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I Choose  Respiratory Syndrome Coronavirus (MERS-CoV)- 2015-2018),  

 Week 1 

Evidence based practice, research and theory are the pillars of the nursing profession. The interaction of these three principles is mutual and aids with the collaboration of educating novice nurses. Nursing, as a profession, is committed to recognizing its own unparalleled body of knowledge vital to nursing practice—nursing science (Marrs, 2006).To distinguish this foundation of knowledge, nurses need to identify, develop, and understand concepts and theories in line with nursing. Florence Nightingale, the mother of nursing, defined nursing in her “Environmental Theory” as “the act of utilizing the environment of the patient to assist in recovery”.

For theory, clinical evidence-based practice creates research questions and knowledge. Research drives evidence based practice and develops knowledge through the advancement of theories. Theory guides research and improves evidence-based practice. Nursing is a unique discipline and is separate from medicine. It has its own body of knowledge on which delivery of care is based upon.

The aim of the research is enrichment of knowledge in any field. Research seeks for the truth that is already there but needs to be explored. Successful nursing practice involves the use of knowledge, skills, care, and creativity in an efficient, effective, and considerate manner to treat patients (Marrs, 2006). Research findings provide an important part of the knowledge involved in making health decisions in nursing. Moreover, all recommendations on medical care should be focused on evidence from research. To establish a protocol, research results are used and the plan is implemented in everyday clinical practice.

Using research in day-to-day nursing practice will enhance patient care and nursing practice, and can help to provide safe and cost-effective care. The survival of nursing as a profession depends on nurses’ ability to understand and apply theory while providing optimum care. An ongoing challenge to the nursing profession is to keep the important relationship between research, theory and practice in force (Veloza, 2016). As a proficient clinician, we rely strongly on research and practice to determine the treatment that will be rendered. At times, I tend to analyze situations, regardless of what the physician orders because they are not visually viewing the patients.

The relationship between research and theory is reciprocal where research generate more knowledge and theory. Theory is central to the research process, where it is necessary to use theory as a context to support the research with insight and direction. Theory may be used by creating and evaluating hypotheses of interest to direct the research process. The relationship between theory and evidence based practice reciprocal. Practice is the basis for the development of nursing theory whereas nursing theory must be validated in practice (Marrs, 2006).

Research relies on theory and vice-versa. The scenario of nursing practice that is distinguished by good care must be supported by nursing science in which the development and spread of knowledge through research is a two-way street between theory, founded on the concepts and propositions of nursing science and practice (Veloza, 2016). Nursing is based on the theory of what nursing is, what nurses do, and why nurses exist. We are the foundation of healthcare and without nurses, the body of healthcare will never be the same.

References: 

Nursing theory and practice: connecting the dots. Marrs JA, Lowry LW. Nurs Sci Q. 2006 Jan;19(1):44-50. doi: 10.1177/0894318405283547. PMID: 16407599

Veloza-Gomez M. The Research-Theory-Practice Relationship a Reference for the Discipline of

Nursing. Ann Nurs Res Pract. 2016; 1(1): 1004.

 Topic 4 DQ 2 

Research a health concern that impacts a population with which you are familiar. How do biostatistics affect the research focus? How do you define the population as your patient? Make sure to include the population and health concern. Give 2 references & 2 responses.

reply1

My father is African and while he grew up very differently than most of his culture, he still portrays some of the traits of the African culture, especially when it comes to health care.

Language: It is important with the African culture to assess and be sure of the language they speak. There are many different languages spoken within the African population including many different dialects. If unsure always use a translator as this will make the difference in patient education.

Family: Family is the center of importance in the African culture. The family model is an extended one including immediate family and relatives, and loyalty to the family is expected. It is also expected that children abide by their parent’s rules and live up to their expectations. In healthcare settings, Africans may be unwilling to acknowledge strong emotion, grief, or pain due to their family and cultural values. Western medical professionals often find the stoic demeanors of African people difficult to interpret. In my practice as a nurse I have been a part of many situations where the family did not want the patient to know about the diagnosis until they have had time to talk it over with the family. This obviously brings up ethical issues within the patient care and it is important to know whether the patient wants the family involved in the care.

Cultural Differences: Within this culture it is particularly important to ask whether the patient takes any herbal medication and traditional treatments as this is an important practice in their culture. Most people of the African culture still only report to western medicine only if their traditional methods are failing. In turn, this means most patients will not seek out preventative measures, diagnostic testing, and treatment.

Methods of communication: Within this culture, communication can be very misinterpreted. The African culture believes in harmony and avoids conflict, therefore they may agree with a healthcare provider but have no intentions on following through with the teaching. Also, they do not ask for help because they do not want to be bothersome and will often dismiss their needs and pain. It is important to anticipate their needs and ask several times. There are also several nonverbal things Africans find unacceptable such as pointing, and eye contact.

Falvo, D. R. (2011). Effective Patient Education, A guide to Increased Inherence. Fourth Edition https://viewer.gcu.edu/RQBKXW

Schyve PM. Language differences as a barrier to quality and safety in health care: the Joint Commission perspective. J Gen Intern Med. 2007;22(Suppl 2):360–361.

reply2

Recently, I had to care for a patient of Hispanic culture from Mexico who immigrated few years ago into the country. The patient was obese with diabetes and hypertension that was becoming difficult to manage. Upon investigation, it was clear that the patient did not have enough knowledge of how to control and manage his condition. During the interaction, language was a barrier because he has only learnt it recently when he got into the country. The previous doctors he saw had given him information in pamphlets written in English. The patient was finding a difficult time understanding the information. When presenting the education, a nurse could use videos instead of pamphlets and have someone to translate the difficult words that the patient does not understand. Also, with advanced technology, a health professional can use videos with Hispanic subtitles or language. This can help the patient understand the information.

Family is a very important aspect of the Hispanic culture and plays a vital role when it comes to health (Falvo, 2011). Family is very important, and each member has a role to play with gender having different roles. Hispanic families are organized into large groups that include extended family members such as cousins and aunts. Within health care, members may tend to avoid undertaking expensive treatment when it can take a toll on the family and prefer to visit a hospital only when it is necessary (Juckett, 2013). This affects preventive care especially if the family is not well-off enough to afford insurance.

One of the biggest cultural differences of Hispanic culture comes from organized parties where large proportions of food are served. One of the biggest health issues in this culture is obesity, with a prevalence of 43% compared to 33% in Caucasian people (Juckett, 2013). These organized mealtimes bring the family together, which makes it difficult for a member to miss because he or she can be seen as not wanting to be part of the family. There is a need to involve the family in patient education so that they can understand why the patient cannot eat the same meals or normal proportions as before.

The best method of communication would be verbal communication. Because the patient has been in the country for a few years, there is a need to involve family members who have lived longer in the country to help with acculturation as well as understanding the information provided. The best approach should involve an interpersonal communication that goeas both ways. While many professionals only inform, there is a need to listen to the patient as well, get to understand his issues, perception, and level of understanding of the content. This can only be achieved through a two-dimensional communication (Falvo, 2011).

References

Falvo, D. R. (2011). Effective patient education: A guide to increased adherence (4thed.). Sudbury Massachusetts, M.A. Jones and Bartlett Publishers.

Juckett, G. (2013). Caring for Latino patients. American Family Physician, 87(1), 48-54.

Answer the following question thoughtfully. 

Please limit your response to 1-2 pages (typed, double-spaced)

Why have you chosen nursing as your career path?

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.

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

Week 1 Project

Time Management

This assignment is about you. It is an assessment of your abilities and traits. This assignment will help you figure out what style of leadership you have been following and whether this style works for you.

Through this assignment, you will find the various approaches of leadership that complement each other. There is no one theory that describes the only way to be an effective leader. Each theory focuses on different issues, but they all help you to better understand how to become a successful leader.

Using the University Online Library or the Internet, research about Time Management Assessment.

Note: You can also use the following link to access the Time Management Assessment: Time Management Assessment – http://literacynet.org/icans/chapter03/timemgmt.html

Based on your research and understanding, create a paper in a 3- to 4-page Microsoft Word document that:

Incorporates your time management self-assessment information and the concepts learned this week (leadership theories, leadership versus management, professional nursing organizations, and time management.

Includes identification of one leadership theory (Autocratic, Participative, Delegative) which you feel best describes your leadership style.

Includes a comparison between leadership and management.

Please note that the title and reference pages should not be included in the total page count of your paper.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

Link to the video: https://youtu.be/YivQYeI0vys

Watch the video then evaluate the speech by addressing the following: 

• Audience: What was the speaker’s target audience? How do you know?
• Introduction: Identify the speaker’s attention-getter, topic, and thesis. Did the attention-getter grab your interest? Why or why not? What was the speaker’s thesis or central idea? 
• Body: What pattern of organization did the speaker use? What types of persuasion did the speaker use? Were they effective? Why or why not? 
• Conclusion: Did the speaker end strongly? Why or why not?  
• Presentation Aids: How did the speaker use presentation aids? 
• Delivery: Was the delivery of the speech effective? Why or why not?

Must use the sample template for your soap note,  

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. 

This is a Community Teaching Work Plan Proposal assignment.  Please review and use all attached materials for work.  Please use the LINKS addresses and RUBRIC .