Monthly Archives: May 2023

 What are your thoughts about the debate regarding whether health care is a right or a privilege? How has the changing health care environment impacted your practice?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Minimum of 250 words with at least one peer review reference in 7th edition apa style

 Integrate ethical decision-making principles that promote a culture of care. 

 THIS IS A DOCTORATE DEGREE IN NURSING PROGRAM 

PLEASE FOLLOW YOUR INSTRUCTIONS

ZERO PLAGIARISM

5 REFERENCES

Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each client is an essential skill of the Psychiatric Mental Health Nurse Practitioner. In this Discussion, you will compare Existential-Humanistic therapy to a therapy you select from the previous weeks of this course. You will identify the strengths and challenges of each and describe a fictional client that you think is best suited for each.

Learning Objectives

Students will:

• Compare types of psychotherapy

To prepare:

• Review this week’s Learning Resources
• Review this week’s media and consider the insights provided.
• Review the other types of psychotherapy presented in this course and select the one that resonates with you the most at this time

By Day 3

Post a summary of the psychotherapy that you selected and explain why it resonates with you the most at this time. Then compare the psychotherapy you selected with existential-humanistic therapy. What are the strengths and challenges of each type of psychotherapy? Describe a fictional client that you think would be best suited for the therapy you selected and one fictional client you think would be best suited for existential-humanistic therapy. Explain why.

“Mrs. Walsh, a woman in her 70s, was in critical condition after repeat coronary artery bypass graft (CABG) surgery. Her family lived nearby when Mrs. Walsh had her first CABG surgery. They had moved out of town but returned to our institution, where the first surgery had been performed successfully. Mrs. Walsh remained critically ill and unstable for several weeks before her death. Her family was very anxious because of Mrs. Walsh’s unstable and deteriorating condition, and a family member was always with her 24 hours a day for the first few weeks.
The nurse became involved with this family while Mrs. Walsh was still in surgery, because family members were very anxious that the procedure was taking longer than it had the first time and made repeated calls to the critical care unit to ask about the patient. The nurse met with the family and offered to go into the operating room to talk with the cardiac surgeon to better inform the family of their mother’s status.
One of the helpful things the nurse did to assist this family was to establish a consistent group of nurses to work with Mrs. Walsh, so that family members could establish trust and feel more confident about the care their mother was receiving. This eventually enabled family members to leave the hospital for intervals to get some rest. The nurse related that this was a family whose members were affluent, educated, and well informed, and that they came in prepared with lists of questions. A consistent group of nurses who were familiar with Mrs. Walsh’s particular situation helped both family members and nurses to be more satisfied and less anxious. The family developed a close relationship with the three nurses who consistently cared for Mrs. Walsh and shared with them details about Mrs. Walsh and her life.
The nurse related that there was a tradition in this particular critical care unit not to involve family members in care. She broke that tradition when she responded to the son’s and the daughter’s helpless feelings by teaching them some simple things that they could do for their mother. They learned to give some basic care, such as bathing her. The nurse acknowledged that involving family members in direct patient care with a critically ill patient is complex and requires knowledge and sensitivity. She believes that a developmental process is involved when nurses learn to work with families.
She noted that after a nurse has lots of experience and feels very comfortable with highly technical skills, it becomes okay for family members to be in the room when care is provided. She pointed out that direct observation by anxious family members can be disconcerting to those who are insecure with their skills when family members ask things like, “Why are you doing this? Nurse ‘So and So’ does it differently.” She commented that nurses learn to be flexible and to reset priorities. They should be able to let some things wait that do not need to be done right away to give the family some time with the patient. One of the things that the nurse did to coordinate care was to meet with the family to see what times worked best for them; then she posted family time on the patient’s activity schedule outside her cubicle to communicate the plan to others involved in Mrs. Walsh’s care.
When Mrs. Walsh died, the son and daughter wanted to participate in preparing her body. This had never been done in this unit, but after checking to see that there was no policy forbidding it, the nurse invited them to participate. They turned down the lights, closed the doors, and put music on; the nurse, the patient’s daughter, and the patient’s son all cried together while they prepared Mrs. Walsh to be taken to the morgue. The nurse took care of all intravenous lines and tubes while the children bathed her. The nurse provided evidence of how finely tuned her skill of involvement was with this family when she explained that she felt uncomfortable at first because she thought that the son and daughter should be sharing this time alone with their mother. Then she realized that they really wanted her to be there with them. This situation taught her that families of critically ill patients need care as well. The nurse explained that this was a paradigm case that motivated her to move into a CNS role, with expansion of her sphere of influence from her patients during her shift to other shifts, other patients and their families, and other disciplines”
Critical thinking activities
1. Discuss the clinical narrative provided here using the unfolding case study format to promote situated learning of clinical reasoning (Benner, Hooper-Kyriakidis, & Stannard, 2011).
2. Regarding the various aspects of the case as they unfold over time, consider questions that encourage thinking, increase understanding, and promote dialogue, such as: What are your concerns in this situation? What aspects stand out as salient? What would you say to the family at given points in time? How would you respond to your nursing colleagues who may question your inclusion of the family in care?
3. Using Benner’s approach, describe the five levels of competency and identify the characteristic intentions and meanings inherent at each level of practice.

Mother tongue  by Amy Tan

Henderson believed nurses have the responsibility to assess the needs of the individual patient, help individuals meet their health needs, and provide an environment in which the individual can perform activities unaided. What is an opportunity in your nursing practice that would benefit from application of Henderson’s theory?  How does this align with the ANA’s definition of nursing? Provide at least one evidenced-based research article to support this recommendation.

short one page 

one reference page. 

Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.

Describe sampling theory and provide examples to illustrate your definition. Discuss generalizability as it applies to nursing research.

1) Minimum 12 slides with speaker notes ( Avoid using large and unnecessary images. Use the slides to provide substantial and objective information )  and 1 full page (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 12 sliddes with speaker notes

              Part 2: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

       Minimum 6 references in part 1 not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1 : Ethical Issue

Topic: In vitro fertilization

 The ethical issues presentation will address an ethical issue associated with the practice of nursing. 

The issue selected for discussion should have clearly identifiable pros and cons that, when analyzed, will allow the student to form a defensible position related to the issue. 

Principles from identified codes of ethics should be examined in relation to the issue and position. 

 The student should address the following:

1. Define the scope of the ethical issue related to the topic selected.

2. Examine the scope of the issue as it relates to nursing and principles identified in codes of ethics.

3. Identify at least 2 positions taken on this issue by scholarly experts in the ethics discipline.

4. Explore the future for the issue as it relates to nursing practice.

Part 2 :Pharmacology

Medication: Ubrelvy

1. Describe the medication you wish to explore.

2. Why are you interested in this particular medication?

3. Specifically explain what it is that fascinates you or draws you to this particular medication.

4. Clearly describe the relevance of this medication in the field today.

Minimum of 350 words with at least two peer review reference in 7th edition apa style

As a practice scholar, you are searching for evidence to translate into practice. In your review of evidence, you locate a quasi-experimental research study as possible evidence to support a practice change. You notice that the study aims to make a prediction that relates to correlation between study variables. The study sample size is large and normally distributed. Reflect upon this scenario to address the following.

• In your appraisal of the evidence, you note that an independent variable is not present and that a Spearman’s ranked correlation is used to analyze data. Is this the correct level of correlational analysis? Explain your rationale.
• Are association and correlational analysis equivalent in determining relationships between variables?
• Do these findings impact your decision about whether to use this evidence to inform practice change? Why or why not?