Learning Resources

NUR 81 WK 2 DISCU To prepare: Review the Learning Resources focusing on the different types of theories that are relevant for nursing practice. Locate a scholarly article in the professional nursing literature that discusses a middle range or practice theory. Determine if the theory is descriptive, explanatory, predictive, or prescriptive in nature. With this in mind, consider how nursing theory is utilized in research. For instance, how might this theory be useful for identifying a research problem? Then, reflect on your nursing practice. As indicated in Chapter 2 of Theoretical Basis for Nursing, theories differ in scope—from the more abstract metatheory and grand theories to the more concrete middle range and practice theories. Brainstorm examples of how theory is applied in your nursing practice. Identify one to share in this Discussion. Post a cohesive response that addresses the following: 1-2 PAGES Summarize your selected article, identifying the middle range or practice theory utilized, and explaining whether the theory was descriptive, explanatory, predictive, or prescriptive. (Include the APA citation for the article.) Describe the value of theory for nursing research. Be specific.Share an example of how theory is applied in your nursing practice. REFERENCE McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health. Chapter 2, “Overview of Theory in Nursing” 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. Chapter 5, “Research Problem and Purpose” 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 Algase, D. (2009). The centrality of theoretical thinking and the value of empirical evidence. Research & Theory for Nursing Practice, 23(4), 251–252. doi:10.1891/1541-6577.23.4.251

 

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Environmental Theory

class 2 unit 6 comment 2 Reply to Thread My assignment, in Unit five, was on Florence Nightingale’s Environmental Theory and the more I read about her the more of hero she becomes to me. She speaks to my advanced nursing practice because she has brought so much to the field of nursing in a time where women did not have a lot of influence or power. When I read about the 13 Cannons of the Environmental Model of Nursing, I can see every one of them still presently practiced in nursing (Butts & Rich, 2013, p. 427). Nursing is so much more than treating the sickness, it is about treating the person holistically (Arnstein, 1956, p. 542). When I assess my patients as a nurse I am looking not just at their disease I am looking at their diet, their, history, their labs and tests and if they are alert and oriented. I see that Florence Nightingale did just that in a time nursing diagnosis did not exist. When she went to Turkey to help care for the troops during theCrimean War, I can’t help but wonder, if she had any idea of what her change in that hospital would do for the future of nursing. From the notes she took, during that time, she publish a book that was filled with statistics, graphs, and data on the improvements from her work that enabled changes in military hospitals, Barracks, and initiated the start of a military medical school (Whyte, 2010, p. 20). If I could model my advanced nursing practice after the example Florence Nightingale, than I think I will do well in the next phase of my nursing career. Arnstein, M. G. (1956, July). Florence Nightingale’s Influence on Nursing. Retrieved June 18, 2017, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1805929/ p. 541-542 (Butts, J. B., & Rich, K. L. (2013). Philosophies and Theories for Advanced Nursing Practice (2nd ed). Burlington, MA: Jones & Bartlett Publishers Whyte, A. (2010). Relighting the lamp: as the centenary of her death approaches, Florence Nightingale’s contribution to modern nursing is celebrated by Alison Whyte. Nursing Standard, (18), 18-20. Hide

 

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PROJ GUIDELINES.

LOOONG Project Assign-15 pages.Please see the Instrcutions below, I have attached all the work that was done during Semester toward this Project AND I have included PROF. feedback of the work that was LOOONG Project Assign-15 pages. Please see the Instrcutions below, I have attached all the work that was done during Semester toward this Project AND I have included PROF. feedback of the work that was done. There are 3 parts, 3 Assignmnts done and I included them in the attached WORD doc. Also attached are the GUIDELINES for Final Assgnm. and please address ALL PARTS of this in the Final Product. As I said, small parts were done already and you can include some of these in FIANL PRODUCT, as requested by FINAL PROJ GUIDELINES.

 

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urinary retention,

for suraya only For project picot question ” In patients with urinary retention, what is the effect of self straight catheterizing compared to the use of indwelling catheter on increased urinary infections?” Please feel free to use your own wording, but you are attempting to compare two groups, one using self-straight cath., the other using indwelling caths. on the incidence (newly diagnosed rate) of UTIs! Masters class APA format 3-5 pages long with 4 references 1 from waldenu library Course Project: Introduction to Course Project Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current research. In this way, nurses can connect the results of relevant research studies to their nursing practice. For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practiceBefore you begin, review the Course Project Overview document located in this week’s Learning Resources. Note: This Course Project will serve as the Portfolio Assignment for the course. In addition to submitting portions of this Project in Weeks 2 and 5, you will turn in all three deliverables in Week 10. Course Project: Part 1—Identifying a Researchable Problem One of the most challenging aspects of EBP is to actually identify the answerable question. —Karen Sue Davies Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results. In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions. To prepare:Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions. Review the section beginning on page 71 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem. Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem. Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale. Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question? Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question. Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question. To complete: Write a 3- to 4-page paper that includes the following:A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice The 5 questions you have generated and a description of how you analyzed them for feasibility Your preliminary PICOT question and a description of each PICOT variable relevant to your question At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections

 

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benchmark assesses

The benchmark assesses the following competencies:1.4 Participate in health care policy development to influence nursing practice and health care.Research public health issues on the “Climate Change” The benchmark assesses the following competencies: 1.4 Participate in health care policy development to influence nursing practice and health care. Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population. Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue. Follow this outline when writing the policy brief: Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.Create a problem statement. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable. Discuss the impact on the health care delivery system. Include three peer-reviewed sources and two other sources to support the policy brief. 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. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

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individualized comprehensive

CO1: Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO1) CO8: Discuss the role CO1: Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO1) CO8: Discuss the role of evidence-based practice in the provision of professional nursing care. (PO8) Select a challenging nursing care issue (examples include falls, medication errors, pressure ulcers, and other clinical issues that can be improved by evidence in nursing). Do not select a medical issue (disease, medical treatment). Do not select a workforce issue (staffing, call-offs, nurse to patient ratios). Explain the following for the selected clinical issue. State the issue. Explain the process you would use to search CINAHL for evidence. Include your search terms.

 

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Nursing Research

Discussion: Nursing Research and Evidence-Based PracticeIn your practice as a nurse, you may use procedures and methods that did not necessarily originate in evide Discussion: Nursing Research and Evidence-Based Practice In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care. Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP). To prepare: Consider a recent clinical experience in which you were providing care for a patient. Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research? What questions have you thought about in a particular area of care such as a procedure or policy?Review Chapter 2, pages 31–34 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question. Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment. Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier. Post an evaluation of the use, or lack thereof, of EBP in a recent clinical experience. Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic. Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization. Required Readings Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer. Chapter 1, “Introduction to Nursing Research in an Evidence-Based Practice Environment”his chapter provides an introduction to nursing research, its history, and the evolution of evidence-based practice. It includes an overview of credible sources of evidences and a description of the different paradigms used in nursing research. Chapter 2, “Evidence-Based Nursing: Translating Research Evidence into Practice” The focus of this chapter includes an overview of the key aspects of evidence-based practice, a review of how to identify credible research and appraise its value, and, finally, a discussion on how to take the identified evidence and convert it into a practice. Chapter 3, “Key Concepts and Steps in Qualitative and Quantitative Research” In this chapter, quantitative and qualitative research models are compared and the major steps in each approach are described. Information is also presented on the different sections of a research journal article and how you can identify the research model that was utilized. Adams, J. S. (2010). Utilizing evidence-based research and practice to support the infusion alliance. Journal of Infusion Nursing, 33(5), 273–277. Retrieved from the Walden Library databases. This article examines how evidence-based research and practice supports infusion alliances. The text also specifies the increasing challenges that infusion nurses face.Mallory, G. A. (2010). Professional nursing societies and evidence-based practice: Strategies to cross the quality chasm. Nursing Outlook, 58(6), 279–286. Retrieved from the Walden Library databases. This article describes strategies for reducing the gap between research knowledge and practice. The article also details how nursing societies could use these strategies to improve the quality of care. Newhouse, R. P., & Spring, B. (2010). Interdisciplinary evidence-based practice: Moving from silos to synergy. Nursing Outlook, 58(6), 309–317. Retrieved from the Walden Library databases. In this article, the authors examine the state of interdisciplinary evidence-based practice (EBP). The authors detail efforts to promote interdisciplinary EBP, academic and clinical training regarding interdisciplinary EBP, and strategies that may facilitate EBP translation across disciplines. Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y-L., Chang, Y-K., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: Nurses’ perceptions, knowledge, and barriers. Journal of the Medical Library Association, 99(3), 229–236. Retrieved from the Walden Library databases. This article reviews a study that sought to determine nurses’ awareness of, knowledge of, and attitude toward EBP. The article also describes factors likely to promote barriers to EBP adoption.hivnan, J. C. (2011). How do you support your staff? Promote EBP. Nursing Management, 42(2), 12–14. Retrieved from the Walden Library databases. This article explores the role of the nurse manager in supporting evidence-based practice. The article also explains barriers and strategies to promote EBP for a nurse manager. Walden Student Center for Success. (2012). Clinical Question Anatomy. Retrieved July 9, 2014, from http://academicguides.waldenu.edu/content.php?pid=183871&sid=2950360 Media Laureate Education (Producer). (2012). Timeline of nursing research. Baltimore, MD: Author. This multimedia piece features a timeline of major events in nursing research. The timeline highlights how historical events and seminal research have contributed to nursing practice. Please cite at least 3 references My specialty: Mental Health Nurse To complete the discussion question you have to access to the resources in Walden library, you can access to my student portal: Walden University My walden username: Password: Piloto05 Let me know if you need anything else, thanks

 

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CO1

CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormali CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1) CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1) CO3 Utilize effective communication when performing a health assessment. (PO 3) CO5 Explore the professional responsibilities involved in conducting a comprehensive health assessment and provide appropriate documentation. (PO 6) Please choose one of the patient scenarios below. Next, complete a rapid assessment, and provide a SBAR report to a classmate. Remember to include all concepts of patient safety, standard precautions, and professional standards. 1. You are covering for a coworker who is off the floor for lunch, when you suddenly hear a loud crash coming from a nearby patient room. You quickly run in and discover Mr. Johnson who was admitted yesterday with a diagnosis of cerebral vascular accident (CVA) unconscious on the floor between the bed and the bathroom.ou are called to the room of 2-year-old Jonah by his mother who states the child has suddenly started breathing very loudly and does not look right. Upon entering the room you quickly recognize that the child is in respiratory distress as his lips are cyanotic and the use of accessory muscles is evident. 3.You are in the process of admitting Ashley, a 27 year old who is 28 weeks pregnant with her first child, to the obstetric unit for complaints of headache, dizziness, and swelling of her lower extremities when she suddenly begins seizing.

 

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DQ

DQ What is the impact to the nursing profession and to the public related to the projected nursing shortage? Discuss at least one way that the nursing profession is working toward a resolution of this problem.

 

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