Category: Nursing

How has nursing practice evolved over time? Explain the significance of evidence-based practice and critical thinking in modern nursing. Identify one key nursing leader and summarize one historical event that has shaped contemporary nursing practice, the advancement of nursing as a profession, and the development of nursing roles. Select a leader and a historical event different from those identified by your classmates.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format

For this assignment students will critique a quantitative OR a qualitative research article. Select one article from the list provided in the attachment. Use the guidelines from the text and other resources from the course (Cathala & Moorley, 2018; Coughlan et al., 2007; Moorley & Cathala, 2019; Ryan et al., 2007) to set benchmarks to critique the research study. Cite the benchmark source for each area of the critique and describe how the study authors met or did not meet the benchmark criteria listed below. Use the appropriate criteria for the type of study: qualitative or quantitative 
You must use the format template in the attachment to complete the assignment please choose ONE article of your choice from the list attached the references are attached to each article choice 

Purpose: This project provides students with the opportunity to conduct an analysis of a clinical practice issue that has been observed in clinical preceptorship rotation and
present recommendations for change related to the practice issue.

In Texas, nurse practitioners (NPs) operate under a restricted practice model, meaning they must work under a supervisory or collaborative agreement with a physician to provide patient care. The Texas Board of Nursing regulates NPs and mandates specific licensure and certification requirements. To be licensed in Texas, NPs must complete a graduate-level NP program accredited by a national nursing accrediting body and obtain national certification in their specialty area. Additionally, Texas NPs are required to complete continuing education to maintain their certification and licensure. Prescribing privileges in Texas are also restricted, requiring NPs to have a written agreement with a supervising physician to prescribe medications, including controlled substances, which are limited by the Texas Medical Board and the Texas Board of Nursing (AANP, 2024a).
In contrast, Oregon offers a full practice environment for NPs, allowing them to evaluate patients, diagnose, interpret diagnostic tests, and initiate treatments, including prescribing medications and controlled substances, independently of physician supervision. The Oregon State Board of Nursing governs NP licensure and certification, requiring NPs to complete an accredited graduate or doctoral NP program and obtain national certification. The educational prerequisites ensure that NPs in Oregon are well-prepared to practice independently. Oregon’s full practice authority significantly enhances NPs’ ability to deliver comprehensive care, as they can exercise their full clinical training and expertise without mandatory physician oversight (AANP, 2024b).
The differing regulatory environments between Texas and Oregon highlight the impact of state laws on NP practice. In Texas, the restricted model imposes limitations on practice autonomy and prescriptive authority, potentially affecting the efficiency and breadth of care NPs can provide. On the other hand, Oregon’s full practice model empowers NPs to utilize their full skill set, which can improve access to healthcare, particularly in underserved areas. Understanding these regulatory landscapes is crucial for NPs to navigate their professional responsibilities and maximize their contribution to patient care (AANP, 2024c).
Question: What are the potential benefits and challenges of implementing full practice authority for nurse practitioners across all states in the U.S.?
References
American Association of Nurse Practitioners. (2024a). State practice environment.
https://www.aanp.org/advocacy/state/state-practice-environment
American Association of Nurse Practitioners. (2024b). State advocacy.
https://www.aanp.org/advocacy/state
American Association of Nurse Practitioners. (2024c). Practice information by state.
https://www.aanp.org/practice/practice-information-by-state

Identify two health risks that personally impact you from the Executive Summary (chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.nursingworld.org/~4aeeeb/globalassets/practiceandpolicy/work-environment/health–safety/ana-healthriskappraisalsummary_2013-2016.pdf) 
–> Address the risks identified and select two (2) health promoting therapies that are not currently part of your daily routine (massage, relaxation, go to the beach, yoga, exercise, meditation, walking/running, napping, prayer, poetry, journaling, reading for pleasure, music/art/pet therapy, martial arts, etc.). 
–> Do both activities for at least one hour, one week apart and do it by yourself.
For example: go to the beach for an hour one week then get a massage the next week. You should not include children or significant others in this activity.  Turn your phone off and try not to talk during the hour. 
Focus on sounds, sights, smells, tastes, and senses. Note your feelings and thoughts. Try to rest during the hour
–> compare the two therapies selected
–> Describe why you selected the therapies, how you were feeling before and after the therapy and if you would recommend for others and why. How will you participate in self-care moving forward? 
*the paper submission will be a one page and reflective first person is acceptable.*

Share what you learned about descriptive analysis (statistics), inferential analysis (statistics), and qualitative analysis of data; include something that you learned that was interesting to you and your thoughts on why data analysis is necessary for discovering credible findings for nursing.
Compare clinical significance and statistical significance; include which one is more meaningful to you when considering application of findings to nursing practice.

For this assessment, build on the work done in your first three assessments and create an online tool kit or resource repository that will help the audience of your in-service understand the research behind your safety improvement plan pertaining to a specific patient safety issue and put the plan into action.
Using Google Sites, assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed.
It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative. For example, for an initiative that concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.
Following the recommended scheme, you would collect 3 resources on average for each of the 4 categories focusing on a specific patient safety issue. Each resource listing should include the following:
An APA-formatted citation of the resource with a working link.
A description of the information, skills, or tools provided by the resource.
A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative pertaining to a specific patient safety issue.
A description of how nurses can use this resource and when its use may be appropriate.
Remember that you must make your site “public” so that your faculty can access it. Check out the Google Sites resources for more information.
Here is an example entry:
Merret, A., Thomas, P., Stephens, A., Moghabghab, R., & Gruneir, M. (2011). A collaborative approach to fall prevention. Canadian Nurse, 107(8), 24–29.
This article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT) project. It shows how a collaborative nurse lead project can be implemented and used to improve collaboration and interdisciplinary teamwork, as well as improve the delivery of health care services. This resource is likely more useful to nurses as a resource for strategies and models for assembling and participating in an interdisciplinary team than for specific fall-prevention strategies. It is suggested that this resource be reviewed prior to creating an interdisciplinary team for a collaborative project in a health care setting.
Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative pertaining to a specific patient safety issue.
Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements focusing on a specific patient safety issue.
Analyze the value of resources to reduce patient safety risk related to a specific patient safety issue.
Present reasons and relevant situations for use of resource tool kit by its target audience.
Communicate in a clear, logically structured, and professional manner that applies current APA style and formatting.
Example Assessment: You may use the following example to give you an idea of what a Proficient or higher rating on the scoring guide would look like but keep in mind that your tool kit will focus on promoting safety with the quality issue you selected in Assessment 1. Note that you do not have to submit your bibliography in addition to the Google Site; the example bibliography is merely for your reference.
Assessment 4 Example [PDF] Download Assessment 4 Example [PDF].
To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box.
Example Google Site: You may use the example found on the Assessment 4: Google Sites reading list, Resources for Improved Heparin Infusion Safety, to give you an idea of what a Proficient or higher rating on the scoring guide would look like for this assessment but keep in mind that your tool kit will focus on promoting safety with the quality issue you selected in Assessment 1
Google Sites is recommended for this assessment; the tools are free to use and should offer you a blend of flexibility and simplicity as you create your online tool kit. Please note that this requires a Google account; use your Gmail or GoogleDocs login, or create an account following the directions under the “Create Account” menu.
Refer to the resources on the following list to help you get started with Google Sites:
Assessment 4: Google Sites reading list.

Define complementary and alternative medicine. Choose one example of complementary and alternative medicine. Describe the nurse practitioner’s role in utilizing your chosen complementary and alternative medicine. Support your answer with evidence-based research.

General Instructions
Download the Week 6 Medication Table and complete the required information using the template.
Include the following sections (detailed criteria listed below and in the grading rubric)
For each medication listed, complete the following:Provide indication, target symptoms, and affected neurotransmitters.
Include half-life and CYP 450 enzyme information.
List notable side effects and link notable side effects to the associated pathway or neurotransmitter.
List Initial Dosing Considerations and specific lifespan considerations (age, pregnancy, breastfeeding).

Assignment Overview
Consider the population-focused interventions that
are present within a selected community. Identify one specific population
health intervention and investigate that intervention to determine
accessibility, levels of prevention, and social determinants of health that are
addressed. Identify one gap that is present and propose one recommendation to
enhance population health outcomes.
In a 2-4 page paper, address the elements
listed below. Include a minimum of 3 scholarly sources, current within 5
years, to support your work. 
See attached rubric for specific, required criteria within each section of the paper.
1.       Provide an introduction to the paper.
2.       Present a succinct synopsis of the population health intervention that
was selected, and the specific population health risks and disparities that are
addressed through that intervention. 
3.       Describe the accessibility, levels of prevention, and social
determinants of health that are addressed through the identified strategy.
4.       Consider one gap that is present and include one recommendation for
change to enhance health outcomes.
5.       Provide a conclusion to the paper.