Discussion #68

choose a nursing theory and research an article that includes a nursing theory and its utilization in nursing practice or nursing research. Write a two paragraph summary of the article highlighting the application of the selected nursing theory to nursing practice and reaserach 

Article should be current, peer reviewed and within a five year span.

-Use APA format for your references and citations

submit trough turn it in 

We are getting deeper into the fall semester to remind you of the services the Library & Learning Resource Center has to offer. They provide instructional sessions, which include APA formatting, Ask-an-MRU Librarian chat feature, and research instruction. These sessions can be personalized to your needs. Please feel free to contact  Sherry Cortes either at [email protected], 912-433-6200, Katia Nunez at [email protected], 305-442-9223, ext. 6018 and 6045, and the general library at [email protected]. They will provide assistance for upcoming assignments that require APA and literature research 

Patho Discussion W3

This week, compose a 1–2 paragraph response to ONE of the following questions. 

 1.   Alterations in Immune Function

  1. How do type 1, 2, 3, and 4 hypersensitivity reactions differ according to mechanism of action?
  2. What are the clinical features of the common immunodeficiency disorder?

2.   Malignant Disorders of White Blood Cells

  1. How do the various types of leukemia, lymphoma, and plasma cell myelomas differ based on malignant transformation?
  2. Why are malignant disorders of white blood cells commonly associated with bone marrow depression?

3.   Alterations in Oxygen Transport

  1. How are history and clinical manifestations used to differentiate the various forms of anemia and polycythemia?

4.   Alterations in Hemostasis and Blood Coagulation

  1. What findings from the patient history, physical examination, or lab studies would indicate a possible bleeding disorder?
  2. What are the common causes of platelet dysfunction due to quantity and quality?
  3. What are the common causes of inherited and acquired coagulation disorders?

5.   Alterations in Blood Flow

  1. What are the clinical consequences of acute and chronic arterial obstructions and how do they develop?
  2. What are the causes and clinical consequences of superficial and deep venous obstructions?

Case study 11/30

Read the article and then answer the following questions:

1. Please describe your initial thoughts on the article in regards to the patient and the nurse

2. What other information do you want to know about this incident?

3. What should happen to the nurse in regards to her license?

Please answer each question with proper sentence structure and grammer. There is no minimum word count to anwer the questions. Keep all responses professional. Be sure to clearly number your responses, so that I can see you are addressing all 3 questions.

Ethical Paper: Postion

Write an argument on Euthanisa or Mercy Killing

A paper in moral-ethical consist of at least six(6): (1)  Introduction, (2)the presentation of the arguments, (3) the objections or counter-arguments, (4) a response to these objections, (5) the conclusion, (6) reference.

at least 6 pages.

Question 2

The mix race PowerPoint Presentation

Presentation should include the following

What is mix race 

The size of mix race in America

Composition of mixture

Health concerns

Social concerns

Reference

Retrospective Research Proposal Follow the guidelines example provided under attachment

Final Retrospective Research Proposal 

Must submit the Retrospective Records Review Research Proposal in (Word Doc) and create a data collection sheet (Excel) showing the variables you would be collecting. ( find excel sample online) 

*Reminder* You are not collecting any data, you are not reviewing patient information. You are creating a proposal as if you were submitting it to an Institutional Review Board. 

Find any data online to collect information to match the criteria from the sample attached to this assignment. 

This is a nursing-related assignment 

Must cite any sources  

Must answer all questions. 

Must follow the sample to answer all questions. 

Plagiarism free, APA format. Please do not have it turniti

REPLY COMMENT TO POST 1 AND 2

Respond to at least two of your colleagues in one or more of the following ways:

  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

POST 1

According to Cleary and Hunt, (2011), recent studies have shown the majority of nursing doctoral candidates are female, clinically experienced, and in their 40s or 50s at the time of starting their PhD. Based on that criteria, this writer fits exactly into that criteria. It is noted that other disciplines tend to start doctoral training much earlier (Cleary & Hunt, 2011).  As a practicing nurse of 30 years, most of it as an Associate Degree nurse the recognition of the PhD nurse was seen as a profession in a nursing league of their own. According to Michael and Clochesy, (2016), the PhD in nursing was predominant throughout the 20th century with members of the academic nursing community recognizing the need for the development of knowledge to inform practice and to promote the credibility of the profession.  Nursing theorists such as Jean Watson and Patricia Benner were game changers in the industry of theoretical nursing. The ability in achieving higher levels of education and in conducting research are hallmarks of professionalism (Houser, 2018).

This writer has a passion for teaching students and wants to be the best instructor she can be. She chose to go down the path of the PhD in Nursing education to increase skills and knowledge to improve what is delivered to students every day. The PhD is being pursued to separate myself from the growing amount of DNP faculty that she works with daily.  Being an alumni with Walden University for the MSN, it was an easy choice to pick Walden University for the terminal degree. Michael and Clochesy, (2016), states the PhD and DNP represent complementary and alternative approaches to the highest level of educational preparation in nursing. PhD programs prepare nurse scientists to conduct original research and to generate knowledge that may be broadly applicable or generalizable using advanced research designs and statistical evaluative methods. Conversely, DNP programs prepare students for advanced specialty practice at a high level of complexity with a concurrent focus on the development of knowledge and skills required for translation of evidence to improve health outcomes and health care delivery (Michael & Clochesy, 2016). 

Michael and Clochesy, (2016), also states two of the main reasons for not completing a doctoral program are financial and family stresses. Strategic plans must include financial considerations (e.g., research costs), support systems and a systemic approach to the dissertation to balance the demands successfully and complete a doctoral degree. Support from family and significant others, faculty, or fellow students is likely to result in greater positive feelings and outcomes (Michael & Clochesy, 2016). This student was fortunate enough to be able to personally finance the PhD program without creating student loans or an overwhelming financial burden on the family. She has a strong support network of family members including her husband and daughter. This writer plans to elevate her workplace position from a team leader of a fundamentals course to an associate degree program coordinator, associate degree of nursing director or dean of health sciences with the completion of her PhD in Nursing Education. 

References

Cleary, M., & Hunt, G. E. (2011). Demystifying PhDs: A review of doctorate programs designed to fulfil the needs of the next generation of nursing professionals. Contemporary Nurse: A Journal for the Australian Nursing Profession, 39(2), 273-80. Retrieved from https://ezp.waldenulibrary.org/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fdocview%2F1022984001%3Faccountid%3D14872

Houser, J. (2018). Nursing research; Reading, using, and creating evidence (4th ed.). Jones & Bartlett Learning

Michael, M. J., & Clochesy, J. M. (2016). From scientific discovery to health outcomes: A synergistic model of doctoral nursing education. Nurse Education Today, 40, 84–86. https://doi.org/10.1016/j.nedt.2016.02.011

POST 2

What does it Mean to be a Nurse with a Practice or Research Doctorate

Over the past decade, the doctoral prepared nurse role continues to evolve as healthcare organizations continue to seek qualified nurses who are geared and prepared in providing evidence-based patient-centered care. The doctorate role in nursing practice is emerging in numerous practices setting, especially hospitals, outpatient settings, and academic institutions, using guidelines to evaluate and enact new standards of care in education and practice to enhance best patient outcomes (Beeber et al., 2019).

What are the Expectations Associated with this Degree

Being a Doctor of Nurse Practice (DNP) means individuals are prepared to apply research in promoting evidence-based practice while advocating for patients. The DNP-prepared nurse provides leadership with the highest clinical expertise, which evaluates provider practices, clinical education design, and implementation translating research into practice (Greco, 2019). The Ph.D. nurse and DNP nurse work together in collaboration with the Ph.D. nurse focusing on research methodologies and ways to implement research (Hartjes et al., 2019). In other words, the Ph.D. nurse is a nurse scientist. The Ph.D. nurse research methodologies, develop theory, generalizes and replicate findings from an analysis of results to enhance quality improvement projects, and implement regulatory compliance (Hartjes et al., 2019).

How Might this be Different for a Nurse who Holds a Different Degree

The nurse who are considering a doctoral degree may choose from various education-focused degrees, such as the Doctor of Education (EdD), or a research-focused degree, such as a Ph.D. Others chose the Doctor of Nursing Practice (DNP). The doctoral options increase the skillset and knowledge with the ability to create policy reforms applying research into evidence-based practice. Historically, the Ph.D. degree is research-intensive and prepares the nurse for a career in academia or conducting independent research (Malloch, 2017).

How Considerations Relate to my Motivation to Pursue a Doctoral Degree now

The decision that influence my career choice in obtaining a DNP is my fellow peers. I have several colleagues who are doctorate-prepared nurses. During my clinical rotation during my MSN program, I was enormously impressed by these DNP prepared nurses. These DNP nurses were able to translate current practice guidelines and evidence-based practice into the way they care for patients, which, in my opinion, were beneficial for optimal patient care. I knew I wanted to also implement quality improvement methodologies in my practice, along with translating research into practice. The DNP degree will prepare me to become a clinical expert and a leader in health care with innovation, which will help to influence policy and practice changes at the highest organizational level (Udlis, & Mancuso, 2015).

References

Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). The role of Doctor of Nursing Practice-prepared nurses in practice settings. Nursing Outlook67, 354-364. https://doi.org/10.1016/j.outlook.2019.02.006

Greco, M. (2019). The lived experience of Doctor of Nursing practice in pursuit of a Doctor of Philosophy degree in nursing. International Journal of Nursing Education11(4), 195-199. https://doi.org/10.5958/0974-9357.2019.00118.1

Hartjes, T. M., Lester, D. D, Arasi-Ruddock, L. D, McFadden, B. S.., Munro, S. P, Cowan, L. P, & Goolsby, M. J. (2019). Answering the question: Is the Doctor of Philosophy or Doctor of Nursing Practice right for me? Journal of the American Association of Nurse Practitioners31, 439-442. https://doi.org/10.1097/JXX.000000 0000000273

Malloch, K. (2017). Leading DNP professionals. Nursing Administration Quarterly41(1), 29-38. https://doi.org/10.1097/NAQ.0000000000000200

Udlis, K. A., & Mancuso, J. M. (2015). Perceptions of the role of the Doctor of Nursing Practice-prepared nurse: Clarity or confusion. Journal of Professional Nursing31, 274-283. https://doi.org/10.1016/j.profnurs.2015.01.004

EXAMPLE OF HOW REPLY FOR POST 1 AND POST 2 LOOKS LIKE.

The doctoral education is on a slow but gradual rise between the doctor of philosophy and doctor of nursing practice (Hartjes et al., 2019). The Ph.D. programs prepare nurse scientists intending to generate new knowledge to advance nursing science. The DNP programs prepare nurses to lead interprofessional teams to improve health care quality and systems (Ketefian & Redman, 2015). It is very interesting that most nurses and clinicians seek advancement with a doctoral degree into their 40s and 50s. Can you imagine what the research and practice ladder would be like if there were more doctoral prepared nurses before age 40. Educating the future is essential. You are quite fortunate to be able to go back to school where finances or not an issue. Having family support is critical in one’s success as the demands of the programs can be overwhelming. On a positive note, being a doctorally prepared nurse will provide new and compelling future opportunities.

References

Hartjes, T. M., Lester, D. D, Arasi-Ruddock, L. D, McFadden, B. S.., Munro, S. P, Cowan, L. P, & Goolsby, M. J. (2019). Answering the question: Is the Doctor of Philosophy or Doctor of Nursing Practice right for me? Journal of the American Association of Nurse Practitioners31, 439-442. https://doi.org/10.1097/JXX.000000 0000000273

Ketefian, S., & Redman, R. W. (2015). A critical examination of developments in nursing doctoral education in the United States. Revista Latino-Americana de Enfermagem (RLAE)23, 363-371. https://doi.org/10.1590/0104-1169.0797.2566