callista roy

  

A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.

Nursing

  

Select a sexually transmitted infection (STI) and do research on it. Write a 4-5 page paper about the condition/issue. In the paper discuss the concepts below:

  • What is the pathophysiology of one STI
  • What is the etiology of the selected STI
  • What are the clinical manifestations of the selected      STI
  • What is the treatment for the selected STI

Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.

10/3-1

Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.

The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

2.3:     Understand and value the processes of critical thinking, ethical reasoning, and decision making.

4.1:     Utilize patient care technology and information management systems.

4.3:     Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

5.3:     Provide culturally sensitive care.

5.4:     Preserve the integrity and human dignity in the care of all patients.

Essay

 

Medication Errors Led to Disastrous Outcomes

 Julie Thao was licensed by the Wisconsin board of nursing as a nurse and worked in the birth unit at St Mary’s Hospital in Madison. She made a medication error when delivering care to a patient who was scheduled for labor induction by administering the wrong medication that was not prescribed. The 16-year-old Jasmine Gant delivered through cesarean section after suffering a cardiac attack and could not be rescued and this led to Thao losing her job and being charged with patient negligence (Treiber & Jones 2018). Kimberly Hiatt was also a registered nurse who did a medication error by administering an overdose of calcium chloride to an infant who had a heart problem. The baby died after 5 days and this led Kimberly to lose her job and could be hired anywhere else and this made her to commit suicide.

According to the two cases, healthcare professionals should learn that when a medication error occurs can have serious effects on patients’ health and well-being. Healthcare professionals should be very careful when administering medications to their patients to avoid such incidents (Cadwell & Hohenhaus 2011). They should avoid situations that inhibit delivery of safe and high-quality patient care such as attending to patients when they are fatigued to avoid making harmful errors.

The principle of beneficence and virtue of benevolence could have been applied by ensuring that the patients were given the correct medication according to their prescription to avoid hurting them. The hospital administration acted legally by making the nurses to be accountable for their actions, but the decisions were not ethical, it was not established that the nurses had the moral intent to make the errors.

Colleagues could have given them support by finding a quiet environment for them and let them relax. After creating a quiet place for them they would get an opportunity to ask questions which are open-ended and be more informed about the errors. Also, they could have given moral support through a show of compassion, sympathy, love, and truth-telling to help them cope with the impact of causing injury and death respectively.

Telling others how you feel about the situation can be very helpful to navigate through the whole process. Seeking support from family and friends who understands your pain can assist to go through the process (Ozeke et al., 2019). If one struggles with emotions elicited by the event, it is necessary to seek help from a health care professional to assist in developing coping skills. Also, seeking help is not a sign of weakness but it is a sign of strength.

References

Cadwell, S. M., & Hohenhaus, S. M. (2011). Medication errors and secondary victims. Journal of Emergency Nursing, 37(6), 562-563. https://doi.org/10.1016/j.jen.2011.07.010

Ozeke, O., Ozeke, V., Coskun, O., & Budakoglu, I. I. (2019). Second victims in health care: current perspectives. Advances in Medical Education and Practice, 10, 593. https://doi.org/10.2147/AMEP.S185912

Treiber, L. A., & Jones, J. H. (2018). Making an infusion error. Journal of Infusion Nursing, 41(3), 156-163. https://doi.org/10.1097/NAN.0000000000000273

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Resources needed to implement change proposal

 

Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

The assignment will be used to develop a written implementation plan.

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.

Advocating for the Nursing Role in Program Design and Implementation

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

  • Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
  • Select a healthcare program within your practice and consider the design and implementation of this program.
  • Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?
  • What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
  • What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

paper

 

Describe how epidemiological data influences changes in health practices. Provide an example and explain what data would be necessary to make a change in practice.