Monthly Archives: May 2023

Peplau and Orem

Assignment Description:

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least three (3) outside sources and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

This week you will create a two-part PowerPoint to discuss the following:

• Part one: Peplau was the first nursing theorist to identify the nurse–patient relationship as being central to all nursing care. Peplau valued knowledge, believing that the nurse must possess extensive knowledge about the potential problems that emerge during a nurse–patient interaction. Peplau’s theoretical work on the nurse–patient relationship continues to be essential to nursing practice.
• Describe the phases of the Nurse-Patient relationship as defined by Peplau.  Align your presentation regarding the use of Peplau’s theory with a current nursing practice example.
• Part two: Provide a discussion of Orem’s Self-Care Deficit Theory.  Identify and explain the three related parts? Identify a current nursing practice example where Orem’s theory would be relevant. Use at least one evidenced-based research article to support your practice example.

Assignment Expectations:

Length: 14-20 slides

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format:  Save your assignment as a Microsoft PPT document (.pptx) or a PDF document (.pdf)

Personhood

The concept of personhood, as defined by Schoenhofer, is a central concept of the theory of Nursing as Caring Theory.  Nursing as Caring Theory is grand nursing theory developed by Theorists Boykin and Schoenhofer that evolved from theories of Paterson and Zderad (Duffy, Donnell, & Snowden, 2014).  The ideologies of these theorists are cultivated around a care model that evaluates and defines nursing as a discipline and a profession as it relates to the patient and the nurse.

The field of nursing has progressed from a bedside profession to an advance art of discipline. The evolution of nursing from a profession to an advance discipline was made possible due to advancement, analysis, and applications of principles of medicine and philosophy. Philosophically personhood is defined as the status of being a person.  Nursing embodies this concept and adapts it to each individual meaningfully and appropriately.  Theorists Boykin and Schoenhofer developed the grand nursing theory of Nursing as Caring around the central ideas of “the between”, “the call for nursing”, ”the nursing response”, and “personhood” (Duffy, Donnell, & Snowden, 2014). These four central ideas are interconnected and offer a conceptual framework in caring for patients and enhance and afford the ability for all those involved in the nursing process the ability to be “a person”; an integral role for the nurse and patient because without this authenticity the nursing process will not be able to reach its fullest potential (Schoenherr, 2002).

The call of nursing is the initial step in the methodology of the Nursing is Caring Theory.  It is during this stage the nurse accepts the ‘call’ to nurture.  The call of the nurse is then proceeded by the ‘nurse’s response’. This nurse response is a testament to all her knowledge and experiences and the ability to translate and relate to the task at hand.  Once the nurse’s knowledge and experiences are uniquely appropriated for the environment, trust is gained from the patient and the acknowledge they are seen as a person and able to exhibit their personhood to the nurse.  Nurses must do this on a daily basis and multiple times within in the day due to the various dynamics they are faced with, different patient demographics, their caregivers, and other staff members.  When a nurse enters the environment of the patient it is where they are most vulnerable and allowed to exihibit personhood and adapt their abilities and develop their abilities to care for the patient.  It is in this raw instance of vulnerability and personhood that a nurse is able to be receptive and learn the needs of the patient and afford them the best care.

The most impactful and meaningful takeaway from Nursing as Caring Theory is that, above all else, nurses instinctively and inertly will act upon the intent to help, heal, and nurture.  Due to the ubiquitous nature of the discipline and profession of nursing, a nurse can easily adapt their nursing response to be suitable for the environment and call of nursing and appropriate to be purposeful for each individual.  This flexibility and adaptability of a nurse is a skillset that facilitates the holistic art of nursing that is conducive to learning, teaching, healing, and promoting wellness in individuals.

ReferencesDuffy, T., Donnell, A., & Snowden, A. (2014). Pioneering Theories in Nursing. Andrews UK.Schoenherr, S. O. (2002). Choosing personhood: Intentionality and the theory of nursing as caring. Holistic Nursing Practice, 16(4), 36-40.

Critical thinking activities

1. Examine this case study through the dependency cycle model (Fig. 14.3). The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle?

2. Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.

3. Design a nursing system that addresses Jane’s self-care system as she increases her role as dependent-care agent for Dan.

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you 

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
• Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

• Planning and requirements definition
• Analysis
• Design of the new system
• Implementation
• Post-implementation support

Write question and answer

answer questions in a paragraph

APA style

NO PLAGIARISM

DUE SUNDAY

3 references

Your specific vulnerable population topic should have been submitted for approval to your instructor by the end of week 2 and approved/finalized by week 3. This week you will submit your video presentation.

The Homeless vulnerable population 

Your presentation should be at least 15–20 slides, not including your cover slide or reference slides. Your reference slides should cite at least seven references. Your presentation should, at the minimum, include the following topics regarding your chosen vulnerable population and related health education program/plan:

• Clearly states population chosen
• Describes the vulnerable population
• States the current population demographics
• Discusses background of the problem, and its effect on public health
• Discusses the cultural background of the selected population and any relevant history pertaining to the population
• Discusses the psychosocial concerns and/or norms of the population
• Discusses the economic concerns of the population including, but not limited to, income levels, educational levels and occupation
• Discusses specific health concerns of the population
• Information on specific risk factors for target population is presented concisely and accurately
• Discusses prevention and control of health concerns and risk factors (primary, secondary and tertiary)
• Discusses the role of the public health nurse in caring for vulnerable populations
• States the core functions of public health and applies it to the care of the specific population
• Three local agencies/facilities delivering services to the target population are identified and accessibility and service rendered are fully described
• Additional resources needed in the community are identified.
• Information discussed is current, within the last 5 years.

Remember that your presentation will be viewed/critiqued by your classmates and your instructor, and should be professional in format/appearance.

You will submit your presentation to the assignment dropbox and the Health Education Program Presentation Blog area in the main menu on the left, so that your classmates have a chance to comment on your presentation and provide feedback.

Less than 10 % similarity

References APA

Please answer the following Discussion Question. Please be certain to answer the three questions on this week DQ and to provide a well-developed and complete answer to receive credit. Also, please ensure to have read the assigned chapters for the current week. 

Case Study, Chapter 14, Medical Errors: An Ongoing Threat to Quality Health CareA nurse manager is reviewing occurrence reports of medical errors over the last six months. The nurse manager knows that medical errors are not the only indicator of quality of care. They are, however, a pervasive problem in the current health care system and one of the greatest threats to quality health care. The nurse manager is putting together a list of possible solutions to decrease the number of occurrences of medication errors.

1. Recognizing that health care errors affect at least one in every 10 patients around the world, the World Health Organization’s World Alliance for Patient Safety and the Collaborating Centre identified priority program areas related to patient safety. What are the patient safety program areas the nurse manager should consider for implementation?

2. Describe the Joint Commission 2017 National Patient Safety Goals for Hospitals.

3. Discuss the Institute of Medicine’s four-pronged approach to reducing medical mistakes?

This week, you will create an educational item about dangerous drug interactions. Choose two drugs from different categories of drugs that we have studied thus far in the course that can have a dangerous reaction if taken incorrectly. Research the drugs’ interactions with other drugs, including OTC medications, and alcohol. Please note that you may not choose the same drug that you are using for your medication research paper for this assignment.

For this assignment:

1. Create an educational item that describes/displays the dangers associated with the chosen drugs.
2. This educational item can be in any format, so be creative. For example, you can create a pamphlet/brochure, a flyer, an infographic, a newsletter, etc. (at least one page)
3. Also include a one page summary as to why you chose the drugs and how you would use this educational item in practice. Make sure to cite your sources using APA formatting. You should include at least two scholarly sources.

Websites with free software for building creative items that you can then download as a PDF:
Canva
My Creative Shop
Vengage
Lucidpress

Note: WCU is not responsible for these websites. You do not have to use any of them; this is only a list to provide options. You can use any software you have available in which you are most comfortable and can be downloaded as a PDF for assignment submission.

 Presents a solid analysis on how to educate the community on dangerous drug interactions, taking into consideration technology and language barriers. Includes a detailed plan on how to use the educational item in practice. 

 The visual aid submitted represents a thorough understanding of the dangerous drug interaction education plan. 

Evidence translation begins with the identification of a problem or concern. Reflect upon the eight national practice problems presented in the Global Burden of Disease Research. Select one of the practice problems to address the following.

1- From a global/nationwide perspective, how does the selected practice problem impact nurses, nursing care, healthcare organizations, and the quality of care being provided?

2- Identify the national level key stakeholders who are affected by the practice problem and stakeholders involved in resolution.

3-Are clinical practice guidelines used to address this problem? Why or why not? If used, provide a brief overview of the CPG. If a CPG is not used, propose an intervention that could be implemented on a national scale to address the problem.

Please answer these questions separated and use at least 3 sources no later than 5 years and you can use the sources below.

Please read the discussion question above carefully to answer all components.  Our resources available to support your learning and work in our discussions this week are:

·   Our Chamberlain Week 1 lesson: The Practice Problem: National Issues and Nonresearch Evidence
and Appraisal of Nonresearch Evidence and Stakeholder Roles

·  The Global Burden of Disease Research Links found in your week 1 student lesson plan- scroll down to access the links to this research!!

·         Dang and Dearholt (2018):  ·          

o             Chapter 1: Evidence-Based Practice: Context, Concerns, and Challenges

o             Chapter 7: Evidence Appraisal: Nonresearch

o             Appendix F: Nonresearch Evidence Appraisal Tool

White, Dudley-Brown, and Terhaar (2016): ·          

o             Chapter 4: Translation of Evidence to Improve Clinical Outcomes

Our interactive discussion addresses the following course outcomes:

·         Investigate practice problems relevant to advanced nursing practice. (POs 1, 3, 4, 5, 6, 9)

·         Appraise practice problems at the micro, meso, and macrosystems levels. (POs 2, 3, 4, 5, 6, 9)

·         Examine the role of stakeholders in change and translation science. (POs 1, 4, 6)

·         Assess challenges and barriers related to evidence translation. (POs 3, 5, 9)

Chamberlain College of Nursing. (2019). NR-701 Week 1: The Practice Problem: National Issues and Nonresearch Evidence [Online lesson]. Downers Grove, IL: Adtalem.

Dang, D., & Dearholt, S. L. (2018). Johns Hopkins nursing evidence-based practice: Model and guidelines (3rd ed.). Indianapolis, IN: Sigma Theta Tau International.

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). New York, NY: Springer Publishing Company.

• Morbidity and mortality, Years Lived with Disability (YLLS), QALYs (Quality-Adjusted Life Year) and DALYs (Disability-Adjusted Life Year) From the WHO:https://www.who.int/quantifying_ehimpacts/publications/en/9241546204chap3.pdf (Links to an external site.) 
• (2020). Health statistics and information systems. Retrieved from https://www.who.int/healthinfo/global_burden_disease/metrics_daly/en/ (Links to an external site.)  
• (2020). Health statistics and information systems: Disability weights, discounting and age weighting of DALYs. Retrieved from https://www.who.int/healthinfo/global_burden_disease/daly_disability_weight/en/ (Links to an external site.)

Guides and tutorials on the Global Burden of Disease

The best resource to use to find incidence, prevalence, etc. by cause (or disease) is the GBD Results Tool: http://ghdx.healthdata.org/gbd-results-tool (Links to an external site.) (Links to an external site.)

This tool allows users to query our estimates from the latest round of the Global Burden of Disease study, GBD 2017. 

            – The GBD Results Tool User Guide: This contains help for common questions and

              troubleshooting

            – Codebook: This ZIP file contains a codebook file with the IDs AND names for all

               encoded values in the  tool, along with other useful documentation, such as a

               measure and metric definitions

            – Tools Overview: This file is a PDF guide to our data tools which also includes all

                variable names and  IDs, a glossary, and more

The GBD Results Tool includes estimates at the US state, but not county, level.

You can find our US county-level data collected on the US Data page here (may be older data): http://ghdx.healthdata.org/us-data (Links to an external site.) (Links to an external site.)

For more on searching the GHDx, please refer to the following resources:

   – Two brief introductory videos on browsing and searching the GHDx: http://ghdx.healthdata.org/help/ghdx-instructional-videos (Links to an external site.) (Links to an external site.)

    – More detailed search tips: http://ghdx.healthdata.org/help/searching-ghdx (Links to an external site.) (Links to an external site.)

Reference:

The U.S. Burden of Disease Collaborators. (2018). The state of U.S. health, 1990–2016 burden of diseases, injuries, and risk factors among U.S. states. JAMA, 319(14), 1444–1472. https://doi.org/10.1001/jama.2018.0158

Instructions:

Part 1

Use the article below, chapters 6-8 in your textbook, and the movie (“Miss Evers’ Boys”) to help guide your answers. Most of these questions do not have a right or wrong answer. 

• Was this study unethical in 1932?
  • Why or why not?
  • If you feel the study was ethical, was there a point when it became unethical?
  • Did the study provide valuable information?
• How could the study have been done differently?
• How do you think the subjects felt about their participation?
  • Did they think they were being treated unfairly?
  • Does the answer change over time (1930s, 1940s, 1950s, etc.)?
  • Should they have thought to question the MDs or Nurse Rivers?
• What was the impact of recruiting at churches and schools on test subjects?
• What was Nurse Rivers’ role in the project?
  • What is your opinion of her role?
• Was Nurse Rivers negligent or did she commit malpractice?
  • Why or why not?
• Think of a research question or study pertinent to a specific race, ethnicity, or culture.
  • How would you ensure the ethical recruitment of subjects?
• Imagine you are the nurse in a modern-day, ethical, TSS-like study.
  • How would you use each of the five elements of cultural competence for the selected population?
• Which modern-day, government agencies could be involved in a health-related research study?
  • How might they be involved?

Part 2

Lack of diversity in clinical trials and research has increasingly been highlighted as a problem.

• Hypothesize one reason (whether methodological, social, ethical, or other) why a lack of diversity has been a persistent issue in clinical trials and research.
• What is one potential solution for your hypothesized reason?

Your initial post should be at least 400 words and supported with at least one additional scholarly source.

Please be sure to validate your opinions and ideas with citations and references in APA format.

The post and responses are valued at 75 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

Hermann, D. H. J. (2001). Lessons taught by Miss Evers’ boys: The inadequacy of benevolence and the need for legal protection of human subjects in medical research. Journal of Law and Health, 15, 147-163. [PDF]