Category: Nursing

This week, you will be using your two approved sources to complete your EBP project poster.
Your poster should include:
Explanation of the nursing issue significance with three statements
Descriiption of your position on the issue and three statements on how a nurse can impact this issue
Include only the two approved journal sources used in your Week 6 appraisals to support your position.

Please respond to each post with One Reference and a question is possible
Post 1 Dr.S
Your post provided information that listed how nurses make a significant impact on outcomes for patients undergoing surgery. You primarily addressed the post-operative stage of the perioperative experience related to a deep vein thrombosis (DVT). However, you did not touch upon the preoperative period and items that should be taught before surgery. As we know when a patient undergoes surgery, nurses take on the responsibility of managing their pain, monitoring their recovery, and preventing complications with interventions and medications. Mobility assistance is crucial for preventing complications like deep vein thrombosis (DVT) and pneumonia. Your focus was related to medications to address a DVT. Nurses assist with the prevention of complications by also teaching safe self-mobility techniques (Hinkle et al., 2022). Consider how prevention would impact a patient and if your understanding has grown related to an operative patient and prevention of a deep vein thrombosis. I realize prior to completing this module your knowledge base and applied experiences may have been different. How has your understanding of this topic evolved throughout this unit? 
Post 2 Eva
Hello Mr. Smith, my name is Eva and I will be your nurse caring for you today.  I understand you recently had an unfortunate incident involving your surgical wound.  As your physician mentioned to you, you experienced a wound dehiscence.  After surgery, the wound is either closed with sutures or staples and when that wound re-opens, it is called a wound dehiscence.  There are two kinds of wound dehiscence that we typically see.  An accidental wound dehiscence, typically seen with abdominal surgical wounds, as in your case is one or an intentional wound dehiscence is the other.  In those cases, if there is an infection in the wound, it is re-opened by the surgeon to clean out and help eliminate the infection.  You experienced pain along with a feeling of something popping when you attempted to get out of bed on your own today. Those are common reported signs of this issue.   You did the right thing in using your call bell immediately to notify the nurse caring for you.  Based on the notes I see here, they found some bleeding in your wound dressings and upon removal, they noticed your stiches had broken and the wound had partially re-opened (Althoff et al, 2023).
Post 3 
I’m sure you noticed a lot of movement from the nursing staff because we take wound dehiscence extremely seriously.  The nurse immediately covered it with a sterile gauze that was moistened with sterile saline.  This was done to avoid any bacteria entering the wound and to avoid a more serious complication called wound evisceration.  In those cases, your abdominal organs can begin to protrude from the wound which you would need to undergo surgery again for repair.  The nurse also placed you as NPO as a safety precaution, which means no eating or drinking.  This is done in case you did need surgery.  Just like your first procedure, you were instructed not to eat or drink after a certain time to keep your stomach empty.  That’s put in place so that in the event you have nausea and vomit, you won’t have stomach contents enter your lungs.  Now that your wound has been cared for, and you don’t need surgery, I will see what dietary orders are in place and will see what we can start you off with if you are hungry. 

General instructions:
Self-leadership is an indispensable skill for today’s healthcare leaders. A leader’s ability to effectively govern their emotions, communication, and motivation provides insight into their capacity to lead others. Leaders and managers with strong self-leadership skills are crucial to helping organizations achieve their goals.
Include the following sections:
Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
Explain the relationship of self-leadership to leadership competency. How does a leader’s self-leadership skills impact those they lead?
Identify one self-leadership skill that you consider to be a strength.
Identify one self-leadership skill in which you have an opportunity for improvement.
Discuss two strategies to cultivate your self-leadership skills.

research paper on a career and i chose nursing, must include 5 pages minimum plus title page and works cited page 

Write a (3-5) three to five-page paper (excluding APA title page and reference pages) comparing Freud, Mahler, Adler, and Erikson. Compare and contrast the developmental models of Freud and Erikson, and then compare and contrast the developmental theories of Adler and Mahler. Are there any similarities between all of them? Be sure to also address the following: 
Compare and Contrast Freud & Erikson 
Compare and Contrast Adler & Mahler 
Similarities of all listed above 
There should be… 
A brief description of each theory. Which perspective appeals to you more, and why? 
What are some ways the Adlerian approach can be applied to group counseling? What are some advantages of using a group format with this approach? 
What concepts from these psychoanalytic approaches do you see as being potentially useful in your work as a nurse psychotherapist? Describe why. 
Why should the nurse psychotherapist understand developmental theories for application in clinical practice? 
You should cite a minimum of three APA references within the last five years. 
Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Before your workshop, read Chapter 7 of The Healing Gods, “How Did CAT Become Mainstream?” Also in The Healing Gods read the last chapter, “Conclusion: Why Does it Matter if CAT is Religious and Not Christian, Even If it Works?” In the Biblical Guide to Alternative Medicine use Appendix B- Scientific Research Results to find introductory information about the CAT you are investigating. Locate and read at least three research studies/scholarly articles from the nursing databases available through OCLS. An additional option of a resources is to interview a practitioner of the therapy if that is available; do not compromise your safety to do an interview and do not participate in the CAT. In your report, clearly state your analysis, evaluation, and conclusions related to the CAT: A concise descriiption of the CAT.
Address all of the parts of the Five Part Grid from the Biblical Guide to Alternative Therapy text to evaluate the CAT. Then identify which part of the five part grid is best to evaluate this particular therapy.
The CAT’s potential for adverse reactions.
Based on your search of scholarly research studies from the OCLS, evaluate the efficacy of the CAT; what is the likelihood of a placebo effect with this CAT?
Identify the usefulness of the CAT
Identify the worldview and culture most closely associated with this CAT.
Is the CAT compatible with a biblical worldview?
Do you believe it is ethical to recommend this therapy to a client? Name the ethical principle that applies. Would you use it yourself? Why or why not?
Follow the assessment criteria to address: In addition to the course textbooks, utilize a minimum of three other scholarly sources from the OCLS library databases. Be sure to check the Cochrane Database for systematic reviews and meta-analysis reports. There is a list of scholarly resources you can find in OCLS under NUR 237 Resources. Common Internet resources such as Wikipedia, WebMD, and MayoClinic.com are not recognized as scholarly resources for coursework. Write your three to five-page paper, in third person and maintain professional-level writing, without contractions, free of spelling and grammar errors.  Proofread your paper for grammar, spelling, and APA errors. Use the Grammarly tool to check a plagiarism report as well as punctuation and grammar.

In a 5–7 page written assessment, define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective. Plan to spend approximately 2 direct practicum hours meeting with a patient, family, or group of your choice to explore the problem and, if desired, consulting with subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
Expand All
Introduction
This assessment lays the foundation for the work that will carry you through your capstone experience and guide the practicum hours needed to complete the work in this course. In addition, it will enable you to do the following:
Develop a problem statement for a patient, family, or population that’s relevant to your practice.
Begin building a body of evidence that will inform your approach to your practicum.
Focus on the influence of leadership, collaboration, communication, change management, and policy on the problem.
Preparation
In this assessment, you’ll assess the patient, family, or population health problem that will be the focus of your capstone project. Plan to spend approximately 2 hours working with a patient, family, or group of your choice to explore the problem from a leadership, collaboration, communication, change management, and policy perspective. During this time, you may also choose to consult with subject matter and industry experts about the problem (for example, directors of quality or patient safety, nurse managers/directors, physicians, and epidemiologists).
To prepare for the assessment, complete the following:
Identify the patient, family, or group you want to work with during your practicum. The patient you select can be a friend or a family member. You’ll work with this patient, family, or group throughout your capstone project, focusing on a specific health care problem.
Begin surveying the scholarly and professional literature to establish your evidence and research base, inform your assessment, and meet scholarly expectations for supporting evidence.
In addition, you may wish to complete the following:
Review the assessment instructions and scoring guide to ensure that you understand the work you’ll be asked to complete and how it will be assessed.
Review the Practicum Focus Sheet: Assessment 1 [PDF] Download Practicum Focus Sheet: Assessment 1 [PDF], which provides guidance for conducting this portion of your practicum.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.
Instructions
Complete this assessment in two parts.
Part 1
Use Assessment 01 Supplement: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations [PDF] Download Assessment 01 Supplement: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations [PDF]to define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective and establish your evidence and research base to plan, implement, and share findings related to your project.
Part 2
Connect with the patient, family, or group you’ll work with during your practicum. During this portion of your practicum, plan to spend at least 2 hours meeting with the patient, family, or group and, if desired, consulting with subject matter and industry experts of your choice. The hours you spend meeting with them should take place outside of regular work hours. Use the Practicum Focus Sheet [PDF] Download Practicum Focus Sheet [PDF]provided for this assessment to guide your work and interpersonal interactions. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
Requirements
The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.
Define a patient, family, or population health problem that’s relevant to your practice.
Summarize the problem you’ll explore.
Identify the patient, family, or group you intend to work with during your practicum.
Provide context, data, or information that substantiates the presence of the problem and its significance and relevance to the patient, family, or population.
Explain why this problem is relevant to your practice as a baccalaureate-prepared nurse.
Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to the patient, family, or population problem you’ve defined.
Note whether the authors provide supporting evidence from the literature that’s consistent with what you see in your nursing practice.
Explain how you would know if the data are unreliable.
Describe what the literature says about barriers to the implementation of evidence-based practice in addressing the problem you’ve defined.
Describe research that has tested the effectiveness of nursing standards and/or policies in improving patient, family, or population outcomes for this problem.
Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.
Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your practicum.
Explain how state board nursing practice standards and/or organizational or governmental policies could affect the patient, family, or population problem you’ve defined.
Describe research that has tested the effectiveness of these standards and/or policies in improving patient, family, or population outcomes for this problem.
Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.
Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of this problem.
Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to the patient, family, or population problem you’ve defined.
Discuss research on the effectiveness of leadership strategies.
Define the role that you anticipate leadership must play in addressing the problem.
Describe collaboration and communication strategies that you anticipate will be needed to address the problem.
Describe the change management strategies that you anticipate will be required to address the problem.
Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
Organize content so ideas flow logically with smooth transitions.
Apply APA style and formatting to scholarly writing.
Additional Requirements
Format: Format your paper using APA style. APA Style Paper Tutorial [DOCX] is provided to help you in writing and formatting your paper. Be sure to include:
A title page and reference page. An abstract is not required.
Appropriate section headings.
Length: Your paper should be approximately 5–7 pages in length, not including the reference page.
Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

This assignment will demonstrate your ability to provide age-appropriate anticipatory guidance while recognizing the need to refer patients that are outside of the scope of practice of the family nurse practitioner. This will be demonstrated by completing a SOAP note based on the virtual reality patient you evaluated in Unit 4.
INFORMATION ON UNIT 4 PATIENT. Cindy Haas, 37, has come in with concerns about her abnormal periods.
Vital signs:
BP: 120/70 mmHg
P: 62 BPM
R: 20 RPM
T: 98°F
BMI: 28.7
Medications she takes: Prenatal Vitamins
Previous Hospitalizations: No
Medical History: None
Family medical history: Father has high blood pressure and mother has diabetes.
Alcohol: Drinks wine 2-3 glasses per week
No tobacco nor drug consumption.
Lives in her two-story house, with her husband.
Last PAP smear was about a year ago.
No history of STD’s.
PHYSICAL EXAM:
Cardiovascular Respiratory
GI – Palpation GI – Auscultation Diagnostics
Labs – CBC Labs – CMP Labs – Follicle Stimulating Hormone (FSH) Labs – Lipid Panel Labs – Prolactin Labs – Thyroid-Stimulating Hormone (TSH) Labs – Testosterone Labs – Urine Pregnancy Test Labs – Dehydroepiandrosterone sulfate (DHEA-S) Labs – Luteinizing Hormone Labs – Sex Hormone Binding Globulin (SHBG)
Management
Write-ups
The SOAP note serves several purposes:
It is an important reference document that provides concise information about a patient’s history and exam findings at the time of patient visit.
It outlines a plan for addressing the issues which prompted the office visit. This information should be presented logically and prominently features all of the data that’s immediately relevant to the patient’s condition.
It is a means of communicating information to all providers involved in the care of a particular patient.
It allows the NP student to demonstrate their ability to accumulate historical and examination-based information, use their medical knowledge, and derive a logical plan of care.
Knowing what to include and what to leave out will largely depend on experience and your understanding of illness and pathophysiology. If, for example, you were unaware that chest pain is commonly associated with coronary artery disease, you would be unlikely to mention other coronary risk factors when writing the history. As you gain experience, your write-ups will become increasingly focused. You can accelerate the process by actively seeking feedback about all the SOAP notes you create and reading those written by more experienced practitioners.
The core aspects of the SOAP note are described in detail below.
For ease of learning, a SOAP note template ATTACHED BELOW has been provided. This assignment requires proper citation and referencing because this is an academic paper.
S: Subjective information. Everything the patient tells you. This includes several areas, including the chief complaint (CC), the history of present illness (HPI), medical history, surgical history, family history, social history, medications, allergies, and other information gathered from the patient. A commonly used mnemonic to explore the core elements of the history of present illness (HPI) is OLD CARTS, which includes: Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatments, and Severity.
O: Objective is what you see, hear, feel or smell. Your physical exam, including vital signs.
A: Assessment/your differentials
P: Plan of care including health promotion and disease prevention for the patient related to their age and gender.

CASE INTRODUCTION – Charlotte Greene, a registered nurse, is discharging a pediatric patient, Joey Slater, to home care under the supervision of his mother. The child returns to the hospital five weeks later with some concerning issues
Brief Summary of Case
SCENE 1: Joey Slater, an 8-year-old child who received blood transfusion for femur, is now ready for discharge. Stacey, a licensed practical nurse/licensed vocational nurse (LPN/LVN), offers to take care of discharge teaching about cast care, while Charlotte, an RN, calls home health care to arrange a home visit.
SCENE 2: Five weeks later, Joey is readmitted to the pediatric floor. On assessment by the RN, maggots were coming out of the cast, and perineal skin breakdown was noted. As Charlotte and the mother discuss the situation, it’s clear that there was a lack of education. The mother also states that home health nurses never contacted her. Later, Charlotte calls the agency and discovers that they tried repeatedly to contact the family without success.
SCENE 3: Charlotte tells Joey that the doctor says he can go home, but he seems worried and scared. Later, Charlotte calls social services to involve them in the patient’s care. Charlotte advocates for the patient by delaying his discharge and reporting subjective and objective findings to social services.
Instructions:
Read the case study above and then, answer the following questions for Scene 1:
What primary violation of the Code of Ethics in Nursing did you witness in this scene?
What evidence do you see for proper delegation, if any, by the RN in the video case?
What improper delegation took place?
What would you as the nurse have delegated in this scene?
Now, answer the following questions for Scene 2:
What evidence do we have of the potential for professional negligence and malpractice in the care delivery for this patient? 
Which of the nine Code of Ethics for Nursing provisions were upheld by the registered nurse in this scene?
Your paper should be:
One (1) page
Typed according to APA Writing StyleLinks to an external site. for margins, formatting and spacing standards.
Typed your paper in a Microsoft Word document, save the file, and then upload the file.

Imagine you collaborated on the interprofessional project presented in the Assessment 01 Supplement: Collaboration and Leadership Reflection Video [PDF]  and reflect on that. 
Be sure that your assessment addresses the following criteria.
Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.
Explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes.
Explain aspects of the collaboration that could have been improved.
Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.
Discuss the ways in which the interdisciplinary team did not collaborate effectively.
Discuss the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.
Cite the literature for support.
Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals, citing at least one author from the literature.
Identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals.
Identify the strategy and its source or author and provide a brief rationale for your choice of strategy.
Cite the literature for support.
Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.
Identify at least one best practice or strategy for interdisciplinary collaboration to help the team achieve its goals and work more effectively together.
Identify the strategy, its source, and reasons why you think it will be effective.
Communicate in a professional manner, is easily audible, and uses proper grammar. Format reference list in current APA style.
Submit an APA-formatted reference list for any sources that you cited specifically in your video or used to inform your presentation.
References: Cite at least 3 professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
APA Reference Page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video.