NUR501- REPLY TO NANCY

Learning Theories and Their Usefulness to Advanced Practice Nurse (APN)

Learning is an integral part of an Advanced Practice Nurse (APN). It is the foundation for understanding patients and improving patient-care skills and competencies (Çeliköz et al., 2016). An advanced practice nurse should comprehend patients’ mental, behavioral, and emotional patterns. To cater to these healthcare demands, APN should be apprised of the relevant learning theories that allow them to understand patient care dynamics (Bastable, 2017). Understanding learning theories is significant to influencing behavior, and creating and emotional connection with patients.  Cognitive, behaviorist and social learning theories are the principal psychological and motor learning theories useful to APNs’ delivery of patient care.

The cognitive theory looks at what happens in the learner’s mental functions and does not ignore the external environment’s influence. APN benefits from this theory since it helps them understand the internal operations of their thought process. The theory asserts that internal thought processes and external factors are essential for cognitive functions (McSparron et al., 2019). Therefore, this learning theory’s applicability is a bidirectional mechanism where an APN develops self-thoughts and patients’ skills. The understanding of one’s thought process is significant in the reconstruction of learning paradigms. The theory is broken into sub-theories that addresses specific learning and understanding elements. APN uses this theory to understand patients’ patterns and construct appropriate care procedure that matches high-quality care-delivery.

Behaviorist theory focuses on observable events and connects them to learning principles. According to behaviorists, leaning is an association between stimulus conditions and the environment. Hence the view depends on a stimulus-response model of understanding. It connects individuals’ behaviors to the environment’s influences and detaches the internal factors that stimulate learning (Çeliköz et al., 2016; Illeris, 2018). APN use this theory to learn how to change their attitudes and responses to different patient situations, thus improving care. To achieve the desired patient outcomes, APN uses behaviorist learning theory to observe a patient’s response to the environment and manipulate the external stimuli to achieve the desired learning outcomes.

The social theory maintains that learning is an observable event, and people acquire new behaviors by imitating observable actions from others. It is a continuous learning paradigm that capitalizes on cognitive, behavioral, and environmental influences from others. Before imitating observed behaviors, people evaluate and perform a reinforcement analysis to assess the new behaviors’ consequences. If other people are positively rewarded, they mimic the learning process and learn from others’ successes (Akers & Jennings, 2016). APN learn from experienced practitioners on the best approaches to improving patient care. If particular care yields the best results, then APN realizes the rewards of the process and integrates them into patient care.

In conclusion, learning is a fundamental aspect of patient care, and Advanced Practice Nurse (APN) should prepare to implement it in delivering high-quality patient care. There are many learning theories implemented by APNs in improving quality, and each has a significant function in the construction of learning behaviors. However, the most used theories applied by APNs include Cognitive, behaviorist, and social learning theories. These theories generally look at internal thought processes, the external environment’s influences, and personal changes.

References

Akers, R. L., & Jennings, W. G. (2016). Social learning theory. Wiley Handbooks in Criminology and Criminal Justice, 230-240.

Bastable, S. B. (2017). Nurse as educator: Principles of teaching and learning for nursing practice. Jones & Bartlett Learning.

Çeliköz, N., Erişen, Y., & Şahin, M. (2016). Cognitive learning theories. Learning and teaching: Theories, approaches, and models, 31-45.

Illeris, K. (2018). Contemporary theories of learning: learning theorists… in their own words. Routledge.

McSparron, J. I., Vanka, A., & Smith, C. C. (2019). Cognitive learning theory for clinical teaching. The Clinical Teacher16(2), 96-100.

Benchmark – Curriculum Development Issue Paper

     

Benchmark – Curriculum Development Issue Paper

Read “Reconceptualizing Program Outcomes” and “Leveling EBP Content for Undergraduate Nursing Students” for a better understanding of issues within curriculum development.

Select an issue within curriculum development that is of interest to you.

Write a paper of 1,250 words on the issue, discussing its affect and relevance to nursing, staff or patient education.

1. Why is this issue a problem at your place of employment?

2. What are your proposed strategies to resolve these issues?

3. Use at least three to five scholarly, peer-reviewed resources less than 5 years old in addition to the course materials. Make sure that you do not use the two sources given in this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

CASE STUDY

  

A 5-year-old male is brought to the primary care clinic by his mother with a chief complaint of bilateral ear pain with acute onset that began “yesterday.” The mother states that the child has been crying frequently due to the pain. Ibuprofen has provided minimal relief. This morning, the child refused breakfast and appeared to be “getting worse.”

Vital signs at the clinic reveal HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. The mother reports no known allergies. The child has not been on antibiotics for the last year. The child does not have history of OM. The child is otherwise healthy without any other known health problems.

Physical examination reveals:  Vital signsl HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. Bilateral TMs are bulging with severe erythematous. Pneumatic otoscopy reveals absent mobility. Ear canals are nomal.

After your questioning and examination, you diagnose this child with bilateral Acute Otitis Media.

BA Assignment PART 1

Due on 11/15/2020 @7pm EST

3 – 4 pages

APA FORMAT 

Minimum of 2 scholarly sources and provide links to the FULL article. Scholarly article journals must be in English.

Submit through Turnitin and provide a report

Detailed instructions attached.

Benchmark – Nursing Process: Approach to Care

  

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.

Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:

1. Describe the diagnosis and staging of cancer.

2. Describe at least three complications of cancer (Complications of cancer are caused by the cancer), the side effects of treatment, and methods to lessen physical and psychological effects.

3. Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.

4. Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?

5. Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.

6. Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.

You are required to cite to a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. DO NOT USE AMERICA CANCER ASSOCIATION AS A SOURCE. 

Prepare this assignment according to the guidelines found in the APA Style Guide 7th edition. 

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

You are required to submit this assignment to LopesWrite.  

  

Reference

Randall, J. (2018). Cellular and Immunological Complexities. Pathophysiology: Clinical Applications for Client Health. Grand Canyon University (Ed.). https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/4

Center for Disease Control and Prevention. (2020). What are the risk factors for skin cancer? U. S. Department of Health and Human Services. https://www.cdc.gov/cancer/skin/basic_info/risk_factors.htm

Perez, D., Kite, J., Dunlop, S. M., Cust, A. E., Goumas, C., Cotter, T., Walsberger, S. C., Dessaix, A., & Bauman, A. (2015). Exposure to the dark side of tanning skin cancer prevention mass media campaign and its association with tanning attitudes in New South Wales, Australia. Health Education Research, 30(2), 336–346. https://doi-org.lopes.idm.oclc.org/10.1093/her/cyv002

Hubert, R. J. & Vanmeter. K. C. (2018). Gould’s pathophysiology for the health professions (6th ed.). Saunders.

2 coments each one 150 words (CITATION AND REFERENCE)

A barrier that causes concerns and prevents the application of evidence-based practice within a school setting is the lack of cooperation, noncompliance, and communication. This is a truth that corresponds when working with school professionals, parents, and children. When individuals have poor interest in applying practice that is relevant in the child’s health needs, it domino’s their school work, poor grades, high absences, frequent hospital or doctor visits. As well as financial burdens on working parents who have to take time out from work to care for their ill ones. School nurses are a vital part of a school team, they help identify and reduce health, safety, and social risk factors that affect school attendance. Research shows that almost 93% of absences are related to health issues (NASN, 2018). The health problems seen in the school setting are asthma, allergies, diabetes, obesity, seizure disorders, anxiety, and attention deficit disorder that are responsible for child chronic absenteeism. This is why it is important to eliminate barriers that interrupt the application of evidence-based practice. Creating a cohesive environment for the student both in school and at home, can help the child maintain wellness, and improve attendance, therefore their learning. A student with diabetes must be educated on the diagnosis, the causes for both low and high blood sugars, teach the signs and symptoms and the consequences of not having their insulin administered. Teaching also applies to those in direct care of the child, whether it is a para, social workers, teachers, and parents. 

Reference

National Association of School Nurses. (2018, June). School nurses: An integral member of the school team addressing chronic absenteeism (Position Statement).  https://www.nasn.org/advocacy/professional-practice-documents/position-statements/ps-absenteeism

reply2

Resistance to change has been an issue and a barrier in attempting to introduce evidence-based nursing practices. Unfortunately, there have been instances when employees were alerted to evidence-based practices which would ensure the patient’s health was not at risk, only to have a supervisor ignore the need. From past experiences, allowing staff to continue performing unsafe procedures was easier for the supervisor than addressing the situation. Therefore, having nurses fully engaged and willing to implement an evidence-based practice (EBP) is ineffective without a culture that supports it (Stillwell, Fineout-Overholt, Melnyk & Williamson, 2010).

     One of the first steps in addressing any issue begins with communication at the administrative level. This step is critical to avoid putting patient’s care at risk. All communication should be documented with examples of the evidence-based practice and changes needed for successful implementation. It is also important to remain diligent with follow-up meetings to ensure the issue is being addressed with steps outlined for resolution.

                                                                           Reference

Stillwell, S.B., Fineout-Overholt, E., Melnyk, B.M., Williamson, M. (2010). Evidence-Based Practice, Step by Step: Asking the Clinical Question. AJN The American Journal of Nursing: March 2010 – Volume 110 – Issue 3 – p 58-61. doi: 10.1097/01.NAJ.0000368959.11129.79