Finalizing The Plan

Academic Success and professional development plan: Finalizing the Plan

At some point in every construction project, efforts turn from design and the focus moves to actual construction. With the vision in place and the tools secured, the blueprint can be finalized and approved. Then it is time to put on hardhats and begin work.

Throughout the course you have developed aspects of your Academic and Professional Development Plan. You have thought a great deal about your vision and goals, your academic and professional network of support, research strategies and other tools you will need, the integrity of your work, and the value of consulting the work of others. With your portfolio in place, it is now time to finalize your blueprint for success.

Much as builders remain cognizant of the building standards as they plan and begin construction, nurses must remain mindful of the formal standards of practice that govern their specialties. A good understanding of these standards can help ensure that your success plan includes any steps necessary to excel within your chosen specialty.

In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the final component–a review of your specialty standards of practice. You will also submit your final version of the document, including Parts 1–5.

To Prepare:

  • Review the standards of practice related to your chosen specialty.
  • Download the Nursing Specialty Comparison Matrix.
  • Examine professional organizations related to the specialization you have chosen and identify at least one to focus on for this Assignment.
  • Reflect on the thoughts you shared in the Discussion forum regarding your choice of a specialty, any challenges you have encountered in making this choice, and any feedback you have received from colleagues in the Discussion.

The Assignment:
Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.

  • Complete the Nursing Specialty Comparison Matrix, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization.
  • Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum.
  • Identify the professional organization related to your chosen specialization for this Assignment, and explain how you can become an active member of this organization.

Note:Your final version of the Academic Success and Professional Development Plan should include all components as presented the Academic Success and Professional Development Plan template.

 
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Examining Nursing Specialties


You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

Decisions are often not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.

To Prepare:

  • Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization. (specialty: Mental Health Nurse Practitioner)

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member

 
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evidence-based practice paper about cultural competency in mental health nursing.


Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your paper should describe how you, as a nurse, will include – or have included – cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client.

Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion – including cultures unique to one particular family. Your paper should be at least 3 pages (double-spaced, not including the title or reference pages) in APA Format and include:

  • Assessment: Discuss what you would assess in regard to a client’s culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess?
  • Diagnosis: List any mental health nursing diagnoses this person has or may be at risk for. Include at least one cultural diagnosis.
  • Planning: What planning needs to be done to ensure the cultural and emotional safety of the client?
  • Implementation: What are interventions that would ensure the safety of your client in regard to culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met?
  • Evaluation: How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurable.
  • In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting.

Your paper should utilize proper APA guidelines and include at least three scholarly sources to support your paper. A scholarly source is a source that has been peer reviewed and has appropriate authors that are credentialed.

 
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Applying Measurement Tools

One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the components of HEDIS comprehensive diabetes care; then consider the following scenario.

You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes.

By Day 3

Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). (Refer to AWE Checklist, Capstone)

 
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Essentials of Nursing Research introduces the steps of the research process and the role of research in the practice of professional nursing

Essentials of Nursing Research

N494 Essentials of Nursing Research  introduces the steps of the research process and the role of research in the practice of professional nursing. The methods and analytical tools required to critically evaluate nursing research literature are emphasized. Quantitative and qualitative approaches are highlighted. The focus of this course is developing the foundations for accessing and analyzing current nursing research literature to enable the professional nurse to apply research to current practice and issues. The skills of using technology to locate research information are developed, and the essential role of databases is explored. An understanding of ethical research practices is explored. This course prepares students to be critical consumers of evidence-based research and serves as a foundation for graduate-level nursing research courses.

Course Goals

By the conclusion of this course, student will be able to:

1. Articulate the role of research in the development of nursing knowledge and evidence-based practice (PLG 3; UMBO 3, 4, 5)

2. Describe the basic concepts, techniques, and methodologies underlying the research process and their application in the study of nursing problems. (PLG 3; UMBO 3, 4, 5)

3. Identify researchable clinical nursing problems with the purpose of improving patient outcomes (PLG 3; UMBO 3, 4, 5)

4. Use information technology to retrieve hierarchical levels of evidence that addresses clinical questions (PLG 5; UMBO 2, 5)

5. Utilize effective critical thinking and written communication skills in the critique of research for applicability to nursing practice. (PLG 1; UMBO 1, 4)

6. Integrate research findings into nursing practice to meet the changing needs of clients and professional nursing. (PLG 4; UMBO 1, 2, 3, 4)

7. Describe current research priorities in nursing. (PLG 3; UMBO 3, 4, 5)

8. Identify legal, ethical and cultural considerations in research that involves human subjects. (PLG 2; UMBO 1, 2, 3)

Essentials of Nursing Research

N494 Essentials of Nursing Research

introduces the steps of the

research process and the role of research in the practice of professional

nursing. The methods and analytical tools required to critically evaluate

nursing research literature are emphasized. Quantitative and qualitative

approac

hes are highlighted. The focus of this course is developing the

foundations for accessing and analyzing current nursing research literature

to enable the professional nurse to apply research to current practice and

issues.

The skills of using technology to

locate research information are

developed, and the essential role of databases is explored. An

understanding of ethical research practices is explored.

This course

prepares students to be critical consumers of evidence

based research and

serves as a found

ation for graduate

level nursing research courses.

Course Goals

By the conclusion of this course, student will be able to:

1.

Articulate the role of research in the development of nursing

knowledge and evidence

based practi

ce (PLG 3; UMBO 3, 4, 5)

2.

Describe the basic concepts, techniques, and methodologies

underlying the research process and their application in the study of

nursing problems. (PLG 3; UMBO 3, 4, 5)

3.

Identify researchable clinical nursing problems with the purpo

se of

improving patient outcomes (PLG 3; UMBO 3, 4, 5)

4.

Use information technology to retrieve hierarchical levels of evidence

that addresses clinical questions (PLG 5; UMBO 2, 5)

5.

Utilize effective critical thinking and written communication skills in

the c

ritique of research for applicability to nursing practice. (PLG 1;

UMBO 1, 4)

6.

Integrate research findings into nursing practice to meet the changing

needs of clients and professional nursing. (PLG 4; UMBO 1, 2, 3, 4)

7.

Describe current research priorities in

nursing. (PLG 3; UMBO 3, 4, 5)

8.

Identify legal, ethical and cultural considerations in research that

involves human subjects. (PLG 2; UMBO 1, 2, 3)

 
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Gastrointestinal Disorders

NURS 6501: Advanced Pathophysiology

Gastrointestinal Disorders

Lorie Valentin RN, BSN

Gastrointestinal Disorders

            Gastrointestinal symptoms such as pain, bloating, nausea, vomiting, and diarrhea, are a common manifestation of many different etiologies. Medication side effects, viral illness or stress are just a few. Sometimes though, these symptoms can indicate a bigger problem and a more chronic illness that needs to be addressed. Two of these chronic illnesses are inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS). Because of the similarities in their presentation it can sometimes be hard to tell the difference between the two, but it is important to accurately identify which is the causative factor, because pathophysiology and treatment are very different (Huether & McCance, 2017).

IBD

IBD is one of several disease that cause inflammation of the mucosa of the intestines. Ulcerative colitis (UC) and Crohn disease are two of the inflammatory diseases. Both are autoimmune disease that cause ulceration of the mucosa, resulting in thickening in the lining causing narrowing of the lumen (Huether & McCance, 2017). Crohn’s additional can cause ulceration through the full thickness of the intestinal wall and often has additional inflammatory manifestation concurrently (Hammer & McPhee, 2019). Both have a high risk of infection and malignancy due to remodeling of the tissue. The most common symptoms are pain, bloating, diarrhea and blood in the stool ((Huether & McCance, 2017).

IBS

            IBS is similar in presentation to IBD, but lacks the autosomal component. IBS is thought to be the result of environmental factors (Huether & McCance, 2017). IBS is diagnosed based on symptom presentation without a detectable disease process (Huether & McCance, 2017). Symptoms of IBS are pain, bloating, diarrhea or constipation, or alternating diarrhea and constipation, nausea, and gas. Treatment is usually based on lifestyle changes and avoiding triggers (Huether & McCance, 2017).

Treatments

            The treatment for mild to moderate IBD is most often aminosalicylates, such as sulfasalazine or mesalamine (Arcangelo, Peterson, Wilbur, & Reinhold, 2017). During acute exacerbations often corticosteroids are added, but if symptoms continue or for severe cases immunosuppressant medications might be needed to return to a remission state (Arcangelo et al., 2017). The treatment for IBS is behavioral changes to include reducing stress and dietary changes to reduce triggers and improve gut flora (Huether & McCance, 2017). Similar changes in diet are recommended for those with both IBD and IBS, reduction in inflammatory items such as gluten and increasing anti-inflammatory nutrients like omega 3 fatty acids and probiotics to improve gut flora (Arcangelo et al., 2017; Huether & McCance, 2017).

Genetic Influences

            Genetics is considered one possible influencing factor for an individual developing IBD, though this risk appears to be relatively low at about 20-30 percent (Hammer & McPhee, 2019). Multiple genes have been recently identified that play a role in the development of IBD (Hammer & McPhee, 2019). However, like IBS, genetics is most certainly not the only factor that contributes to the development of IBD. Environmental causes such as stress, diet, behaviors, and infection are thought to be triggers for developing either disorder (Hammer & McPhee, 2019). Therefore, knowing that a close relative has IBD or IBS is most significant in determining the type of testing that might be considered.

References

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017).

Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA:

Lippincott Williams & Wilkins

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical

medicine (8th ed.). New York, NY: McGraw-Hill Education

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis,

MO: Mosby

 
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Inflammatory bowel disease (IBD) is made up of two chronic relapsing inflammatory disorders, Ulcerative colitis (UC), and Crohn disease (CD).

             Inflammatory bowel disease (IBD) is made up of two chronic relapsing inflammatory disorders, Ulcerative colitis (UC), and Crohn disease (CD). UC is inflammation that is found in the colonic mucosa, whereas CD can affect any part of the gastrointestinal tract (Huether & McCance, 2017). The exact pathophysiology of UC is unknown, but the condition is probably caused by an inappropriate immune response to an unknown environmental stimulus within the colon (Ford, Moayyedi, & Hanauer, 2013). Chronic inflammation from T-cell activation leading to tissue injury is implicated in the pathogenesis of Crohn disease (Ghazi, 2018). Patients with UC and CD present with abdominal pain, diarrhea, rectal bleeding, and weight loss. Additionally, patients with UC may also suffer from urgency, fever, dehydration, and anemia (Huether & McCance, 2017). 

            Irritable bowel syndrome (IBS) is a condition of abdominal pain and altered bowel habits without any organic pathological process or specific motility or structural abnormalities (Hammer & McPhee, 2019). The pathophysiology of IBS is unknown, but it is thought to be from altered gastrointestinal motility, visceral hyperalgesia, and psychopathology (Lehrer, 2018). Patients complain of abdominal pain, bloating, constipation, and/or diarrhea. 

             Both of these conditions have very similar symptoms, and their causes are speculated. Testing can be done to confirm IBD, but IBS is diagnosed by excluding other conditions. Treatments for IBD include 5-aminosalicylate therapy followed by steroids if the condition is mild. For worsening disease, the patient may require Thioprine and immunomodulatory agents. If patients have severe disease, they may require surgery, intravenous fluids (IV) or possibly total parenteral nutrition (Huether & McCance, 2017). Patients with IBS may be treated with laxatives, fiber, antidiarrheals, antidepressants, prosecretory drugs, anti-spasmodic, visceral analgesics, and serotonin agonists or antagonists (Huether & McCance, 2017). Most of the medications are not used in both IBS and IBD, but if the patient has continuous diarrhea, they may require IV fluids and possibly electrolyte replacement. 

       Several of the genes that may be associated with ulcerative colitis are involved in the protective function of the intestines. Changes in the intestinal lining’s protective function or an abnormal immune response to the normal bacteria in the digestive tract, both may be influenced by genetic variations. Researchers have identified at least 200 genetic variations that influence Crohn disease risk. The majority of these variations are thought to act by subtly changing the amount, timing, and location of gene activity (Genetics Home Reference, 2019). Genetic changes are not well documented in IBS, but it runs in families, so a genetic link is still being researched. When patients are diagnosed with these disorders, they should be educated there is a genetic link, and they may pass on the disease if they procreate.   

References

Ford, A. C., Moayyedi, P., & Hanauer, S. B. (2013). Ulcerative colitis. BMJ,346, 29-36.

Genetics Home Reference. (2019). Crohn disease. Retrieved from https://ghr.nlm.nih.gov/condition/crohn-disease#genes

Ghazi, L. J. (2018). Crohn Disease. Retrieved from https://emedicine.medscape.com/article/172940-overview#a3

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of Disease: An Introduction to Clinical Medicine(8th ed.). New York, NY: McGraw-Hill Education.

Huether, S. E., & McCance, K. L. (2017). Understanding Pathophysiology(6th ed.). St. Louis, MO: Elsevier.

Lehrer, J. K. (2018). Irritable Bowel Syndrome. Retrieved from https://emedicine.medscape.com/article/180389-overview#a3

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Scholarly Paper

This paper is a for a nursing community Leadership class where five people volunteer and we must do a paper base on the following instructions. 

Scholarly Practicum Proposal will include the following:

· Problem Statement ( CHILD SAFETY AGE 5 TO 12 )

· ONE goal ( PLEASE MAKE SURE YOU WRITE THIS USING THE FOLLOWING ACRONYM )

Please use the “SMART” rubric to develop your goals and objectives:

“S”- Specific– State exactly what you want to accomplish (Who, What, Where and Why)

“M” Measurable– How will you demonstrate and evaluate the extent to which the 

goal has been met.

“A” Achievable– What is your action-oriented verb? (Please see last page of syllabus)

“R” Relevant– How does the goal tie into your key responsibilities? How is it aligned to objectives?

“T” Time-bound– Set a target date- “by when” to guide your goal. Include deadlines, dates, frequency.

· Three behavioral objectives ( MAKE THIS UP )

· Action Plan/Evaluation tool methods ( HOW ARE WE EVALUATING AND WHAT ARE OUR ACTION PLAN USE YOUR IMAGINATION AND RESEARCH)

· Implication for Nursing Practice ( WHY IS THIS IMPORTANT FOR NURSING)

· 4-6 Evidence Based References ( IMPORTANT!!!!! )

Goals must be related to the course objectives and the area of your practicum experience. The objectives should be specific and measurable. The plan of action should include step-by-step process to meet the objectives. The implications for nursing practice should be evidence-based. 

PAPER INSTRUCTION 

** MUST BE APA STYLE

** MUST HAVE AN REFERENCE PAGE (4-6 Evidence Based References!!! IMPORTANT WITHIN THE LAST FIVE YEARS)

**MUST BE RELATED TO NURSING

** MUST BE PLAGIARISM FREE!!

 
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Sexism Reflection Essay


Report Issue

1. Read this article  https://www.theatlantic.com/sexes/archive/2013/05/when-men-experience-sexism/276355/ 

“Women have been fighting against sexism for a long time. If men can learn from them, it will be to everyone’s benefit.”

— Noah Berlatsky, The Atlantic, 2013.

  • What is meant by this statement?
  • Cite specific examples from the article to support your conclusions.
  • Your essay should be 1-2 pages in length.
  • Remember to use appropriate formatting as per APA (6th ed.): https://owl.english.purdue.edu/owl/resource/560/0
 
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Clearly Identify The Clinical Problem And How It Can Result In A Positive Patient Outcome.

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

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. Please refer to the directions in the Student Success Center.

 
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