NURS-6003N-39/NURS-6003C-39/NRSE-6003C-39-Foundations for Graduate Study-

IT IS A REPLY ONE PAGE -ONE REFERE  

Having an academic or a professional portfolio is essential to advance in nursing, a portfolio reflects a nurse’s skills and accomplishments. A portfolio consists of more than a resume or a curriculum vita it also reflects awards, CEU’s, and committees that one has participated during their nursing career. According to, Barnes (2018), there are 3 reasons to create a portfolio self-promotion, evidence of outcomes, and structure, and direction. Providing a well-organized portfolio is a blueprint of a nurse’s career for self-promotion of clinical advancements and competency improvements. One strategy I would use in my portfolio is adding any group projects that shows my ability to work and communicate with others. Teamwork is a huge part of healthcare and communicating with other healthcare disciplines is imperative for the quality of health care. Another strategy that I can implement is to keep an updated portfolio with the most recent documents readily available for employers due to nursing being competitive will set me apart from other applicants.

 
 

A few tips of keeping a professional portfolio

 
 

  • Put each continuing education certificate with the      corresponding course advertisement, objectives, and class handout, in a      clear plastic sheet protector.
  • Maintain the professional appearance of the document: neat,      organized, and complete. 
  • Edit, and spell check to eliminate typographical and      grammatical errorsNCE -PLEASE

100 Positive reply due tomorrow at 10 am

 

Leadership Theories in Practice

      There are many different theories and styles of leadership; however, every leader has their own unique style of leading (Marshall & Broome, 2017). With the continually changing nature of the healthcare industry, organizations must acquire and train good, strong leaders. Good leaders can make an enormous impact on an organization and will help to produce employees who give excellent patient care. The inverse is true, as well, in that bad leaders will produce those who provide poor patient care (Scully, 2015). This explains why it is imperative to choose positive leaders who will offer encouragement and produce an uplifting work environment (Scully, 2015). Another attribute of an excellent leader is one who is intellectually stimulating and encourages learning and growth (Collins et al., 2019). As medicine is continually evolving and new evidence-based practice is regularly published, nurses must continue their education and advance their skills. A good leader will encourage this. A great leader will also encourage the heart, which is especially important during difficult times (Marshall & Broome, 2017).

     I have worked with many leaders over the years, some exceptional, and others who often fell short. Among those leaders, one specifically stands out who embodied many essential qualities that a leader must possess. He was a very positive leader and was always there to offer encouragement when needed and was always sure to voice his appreciation and recognition. One of his most remarkable qualities was his vast knowledge and ability to teach in such a way that inspired you to want to learn more and work even harder to improve your skills and patient care. He practiced what he preached and led by example. He was always willing to offer help where it was needed. He was the embodiment of a transformational leader. His leadership skills were very effective and made a significant impact on our unit. If he made a mistake or fell short in a situation, he would always own up to it and encouraged his employees to offer feedback. When he left the organization, he left a hole in our unit that has yet to be filled, which is a sign of a great leader.

     For anyone who hopes to be in a leadership position in the future, immediate work must begin on leadership skills and styles. It is wise to look at the leaders around you and learn from their strengths and weaknesses. As a leader, it is important to recognize your weaknesses and work to improve those areas to be the best leader possible. There are many key attributes and characteristics that make a great leader. Many great leaders are positive and possess the ability to inspire and stimulate their employees to want to learn and grow (Collins et al., 2019), and should encourage the heart of their employees (Marshall & Broome, 2017).

References

Collins, E., Owen, P., Digan, J., & Dunn, F. (2019). Applying transformational leadership in nursing practice. Nursing Standard, 35(5), 59–66. https://doi.org/10.7748/ns.2019.e11408

Marshall, E., & Broome, M. E. (Eds.). (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). Springer Publishing Company.

Scully, N. (2015). Leadership in nursing: The importance of recognising inherent values and attributes to secure a positive future for the profession. Collegian, 22(4), 439–444. https://doi.org/10.1016/j.colegn.2014.09.004

Discussion Question

 1- Discussion question: You are taking care of an 80 African-American-year-old male patient in a medical-surgical unit who was hospitalized with congestive heart failure. He is being discharged with multiple medications and home health care. Describe the steps you would take to provide patient education including cultural considerations. 

2- 3 paragraphs of 3 sentences each

3- 2 references

4- APA Style

Thiateena

 

Your write up should contain  three well-developed paragraphs (450–500 words) using APA formatting, integrating two evidence-based resources to include clinical practice guidelines as well as the course textbook.

Read the scenario and answer the following questions:

Ophthalmic Disorders

V.S., age 12 Hispanic male, presents with a feeling that there is sand in his eye. He had a cold a week ago and woke up this morning with his left eye crusted with yellowish drainage. On physical examination, he has injected conjunctiva on the left side, no adenopathy, and no vision changes. His vision is 20/20. Fluorescein staining reveals no abrasion. He is allergic to sulfa.

Diagnosis: Conjunctivitis

  1. List specific goals of treatment for V.S.
  2. What drug therapy would you prescribe? Why?
  3. What are the parameters for monitoring the success of the therapy?
  4. Discuss the education you would give to the parents regarding drug therapy.
  5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
  6. What would be the choice for second-line therapy?
  7. What over-the-counter or alternative medications would be appropriate for V.S.?
  8. What dietary and lifestyle changes should be recommended for V.S.?
  9. Describe one or two drug–drug or drug–food interactions for the selected agent.

Textbook:

 Woo, Terri Moser and Robinson, Marylou V. (2020). Pharmacotherapeutics for Advanced Practice Nurse Prescribers. (5th ed.) Philadelphia, PA: F.A. Davis Company. 

Week 4 project capstone

Week 4 Project

In a Microsoft Word document of 4-5 pages formatted in APA style, complete the following assessments (as they pertain to your aggregate) by interviewing 2-3 members of your aggregate:

Please note that the title and reference pages should not be included in the total page count of your paper.

Describe the results of the assessments, including examples and support from journal articles, following the guidelines below:

Risk Assessment

  • How Environment was Assesse
  • How the Home was Assesse
  • How the Family was Assesse
  • Risk Assessment

Strengths and Weaknesses

  • Strengths of Community
  • Weaknesses of Community
  • Strengths of Aggregat
  • Weaknesses of Aggregate
  • Health Risks of Aggregate Identified

On a separate reference page, cite all sources using APA format.

Please use this reference. 

The assignment has to be on a patient with uncontrolled hypertension and cardiac issues  This patient was re admitted to the hospital (cardiac/telemetry unit) because of the on going Controlled hypertension And possible heart attack. 

COMPLIANCE

 

Compliance requirements can lead to significant losses in health care when fines or penalties are levied. Describe the challenges internal political environments and external political regulations have on human resource groups and their ability to ensure a health care organization can focus on patient-centered care. Provide supporting references for your response. PLEASE INCLUDE IN-TEXT CITATION AND REFERENCE

initial discussion

 How does a nurse know what (if any) knowledge in a research study is usable for clinical practice? What would a critical thinker look for in the evidence before deciding to change? What influence do credibility and clinical significance have on your decisions to integrate research-based evidence into your practice? 

two reference one paragraph response with incite citation 

one of your reference please use text book 

 Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett. 

NUR 504- Reply to ANN

  case 1 

  • 76-year-old Black/African-American male with disabilities living in an urban setting.
  • Adolescent Hispanic/Latino boy living in a middle-class suburb

Week 1 Discussion, Case Study 1

There are a few different interpersonal barriers to effective communication.  The first being a language barrier, English is a very complex language, we have many words that have multiple meanings, and many slang words.  This can be very confusing for patients that English is not their first language.  Psychological barriers can include being embarrassed, shy, cognitive issues, and mental disabilities.  Cultural barriers between patient and provider can cause strained relationships.  Some cultures find it offensive to maintain eye contact, while some find the simple touch as being offensive.  Environmental barriers should also be considered, these include noise, lack of privacy, and room being too hot or too cold.  Taking into consideration the physiological barriers that patient may have including hearing deficits and potential stress the patient may be under that would cause a patient to not understand what we are asking or teaching them.

Taking these barriers into consideration while caring for our 76 year old African-American man with disabilities living in an urban setting, we would be considering the type of disability the patient has.  The case study does not define this disability as physical or mental.  If the patient has a mental disability we would be up against the psychological barriers and would need to be cognizant of our approach with trying to navigate this barrier.  There is also a potential for a language barrier with this patient, while most African-Americans speak English, there is still the aspect of the slang words that can have different meanings based on culture, and there is a potential for cultural barriers to be present as the patient may have beliefs that differ from my own.

In caring for this patient, I would first explain to the patient exactly what I am going to be doing, and would show him the equipment that I will be using and explain what each item is for.  If the patient has mental disabilities, I would also demonstrate for him either on myself or another family member of the patients the procedures.  Building trust with the patient is the first item that needs to happen in order to provide this patient with the best possible care.

Caring for an adolescent Hispanic boy, we also have the potential for a language barrier.  This child may speak English as a second language and may have difficulty in interpreting what is being stated to him.  There may be psychological barriers, due to the patient being an adolescent male and myself being female.  The patient may be shy or uncomfortable speaking with a female healthcare professional.  There may be cultural barriers as well,  Hispanics are very tight-knit families, and can tend to be over-emotional.  Hispanics also tend to be more “touchy-feely”. 

In caring for this patient, I would also explain to him exactly what I am going to be doing.  I would also show him the equipment and would explain what each item is for.  I would allow him to hold the equipment, to allow him to see how it works.  Should this patient need a demonstration on another person, or a stuffed animal, I would provide this demonstration prior to performing the procedure on him.

“The most common approach for documenting a history and physical is the subjective data, objective data, assessment, and plan (SOAP) format” (Rhodes & Petersen, 2021). The subjective data includes patient identifiers, the chief complaint, history of present illness, past medical history, family history, social history, and the review of system.  The objective date includes the physical examination, and any diagnostic tests results that were completed.  The assessment portion has three categories, new diagnoses and any preexisting diagnoses, differential diagnoses, and a problem list.  The plan section is the final section, in this section the healthcare practitioner would lay out what the treatment plan is for the patient.  This would include: nonpharmacological interventions, pharmacological inerventions, educational needs, follow-up, and referrals.

References

Rhoads, J., & Wiggins Petersen, S. (2021). Advanced Health Assessment and Diagnostic Reasoning. Burlington, MA: Jones and Bartlett Learning.

Wainwright, N. (2017).  Barriers to Effective Interpersonal Communication.  https://bizfluent.com/list-7422303-barriers-effective-interpersonal-communication.html

Your Leadership Profile

 Do you believe you have the traits to be an effective leader? Perhaps you are already in a supervisory role, but as has been discussed previously, the appointment does not guarantee leadership skills.

How can you evaluate your own leadership skills and behaviors? You can start by analyzing your performance in specific areas of leadership. In this Discussion, you will complete Gallup’s StrengthsFinder assessment. This assessment will identify your personal strengths, which have been shown to improve motivation, engagement, and academic self-conference. Through this assessment, you will discover your top five themes—which you can reflect upon and use to leverage your talents for optimal success and examine how the results relate to your leadership traits.

Post a brief description of your results from the StrengthsFinder assessment. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your StrengthsFinder assessment. Be specific.

Making recommendations on how you might strengthen the leadership behaviors profiled in your StrengthsFinder assessment, or by commenting on the lessons learned from the results that can be applied to personal leadership philosophies and behaviors.