Course Competency:

• Compare the care models for nursing practice specific to the older adult.

Transferable Skill:

• Information Literacy: Discovering information reflectively, understanding how information is produced and valued, and using information to create new knowledge and participate ethically in communities of learning.

Your nursing supervisor likes the topic you chose for the in-service presentation and wants you to start researching! To make sure you get the project on the right track, your supervisor has asked you to do the following:

1. Using the Rasmussen Library, identify at least 2 resources pertaining to your topic.
2. Prepare an annotated bibliography for the resources you identified. Each entry will include:
   1. the full APA formatted reference
   2. an annotation consisting of the following elements:
      • 2 to 4 sentences to summarize the main idea(s) of the source
      • 1 or 2 sentences to assess and evaluate the source
      • 1 or 2 sentences to reflect on the source

For information about making a research appointment with a Rasmussen librarian, evaluating the credibility of a source, or creating an annotated bibliography, consult the resources below.

• What is an annotated bibliography and how do I do one? Do you have a sample I can see?
• How can I make a research appointment with a Rasmussen College Librarian?
• How do I know if a source is credible?

Once you receive your graded submission, be sure to review the supervisor’s feedback. You want to make sure that your next submission shows that you made appropriate improvements based on the feedback.

Evidence-Based Capstone Project, Part 6: Disseminating Results

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.

To Prepare:

• Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.
• Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

• Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy

Module 02 Discussion – Multidimensional Care of the Cancer Patient

Cancer is one of the leading causes of death in both men and women. Caring for the cancer patient and family requires a multidimensional approach.

What does it mean to provide a multidimensional approach? What are some examples of how the care team can meet the patient and the family’s needs? Who are the members of the care team and how are they involved in providing multidimensional care?

activities

PROMPT

As you look back on Sessions A & B of Public Health Nursing, reflect on what you knew then and what you know now about the role of the public health nurse and her/his importance locally as well as globally to various communities. 

ASSIGNMENT

Week 8 Community Health Paper 

 Write a paper that addresses the following:

1. What is the role of a community health nurse? 
2. How does the community health nurse assist the families of patients in their home settings?
3. What are some of the barriers related to the initiation of home care services in communities?
4. How does living in an urban area versus a rural area affect home care services?

Your paper must be three to four pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1” margins. Include a minimum of three references.

POST 1

V. Soda

Application of Theory to Practice 

The article chosen was entitled Knowledge for good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice by McCurry, Revell, and Roy (2010). This article looks into a correlated theory to guide disciplinary goals to promote health and prevent illness internationally. Nursing goals were aimed not just to an individual but the culture in which the person subsides (McCurry, Revell, Roy, 2010). 

Summarization of Article

This article utilized middle-range theory because of its similarity of the goal of health “for all and its goodness of all levels of nursing practice from the individual” and can be applied globally (McCurry, Revell, & Roy, 2010, p. 43). This model was used, in correlation was McCubbin and Patterson’s Double ABCX model,  to depict how middle-range can “be expanded to assess communities and the larger society” to decipher existing and needed resources (McCurry, Revell, & Roy, 2010, p. 50). The theory is prescriptive because it focuses upon presenting change and viewing outcomes of nursing interventions (McEwin & Wills, 2019). The article depicted the importance of correlating the philosophical view, structured goals, and actions with continuing knowledge in relation to the good of an individual and society (McCurry, Revell, & Roy, 2010). 

Value of Theory for Nursing Research 

It is within nursing that there is a “disciplinary goal to contribute to the health of individuals and the overall health of society” (McCurry, Revell, & Roy, 2010, p. 43). To accomplish these goals of contribution, nursing theories assist for this achievement. It is noted that the knowledge in the nursing profession is based upon theories. They are the maps that direct evidence-based practicse in nursing care. In addition to this knowledge, “validation is needed as well by research validating answers” to create the evidence-based practices (McCurry, Revell, & Roy, 2010, p. 43). 

Example How Theory is Applied

 Theory is applied in nursing practice by presentations that are evidence based and used in any nursing setting. An example of a universal utilized theory is the use of hand-hygiene as a preventative measure for health care acquired infections and to decrease the spread of pathogens (Gould, Moraljo, Drey, & Chudleigh, 2010). Another example entailing a theory that relates particularly to what is presented to nursing students is theorist Dorthea Orem (Simmons, 2009). Dorthea Orem focused upon the ability of self-care, and presenting it to students as a nursing professor and towards patient care, categorizes it uniquely to the theory flourishing upon self-care during nursing education, nursing profession, and personal life.

References

Gould, D., Moralejo, D., Drey, N., & Chudleigh, J. (2010). Interventions to improve hand

hygiene compliance in patient care. Cochrane Database of Systematic Reviews, (9). 

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research:

Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

McCurry, M.K., Revell, S.M.H., & Roy, S.C. (2010). Knowledge for the good of the individual and society:

Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42-52. doi:

10.1111/j.1466-769X.2009.00423.x

McEwin, M. & Wills, E.M. (2019). Theoretical basis for nursing (5th ed.). Philadelphia, PA:

Wolters Kluwer Health 

Simmons, L. (2009). Dorthea Orem’s self care theory as related to nursing practice in hemodialysis.

Nephrology Nursing Journal, 36(4), 419-421.

POST 2

D. Strickland

Middle Range Theories

Health Belief Model

            Middle range theories guide the practitioner in understanding the client’s behavior, enabling interventions that are more effective (Gray, Grove, & Sutherland, 2017, p. 147).  The middle range theories are more in tune  with everyday practice and are sometimes called substantive theories.  The constructs of the Health Belief Model are perceived susceptibility-an individual’s subjective assessment whether the health problem presents a risk to her/him, perceived severity-an individual’s subjective assessment regarding the severity of the health problem and its potential consequences, perceived benefits-an individual’s subjective assessment of the value or efficacy of engaging in a health-promoting behavior to decrease the risk of the disease, perceived barriers-an individual’s assessment of the obstacles to behavior changes, cues to action-a stimulus is needed to trigger actions and self-efficacy-the individual’s confidence in his/her ability to affect change in outcomes (Canfield, 2020, p. 14).

Article Summary

            The article that I studied was Understanding precautionary behaviors among neighbors of COVID-19 positive patients using health belief model:  An analysis from available evidence 

(2020). This study researches the perceptions that close contacts and neighbors had regarding COVID-19 positive patients who lived in the same apartment complex.    The results of the study found that risk perception was high, stress among the non-positive COVID-19 participants was elevated and those who worked in health care were perceived to be a high risk threat to the other members of the community, and this caused he members of the apartment community to have resentment towards the health care workers.  This theory was predictive.  Health Belief Model has been used to study behaviors related to preventing or mitigating disease and posits that messages will achieve optimal behavior change if they successfully target perceived barriers, benefits, self-efficacy and threats (Ghosh, Bhattacharya, Pramanik, & Chakrabarti, 2020, p. 280). 

Value of Theory for Nursing Research

How Theory is Used in Family Practice Clinic

The three important factors in nursing are theory, research and practice.  In any discipline, science is the result of the relationship between the process of inquiry (research) and the product of knowledge ( theory) (Saleh, 2018, p. 18).  A large and important part of the knowledge that is used in nursing is obtained through research.  Because COVID-19 was a novel virus there was a need for research on how to stop the spread of this virus.  From infection control, to mask wearing and social distancing 6 feet were all researched and policy was implemented.  The family practice heard of this novel virus but did not understand the impact it would have on the clinic and the staff as a whole.  Initially patients cancelled their appointments and we went from seeing almost 70-90 patient a day to maybe seeing 20 patients daily.  One way to be able to provide care to our patients was by way of telemedicine.  Because this way to see patients was not provided in our office, we had to research the efficacy, develop a policy, implement the policy and then analyze the effectiveness of telemedicine.  We had to revise the policy just one time in order to provide for our older patients who are not savvy in technology.  The office had to also develop and implement a policy for patient’s who wished to be seen in the office.  Because the research had already been done by the CDC, the office management team had to develop and implement a patient process that would allow for safety while being seen in the office.

References

Canfield, S. J. (2020). Back to the future: COVID-19 and the Health Belief Model. Retrieved fromhttps://content.ebscohost.com/ContentServer.asp?T=P&P=AN&K=146498353&S=R&D=rzh&EbscoContent=dGJyMNLr40SeprY4wtvhOLCmsEiep7VSsqa4SLCWxWXS&ContentCustomer=dGJyMPGss0q1qK5IuePfgeyx5n3f4vKA8dnn

Ghosh, N., Bhattacharya, S., Pramanik, T., & Chakrabarti, I. (2020). Understanding precautionary behaviors among neighbors of COVID-19 positive patients using health belief model: An analysis from available evidence. Medical Journal of Babylon, 17(3), 278-281. http://dx.doi.org/10.4103/MJBL.MJBL_45_20

Gray, J. R., Grove, S. K., & Sutherland, S. (2017). Burns and Grove’s the Practice of Nursing Research Appraisal, Synthesis and Generation of evidence (8 ed.). St Louis MO: E

Saleh, U. S. (2018). Theory guided practice in nursing. Journal of Nursing Research and Practice, 2(1), 18. Retrieved from https://www.pulsus.com/scholarly-articles/theory-guided-practice-in-nursing.pdf

EXAMPLE OF HOW THE REPLY COMMENT LOOKS

Comfort theory, through Kolcaba, brings forth the emphasis of viewing a person as a holistic being. In correlation to this model, a philosopher, named Maritain, showed reasoning “on the philosophical basis for the good of individuals and society” (McCurry, Revel, & Roy, 2010, p. 45). He formulated an emphasis that an individual is a portion of humans, part of the universe, and as a whole survives morally as a spiritual soul (McCurry, Revell, & Roy, 2010). With Kolcaba’s theory there was also the articulation in discussing patients and their families. Engagements from both patient and families allow that comfort to be fulfilled resulting in organizational benefits, such as decreased cost and length of stay (Kolcaba, Tilton, & Drouin, 2006). Comfort is a fundamental need for care in any institution so it can be viewed as “a common denominator” within an organization (Kolcaba, Tilton, & Drouin, 2006, p. 343). If there was not a focus upon this fundamental need, where would research currently be? Where would the progress of nursing care and institutions be at? Can there be a collaboration with Kolcaba’s and Maritain’s approaches?

References

Kolcaba, K., Tilton, C., & Drouin, C. (2006). Comfort theory: A unifying framework to enhance thepractice environment. Journal of Nursing Administration, 36(11), 538-544. McCurry, M.K., Revell, S.M.H., & Roy, S.C. (2010). Knowledge for the good of the individual and society:

Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42-52. doi:

10.1111/j.1466-769X.2009.00423.x

REPLY1

(This reply is for my professor)   

she wrote this feedback for my)      

Hello Maria. Reflecting on your area of nursing expertise, what has been your experience with working within an interprofessional team? Did you have an opportunity to speak up on behalf of your patient but failed to do so? If so, what prevented you from speaking up and how would you handle a situation similar to this should it arise in the future?

REPLY2

  Interprofessional collaboration is the collective involvement of various professional healthcare providers working with patients, families, caregivers, and communities to consider and communicate each other’s unique perspective in delivering the highest quality of care. (Moss et al, 2016) At work, I saw a physician did not wash his hands before and after seeing a patient who I was taking care of. The doctor was busy, and I was afraid to interrupt him. I knew I should have told him that washing hands is important to prevent the spread of infections between patients. However, I was not able to tell him about it because of the fear. Hesitancy to speak up is one of the factors that may contribute to communication errors and/or adverse events. (Okuyama et al, 2014)

           According to Okuyama et al (2014), effective communication and teamwork skills are crucial to improve patient safety for health care professionals. Health care professionals are expected to speak up about their concerns before a critical event reaches a patient to provide a chance to correct the plan or intervention. (Okuyama et al, 2014) In addition, establishing a culture that empowers staff to speak up when concerned about the quality or safety of patient care is important. The Michigan Health & Hospital Association (MHA) Keystone Center has implemented the Speak‐Up! Award program that acknowledges frontline health care staff for voicing their concerns and making care safer. (Novak, 2019) And this program presents evidence that fostering a psychologically safe culture of speaking up yields fiscal and humanistic returns, both of which are crucial to sustainable, meaningful progress in safety and quality. (Novak, 2019)

Explain why cost management and cost allocation is important information for a healthcare manager?  

1. Discussion Question: The nurse is completing an assessment on a patient who is complaining of joint pain. What information would be important to obtain when completing a patient history on the musculoskeletal system?
2. 3 paragraphs of 3 sentences each
3. 2 references not older than 2015
4. APA Style

Write a Short Essay of 3 to 4-pages clearly defining the stance of Muslim (exclusivism, inclusivism, pluralism) in relation to diversity of opinion about religion (and/or), spirituality (and/or), divinity.  Make at least two direct quotations in reference to the Diana Eck,  two direct quotations in reference to the chapter on Prophetic Religions from Haught  and one direct quotation reference from each of the required chapters “Christianity,” “Judaism,” and “”Islam” from Weeks 7 & 8. Give at least one specific story example from your work as a health care practitioner (or in your life experience) where your stance was challenged, or formed, or affirmed (or some combo of challenged, formed, and affirmed).

Writing guidelines for all Short Essays:

• The essay must be of the required length according to the assignment, posted as a Word Document.
• Your grammar and spelling must be correct and will be graded accordingly.
• Number the pages in lower right corner.
• Typed, double-spaced, 12-point Times New Roman font, 8.5”x11” page size, one-inch margins.
• Block quotes of more than 4 lines are single-spaced and indented (No more than a total of 12 lines of block quotes are allowed in these very brief essays).
• Never use a title page. Use a single-line heading: Your Name. Week 4, 9, 14, FINALS Week. Title.
• Include only include one space between single line heading and essay

Use parenthetical in-text citations in this format: (Peters, Ch3, p45) or (Peters, Ch3, Loc.900).  If you stick with that same source for the very next citation, use this format (Ch4, p67) or (Ch4, Loc.1020). Only include a full bibliographic reference at the end of your assignment if you refer to a source not included in the required readings for this course.