Research Process

  1. Read an article published recently (less than 5 years) on a topic of your interest.
  2. Provide the citation and a written summary of your answers to the following questions:
    1. What is the research problem?
    2. What is the purpose statement?
    3. What were the initial hypotheses for this study?
    4. What was the study design?
    5. Where the hypotheses rejected or accepted?
    6. What was the overall conclusion of this paper?

This must be an article related to nursing

I need 250-300 words 

Cultural Diversity

 Cultural diversity will continue to be an active aspect of the human services profession.  In Chapter 26 of the text, Table 26.1 breaks down “value emphasis” across four major cultural groups.  Post how you feel the human services professional can broaden their skills to meet the needs of various cultural values.  What are the challenges involved in achieving this goal? Support your discussion with a minimum of one scholarly, peer-reviewed source that was published within the last five years and cited according to APA guidelines.  

Discussion Question

 

A 47-year-old overweight male with a history of arthrosclerosis, diabetes mellitus type 2, and coronary artery disease (CAD) is found by a neighbor unconscious and not breathing in his front lawn where he appears to have been mowing his lawn. He is rushed to a local emergency room where it is determined that he has suffered a massive inferior myocardial infarction. He is sent to the intensive care unit in critical condition where he is placed on advanced life support equipment, and several days later, it is determined that he has minimal brain activity.

  1. After hearing her husband’s condition, his tearful wife asks you how it is possible that her husband’s brain might not function if it was his heart that stopped beating. How would you answer?
  2. As the next of kin, his wife has the right to make husband’s medical decisions when he is unable to. Because the length of time that this patient was in cardiac arrest appears to have been substantial, the patient’s recovery is highly unlikely. The medical staff gently informs the wife that she has to make a decision regarding his health care: she can withdraw care now or choose to do everything to keep him alive, even though he will most likely die. She asks you what you think she should do. With your knowledge of neurophysiology, how would you answer her?

APA STYLE

3 PARAGRAPHS 3 SENTENCES EACH

2 REFERENCES NOT OLDER THAN 2015

i nedd help

  

Soap Note 2 Chronic Conditions (15 Points)

Pick any Chronic Disease from Weeks 6-10 (See Syllabus)

Must use the sample template for your soap note, keep this template for when you start clinicals.

Follow the MRU Soap Note Rubric as a guide

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.

Here the chronic disease to choose:

Diseases and Disorders of the Gastrointestinal System : Ascites • Appendicitis • Celiac Disease • Cholelithiasis • Cirrhosis • Clostridium Difficile (C.Diff) • Colitis • Crohn’sDisease • Constipation • Diarrhea • Diverticulitis • Esophageal Varices.

Diseases and Disorders of the Gastrointestinal System : Gastritis • Gastroesophageal Reflux Disease • Hemorrhoids • Hepatic Encephalopathy • Hepatitis • Irritable Bowel Syndrome (IBS) • Pancreatic Cancer • Pancreatitis • Peptic Ulcer Disease (Zollinger-Ellison Syndrome) • Salmonella Infection.

Diseases and Disorders of the Endocrine System : Addison Disease • Cushing Syndrome • Diabetes • Graves Disease • Hyper-, Hypoparathyroidism • Hyper-,Hypothyroidism • Myasthenia Gravis • 

Nurs435replies

REPLY1

(This is the feedback from my professor to my prompt)

Marial, 

Thanks for sharing this situation with us and how you were able to show the integrative negotiation process that ended in a win-win situation and potential salary increase. This week we also learned about distributive negotiation and “fixed-pie.” Share with us in your own words what “fixed-pie” is and why it does/does not apply to your situation that illustrated integrative negotiation.

REPLY2

On this week’s task we have to research about integrative negotiation and bargaining. One of the main important things to do is to define the situation because it is important when helping to determine what you will be negotiating your issues to complete a solution. Interest are also the primary factor of integrative negotiation. Being able to identify your own interest and those of the other party and being able to find a solution for all parties it’s a good thing when it comes to negotiating. 

Food Server: Incorrectly submitted an order for a vegetarian couple, their meals were sent to the table with chicken.

Couple: Demanded to Speak to a manager.

Manager: invites them to have a conversation in a private location to listen to their concerns.

Couple: When they were finished addressing their concerns, they proceeded to add that a Birthday dinner was ruined as they were served chicken when they are vegetarians.

Food Server and Manager: Discussed with the couple different ways to compensate them for the unfortunate experience that took place. 

Couple: Explained they did not want a free or discounted meal, they wanted to ensure situations like that didn’t happen again and that employees have proper training. 

Manager: Proudly informed them of their rigorous training program. He also made sure to inform them that the servers are human, and they do make mistakes. 

Couple: Agreed with the manager but informed him that mistakes very dangerous like this shouldn’t happen.

Manager: Informed the general manager of the situation because they wanted to make things right even though the couple refused to any compensation. General manager sent the couple a $100 gift certificate and a formal letter of apology for failing to meet their expectations. 

Couple: Decided to accept that humans make mistake and took them up on the offer and gave the restaurant a second chance.

Aggressiveness is not inappropriate when negotiating integratively. Digging deeper to find relevant information and standing in what you believe in to be able to negotiate properly can really help. Also, separating the person from the problem and recognizing and understand that emotions are an inevitable part of the bargaining process. “everyone involved in the negotiation process works together to generate as many possible solutions to the problem as possible” (Friedman, 1998).

Heath Care Based Paper: Amniotic Fluid Embolism

-Paper has to be about the Amniotic Fluid Embolism 

-Has to be five pages 

-First page (title page)

-In between (introduction paragraph, body paragraphs, and conclusion paragraph)

-Last page (reference page)

-APA style or MLA style 

-Double spaced

-No plagiarism 

D8 Reimbursement

Changes to reimbursement and payment structures over the last few years have proven to be challenging to home health agencies. Discuss why home health agencies must examine their practices and payor mix to remain viable in today’s environment.

Your initial posting should be 250 to 350 words in length and utilize at least one scholarly source other than the textbook.

NUR501- REPLY TO JEAN

Nur-501-AP4- Philosophical and Theoretical Evidence-Based research

Watson’s philosophy and science of caring has four major concepts: human being, health, environment/society, and nursing Butts & Rich, 2015). In Watson’s view, the disease might be cured, but illness would remain because, without caring, health is not attained. Caring is the essence of nursing and connotes responsiveness between the nurse and the person; the nurse co-participates with the person. Watson contends that caring can assist the person to gain control, become knowledgeable, and promote health changes.

According to Watson (2009), the core of the Theory of Caring is that “humans cannot be treated as objects and that humans cannot be separated from self, other, nature, and the larger workforce.” Her theory encompasses the whole world of nursing; with the emphasis placed on the interpersonal process between the caregiver and care recipient. The theory is focused on “the centrality of human caring and on the caring-to-caring transpersonal relationship and its healing potential for both the one who is caring and the one who is being cared for” (Watson, 2009). The structure for the science of caring is built upon ten carative factors. Among them are human altruistic values, faith-hope, sensitivity to one’s self or other, trust, human caring relationship, and promotion of self-expression (.

Watson defines Human being as a valued person to be cared for, respected, nurtured, understood, and assisted, in general a philosophical view of a person as a fully functional integrated self. Personhood is viewed as greater than and different from the sum of his or her parts which are mind-body-soul-connection (Butt & Rich 2015)   

The personhood concept in Watson theory of caring implies that patients are not all the same. Each person brings a unique background of experiences, values, and cultural perspective to health care encounter. Caring facilitates a nurse’s ability to know a patient, allowing the nurse to recognize a patient’s problem and find and implement individualized solution on the patient’s unique needs.

Knowing the person allows the nurse to avoid assumptions, to center on the one cared for (Keller, 2013).  It also gives the nurse to opportunity to assess thoroughly by seeking clues to clarify the issue that the individual is going through.

The concept of personhood also integrates the human caring processes with healing environment, incorporating the life-generating and life receiving processes of human caring and healing for nurses and their patient. The concept put emphasis on developing a caring relationship with the person as a nurse and listen to the person’ stories to fully understand the meaning an impact of the individual’s condition. This information and understanding helps in the development and delivery of individualized patient centered care. The transpersonal caring theory rejects disease orientation to health care and places care before cure. When the nurse focuses on the person, she or he looks for deeper sources of inner healing to protect, enhance and preserve a person’s dignity, humanity, wholeness, and inner harmony.

In conclusion, theory of caring provides an excelling beginning to understand the behavior and processes that characterized caring. Patients continue to value nurses, effectiveness in performing tasks, but clearly patient value the affective dimension of nursing care. Nurses must provide presence, touch, attention to their patient. Most importantly they must know the person they are caring for because healthcare is placing emphasis on patient satisfaction.

References

Butts, J. & Rich, K. (2015). Philosophies and Theories for Advanced Nursing Practice (3rd edition) Sudbury, MA: Jones and Bartlett Learning

Watson J. (2009) Caring science and human caring theory: transforming personal and professional practices of nursing and health care, J Health Human Serv Adm3(14): 466

Keller T, et al (2013): Information needed to support knowing the patient, Adv Nurs Sci 36(4): 351

Home health care

Discuss how pay-for-quality performance initiatives are influencing home health care delivery.

Your initial posting should be 250 to 350 words in length and utilize at least one scholarly source other than the textbook.