Essay Topic: Nursing Theorist

Hello, I have an essay due on December 5th. The essay must be about one nursing theorist, what their concepts are and how I would apply/use their concept in practice. 

The essay has to be in APA format(7th edition), double-spaced, font:times new roman, 12 pt, 4-6 pages (including title and reference page), and there has to be in-text citation. 

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Minimum of 250 words with at least one peer review reference in 7th edition apa style

 This week our objectives and content focus on evidence synthesis – research and non-research evidence – in the articulation of a practice problem. This articulation emphasizes significance, prevalence, and economic ramification of the practice problem at the national and local levels.  

How does understanding the three key features of a synthesis, as identified in this week’s lesson, influence your practice readiness as a DNP-prepared nurse leading the design, implementation, evaluation, and dissemination of findings in a practice change project?

The Role of the RN/APRN in Policy-Making

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

To Prepare:

  • Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
  • Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

Reply 1 Inf

Communication Strategies & HIPPA

Hospitals have embraced the use of health technology and electronic gadgets to improve communications among different parties. Some of the electronic strategies preferred for communication with patients include emails through electronic health record platforms, video calls, and telephone communication, among others (Mccorry & Mason, 2020). Communications conducted with patients over electronic platforms have several advantages over a patient visit to the hospital. For instance, these electronic communication strategies are preferred due to their speed and ease of operation (Anastasius, 2016). Patients can communicate with providers at all times, regardless of geographical barriers.

Furthermore, electronic communications are less expensive than office visits (Anastasius, 2016). Importantly, the use of electronic platforms produces electronic documentation of the interaction. The selection of the strategy to apply is based on the target and the message being passed. 

 The hospital has implemented numerous measures to ensure that the privacy and confidentiality of patient data are protected at all times. These measures include the installation of a secure electronic health recording system (Koontz, 2017). A secure system helps to restrict access to applications and patient health information. This electronic platform requires unique login details that protect the system from access to unauthorized parties (Akhilesh & Möller, 2019).  Staff education on patient privacy and confidentiality is also conducted regularly in the hospital. During the training sessions, nurses and other care providers are encouraged to ensure they key in the correct patient data at all points of interaction. Risk assessments are also conducted frequently to ensure patient data is not compromised. These assessments are essential in identifying potential vulnerabilities in the hospital’s security system, gaps in staff education, and other issues of concern (Koontz, 2017). 

References

Akhilesh, K. B., & Möller, D. P. (2019). Smart technologies: Scope and applications. Springer Nature.

Anastasius, M. (2016). Design, development, and integration of reliable electronic healthcare platforms. IGI Global.

Koontz, L. (2017). Information privacy in the evolving healthcare environment. Taylor & Francis.

Mccorry, L. K., & Mason, J. (2020). Communication skills for the healthcare professional enhanced Edition. Jones & Bartlett Learning.

Reply 2

Electronic communication would include methods such as email, phones, electronic health records (EHR), and telemedicine. Home health has a unique approach to using electronic communication due to the clinical setting. These nurses are not working in a medical facility with information technology readily available. Home health is defined as the “delivery of intermittent health-related services in patients’ places of residence to promote self-care and independence rather than institutionalization” (Nelson, 2014, p.154). This means that electronic communication used in the homes should be accessible and individualized for the families receiving services. 

All patients I have worked with communicate with the organization through phone calls, texts, and emails. Nurses communicate with our organization in the same way with the addition of a mobile app. To maintain patient privacy and confidentiality organizations that work with patient information follows its HIPAA policy. Health information protected under HIPAA includes patient name, social security number, telephone number, email address, street address, and any other patient identifiers. This includes the transmission of such data throughout an organization and applies to anyone involved with the use of health-related data (Edemekong, Annamaraju & Haydel, 2020). Nurses working in my organization only receive information about the patients they are treating. We have no way of accessing the patient’s not on our schedule. The medication administration record (MAR) and plan of care (POC) are sent to the family’s home in paper form for the nurses to use. In some ways, this is a great way to maintain patient privacy due to the limited accessibility of information. However, there have been instances when my patient’s information was sent to the wrong address. In addition, when nurses turn in the paper forms, we place them in a drop box at the organization’s office. Our notes are also dropped off in the same box. Respecting HIPAA would rely on the person emptying the box to ensure all the papers with patient information is taken to the proper person. Doing things this way seems like errors would happen easily. Using more electronic communication in handling patient information would make the home health setting abide by our HIPAA policy more efficiently. 

Nelson, states that a trend within home health organizations is the introduction of point-of-care devices to facilitate communication and collaboration. These devices would make “patient records available in the home when care is being provided and capture clinicians’ documentation in real-time, thereby supporting care” (2014, p. 157). I know of other home health agencies that use iPads and work phones to make this possible. Nurses on shift are given these devices to access patient information while in the home, eliminating paper records. Devices are handed in at the end of the shift to guarantee that information is only accessed by appropriate individuals and when necessary.  

References 

Edemekong, P. F., Annamaraju, P., Haydel, M. J. (2020) Health Insurance Portability and Accountability Act (HIPAA). StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK500019/ 

Nelson, R., & Staggers, N. (2014). Health Informatics: An Interprofessional Approach (2nd ed.). Mosby 

Discussion Question

1- Discussion Question:  Suppose you are going to conduct a study utilizing Qualitative Research Design: which type of research would you use, and which method would you utilize to collect data and select your sample. 

2- 3 paragraphs 3 sentences each

3- APA style

4- 2 references not older than 2015

Illness and Disease Management

In this course project, you are going to develop a plan of care for a chronic illness group of your choice using the Healthy People 2020 topics. While executing the tasks of this project, remember that while you need to give a general overview of the biomedical considerations of the case, the focus should always be on the psychosocial elements. Your perspective in this care plan should be the patient’s goals rather than those of the medical team. 

Identifying a Group

Identify a chronic illness of specific interest to you that is also identified as a Healthy People 2020 topic (healthypeople.gov). In a Microsoft Word document of 4-5 pages formatted in APA 7 style, address the following criteria:

  • Identify a chronic illness and rationale for choice.
  • Develop a questionnaire by utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group.
  • Discuss morbidity and comorbidity of the disease.
  • Discuss the impact of the chronic illness and patient morbidity on overall health of the nation.
  • Incorporate Healthy People 2020 goals and objectives for the specific illness group.

Support your responses with examples and information from library resources, textbook and lectures.

On a separate references page, cite all sources using APA 7 format. 

Please note that the title and reference pages should not be included in the total page count of your paper.

Sexual History

Your postings should be qualitative and provide substantive depth that advances the discussion. Please see the Writing Center for assistance with writing, APA, and online communication.

During this discussion, take some time to consider how you will obtain a sexual history from various special populations, as discussions about sex can be uncomfortable for patients. Discuss how you will help your patient open up to you, ensuring they are comfortable discussing a private issue with you as their healthcare provider. How is caring for a special population patient different from the general population?

A6 Home health

Read the following case study and submit a 1500 – 2000 word paper that addresses the case study and the questions at the end of the case study. 

Mr. B. is an 83 year old male referred to home health services following a hospital admission for congestive heart failure. His payor source is Medicare (traditional). He lives alone and indicates he does not have sufficient financial resources to afford private-pay in home supportive care. His daughter, who lives in the neighboring county about 30 miles away, has offered her father to move in with her – he has refused and she is not “forcing the issue”. Mr. B. is also not open to discussing moving to an assisted living environment.

This is his third hospital admission for the same problem over the last 12 months and his second admission to a home health agency. He was discharged from the previous home health agency 6 weeks ago. Physician orders are for the home health agency to provide skilled nursing for assessment of his cardiac condition and to teach him about his care and medication regime. Physical therapy has been ordered to establish a home exercise program. Home health aide services have been ordered 3 times a week to assist Mr. B. with his personal care needs.

By the end of the third week of service, it is clear to the RN Case Manager that Mr. B. is not making progress to the established goals. She reports during case conference that he is not a good candidate for teaching because of intermittent confusion and forgetfulness. According to the nurse, no matter what she has tried to teach him and regardless of the aids she has used, Mr. B. continues to take is medication incorrectly. She states, “I know he needs services, but I am not sure that he is in the right environment. I am concerned about Mr. B. – I am not sure why his daughter won’t just step up and put her foot down.”

The physical therapist reports at case conference that the “client lacks motivation”. The home exercise program has been established with Mr. B.; however, he does not complete the exercises between therapy visits.

An improvement in his personal hygiene has been noted with the Home Health Aide (HHA) services. The HHA has also been successful in decluttering his living space. The HHA reports that she is concerned that he is not eating regular meals.

This situation offers an ethical challenge to the professional caregivers and to the agency for which they work. 

Discuss how you would handle this ethical dilemma. Address the following questions as a part of your response:

  1. What are your concerns about this case?
  2. How does the RN Case Manager meet her ethical responsibilities to the patient and to the organization?
  3. What is the best plan of action to ensure the client’s safety and well-being?
  4. What are realistic outcomes and goals for this client?
  5. Who will provide the ongoing care needs required by this client?

Healthcare Informatics and Technology

 Research Article 

1. Research an article defending the position on the advancement of healthcare informatics and technology in healthcare. 

Instructions

1. Research Article: 

a. You will use the research-based paper grading rubric as a guide to complete the transcript and the group presentation rubric for delivering the presentation. (Both rubrics attached below)

b. Prepare an 8-10 page paper (including title and reference page) written in APA 6th edition style. References no later than 4 years old. 

     

Research Paper Rubric   (APA Format)

Title Page: Student has an appropriate title page, completed in an APA format with the title of the paper, the student’s name, a running head and date on the cover page.

Introduction: Contains a clear purpose of writing to inform the reader relating to the selected topic.

Body: The paper will have three main points with supporting evidence to back up the points.

Conclusion: The student will a clear conclusion with future directions.

Reference Page: Student has a minimum of 3 different references and all references are in APA format, no later than 4 years old.

Background info-historic perspective: Present with depth and clarity. APA format.

Citations and references: Both present written properly and has excellent depth of research information