All posts by : chebby

Tell your story of a personal experience with moral courage. Explain a situation or circumstance where you observed or participated in a situation when moral courage was displayed.

Review the module notes and readings, and reflect upon why you think more people do not engage in moral courage when experiencing a conflicting situation. Relate the importance of where one is situated along the stages of moral reasoning and if one is too many stages beyond another individual, what may be the underlying issues of understanding another’s perspective?

• Provide 1 exemplar of a time when you experienced a conflict and the action(s) you took in response to the conflict. Explain those action(s) from the perspective of Kohlberg’s and Gilligan’s stages of moral reasoning and levels of caring, respectively. Reflect upon this experience and identify what you have learned (new knowledge) and what challenged your assumptions and resulted in you engaging in unlearning or understanding something from a different perspective.
• Discuss why you identified yourself as being at that stage and how this aligns with your beliefs and assumptions as a professional nurse. Think about your emerging identify as a BS prepared registered nurse and describe what you might do now, at this moment in time, to change or reinforce the action you took when faced with conflict. How does this support becoming the professional nurse you want to be?
• Talk out loud with your peers and articulate 2 solutions you as a nurse can endorse and implement within a healthcare environment or community setting that promotes moral courage, mutual respect, authenticity, and integrity as a professional.
• Integrate text/article readings, module notes, and one other scholarly article that support your responses to the discussion questions and solutions for enhancing moral courage.

1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 6, 7, and 8 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Community Nursing

There is a planned community health project to decrease the incidence of human papilloma virus (HPV).

1.  Who is/are the target population? Why?

2. What are some key factors to consider when planning an HPV prevention program?

Part 2:

 1. What is meditation? 

      a. Discuss the benefits of meditation? (mention at least 3).

2. Indicate any research study that support the benefits  of meditation 

3. Have you ever practiced meditation? (Yes)

      a . Discuss your experience? 

Part 3:

Families may encounter different types of crisis. 

1. Choose one of the family crisis discussed in your textbook and discuss it.

Part 4:

A nurse manager is reviewing occurrence reports of medical errors over the last six months. The nurse manager knows that medical errors are not the only indicator of quality of care. They are, however, a pervasive problem in the current health care system and one of the greatest threats to quality health care. The nurse manager is putting together a list of possible solutions to decrease the number of occurrences of medication errors.

1 Recognizing that health care errors affect at least one in every 10 patients around the world, the World Health Organization’s World Alliance for Patient Safety and the Collaborating Centre identified priority program areas related to patient safety. What are the patient safety program areas the nurse manager should consider for implementation?

2.Describe the Joint Commission 2017 National Patient Safety Goals for Hospitals.

3.Discuss the Institute of Medicine’s four-pronged approach to reducing medical mistakes? 

Part 5:

Often in practice, we connect the concept of spirituality with religion, but according to the readings in the text, (chap 15) there are differences.

1. How can nurses incorporate these two concepts (spirituality with religion) into your practice? 

         a. Give at least two examples.

2. Write one of the North American Nursing Diagnosis Association (NANDA) nursing diagnoses related to Sexuality and Intimacy 

       b. Develop two patient-specific interventions for the client.

Part 6:

As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized  ( yes or not) and why?

2. How does being unionized impact a workforce culture of safety?

3. Include one MSN Essential in your discussion that relates to this topic.

Part 7:

As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized  ( yes or not) and why?

2. How does being unionized impact a workforce culture of safety?

3. Include one MSN Essential in your discussion that relates to this topic.

Part 8:

As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized  ( yes or not) and why?

2. How does being unionized impact a workforce culture of safety?

3. Include one MSN Essential in your discussion that relates to this topic.

Responding to the peer discussions 

I have the question, grid and instructions uploaded. Please follow the guideline as requested so I can get a perfect mark. Thanks. If have further question on the assignment don’t hesitate to let me know. Thanks!

CASE STUDY #2 

Chief Complaint: “I have pain in my belly”

History of Present Illness (HPI): A 25-year-old female presents to the emergency room (ER) with complaints of severe abdominal pain for 2 weeks . The pain is sharp and crampy It hurts if I run, sit down hard, or if I have sex

PMH: Patient denies

Drug Hx: Birth control

Allergies: NKA

Subjective: Nausea and vomiting, Last menstrual period 5 days ago, New sexual partner about 2 months ago, No condoms, he hates them No pain, blood or difficulty with urination

Objective Data:

PE: B/P 138/90; temperature 99°F;  (RR) 20; (HR) 110, regular; oxygen saturation (PO2) 96%; pain 5/10 

General: acute distress and severe pain

HEENT: Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.

Lungs: CTA AP&L

Card:S1S2 without rub or gallop

Abd: INSPECTION: no masses or thrills noted; no discoloration and skin is warm to; no tattoos or piercings; abdomen is nondistended and round
• AUSCULTATION: bowel sounds (BS) are normal in all four quadrants, no bruits noted
• PALPATION: on palpation, abdomen is tender to touch in four quadrants; tenderness noted on light palpation, deep palpation reveals no masses, spleen and liver unremarkable
• PERCUSSION: tympany heard in all quadrants, no dullness noted in abdominal area

GU: • EXTERNAL: mature hair distribution; no external lesions on labia
• INTROITUS: slight green-gray discharge, no lesions
• VAGINAL: normal rugae; moderate amount of green discharge on vaginal walls
• CERVIX: nulliparous os with small amount of purulent discharge from os with positive cervical motion tenderness (CMT)
• UTERUS: ante-flexed, normal size, shape, and position
• ADNEXA: bilateral tenderness with fullness; both ovaries without masses
• RECTAL: deferred
• VAGINAL DISCHARGE: green in color

Ext: no cyanosis, clubbing or edema

Integument: intact without lesions masses or rashes

Neuro: No obvious deficits and CN grossly intact II-XII

Then answer the following questions:

1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.

–Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

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

In a 1,000–1,250 word essay, summarize two qualitative 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, located in the Student Success Center. 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.

Instructions are attached bellow

Answer the questions after read the paragraph 

• Students will be required to complete one SOAP (psych) note on a patient seen in the practicum setting each week.
• These need to follow the guidelines for writing SOAP notes (S = Subjective, O = Objective, A = Assessment, P = Plan) and include relevant history, physical findings, assessment, and interventions.
• Student is required to submit 2 different cases on the assigned patients in order to receive grade.
• Find Template for SOAP Note in the syllabus OR under TEMPLATES on the left hand navigator of blackboard.

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.