All posts by : chebby

Explain the modifiable and nonmodifiable risk factors for osteoporosis. How can a nurse support the patient in managing the health condition and restore the patient to optimal health?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

One of the most important skills for a nurse executive to have is the ability to write an executive summary. An executive summary is a concise yet thorough accounting of a larger report or proposal for change. For example, when an institution has an accreditation visit, many criteria must be met. Therefore, the report received from the accreditors will be lengthy. The stakeholders, i. e., higher-level leaders, will need to be given a report that contains key areas of concern, the impact of the issue on organizational operations and the quality of health care delivery, what is proposed for correcting the issue and the organizational impact of the intervention. The executive summary is based on the evidence found in the report and other factors.

Case Scenario
As the chief quality and safety officer, you have been leading the initiative for the healthcare system to obtain MagnetT status from the American Nurses Credentialing Center (ANCC). The facility applied, was visited, and has received the report. The report identifies a deficiency (or deficiencies) in one of the Five Magnet Model* components. A solution must be implemented that shows improvement in the area within the next six months, at which time another visit will be scheduled.

For this assignment, you will create an executive summary of the report addressed to the board of directors of the healthcare facility. You will choose a Force of Magnetism within one of the MagnetT model components for your focus. The executive summary will include all the following: (1) a description of one of the five Magnet components within which a deficiency (or deficiencies) exists, (2) the specific “Force of Magnetism” that is deficient, (3) the criterion used by the examiners to the indicate the deficiency and the evidence/metric used, (4) an analysis of their findings and possible solutions to resolve the issue, and (5) the impact of the deficiency and recommended solutions on the organization. 

The Five Magnet Model Components* are listed below. Choose one of these upon which to focus your…… The link to the ANCC website where these components are described is provided at the beginning of the assignment. Within each component, the “Forces of Magnetism” are listed. The description of how these are measured, or the evidence examined to determine compliance, is also generally described on the web page. Choose one of the Forces to explore more deeply and describe how your facility was deficient. From this, you will be able to propose two potential solutions to address the deficiency found by the examiners. In your description of criteria/findings, you will need to identify the specific criteria used and the evidence of the deficiency.

Magnet Model Components:

• Transformational Leadership
      Force #1: Quality of Nursing Leadership
      Force #3: Management Style
• Structural Empowerment
      Force #2: Organizational Structure
      Force #4: Personnel Policies and Programs
      Force #10: Community and Healthcare Organization
      Force #12: Image of Nursing
      Force #14: Professional Development
• Exemplary Professional Practice
      Force #5: Professional Models of Care
      Force #8: Consultation and Resources
      Force #9: Autonomy
      Force #11: Nurses as Teachers
      Force #13: Interdisciplinary Relationships
• New Knowledge, Innovations & Improvements
      Force #7: Quality Improvement
• Empirical Quality Results
      Force #6: Quality of Care

Please ensure that the Reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Introduction

Over the period of eight weeks, I have engaged in analysis of several areas that has enhanced my perception of nursing practice and theory utilization considerably. For instance, the middle-range theories have helped in establishment of a linkage between clinical events and realistic practice, as well as the direction from achievers in the field has enhanced mastery and personal development.

Middle-Range Theories in Nursing Practice

Middle-range theories have gradually gained appreciation due to their effectiveness in converting theoretical ideas into practice, prescribing practices. These theories become valuable resources that are used in clinical reasoning, patient evaluation, and the formulation of actions to be made in treatment. The literature points out that middle-range theories also have a great utility in the theory-practice Nurses’ Clinical context as they offer specific but generic guidelines to solve the real-life patient care issues. In this course, I have come to understand the role of these theories about EBPF in the ways that research information can be applied to the provision of care. The use of middle-range theories contributes to proceduralizing of the processes, thus improving the outcomes of a patient and the overall organization of cooperation between the teams, as well as providing a high level of systematicity to the nursing practice.

Impact of Mentors During the Course

Equally important to mention is the significance of the constant guidance during the course. I have gained significant guidance from different individuals through the theoretical and practical parts of nursing practices. They have guided scholars towards making better use of middle-range theories in practice and focusing on the reflective issues in clinical practice. Mentors have also created a more learning-focused learning atmosphere where feedback and practical solutions to problems matter. According to the literature, proper mentorship has a proper participation in the training of nursing students and enhances critical thinking and practice of resilience in clinical practice (Johnson & Cooper, 2023). By the provision of ongoing discussions, practice, and journaling as encouraged by my mentors, I have gained improved competencies that have helped me review the theories learnt in this course.

Conclusion

In conclusion, it can be said that the use of the middle-range theories in practice and the significance of the mentor role can be critical for the practical learning of a nurse during the eight weeks. The combination of theory with practice means that there is a clear guideline on how the nursing practice will be conducted, and the mentors make sure that these practices are relevant and can be practiced in a real-world setting. This approach has helped me not only in enhancing my knowledge in the practice of nursing but also in preparing me to become a more reflective practitioner. It can be said that future interaction with both of such theories and a mentor surely will be the foundation of further professional activity.

References

Chen, M., Garcia, N., & Roberts, L. (2022). Integrating middle‐range theories into clinical practice: Bridging theory and patient care. Nursing Science Quarterly, 35(1), 45–56.

Johnson, L., & Cooper, S. (2023). The role of mentorship in advancing clinical competencies among nursing students. Journal of Nursing Education, 62(2), 112–119.

Smith, T., Martinez, D., & Nguyen, H. (2024). Reflective practices in nursing: The impact of educational mentorship on clinical outcomes. Journal of Advanced Nursing Practice, 39(3), 205–218.

 Introduction (1 slide)

1. Reflect on the ethics of the workplace (2-3 slides) 

• What ethics theory was mainly followed: utilitarianism, duty, deontology, egalitarianism, right, and virtues?
• What ethical principle (justice, beneficence, non-maleficence, autonomy) influenced the practice?
• How did the practiced ethics affect the patient’s outcomes?
• How would you handle the scenario ethically? Similarly or differently?

1. Reflect on the financial management (2-3 slides)

• How did the finances affect the healthcare decision in the scenario?
• What financial, billing, or reimbursement practices would you support or disagree with, and why?

1. Reflect on the politics and policies  (2-3 slides)

• Identify a practice you would want to change and describe how you would propose and lead collaborative/interprofessional effort using one of the leadership models to create the desired change.

1. References (1 slide)- Include 2–3 scholarly resources in APA Style. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations published within the last five years.

Be succinct. Your presentation should be 8-10 slides

See attached

Please see attached for instructions

B.  Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.

1.  Identify each of the following PICO components of the clinical practice problem:

•   P: patient, population, or problem

•   I: intervention

•   C: comparison

•   O: outcome

2.  Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part B and the PICO components identified in part B1.

Note: Refer to the “Appendix B: Question Development Tool” web link for information on the creation of an EBP question.

C.  Select a research-based article that answers your EBP question from part B2 to conduct an evidence appraisal.

Note: The article you select should not be more than five years old.

1.  Discuss the background or introduction (i.e., the purpose) of the research-based article.

2.  Describe the research methodology used in the research-based article.

3.  Identify the level of evidence for the research-based article using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to level a research-based article.

4.  Summarize how the researcher analyzed the data in the research-based article.

5.  Summarize the ethical considerations of the research-based article. If none are present, explain why.

6.  Identify the quality rating of the research-based article according to the JHNEBP model.

Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to establish the quality rating.

7.  Analyze the results or conclusions of the research-based article.

a.  Explain how the article helps answer your EBP question.

D.  Select a non-research-based article from a peer-reviewed journal that helps to answer your EBP question from part B2 to conduct an evidence appraisal.

Note: The article you select should not be more than five years old.

1.  Discuss the background or introduction (i.e., the purpose) of the non-research-based article.

2.  Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research-based article.

3.  Identify the level of evidence in the non-research-based article using the JHNEBP model.

Note: Refer to the “Appendix F: Non-Research Evidence Appraisal Tool” web link for information on how to level the non-research-based article.

4.  Identify the quality rating of the non-research-based article according to the JHNEBP model.

5.  Discuss how the author’s recommendations in the non-research-based article help answer your EBP question.

E.  Recommend a practice change that addresses your EBP question using both the research-based and non-research-based articles you selected for part C and part D.

1.  Explain how you would involve three key stakeholders in supporting the practice change recommendation.

2.  Discuss one specific barrier you may encounter when implementing the practice change recommendation. 

3.  Identify one strategy that could be used to overcome the barrier discussed in part E2.

4.  Identify one outcome (the O component in PICO) from your EBP question that can be used to measure the recommended practice change.

F.   Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

In this assignment, you will select a current medical ethics issue to research 

Select a topic related to one of the following current medical ethics issues:

• Patient Confidentiality and Risk to Society