week 8 capstone journal

Bi-weekly Practicum Journaling

Every two weeks, you will submit a reflective journal to the discussion forum for review by course faculty and your classmates. All are expected to engage and support one another by sharing these experiences in a supportive, constructive, professional environment. Journaling is an active learning technique that is meant to enhance reflective practice (Blake, 2005). Reflective practice involves looking back over what has happened in the practice setting in an effort to improve performance or to encourage professional growth (Ruth-Sahd, 2003).

Your Weekly Practicum Journal is:

  • A personal, introspective subjective account of your practicum experience and how your practicum experience relates to Healthy People 2020 and course objectives. Include events that occurred in your practicum experience, and be sure to describe your thoughts and feelings about those events.  How did your perceptions change? What did you learn that was unexpected? Describe your thinking about your thoughts and feelings regarding the new learning you experienced.
  • Connected to South University’s College of Nursing Conceptual Framework Pillars (Caring, Communication, Critical Thinking, Professionalism, and Holism)
  • Connected to prior coursework and experiences through reflective analysis.
  • Written in a scholarly, academic style using APA style format. Two or three sentences are not sufficient nor are daily logs/reports of activities.

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website.

the assignment has to be on a diabetic/hypertensive patient admitted to a cardiac/ telemetry floor. re-admitted because of uncontrolled diabetes and hypertension. 

discussion posts and

Responses to the discussion questions need to be only 100 words .

The case study all you have to do is read and answer the 5 questions no word limit is required.

The ARC directions are on the same page as the critical thinking case read it and then find out the 6 questions 1 to 2 pages is okay.

DQ w1 650

  

Instructions for Answer to 2 Question

1- After Each DQ (question), write down references

2- 300 minimum words for every DQ, you can go up to 800 words but answer should be complete.

3- 2-3 Peer Reviewed/ scholarly references for each question

4- References should be within 4 years

5- I am in acute care nurse practitioner program.

6- The response to the DQ is expected to be a minimum of 300 words. A minimum of two peer reviewed/ scholarly  resources are expected. These need to be appropriate for a clinical professional to guide decisions about patient care. If a textbook is used for one of these responses, the other needs to be journal or professional-level website. The references need to be correctly formatted, as do the citations for those references.  “ Question words” don’t count towards 300 minimum count”

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.

Leadership Responses

  

At least 2 citations. APA 7TH Edition

Response 1. TI

Top of Form

Dr. Joubert and colleagues, the study of leadership has developed, giving forth new theories and structures that explore the description of what it means to be a leader, and how to carry out the same effect. It would be pragmatic to note that one is not made a leader by a job title but through practical impact in. The situational theory is one such theory that can be effective in the medical field. This theory, often referred to as the Hersey-Blanchard situational leadership theory, suggests that no single leadership theory style is the best. However, Researchers and developers of leadership theories have not agreed on the leadership theories (Duggan et al., 2015).

Nursing leadership is a multidimensional concept. The nursing profession involves role model leaders that can transform their environment and leading their teams to succeed by overcoming obstacles. Situational leadership requires the leader to transform their leadership style to meet the followers’ leadership needs (Marshall & Broome, 2017). Developing a single satisfying leadership theory has become problematic due to these phenomena. Leadership style has a direct impact on the quality of care administered by the nurse team. The leadership style defines the quality of the relationship between the leader and the followers and sets the tone and mood of the work environment (Laureate Education, 2018).

Our director of nursing practice a contingency leadership style. Aware of the different dispositions on our team, she treats each nurse based on their abilities and needs. At times, she exercises Laissez-fair leadership, dictatorial, transformational, democratic, and other transformational styles. I was amazed by the approach. It helped to manage the team. For instance, the recalcitrant nurse received warnings, punishment for mistakes, and reward for an excellent performance. These restrained her actions and caused her to develop positive behaviors and care towards patients.

In Addition to the application of situational leadership style, she had leadership characteristics such as charisma, honesty, communication skills, creativity, innovativeness, decision-making, and integrity. Combination of the style and the qualities facilitated leading our team initiatives. to create a leader that we were all revered. According to Calderon-Mafud and Pando-Moreno (2018), organizations experience cultures of flexibility, social support, innovation, an also increased personal confidence, and openness to change. Furthermore, the implementation of an authentic leadership style mostly behaved as a middleman in the organization as it increased work productivity, helped implement staff engagement, and improving job satisfaction.

References

Calderon-Mafud, J. L., & Pando-Moreno, M. (2018). Role of authentic leadership in

organizational socialization and work engagement among workers. Psychology, 9, 46-62. doi:10.4236/psych.2018.91004

Duggan, K., Aisaka, K., Tabak, R. G., Smith, C., Erwin, P., & Brownson, R. C. (2015). Implementing administrative evidence-based practices: Lessons from the field in six local health departments across the United States. BMC Health Services Research, 15(1). DOI:10.1186/s12913-015-0891-3. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3

Laureate Education (Producer). (2018). The Leader in You [Video file]. Baltimore, MD: Author.

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

Response 2 An

Nursing directors assume a fundamental role in emergency clinic management. This includes encouraging consideration, guaranteeing patient wellbeing, upgrading the nature of the work-life of nurses, and advocating change measures that serve these goals (Waite & Brooks, 2014). This allows supervisors to engage with their nurses and play out their commitments, utilizing best practices. They, additionally, expect supervisors to guarantee the staffing nurses’ responsibility by methods for giving an ideal workplace while keeping an elevated level of value care and patient security.

The connection between leadership styles and staff impression of their strengthening is significant for nursing directors and leaders, so as to make a workplace that empowers and encourages an elevated level of responsibility among the nursing staff (Masood & Afsar, 2017). This is especially significant, particularly in the wake of the current difficulties confronting healthcare frameworks corresponding to the deficiencies of health professionals, particularly among the nursing profession.

The health professional directors are seen by nurses to display a few components of transformational leadership practices (Boamah et al., 2018). Hence, nurse directors will usually concentrate on nurse consistency and errand fruition, accentuate tasks, work norms, and undertaking focused objectives, and rely more upon authoritative disciplines and awards to impact nurses’ activity. Thus, this should build the self-assurance of nurses in playing out their work and building up their capabilities. Nurse leaders should be prepared to show nurses how to consider difficulties to be an opportunity for enhancements and to urge them to recognize and test new techniques and perspectives on settling old issues and to esteem novel and various points of view.

Boamah, S. A., Laschinger, H. K. S., Wong, C., & Clarke, S. (2018). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing outlook, 66(2), 180-189.

Masood, M., & Afsar, B. (2017). Transformational leadership and innovative work behavior among nursing staff. Nursing inquiry, 24(4), e12188.

Waite, R., & Brooks, S. (2014). Cultivating social justice learning & leadership skills: A timely endeavor for undergraduate student nurses. Nurse education today, 34(6), 890-893.

Ethical and Legal Implications of Prescribing Drugs

  • For the Week 1 Assignment, you will explore the ethical and legal implications of the following scenario, and consider how to appropriately respond:

As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult. Review the scenario assigned by your Instructor for this Assignment.

  • Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
  • Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.
By Day 7 of Week 1

Write a 2- to 3-page paper that addresses the following:

  • Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
  • Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 
  • Explain the process of writing prescriptions, including strategies to minimize medication errors.

MUST HAVE 4 REFERENCES LESS THAN 5 YEARS OLD (2015 OR NEWER)

APA 7 FORMAT

TITLE PAGE, AND REFERENCE PAGE