review Appendix 1 to Ch 5-p 119-120—For Later

• Gordis Problems: Ch 5 Problems 1-8.

1. Provide the correct answer for these problems 1-8
2. Show your math on Problems #: 1-3, 6-7
3. Provide an explanation or rationale for each of your answers
4. Provide the page number of concepts reference in text

• Gordis Problems: Ch 6 Complete Problem 1 and Review Problems 2-5 for content.

1. Provide the correct answer for Problem #1
2. Show your math on Problem #: 1
3. Provide an explanation or rationale for each of your answers
4. Provide the page number of concepts reference in text

• Gordis Ch 6 – Natural History of Disease or Survival Data

1. Locate and appropriate article or report within the last 6 years related to natural history of disease, survival data, or or data noted in Gordis Ch 6.
2. Report: Focus, Population, Outcomes, what you have learned related to the texts concepts.
3. Consider bookmarking this course for later use.
4. Post with your Gordis Chapter problems to Canvas Assignments.

Submit all in 1 Assignment Post-Gordis Ch 5, Gordis Ch 6, Response to article or report Ch 6

Make Plans for your Epidemiology Quiz 1-Wed., Feb 24 openings at 11:00 am CST and closes at 11:45 pm CST

Cupp Curley Discussion Rubric:  (Post to Discussions followed by at least 2 Responses)

Cupp Curley Chapters 4, 5, 6-Use Headings

Post assignment to Discussion Board followed by 2 responses

CompletedNot Done(A) Post your population of interest5 points0(B) From Literature & Evidence. List at least two (2) possible interventions15 points0(C) Report how will you evaluate these interventions-what measures could you report?10 points0(D) Propose 2 PICO(T) questions for a population-focused study. Use format of PICOT20 points

10 points x 2

0(E) What type of data would you need to collect (remember your outcomes)? Locate and post 1 source of this data10 points0(F) With one of the PICOT questions listed above, discuss how you can control selection bias 10 points0(G) Offer an explanation to non-nursing person about these terms: validity and reliability in your field.10 points0(H) Respond to at least 2 other class members with meaningful post by due date10 points

(5 pts x 2-each)

0(I) Include APA Citations and Use of Heading for parts of questions.10 points

(5 pts x 2-each)

0On time submission-late assignment receive -5 points per day late x 2 days and then no further points received.0 points

On time

-5 points per day 100 pointstbd

Gordis Rubric:    (Submit to Assignments)

CH 5 Problems 1-8 and Ch 6 Problem 1Complete Ch 5-All 1-8 problems correctly-showing your work16 points

(2 pts x 8)

Not Done =  0In the 1-8 problems in chapter 5—

-offer rationale why each choice is correct or incorrect.

16 points

(2 pts x 8)

0In the 8 problems in chapter 5—

-included page number in text connected with content.

8 points

(1 pts x 8)

0Complete Ch 6-Only Problem 1 correctly-showing your work5 points0In the 1 problem in chapter 6—

-included page number in text connected with content.

1 point0Gordis Ch 6 Rubric:    (Submit to Assignments)

Natural History of Disease or Survival Data

Locate and appropriate article related to natural history of disease or survival data.10 pointsNot Done =  0Report: Focus8 points0Report: Population8 points0Report: Outcomes8 points0Report: What you have learned10 points0Include APA Citations and Use of Heading for parts of questions.10 points

(5 pts x 2-each)

0On time submission-late assignment receive -5 points per day late x 2 days and then no further points received.0 points0Submit to Assignments.100 pointstbd

NSG6103 BSN Program and Curriculum Reviews

NSG6103 BSN Program and Curriculum Reviews

• You mentioned curriculum reviews. How would you assess if the textbooks for courses are adequate or need changing?
• What criteria would you use in selecting textbooks for the program? This is a timely question since everyone will choose textbooks for their BSN program assignment.
• This is the question from my teacher?

https://nursingbay.com/wp-content/uploads/2021/10/Download.mp4

ORDER THROUGH BOUTESSAY

NSG6103 BSN Program and Curriculum Reviews Instructions

Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. 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. It is better to let your essay run over the recommended number of pages than to try to compress 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 the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the
• Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

• Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
• Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

NU 650-7 Financial management of Healthcare Organization

The healthcare sector in the United States has been facing challenges triggered by the high costs of healthcare and quality issues. The United States has one of the most expensive healthcare systems in the world as compared to other developed countries such as the United Kingdom. Hospitals across the nation have been facing reduced revenues and increased costs of operation due to the increase in labor costs influenced by inflation rates. Healthcare organizations have responded by implementing financial management strategies aimed at reducing operating costs and enhancing operational efficiency without reducing the quality of healthcare offered to the public (Dong, 2015).

The Medicare Payment Policy introduced incentives to be paid to healthcare organizations across the nation based on value-based purchasing (Canady, 2015). The introduction of different strategies and federal government policies is an indication that financial management in healthcare is crucial for normal operations and the existence of the organizations. This paper provides an analysis of financial management in the Miami University Hospital. It includes the current economic status of the facility, value-based purchasing, sustainability, and financial management in the acute care unit.

Healthcare Economics of the Organization

The Miami University hospital has been ranked among the top four best-performing healthcare organizations in Florida. The organization has witnessed a gradual increase in its revenue over the last six years due to constant changes in healthcare delivery and the adoption of effective networking strategies. The healthcare organization recorded an increase in revenue to over $217 in the 2018 and 2019 financial year. It recorded an increase in net income in the first months of 2019, reaching about $54 million, which was a 365% increase compared to the previous years. Current economic reports show that the organization has experienced about 27% decrease in operating income. The increase in revenue over the last two years in the Miami University Hospital is attributed to return on investment. The organization increased its investment in modern technological systems, including modern surgical equipment, information system, and laboratory equipment (Miami University Hospital, 2019).

The Miami University Hospital experienced an increase in operating costs by about 10% in 2019 due to the increased medical and surgical supplies. The investment in additional medical and surgical supplies is due to an increase in the number of patients seeking treatment in the organization. The customer portfolio has increased at a significant rate in the organization due to the provision of quality services to the community. Despite the dramatic changes in healthcare economies across the United States, the organization has successfully managed to stay in the market. The current economic achievements in the organization are attributed to effective planning and resource allocation towards the services that are required by the community (Miami University Hospital, 2019).

Value-based Purchasing

The University of Miami Hospital has implemented strategies to enhance quality patient care and safety across all units without having to increase the costs of healthcare services. The organization provides one of the high-quality patient care services across as compared to other organizations. The Miami University Hospital was ranked among the best performing hospitals in the nation due to its quality services in different specialties, including gynecology, cardiology and heart surgery, and nephrology. The organization has invested in the implementation of modern technology for the diagnosis and treatment of cancer. Breast cancer diagnosis and treatment using evidence-based interventions have been improved in the organization. The Miami University Hospital offers quality MRI and radiotherapy services to outpatient cancer patients, which has enhanced easy access to quality cancer treatment in the community (Miami University Hospital, 2019).

The Miami University Hospital has invested in modern technology to enhance quality and safe care to patients with complex chronic conditions. Nuclear medicine, which involves the use of radiological systems to diagnose and treat disease, is well developed in the organization. Cancer patients have increasingly preferred the organization for early screening and treatment. The nephrology unit is another value-based investment in the organization, offering the community quality services at an average cost. Medicare and other private health insurance, including Sunshine Ambetter, Molina Marketplace, and Aetna Um employee have contracted the Miami University Hospital to promote quality access to healthcare by their customers (UHealth, 2020). The insurance plans have realized the difference between the organization and other facilities in the provision of specialized treatments for chronic diseases. Private health insurance plans in Florida are attracted by the affordability of healthcare services to prevent losses. As such, the Miami University Hospital has provided an alternative for the insurance companies to provide quality and safe healthcare services to patients.

The Miami University Hospital offers quality and safe care to patients with different conditions at an affordable price. As a private facility, it has balanced profits and quality patient care. The organization has invested in the recruitment of nurses to meet patient needs through an appropriate nurse to patient ratio. It has continued to hire employees and the procurement of equipment without changes to downscale the number of staff in each unit, as observed in other private facilities in the United States (UHealth, 2020).

Financial Stability of the Organization

The Miami University Hospital has implanted appropriate strategies to enhance its financial stability despite the fluctuations in the healthcare sector. The organization recorded a deficit in revenue of about $94.5 million in 2017 due to high expenses triggered by the labor costs. The organization witnessed financial issues early in 2016, which resulted from low admission rates. However, the organization bounced back within one year. The organization posted an increase in profit in 2018 and 2019 by over $217 million, which shows its capabilities to regain after a financial challenge (Miami University Hospital, 2019). The organization invested in the refurbishing of the facility in 2018 with modern operating rooms, laboratory equipment, and recruitment of additional employees to work in the cancer center. The organization’s expenses have increased gradually with a correlation to the patient population seeking healthcare in the organization. The allocation of resources for the right projects in the organization has enhanced its financial stability. The growing profit margins over the past years shows that the Miami University Hospital will record an increase in profit by about three times the 2019 profits this year despite the current COVID-19 pandemic.

The organization injected $110 million into the development of the cancer center to accommodate the growing number of cancer patients. The outpatient services are offered without changes in the structure of the facility, which has reduced expenses. The Miami University Hospital is part of the UHealth network in Miami, which allowed the organization to integrate its electronic health record system to facilitate the easy sharing of patient information without extra costs. The organization’s profit and loss projection shows a positive long-term growth due to its financial stability (UHealth, 2020).

Management and Contribution of the Unit

The organization’s management has initiated appropriate strategies to increase revenue and reduce labor costs across all units. The acute care unit in the organization plays a critical role in the organization’s financial stability. The management initiated the expansion of the acute care by increasing the number of beds to accommodate more patients at once. The unit recently increased the number of acute care beds by 20%, which has contributed to the increase in revenue. Proper management of financial resources through the allocation of funds for modern operating room equipment has enabled the organization to attend to many patients at once. The admission rate has significantly increased over the last two years, with an average daily census of 400 as compared to 322 in 2017 (UHealth, 2020). Financial stability in the organization is an important aspect that has received the attention of every unit to restructure workflow.

The organization’s management has realized the importance of reducing labor costs by hiring nurses on contract basis. The organization hires nurses on a travel basis where the nursing shortage is filled by non-permanent nursing staff from other agencies. The use of travel nurses has enhanced quality care to the acute care patients while reducing labor costs in the organization. The travel nurses are not provided with health insurance by the facility. They are also hired based on the arising need to prevent costs incurred when nurses are hired on a permanent basis. Travel nurses have been useful during the COVID-19 period as many patients seeking care for disease complications can access quality care. The organization’s investment in electronic health records to facilitate easy access to patient data and real-time retrieval by nursing staff has promoted patient safety in acute care, which reduces readmission rates to prevent Medicare penalties (UHealth, 2020).

References

• Canady, V. A. (2015). Value-based payment models to improve care, lower costs gaining traction. Mental Health Weekly, 25(9), 1-7. https://doi.org/10.1002/mhw.30093
• Center for Medicaid and Medicare:
• https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Hospital-Value-Based-Purchasing-.html (Links to an external site.)
• Dong, G. N. (2015). undefined. BMC Health Services Research, 15(1). https://doi.org/10.1186/s12913-015-0690-x
• Miami University Hospital. (2019). Department of medicine annual report 2019. Issuu. https://issuu.com/universityofmiamidom/docs/department_of_medicine_annual_report_2019
• UHealth. (2020). Contracted insurance plans. University of Miami Health System | South Florida Health Care Leaders | University of Miami Health System. https://umiamihealth.org/en/medical-professionals/contracted-insurance-plans
• UHealth. (2020). UHealth tower. University of Miami Health System | South Florida Health Care Leaders | University of Miami Health System. https://umiamihealth.org/en/locations/uhealth-tower

Prepare a written review of a unit within your organization and the management of financial resources by the unit.

Include the following:

• Provide an overview of the healthcare economics of the organization, value-based purchasing relevance to patient care, and the financial stability of the organization.
• Compare the management and contribution of financial resources/practices and stability of the unit.
• Support statements and assessments with professional references.
• A minimum of four scholarly, peer-reviewed, professional literature is required. Articles must be within the last five years.
• Written paper, 12-point font, APA format with 6-page limit (not including title page or references).

 

Herzing NU621 Unit 8 Reflection Paper

NU621 Unit 8 Reflection Paper

NU621 Advanced Pathophysiology

Unit 8 Discussion

Reflection

Please respond to the following questions based on these course objectives:

• Integrate nursing and related sciences into the delivery of advanced nursing care to diverse populations. (AACNI.1)
• Incorporate current and emerging genetic/genomic evidence in providing advanced nursing care to individuals, families, and communities while accounting for patient values and clinical judgment. (AACN I.2)
• Compare normal anatomy and physiology to alterations in function and regulation of body organs and systems in response to stressors. (AACN I.1)
• Please answer the following questions with supporting examples and full explanations.
• For each of the learning objectives, provide an analysis of how the course supported each objective.
• Explain how the material learned in this course, based upon the objectives, will be applicable to professional application.
• Provide evidence (citations and references) to support your statements and opinions. Responses to these questions are due by Tuesday at midnight.

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Also Read:

CIS 502 SU Theories of Security Incident Detection Precursors & Indicators Discussion

Subsystem: Safety & Transportation Paper

DQ: Determine how violating health regulations and laws

IDS 400 The Four General Education Lenses

Instructions for NU621 Unit 8 Reflection Paper

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 on your part, 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 it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes NU621 Unit 8 Reflection Paper.

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. It is better to let your essay run over the recommended number of pages than to try to compress 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. NU621 Unit 8 Reflection Paper

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting a hard copy, be sure to 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.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. NU621 Unit 8 Reflection Paper
• One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. NU621 Unit 8 Reflection Paper

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud, for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
  I highly recommend using the APA Publication Manual, 6th edition. NU621 Unit 8 Reflection Paper

Use of Direct Quotes

• I discourage the overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source. NU621 Unit 8 Reflection Paper

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report, and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. NU621 Unit 8 Reflection Paper

Late Policy

• The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. NU621 Unit 8 Reflection Paper
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

• Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. NU621 Unit 8 Reflection Paper
• Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Applying Duck’s Change Curve Model NUR699

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POST HSV 400 discussions

NUR 4775  Applications in Evidence-Based Practice for BSNs Chapter 12-14 Quiz

NUR 4775  Applications in Evidence-Based Practice for BSNs Chapter 12-14 Quiz

NUR 4775  Applications in Evidence-Based Practice for BSNs

Chapter 12-14 Quiz

Question 1

Which statement best describes a population?

1. Trauma clients hospitalized in an intensive care unit during January 2010
2. Four hundred nurses selected from a membership list of American Nurses’ Association (ANA) members
3. Members of a cult identified by other members of the same cult
4. Members of families of clients undergoing surgery, sitting in the waiting room of St. Francis Hospital

Answer: Trauma clients hospitalized in an intensive care unit during January 2010

This statement describes a population because it describes a complete set of persons that possess a common characteristic (i.e., clients who have experienced trauma requiring hospitalization in an intensive care unit).

ORDER COMPREHENSIVE NUR 4775 SOLUTIONS NOW

Question 2

Which sampling method would be most practical and provide the most reliable data to study the ethical conflicts experienced by registered nurses who work in city, county, and federal prisons?

1. Simple random sampling
2. Cluster random sampling
3. Quota sampling
4. Purposive sampling

Answer: Cluster random sampling

Cluster random sampling would be the most practical and yield the most reliable data because systematic selection of location for participants will improve reliability of data, and because the volume and locations of city, county, and federal prisons presents an impractical, expensive, and time-consuming approach.

Question 3

The study design proposes advertising in the local newspaper to attract subjects for a study. The subjects would be paid $75 for their participation in the study. How should the nurse interpret this plan?

1. It is not ethical to reimburse study subjects for participation.
2. The reimbursement offered is not enough to attract subjects.
3. The results of this study may not be generalizable.
4. Most studies do not have sufficient funding to use this design.

Answer: The results of this study may not be generalizable.

When subjects are drawn into a study for a specific reason, the results are not generalizable to other groups.

Question 4

A researcher asks another nurse to use a study instrument to score a questionnaire completed by study participants. The researcher has previously used the instrument to score the questionnaire and will compare the two results. Which type of reliability is this researcher trying to establish?

1. Homogeneity
2. Internal consistency
3. Equivalence
4. Stability

Answer: Stability

Stability measures the consistency of a measurement over time.

Question 5

According to the research report, the nurse researcher tested a study instrument’s validity using the technique of factor analysis. What other test could the researcher have used to test the same type of validity?

1. Scale homogeneity
2. Known-groups procedure
3. Interrater
4. Test-retest

Answer: Known-groups procedure

Factor analysis and know-groups procedure both test construct validity.

Question 6

A study was conducted to evaluate shivering in the post-operative patient. The study measures subjects’ weight in pounds and temperature in centigrade degrees. What should the reader consider about the level of measurement of these two parameters?

1. Additional information is needed before any determination of level of measurement can be made.
2. Temperature is measured at the ratio level.
3. Weight is usually considered to be measured at the ratio level.
4. Both of these measurements are at the interval level.

Answer: Weight is usually considered to be measured at the ratio level.

Weight is generally considered to be measured at the ratio level, which is the highest level of measurement. Ratio level of measurement includes data that can be categorized and ranked; in addition, the distance between ranks can be specified, and a “true” or natural zero point can be identified.

Question 7

A question asks subjects to respond to the following statement: “The nursing care I received during my hospital stay considered my needs as an individual.” They were asked to identify, on a five-point scale, the degree to which they agreed or disagreed with the statement. This is an example of which scale?

1. Semantic differential scale
2. Sort scale
3. Likert scale
4. Visual analog scale

Answer: Likert scale

A Likert scale is a five-point to seven-point scale on which respondents are asked to indicate the extent/degree to which they agree or disagree with a neutrally worded statement.

Question 8

The nurse educator is reading a published study conducted to collect data on the process by which student nurses are evaluated during a clinical rotation. Which data collection method would this educator recognize as appropriate for this study?

1. Q sort
2. Questionnaire
3. Observation
4. Interview

Answer: Questionnaire

A questionnaire would be the best way to collect the data because the data are sensitive in nature and a questionnaire would allow the data to be collected in a way that the subjects are anonymous.

Question 9

Which question is correctly stated for use in a research study questionnaire?

1. Do you believe that being fat is an illness?
2. Do you generally eat breakfast?
3. What are you least likely to purchase, medicine or food?
4. Where do you plan to work after graduation?

Answer: Where do you plan to work after graduation?

This question is straightforward, easily understandable, and is open-ended.

Question 10

A nurse researcher is trying to decide on the best method of data collection in a study. What is the advantage of an interview over a questionnaire as a method of data collection in a study?

1. They are less time-consuming.
2. In-depth responses can be obtained
3. There is less bias
4. The response rate is low

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and the ways worldview and nursing the01y influence that practice .

Draft a 1