All posts by : chebby

• Describe a project that has been implemented in your setting. This can be the adoption of a new form for teaching or recording assessments, a new piece of equipment, or any new or changed policy or procedure that affects patient care. Why was a decision made to make the change? Was a problem identified, or did someone read/hear about the change and suggest it be brought to your setting?
• Find a research study or report of a practice change project related to the project that your setting implemented. How strong was the evidence (provide the relevant descriptive statistics from the study or report and interpret their strength).
• How were the staff members informed that the change was coming?
• How were staff members educated on the change? How long did the training take? What was involved?
• What was the reaction of staff members to the change?
• Describe what went well and what challenges were identified as the change was actually implemented.
• Did the change make the intended difference in the outcome? What was the actual data used for evaluation of the success of the project?
• Has the change been sustained over time?
• What are the barriers to change in your setting?
• What are the facilitators to change in your setting?

Nursing has undergone significant evolution over the years, transitioning from a role primarily focused on caregiving to an advanced, evidence-based profession integral to healthcare. This transformation has been evident across all areas of nursing, from acute care to community health. However, I would like to focus more specifically on the field of mental health nursing, which is the area in which I practice. The evolution of psychiatric-mental health nursing has been marked by significant changes over time, reflecting advancements in research, treatment modalities, and the recognition of mental health as a critical component of overall well-being. Despite these developments, historical challenges such as societal perceptions, stigma surrounding mental illness, lack of formal education, and limited recognition as a scientific discipline have shaped the field’s progression.

One of the earliest challenges in psychiatric nursing was the pervasive stigma surrounding mental illness. Historically, individuals with psychiatric conditions were often institutionalized with minimal medical care, and nursing interventions were largely custodial rather than therapeutic (McCurry et al., 2019). The absence of standardized psychiatric nursing education contributed to this issue, as mental health nurses were often seen as attendants rather than skilled professionals. Over time, the integration of psychiatric nursing into formal curricula and the emergence of therapeutic approaches, such as cognitive-behavioral therapy and psychopharmacology, have strengthened the profession.

Another significant challenge was the exclusion of psychiatric nurses from higher education and scientific research. In the early 20th century, psychiatric nursing lacked specialized training programs, limiting its development as a distinct discipline. As a result, the profession was slow to adopt evidence-based practices, which are now foundational to modern psychiatric nursing (Porter-O’Grady et al., 2020). The establishment of psychiatric-mental health nurse practitioner (PMHNP) programs has played a crucial role in advancing mental health nursing by integrating research, clinical expertise, and leadership.

Stigma and gender biases have also shaped the evolution of psychiatric nursing. Historically, psychiatric care was male-dominated, with physicians leading treatment efforts and nurses relegated to supportive roles. This dynamic limited the ability of nurses to contribute meaningfully to psychiatric interventions and policy development (D’Antonio, 2020). Today, PMHNPs play an essential role in diagnosing and treating mental illnesses, advocating for mental health policies, and leading community-based interventions. The expansion of the Doctor of Nursing Practice (DNP) degree has further strengthened the role of psychiatric nurses in healthcare leadership.

Despite these challenges, psychiatric nursing has evolved into a highly respected, research-driven field with a critical role in mental health care. The establishment of the DNP with a focus on psychiatric-mental health exemplifies the profession’s commitment to integrating science and clinical expertise. The DNP emphasizes evidence-based practice, healthcare policy, leadership, and quality improvement, further advancing psychiatric nursing (AACN, 2021). By continuing to address historical barriers and embracing innovation, psychiatric-mental health nursing will remain at the forefront of mental healthcare transformation.

References

American Association of Colleges of Nursing (AACN). (2021). The essentials: Core competencies for professional nursing education. Retrieved from https://www.aacnnursing.org/Education-Resources/AACN-Essentials

D’Antonio, P. (2020). Nursing history review, volume 28: Official journal of the American Association for the History of Nursing. Springer Publishing Company.

McCurry, M. K., Revell, S. M., & Roy, S. C. (2019). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 20(3), e12265.

Porter-O’Grady, T., Clavelle, J., & Iro, E. (2020). Quantum leadership: Creating sustainable value in health care. Jones & Bartlett Learning.

 The personal philosophy must include the following domains: Nursing, Environment, Health and Person. You should include your personal definition of each domain and how these fit into your philosophy of nursing. In preparing your philosophy the faculty require that you review the philosophies of Miami Dade College, Benjamin Leon School of Nursing and at least one hospital. A limit of 1 to 3 pages is acceptable in APA format.  

Select a child/adolescent or adult patient from your clinical experience who presents with a significant concern. Create a focused SOAP note for this patient using the template in the Resources. When you submit your SOAP note, you should include the complete SOAP note as a You must submit your SOAP Note using Turnitin.

• I will post the specific instructions for everything that should be covered in a direct chat with you.

 Reply for the following Discussion, more than 200 words and Turnitin less than 20 %. at least 2 References. APA format.

Nursing theories are philosophical constructs that attempt to explain, describe, or predict phenomena that occur during nursing care by serving as guides in clinical practice, education, and nursing research (Im, 2021). According to the philosophical level of abstraction, the body of nursing theories is composed of the metaparadigms of nursing (least specific level), grand theories, middle-range theories, and practice theories (highest level of specificity) (Im, 2021). Grand theories of nursing address global aspects of the nursing universe, examples of these theories include: General Systems Theory by Imogene King, Conservation Model by Myra Estrine Levine, Nursing Process Theory by Ida Jean Orlando, Theory of Human Becoming by Rosemarie Rizzo Parse, Adaptation Model by Sister Callista Roy, Emancipated Decision Making in Health Care by Wittman-Price, Self-Care Theory by Dorothea Orem (Im, 2021). The development of the grand theories of nursing was a momentous step in the development of nursing and the attainment of an identity (Im, 2021). They were initially used as theoretical frameworks in clinical practice and research; however, their high level of abstraction limited their applicability (Im, 2021). Many of these theories are now considered obsolete because they are very abstract and their adaptation to specific clinical crossroads is not very useful (Im, 2021). In the research branch, the grand theories have lost steam as well, especially in a modern research field more focused on evidence (Im, 2021). Midrange theories have taken over the role those grand theories once played as more specific and more detailed philosophical constructs about nursing phenomena, and clinicians and researchers find midrange theories to be a more accurate guide to decision-making (Wijaya et al., 2022). Although grand theories of nursing are considered obsolete in current practice, they were a milestone in the development of nursing as a scientific discipline with its own identity. 

Describe how epidemiological data influence changes in health practices. Provide an example and explain what data would be necessary to make a change in practice.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

Describe the rationale for the application of ethical guidelines in data collection. Using an article that you cited in the Article Analysis 1 or Article Analysis 2 assignments (see attachments), evaluate the article from a Christian worldview perspective and identify potential ethical considerations that may have occurred when sampling, collecting data, analyzing data, or publishing results. Provide rationale and support for your evaluation.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.