2 replies

Reply 1

Possible reservation include respecting Sister mary’s decision if she choses not to participate in assessment invovling private areas, or if she would prefer a female nurse instead of a male nurse. Also, if Sister Mary prefrs that certain areas of hte assessmetn is ommitted, she needs to be respected. Also, during imaging, if Sister mary choses to wear any crucifix or any religious items with her so long as this does not interfere with the imaging, allow her to do that. In working with Sister Mary, the healthcare professional must be non-judgmental and should eliminate prejudice and biases that she may have and treat Sister Mary with utmost dignity and respect. Patient-centered care must be provided to Sister Mary as with other patients. 

Emotional support and alleviation of fear and anxiety are another major tenants of patient-centered care nursing. Fear and anxiety which is closely associated with disease and morbidities are debilitating and negatively affects patient care. The patient-centered nursing care promotes caregivers and healthcare providers to pay attention to anxiety on the physical condition of the client, the course of treatment and the outcome of the treatment, the anxiety over the impact of the treatment and the condition on the client and the family, and lastly, anxiety over the financial impact of illness (Rozenblum, 2013). Involvement and family friends, therefore, plays an important role in supporting the client for wellness. Patient-centered nursing delivery recognizes and accommodation for family and friends, provide support to the family and the caregivers, involves them in the decision-making and recognize their needs.

Rozenblum, R. (2013). Patient Experience and Patient-Centered Care – Do We really Care?. Postdoc Journal.

reply2 

There are many psychosocial factors that can influence the patient/nurse relationship. These factors include past experiences, gender, age, religion and cultural background among others (Falvo,2011). The nurse should assess not only the patients psychosocial factors but also their own. In the case of Sister Mary the biggest reservation for working with Sister Mary would be the religious beliefs between the nurse and Sister Mary. Being a Nun and an obvious devout Catholic if the nurse caring for Sister Mary doesn’t have those religious beliefs it could interfere with the nurse/patient relationship. The nurse could be intimidated by Sister Mary because she is so ingrained in religion and what if the nurse wasn’t religious but instead spiritual. The nurse could also not believe in any type of higher power which would make it even harder to deal with the beliefs of Sister Mary. However, to have a effective experience with Sister Mary the nurse shouldn’t put her beliefs onto Mary and instead focus on the needs of the patient. If Sister Mary requests a priest be present or to have only female providers the nurse should do everything in her power to ensure that she is made as comfortable as possible. Also even if the views of the patient and the nurse do differ it is important that the nurse focuses the care on the patient and their needs. Many times in my nursing career I haven’t agreed with how my patients believe but I still provide them with the best care available to them.

Falvo, D. (2011) Sixth Edition.  Effective Patient Education: A Guide to Increased Adherence. Jones and Bartlett Publishers.

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Discussion: Using the Walden Library

 Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not and Respond to at least two of your colleagues’ posts by offering suggestions/strategies for working with this database from your own experience, or offering ideas for using alternative resources. 

Article is below– My practice is Psychiatric Mental Health Nurse Practitioner

Implementation of the Mental Health Nurse Practitioner Role in Forensic Settings: A Case Report.

Authors:Paradis-Gagné, Etienne
Guimond, ValérieSource:Journal of Forensic Nursing; Jul-Sep2020, Vol. 16 Issue 3, p179-182, 4pPublication Year:2020ISSN:15563693Accession Number:145453916Database:Supplemental IndexPublisher Logo:Publisher Logo 

Please respond to each post separately

Discussion Post 1

 COLLAPSE

The article I have chosen is

Mohn, C., & Rund, B. R. (2016). Significantly improved neurocognitive function in major depressive disorders 6 weeks after ECT. Journal of Affective Disorders202, 10-15.

I have always been interested in Electroconvulsive therapy since I find it fascinating and related to my practice area. The treatment is majorly utilized for severe major depression that has not responded to other forms of treatment. I used the Walden University database to find the most relevant article related to this issue. I did not have any difficulties accessing the article though I found many articles relating to the topic, and I had to narrow down to the most appropriate one. I found an article that had information on ‘significantly improved neurocognitive function in major depressive disorders in 6 weeks after ECT’. The information enlightened me on what Electroconvulsive therapy is all about and expected after the treatment is done. I found information on the side effects of Electrovulsive therapy and who are eligible to undertake the treatment. I discovered that some patients suffer from reduced cognitive function, mainly on the speed of processing, reduced cognitive function, and episodic memory, usually the very first week of the therapy. I recommend the database to any user who might have anything to research on but has problems getting articles with credible, adequate, and reliable information. I also recommend the database because the articles found there are reasonable and trustworthy. There are many articles regarding a specific topic; therefore, one has a range of articles to choose from. Generally, the Walden university database is a great place to find the best articles related to a particular topic to acquire more information. 

Discussion Post 2

 

Fatigue Amongst Emergency Department Nurses

            I chose an article about fatigue amongst nurses working in the emergency department as I feel this article would be most relatable. I have only been as registered nurse for three years, but I am able to understand how easily it is to become overwhelmed and burned out. This article assesses the relationship between demographic factors, physical health, psychological distress and job-related psychosocial factors (psychological job demands, job control and social support) and prolonged fatigue among emergency department nurses (Al-Abdallah & Malak, 2019).

            From the student portal, I was able to access the academic resources and then library under the dropdown menu. On the library homepage there were several search options such as by publications or databases. Selecting the databases option brought me to a list of different choices including CINAHL Plus with full text. Cumulative Index to Nursing & Allied Health Literature: a large collection of journals and e-books on many nursing and allied health topics (n.d-a). Clicking this link then brought me to a search bar where I then typed in a general topic such as: “emergency department nurses and fatigue”. I was then given access to several peer-reviewed articles in which I chose the one that fit my topic of choice. Thereafter, I was able to access the full article and other relevant resources.

            I had no difficulties searching for this article as the Walden University’s library has made everything easily accessible for students. I do believe the database CINAHL is most useful to my colleagues as they will continue to need peer-reviewed articles throughout their program. I recommend this database because it provides peer-reviewed articles that are relevant and within five years. Additionally, students can access the Walden University library if there is ever a question about if what you’ve found is a journal article (n.d-b).

Module 2 SLP

STRATEGIC PLANNING: BUILDING A SUCCESSFUL PUBLIC HEALTH PROGRAMS

For the SLP assignments, you will select a community of your choice and create a strategic plan to address a public health concern that impacts the community.

  1. Identify your selected community and describe it. Include geographic location, demographics, and any other pertinent information that will be helpful in describing the health status of your community.
  2. Do additional research and identify what health needs are being met, what needs are not being addressed, and what resources are available in the community.
  3. Select a public health problem that is not being addressed in your community and a target population for which you will develop a program.
  4. Identify key partners and stakeholders that you will collaborate with to address the concern. Explain why collaboration with these partners/stakeholders is important.

Be sure to use credible, professional, and scholarly sources such as peer-reviewed journal articles from the Trident Online Library, and government, university, or nonprofit organizations’ websites.

Length: 3 pages double-spaced, excluding the cover page and the reference list.

NURS-6050N-66/NURS-6050C-66-Policy & Advocacy

”  (IT IS REPLY TO A DISCUSSION-ONE PAGE ,THREE REFERENCES PLEASE”)……………..

     The policy that I chose is H.R. 701 – Expressing support for policies that maintain a robust, fully funded, and staffed Veterans Health Administration of the Department of Veterans Affairs and do not jeopardize care for the Veterans by moving essential resources to the for-profit private sector. This policy was introduced to the house on November 14, 2019.

     I chose this policy because our nation has a moral obligation to provide the best quality care to those who put their lives on the line to defend us. It includes caring for the hundreds and thousands of veterans with multiple amputations, loss of eyesight, or Post-traumatic stress disorder.  I believe our veterans deserve the best healthcare in the world.  That means minimal wait times and a technologically advanced Veterans Administration (VA).  It means having the best physicians and health care personnel caring for them. It means having one entry point that is run by the VA and on-the-spot claim submission with far more reasonable timeliness for adjudication than today. It means assisting our veterans with alternative form of treatment. 

     The VA has been plagued with problems for years, it has been faced with reports of excessive and contradictory spending, allegations of inadequate healthcare, and massive backlog of benefits claims (Gordon, 2017).  We are all aware of the scandal in 2014 where hundreds of veterans died while awaiting health care at VA hospitals.  It should not be so for our veterans, I strongly believe that VA hospital and clinics should be fully funded to provide the best health care that the veterans deserve even though health care is fraught with a multitude of factors that are difficult to identify and control (Milstead & Short, 2019).

Quality Improvement Proposal

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

  1. Provide an overview of the problem and the setting in which the problem or issue occurs.
  2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
  3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
  4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
  5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
  6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

Discussion 1 and 2 ,250 words each one and assessment question by 12/9/2020 at 6 :00 pm,please add references and citations

 The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature 

Discussion 2

 According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with clients. How do you see this being applied in your workplace 

Pediatric Care

Write a 5 page research paper about pediatric care.

Include:

– Practical proof

– Statistics

– Data from clinical reserach

– References within the last 5 years

APA style 

Week 10 Discussion Forum

For Week 10, reply to the questions below in a one paragraph (four to five sentences) response.

Briefly reflect on your pathophysiology experience and address the following questions:

  • How will the knowledge of pathophysiology play into your career role? (My career is nursing)
  • What aspect of pathophysiology do you feel will be the most important moving forward?