Identify your selected healthcare concern in your city or state that needs your advocacy with an elected official.
What is the Impetus and rationale for your selection? What is your solution to this concern?
Describe the model of policy making that you feel would be best applied to your policy concern and the rationale for selecting this model.
Accreditations discussion post
What is the nurse educator's role in helping academic organizations achieve and maintain accreditation status? Give examples. Provide APA reference.
Got Plans/Ideas to Maintain Clinical Practice?
What are your plans/ideas to maintain your clinical practice role as you begin your role as nursing faculty (undergraduate or graduate faculty)?
Include Pragmatic plans/ideas. You may want to interview another nurse faculty who works in both roles as this week’s citation. See APA Manual 7th (8.9) on how to cite “personal communication.”
See AACN Essentials 2021: Clinical expectations>Clinical sites (p. 20-21) AACN 2021 Essentials>Clinical expectations p. 20 (Links to an external site.)
See book by Roy, C., & Jones, D. A. (2007). Nursing Knowledge Development and Clinical Practice, Nursing Philosophy, 9(4), 279-80.
Critical reflection that includes a gap analysis that demonstrates achievement of the standards required for entry to the register in NMC Domain 4; Leadership, management and teamwork
You should include the gap analysis pro-forma diagram to provide a visual representation of your current level of attainment in practice for each competency within Domain
The submission of the gap analysis pro-forma is a required element of this assignment.
For each competency you should be reflective about your personal perspectives in relation to your current level of attainment. You should use and integrate evidence from your Practice Assessment document presented as direct quotes from across your placement experiences.
Evidence might include; feedback from a mentor(s), feedback from service users, feedback from healthcare professionals you have worked within in spoke placements, your essential care reflections, your placement reflections, your end of year review feedback and module feedback.
Ensure that any evidence is anonymised in accordance with the NMC Code (2018)
You should also make reference to any relevant NMC standard
You should state your chosen competency and provide a rationale for your choice. It may be that your rationale is linked to your findings in your gap analysis.
You should be clear about what elements of the competency you will be focusing on within your discussion. You could consider using subheadings to provide a framework for the analysis.
You should integrate and apply evidence and literature to underpin your discussion. This could include literature and self assessment tools drawn from the Module lectures and seminars.
In this section you should also discuss the impact of the literature and evidence on nursing practice more widely as well as on your own practice.critical reflection that includes a gap analysis that demonstrates achievement of the standards required for entry to the register in NMC Domain 4; Leadership, management and teamwork
It is essential that you critically appraise the literature and the evidence that you include in your discussion so that there is reference to the quality of the evidence base as this will enhance your ability to build the critical argument, required at level 7
Your action plan should be presented as SMART objectives in relation to all competencies but specifically in relation to your chosen competency in domain 4.
You need to ensure that your objectives emerge from your discussion and that you provide a detailed summary of how you will achieve your objectives in practice as this is required at level 7.
Assignment
Answer the following questions with evidence-based research: (This Discussion Board requires a citation and references for initial post in order to receive credit).
1. Identify 3 “aha’s” as you have progressed through the RN-BSN program.
2. What are your thoughts now regarding the role of the professional nurse?
3. How will you integrate related cultural and/or spiritual aspects into your role as a professional nurse?
Leadership Styles and Nursing
This is a Collaborative Learning Community (CLC) assignment. (PLZ WRITE THE PAPER FROM VARIED PERSPECTIVES)
The purpose of this assignment is to assess leadership styles, traits, and practices as a nursing professional, establish the importance of effective interprofessional communication as a leader in nursing, and to explore the role of servant leadership in nursing practice.
Read the study materials on leadership and complete the topic quiz activities to better understand your leadership qualities.
Upon completion, summarize and share with your group what you learned about your specific leadership qualities, so you can become familiar with how you are similar and different from your peers when it comes to being a leader.
As a group, review the study materials related to servant leadership. Using what you have learned about the tenets of servant leadership and traits and practices of successful leaders, create a 12-15 slide PowerPoint presentation with speaker notes. Add an additional slide for references at the end of your presentation.
Include the following in your presentation:
1. Each group member: Create a slide that summarizes your leadership style, traits, and practices.
2. Compare the personal leadership styles of your group members, including commonalities between group members’ strengths and weaknesses.
3. Explain why it is important for nursing professionals to be aware of their personal leadership style, traits, and practices.
4. Discuss what leadership traits and styles are necessary to be an effective communicator. Explain the importance of leaders adapting communication approaches when working inter-professionally (across ancillary departments, vendors, community members).
5. Discuss how nursing professionals can benefit from integrating the tenets of servant leadership to empower and influence others as they lead.
6. Discuss how leaders who practice servant leadership and have a strong understanding of their personal leadership traits can successfully lead others and navigate the unique challenges that are part of nursing and health care.
Provide two examples that illustrate your main ideas.
You are required to cite to a minimum of five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. (Access with my Login-in Information to access document )
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Leadership Theory
: Leadership Theory: Application to Advanced Nursing Practice
No unread replies.No replies.
Consider the leadership theories and styles that have been addressed during Week 1, as well as their value to advanced nursing practice. Reflect upon your current leadership roles within the profession and respond to the following.
Select one leadership Theory or style that aligns with your personal philosophy and leadership stance.
Explain the selected theory or style, and discuss how it can be applied in your future MSN role.
Discuss your current leadership roles (formal and informal), and describe the formal and informal leadership roles that you will have in your area of advanced nursing practice.
In your future MSN role, what are the implications of your leadership for individuals, teams, organizations, and communities?
Include current, peer-reviewed scholarly support (outside of class resources) to validate your work.
Social Determinants of health
Incorporate what you have learned from last week’s content on Social Determinants of health and this week’s article by Persad and the talk by Dr. Shand to discuss how to allocate scarce resources in a pandemic ( particularly ventilators) and blood products).
Should any group receive privileged status ( children, pregnant women, health care workers, etc?
If so , how should they be privileged and WHY? Or should No ONE receive special privilege?
Are there social determinants factors in the URMC region that should be taken into account when planning a just response to scarce resources?
Describe your reasoning using ethical and policy concepts from the readings and the lecture content.
Theoretical Perspectives Peer Presentation Review Checklist Template Criteria No.
Checklist Check the boxes 1 Does the presentation include all the specified components?
• A brief overview of the theorist’s background
• Discussion of the theorist’s view of the four basic Metaparadigms and two concepts unique to the theory
• Basic theoretical assertions or propositions
• An analysis and a critique of the model with a focus on elaboration of the theory’s implications for nursing practice, nursing education, and nursing research
2 Does the presentation demonstrate focused research effort and good writing ability?
3 Does the presentation reflect an understanding of theory?
4 Is the presentation comprehensive?
5 Does the presentation reveal any content gaps?
6 Does the presentation effectively compile the specified packet of materials?
7 Does the posted packet include handouts, such as charts, diagrams, or definitions, which facilitate understanding of the presentation and the theory?
8 Is the presentation style impressive?
9 Does the presentation reflect organization and clarity?
10 Was the presentation submitted on time, and with correct spelling and grammar?
11 Does the presentation exhibit consistent and accurate adherence to APA standards?
12 Did the presenter have effective communication skills?
Page 1 of 1 © 2006 South University
System Jenna Simpson, 24 years old Suggested GI/GUNursing Assessment Skills
Demonstrated: GI/GU:Inspection:skin (coloration, vascularity, striae, scars, lesions, rashes)
•Contour –(flat, rounded, scaphoid, protuberant/distended)
•Umbilicus –contour•Symmetry (relaxed, supine position)
•Abdominal movement during breathing
•Aortic pulsationsAuscultation: (completed before palpation/percussion to not alter bowel sounds)
•Bowel sounds –1 minute per quadrant up to 5 minutes with the diaphragm
•Intensity, pitch, frequency
•Vascular sounds –listen for bruits with bell. Percussion:
•Percuss for tonein a systematic fashion to all quadrants•Percuss liver span
•Dull percussion to liver and kidney (costovertebral angle –12thrib)
•Tympany to other parts of the abdomenPalpation:
•Light palpation to all quadrants –1 to 2 cm to detect tenderness•Deep palpation to all quadrants –5 to 6 cm for masses (location, size, shape, pulsatility, mobility, tenderness)
•Palpate bladder-light palpation ONLY; you only want to assess to see if it is distended•Palpate liver
•Palpate spleen•PalpatekidneysMake Learning Active!
•Role play or go through the interview/body assessment process –student to student or as a group
.•Review the case study as an application exercise in small groups or together as a class
. •Depending on your program,some content in the case study may not have been taught. Do not let that prevent you from utilizing this case study! Use it to promotelearning by having students identify what they do not yet know and guidewhere they can find the information in the textbook or on the internet to address knowledge gaps. Thisis educational best practice and another way to scaffold knowledge!
© 2019Keith Rischer/www.KeithRN.comPresent Problem:Jenna Simpson is a 24-year-old Caucasian femalewho weighs 210 pounds (95.5 kg-BMI of 36.5)who presents to the emergency departmentwith sudden onset of sharp pain inthe right side of herlower back that radiates tothe right sideof her abdomenand into her groin.
The pain started tenhours ago, but lasted only 15 minutes and then went away. She took ibuprofen 600 mg PO an hour ago but has not helped,andthe pain persists.
She statesthat this pain is different than when she has epigastric pain because of gastroesophageal reflux disease (GERD).
She feels nauseated but has not vomited. Jenna appears uncomfortable and pleads with the triage nurse, “do something to get rid of this pain!
What is wrong with me?
”What data from the present problemare RELEVANT and must be interpreted as clinically significant by the nurse?
(Reduction of Risk Potential)RELEVANT Data from Present Problem:
Clinical Significance:What is the RELATIONSHIP of your patient’s past medical history (PMH) and current meds?
(Which medication treats which condition? Draw lines to connect.)PMH:Home Meds:Pharm.
Class:Mechanism of Action (own words):AnxietyGastroesophageal reflux disease (GERD)Alprazolam 0.5 mg PO every 8 hours PRNPantoprazole 10 mg PO BIDPatient Care Begins:What vital signs are abnormal?
What is thereason(pathophysiology) for these findings?
(Reduction of Risk Potential/Health Promotion and Maintenance)AbnormalVS:Clinical Significance:Current VS:P-Q-R-S-T Pain Assessment:T: 98.9 F/37.2 C(oral)Provoking/Palliative:Nothing changes the levelof painP:92(regular)Quality:Sharp, severeR: 28(regular)Region/Radiation:
Right back/flank that radiates into RLQ and groinBP:148/84Severity:10/10O2 sat:99% room airTiming:Constant the past hourJenna is quickly brought to a room.
Youare the nurse andquickly collect the following assessment data:
© 2019Keith Rischer/www.KeithRN.
What assessment findings are abnormal? Whatis thereason (pathophysiology) for these findings?
(Reduction of Risk Potential/Health Promotion & Maintenance)RELEVANT Assessment Data:Clinical Significance:
Put it All Together and Think Like a Nurse!1.Interpreting relevant clinical data, what is the most likely primary problem?
What body system(s) will you assess most thoroughly based on the primary/priority concern?
What’s the problem?What’s causing the problem?(explain pathophysiology in OWN words)PRIORITY Body Systemto Assess:Current
Assessment:GENERAL APPEARANCE:Obesefemaleissitting upright in bed.Alert, oriented, , in moderate distress, dress appropriate for the season, hygiene and grooming normalfor age and gender, anxious, body tense, +grimacing, appears to be uncomfortable.
RESP:Breath sounds clear on inspiration and expiration in all lobes anteriorly, posteriorly, and laterally,with equalaeration bilaterally ant/post, nonlabored respiratory effortwith + tachypneic.Posture erect, sitting in bed, in moderate distress, on room air, AP diameter 1:2, symmetryof the thoracic cavity noted with inspiration and expirationCARDIAC:
Pink,warm & dry, no edema, heart sounds regular with no abnormal beats, pulses strong, equal with palpation at radial/pedal/post-tibial landmarks, briskcap refill, carotid pulse 3+ and regular bilaterally. Heart tones audible and regular, S1 and S2,noted over the 5cardiac landmarkswith no abnormal beats or murmurs. No JVD noted at 30-45 degrees.
NEURO: Alert & oriented to person, place, time, and situation (x4); muscle strength 5/5 in both upper and lower extremities bilaterally.
GI:Abdomen flat, soft, bowel sounds audible per auscultation in all four quadrants, nontenderto gentle palpation in all four quadrantsGU:Voiding without difficulty, dark amber/rustycolor with recentvoid to collect urinespecimen
INTEGUMENTARY: Skin warm, dry, intact, normal color for ethnicity. No clubbing of nails, cap refill <3 seconds.Hair short, brown, soft. Hair distribution normalfor age and gender. Skin integrity intact, skin turgor elastic, no tenting present © 2019Keith Rischer/www.KeithRN.com2.Which specific nursing assessments for this body system are most important?
Validate successful completion of each nursing assessment on a manikin (if available) identified with peer or faculty initials.
PRIORITY Nursing Assessments:
Rationale:Validate Student Performance:
3.What is the current nursing priorityand plan of care? Nursing PRIORITY:PRIORITY Nursing Interventions:Rationale:Expected Outcome:
4.State the rationale and expected outcomes for the medical plan of care. Medical Management:Rationale:Expected Outcome:Establish peripheral IVHydromorphone 1 mg IVPKetorolac 15 mg IVPOndansetron 4 mg IVPRadiology Reports:
What diagnosticresults are RELEVANT and must be interpreted as clinically significant by the nurse?
(Reduction of Risk Potential/Physiologic Adaptation)Radiology: CT PelvisResults:Clinical Significance:4 mm stone in the distal right ureter © 2019Keith Rischer/www.KeithRN.comLab Results: Urinalysis + UA MicroColor:Clarity:Sp.
What lab results are RELEVANT and must be recognized as clinically significant by the nurse?
(Reduction of Risk Potential/Physiologic Adaptation)RELEVANT Lab(s): Clinical Significance:Complete Blood Count (CBC)WBCHGBPLTs% NeutsBandsCurrent:10.214.2285720RELEVANT Lab(s)
: Clinical Significance:Evaluation: Thirty Minutes Later…Current VS:Most Recent:Current PQRST:T: T: 98.9 F/ 37.2 C(oral)Provoking/Palliative:P: P:92(regular)Quality:R: R: 28(regular)Region/Radiation:BP:
BP:148/84Severity:O2 sat:O2 sat:99% room airTiming:Evaluate the response to nursing and medical interventions.
All orders have been implemented.What would be the EXPECTED response inclinical data collected ifher pain and anxietyare decreased?
© 2019Keith Rischer/www.KeithRN.com1.What data is RELEVANT and must be interpreted as clinically significant by the nurse?
(Reduction ofRiskPotential/Health Promotion and Maintenance)RELEVANT VS Data:Clinical Significance:
TREND: Improve/Worsening/Stable
:RELEVANT Assessment
Data: Clinical Significance:
TREND: Improve/Worsening/
Stable:2.Has the status improved or not as expected to this point?
Does your nursing priority or plan of care need to be modified after this evaluation assessment?
(Management of Care, Physiological Adaptation)Evaluation of Current Status:Modifications to Current Plan of Care
:3.What did you learn that you can apply to future patients in yourcare? Reflect on your current strengths and weaknesses this case study identified.
What is your plan to make any weakness a future strength?
What Did You Learn?
What did you do well in this case study?
What could have been donebetter?
Current Assessment:GENERAL APPEARANCE:RESP:CARDIAC:NEURO:GI:GU:INTEGUMENTARY:
