Take one component in the Metaparadigm of Nursing, identify and discuss the concept or concepts of Watson’s Theory of Caring that support that Watson wrote a theory of nursing based on the criteria established in the Metaparadigm of Nursing.
Expectations
Initial Post:Length: A minimum of 250 words, not including references
Citations: At least one high-level scholarly reference in APA from within the last 5 years
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Nursing Theory Comparison Paper Rough Draft The purpose of this assignment is to draft and submit a comprehensive and complete rough draft of your Nursing Theory Comparison paper in APA format. Your rough draft should include all of the research paper elements of a final draft, which are listed below. This will give you an opportunity for feedback from your instructor before you submit your final draft during week 7.Based on the reading assignment (McEwen & Wills, Theoretical Basis for Nursing, Unit II: Nursing Theories, chapters 6–9), select a grand nursing theory.After studying and analyzing the approved theory, write about this theory, including an overview of the theory and specific examples of how it could be applied in your own clinical setting.Based on the reading assignment (McEwen & Wills, Theoretical Basis for Nursing, Unit II: Nursing Theories, chapters 10 and 11), select a middle-range theory.After studying and analyzing the approved theory, write about this theory, including an overview of the theory and specific examples of how it could be applied in your own clinical setting.The following should be included:An introduction, including an overview of both selected nursing theoriesBackground of the theoriesPhilosophical underpinnings of the theoriesMajor assumptions, concepts, and relationshipsClinical applications/usefulness/value to extending nursing science testabilityComparison of the use of both theories in nursing practiceSpecific examples of how both theories could be applied in your specific clinical settingParsimonyConclusion/summaryReferences: Use the course text and a minimum of three additional sources, listed in APA formatThe paper should be 8–10 pages long and based on instructor-approved theories. It should be typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. APA format must be used, including a properly formatted cover page, in-text citations, and a reference list. The proper use of headings in APA format is also required.
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Discussion: Evaluating Culture From the Nursing Perspective
Examine a case study about smokers in Poland. As noted in the Center for Global Development and Jassem, Przewozniak, & Zatonski (2014), prior to 1989, Poland had the highest rate of smoking in the world, with three-fourths of all men aged 20–60 smoking every day at a rate of 3,500 cigarettes per person per year. It should be noted that 30% of all women smoked every day, as well. This behavior resulted in a life expectancy of about 60 years due to the highest rates of lung cancer in the world and all-time high levels of smoking-related cancers and cardiovascular and respiratory disease.
To prepare for this Discussion, you will be required to read Case 14 by the Center for Global Development and complete readings in Stanhope and Lancaster, then respond to the following questions:
What happened to change the culture of smoking in Poland?
Understanding that we all have bias when discussing health issues and precipitating factors, what social and political factors allowed cigarette smoking to become a part of the Polish culture?
Reflecting on your own practice, how do you overcome cultural bias? Do you find it more difficult to deal with some groups than others? How do people use the cultural information that they learn about others? Do you think this leads to stereotyping? Does cultural knowledge influence or change your practice and interaction with others?
Post your response to this Discussion.
Support your response with references from the professional nursing literature.
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).
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In preparation for this assignment, explore websites and scholarly sources that discuss characteristics of, and health issues related to, the prison population. In addition, learn about developing an infographic – which is a visual image such as a chart or diagram that represents data and information. See https://blog.hubspot.com/marketing/free-ppt-infographic-templates-designs-ht or other sources of your choice for ideas on infographics.
Create an infographic (visual representation) that depicts demographics, characteristics, and common health issues of the prison population. Address factors such as racial/ethnic mix, gender, age, chronic health conditions, mental health conditions, addictions, and communicable disease. Include citations within the infographic.
Submit the infographic document in Moodle. Note: the drawing tools in Microsoft WORD are sufficient to create an infographic; purchase of additional software is not required to complete this assignment.
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2-3 paragraphs long and follow the requirements outlined in the discussion rubric
Step 1: Chose one of the following specialties of nursing:
Community Health Nursing
Public Health Nursing
Step 2: Select either A or B discussion point below and respond to the prompt. SELECT ONE DISCUSSION POINT ONLY.
A. Compare and contrast the chosen specialty (from step 1) to another specialty of nursing practice that you have studied. Chose at least 2 of the following points to discuss and support your views with scholarly evidence:
Focus of nursing interventions
Family and client relationships
Nursing autonomy
Scope of professional responsibility
Nursing roles
B. Discuss how nurses working in your chosen specialty (from step 1) impact the health and wellness of vulnerable populations
Give a specific example from the news or the literature of nurses in the specialty impacting the lives of people in vulnerable populations. Select an example that occurred in the past 30 years.
Example: providing triage or other services after Hurricane Katrina
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Despite making considerable progress in the areas of nursing practice, nursing education, advocacy, policymaking, and expanding the influence of professional nursing organizations and associations, the nursing profession still has areas where the progress and development are not as significant as many professional nurses would like it to be. In particular, there are barriers limiting the progress of Advanced Practice Nursing and the contribution that Advanced Practice Nurses (APNs) can make to improving the health care system and access to care. Back in 2011, The Institute of Medicine (IOM) (2011) published a landmark report called “The Future of Nursing: Leading Change, Advancing Health”. In this report, IOM (2011) identified several barriers to undermining the ability of APNs to contribute to the health care delivery to the full extent of their training and education. The three of those barriers include (1) federal and state-level regulations limiting nurses’ scope of practice (SOP), including state laws, (2) institutional culture and practice, and (3) outdated reimbursement models (IOM, 2011).
SOP regulations present a considerable barrier to the progress of advanced practice nursing. For example, nearly half of the U.S. states have reduced or restricted SOP. In the states with reduced SOP, APNs do not have the author to engage in at least one element of advanced practice (Martin & Alexander, 2019). In those states, APNs are required to have a collaborative agreement with physicians to provide primary care, diagnose patients, and prescribe treatments including controlled substances. In the states with restricted SOP, APNs practice under supervision, perform delegated tasks or work as a part of the teams managed by the physicians (Martin & Alexander, 2019). In other words, SOP regulations limiting APNs’ professional autonomy and the ability to practice independently to the full extent of their education and training present a significant barrier to the progress of advanced nursing practice.
As was mentioned earlier, one more barrier is institutional culture and practice. For example, many health care organizations hire APNs that completed programs that equipped them with exceptional skills and educational background necessary to manage complex patients, work in fast-paced settings, perform complex monitoring, develop evidence-based treatment plans, and order and interpret diagnostic studies (Vanderbilt School of Nursing, n.d.). Moreover, many graduates of the MSN programs possess advanced expertise in clinical care, interprofessional collaboration, quality improvement, and organizational leadership (American Association of Colleges of Nursing, 2011). However, APNs may find it challenging to realize their full potential and make a greater contribution to their organizations when the latter have an organizational culture where the role of APNs is viewed as a managing or supervising type of position. Apparently, such organizational culture makes it more challenging for APNs to make a more valuable contribution to improving organizational outcomes.
Finally, an outdated reimbursement model for the services provided by nurses is another barrier slowing down the progress of advanced practice nursing. As Sarzynski & Barry (2019) explain, a revenue stream may need to be developed in order for the APN role to survive in different settings. However, APNs do not receive reimbursement equal to physicians for providing the same services (Sarzynski & Barry, 2019). Further disparities in reimbursement are exacerbated by the fact that ANpss are more likely to practice in rural settings and treat vulnerable populations and Medicaid beneficiaries compared with physicians (Sarzynski & Barry, 2019). Thus, reimbursement issues should be regulated to ensure that APNs can generate adequate revue for their organizations and in independent practice as well. Therefore, regulations limiting nurses’ SOP, organizational culture and practice, and outdated reimbursement models are the three barriers blocking the way to the progress of advanced nursing practice. Addressing these barriers through policy and practice change should be one of the priorities of nurses’ policymaking and policy advocacy efforts.
Instructions: Please extending, refuting/correcting, or adding additional nuance to their posts. Post must be 300 words. Reply must be constructive and use literature where possible. Please use APA format.
Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts. effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors
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Nursing leadership requires critical thinking and high cognitive ability as one has to make decisions regarding patient care, nurses’ welfare, and team development. Nurse leaders make decisions regarding nursing practice, evidence-based practice, and points of advocacy in my organization.
While nurse leaders focus on ensuring nurses perform per the organization’s expectations, they also advocate for nurses’ and patients’ welfare. For instance, nurse leaders had to advocate for nurses’ safety, especially as they handle COVID-19 patients, ensuring they get the necessary personal protective equipment (Majers & Warshawsky, 2020). Ensuring nurses have adequate personal protective equipment further guarantees patients’ safety and improves the quality of care as there is no transmission of the virus from one patient to another.
Nurse leadership focuses on issues affecting nurses, patients, and the healthcare organization. As a result, effective leadership among nurse leaders secures their decision-making on healthcare setting issues (Sfantou et al., 2017). Effective leaders identify problems in their space, gather views on how these problems can be solved, and communicate the recommendations with nurses and organizational leaders. As a nurse leader, I can be invited to the table and be an active participant in decision-making by demonstrating effective leadership and being proactive in finding amicable solutions to arising issues.
In summary, my organization makes decisions in a centralized manner where leaders decide on the way forward and communicate the recommendations to team members. While this organizational structure appears inclusive for all leaders, only effective leaders take the lead in making critical decisions regarding practice in their areas of practice.
References
Majers, J., & Warshawsky, N. (2020). Evidence-based decision-making for nurse leaders. Nurse Leader, 18(5), 471-475. https://doi.org/10.1016/j.mnl.2020.06.006
Sfantou, D., Laliotis, A., Patelarou, A., Sifaki- Pistolla, D., Matalliotakis, M., & Patelarou, E. (2017). Importance of leadership style towards quality of care measures in
healthcare settings: A systematic review. Healthcare, 5(4), 73. https://doi.org/10.3390/healthcare5040073
REPLY 2
In nursing, proper decision-making is essential because it aids in the collection, storage, and processing of data and the provision of knowledge and information. In carrying out and managing their activities and when working with patients, nurses depend on decisions made across all managerial levels (Namnabati et al., 2017). As one becomes more knowledgeable of the profession’s decision-making process, new responsibilities and tasks emerge in the nursing sector. As a result, nurses will have to choose the right decision that best suits their needs (Ellis, 2017).Because of the scope and variety of nature programs in health care, nursing leaders must first consider the underlying conditions before making any decisions. According to Nammabati et al., (2017) the ability to acquire decision-making skills that are valuable to the profession is dependent on their knowledge of hospital information networks. Decision-makers who play a role in enacting different positions in the hospital hierarchy, such as charge nurses, directors of nursing, and managers, would be able to engage in successful critical decision-making if they are equipped with a thorough understanding of all healthcare processes and structures.Another essential role in nursing is mobilizing the best participants to address sensitive topics in a group setting. In research from Ellis (2017), this role is critical in coordinating data processing and other decision-making in nursing unit communication. Political considerations often influence decisions, and as a result, they may be tainted. Namnabati et al., (2017) found that when employees participate in the decision-making process, a successful method is more likely to develop. For efficient planning and execution, adequate resources such as skills, people, and time must be allocated.Nurses play a critical role in the decision-making process and the appropriate order for communications systems to monitor patient data from the moment of admission until they are discharged by streamlining data processing at each stage of the patient’s hospitalization. Namnabati et al., (2017) argued that the connection between the clinical groups, patients, pharmacists, and physicians, nurses play an essential role in the healthcare setting to collaborate to increase patient outcomes. As members of the hospital’s committee, the nurses are responsible for conducting an audit and making recommendations on the procurement of clinical tools, systems, and essential services (Ellis, 2017). Nurses, in particular, communicate with other practitioners and work with multiple teams of professionals within a hospital. Nurse educators can raise questions about how nurses can gain knowledge and assist in implementing training by supplying valuable resources.In conclusion, decision-making is critical in the area of nursing. By involving nurses in the decision-making process, which are essential resources in streamlining the workflow, some significant opportunities for improving patient safety and patient outcomes improve. As a result, nurses play a crucial role in the executive teams by providing practical options during decision making, which help the healthcare systems efficiently conduct clinical processes and, most importantly, support the nursing staff. They must discuss all of the system’s clinical elements, with a clear understanding of how the system will impact the nurses’ workflow and how the system will improve patient safety while still optimizing the nurses’ productivity.
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Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to your specialty area, or a specialty area in which you are interested. In a 750‐1,000 word paper, provide a detailed overview the organization and its advantages for members. Include the following:
Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.
Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses.
Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.
Discuss opportunities for continuing education and professional development.
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.
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Case Study, Chapter 8: Grand Nursing Theories Based on Interactive Process
After reviewing the theories, models, and frameworks from this chapter, consider the following Case Study and discuss the questions.
Case Study:
Susan Frank is a nurse in a home care agency and she is making her initial visit to a new patient. The patient’s name, Jay Gold, looks familiar, and when she enters his home, she finds she knew him in her former job. Susan had first met Mr. Gold more than a decade ago when she was working on a medical unit at the local community hospital. At that time, Mr. Gold had been admitted to the hospital for diabetes with ketoacidosis. It was at this time that he discovered he had insulin-dependent diabetes. During his initial hospitalization, he was started on insulin and had to learn to care for his diabetes. In the weeks that followed his hospitalization, Mr. Gold returned to the medical unit to see the nurses who cared for him each time he had a visit with his dietician and diabetes educator. As his diabetes came under control, Mr. Gold returned to his outgoing, energetic baseline. He talked to the nurses about his sales job, his wife, and his two daughters and told them how much he had learned in caring for his disorder.
Susan was shocked to see Mr. Gold’s appearance now. He was lying in his bed with his back to her and did not look up when she entered the room. As she spoke to him, she noted that his color was ashen. His voice was soft as he spoke, and he appeared depressed and lethargic. He had had a right above the knee amputation (AKA), and Susan noted a large scar on his chest. She reviewed his record and found that Mr. Gold’s diabetes had progressed rapidly and that he had multiple complications. He had had a coronary artery bypass graft (CABG) 2 years ago and was also being monitored for decreased renal function. He had vascular problems and neuropathy, which led to the AKA. The reason for the home visit was that Mr. Gold was found to have osteomyelitis, requiring 6 weeks of intravenous antibiotics.
Mr. Gold is married. He and his wife live in a pleasant, 2-story condo in an upscale community in a quiet retirement area. His two grown daughters are married but visit often. Susan learns that Mr. Gold has not been able to work for a number of years and is relying on Social Security disability and his wife’s part-time job.
Select one of the nursing models/theories from this chapter that will help Ms. Frank in assessing Mr. Gold and planning for his care. Why did your group select that model?
Based on the model selected, what additional information would Susan want to collect/assess?
Based on the model selected, how would Ms. Frank initiate a plan of care for Mr. Gold?
Do you think that Susan would assess and plan differently for Mr. Gold’s care if she used a different model for Mr. Gold? Why or why not?
In this case study, I would select the theory of self-care deficit nursing theory that was proponent by Dorothea E.Orem. The method is vital as it mentions the Parson’s structure theory and Von Bertalanffy’s system theory. This is because the two theories were capable of explaining the issues that Mr. Gold was undergoing in his system, for example, the amputation of one leg (AKA) and the effects that he was going through with the provision of self-care considering she was privy to his past. The theory focuses on the modern realism, and it views the patient as an agent. It portrays a high developed formalized theoretical system, and presently it is being referred to as the theory of self-care science and in coming up with the new self –care plan. She will utilize Orem’s magnum opus, and she will derive many quotes examples from the past encounters.
2.
According to the appearance of Mr. Gold, it seems that he was lethargic and ashy indicating that he is not being taken care of well at home. Ms. Frank should ask him his state of affairs of interaction with his wife. It also seems that though he is staying in a well up the condo, the finances are down; thus the nurse should ask about his life savings and other retirement insurance policies that were held by him. Finally, though the two daughters were regularly visiting hi, plus his wife was working, Ms. Frank should be asked about their financial relationship with his family and his ailing so that she can formulate an appropriate care plan.
In initiating the care, Ms. Frank should utilize all the additional information that she has received from Mr. Gold plus the physical, physiological and psychological information that is present in formulating it. The other thing is that she should take care of the other advantageous conditions that can affect Mr. Gold as he is recuperating considering…………………………………………………………………………………………………………………………………………………………………………………………………………………………………. Grand Nursing Theories Based on Interactive Process ………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
Case Study, Chapter 7: Grand Nursing Theories Based on Human Needs
After reviewing the theories, models, and frameworks from this chapter, consider the following Case Study and discuss the questions.
Case Study:
Mr. Juan Duran is a 60-year-old patient who has been coming to the Diabetes Clinic at the VA for a few months. One day, the Clinic Director, Jim Carlson, finds him wandering the hallway, appearing somewhat dazed, with a bag of supplies for blood glucose testing and insulin administration. Mr. Duran tells him that he has been instructed to start insulin for his diabetes but doesn’t know how. He doesn’t recall receiving any appointment or instructions. Mr. Carlson finds the Diabetes Nurse Educator, Jenny O’Connell, and asks her to fit Mr. Duran in for an unscheduled appointment.
Jenny O’Connell starts the appointment with a thorough assessment of Mr. Duran. In addition to the physical assessment, she covers psycho-social-spiritual issues. She discovers that Mr. Duran has had diabetes for about 10 years and, recently, his blood glucose levels and HgbA1c cannot be controlled with oral medications and exercise. The physician wants to start him on insulin. Here are notes that she took from her assessment:
· Sixty-year-old Mexican American patient. He is exceedingly polite and respectful of health care personnel (and does not like to interrupt or ask too many questions). He has been in the United States more than 50 years; he is a Navy veteran.
· Married; lives with wife in a comfortable apartment in Chula Vista, CA.
· Mr. Duran speaks fluent English, but his wife’s English is limited. They speak Spanish at home.
· Because Mr. Duran has limited vision, his wife has to administer the insulin.
· Had one (single) daughter, who was found murdered in the apartment parking lot less than 2 weeks ago, leaving Mr. and Mrs. Duran to care for her child.
· Mr. Duran seems befuddled by the insulin and syringes and is stoic when he talks about the loss of his daughter.
Select one of the nursing models/theories from this chapter that will help Jenny in assessing Mr. Duran and planning for his care. Discuss why that particular model was selected.
Based on the model selected, what additional information would Jenny want to collect/assess?
Based on the model selected, how would Jenny initiate a plan of care (education) for Mr. Duran?
Do you think that Jenny would assess and plan differently for Mr. Duran’s care if she used a different model (than the one you selected) for Mr. Duran? Why or why not?
The reason for selecting the model is that it is a grand model that focuses on one needs in a way at examining the behavioral system and relief in formulating the care for a patient. The model is a unique one that is based on discrete science with the theory being deductively derived. The theory focuses on the individual patient’s experiences with a disease more than the condition itself. The theory is well researched as it drew its propositions from Grinker theory of human behavior Selye on stress, Buckley and Chin on the systems models.
Jenny would confirm the blood group of Mr. Duran and also ask him about his pension plans and insurance. This information is vital when formulating the care plan as she will know the nature of the diet to put the patient. The relationship with the wife is essential to delve into that area to ensure that the patient stays in a conducive and controlled environment to prevent him from contacting high blood pressure. Other information is on the spiritual life of Mr. Duran as it can assist him to appreciate the condition he is recuperating I and will assist in the management of his diabetes.
I would organize the behaviors of Mr. Duran to achieve particular goals of diabetes management. Then I will differentiate them and classify them according to his prevailing conditions in setting up life choices. Accordingly, I will then formulate his administration of insulin in the maintenance of these behaviors through control and life choices.
I believe accordingly to her experience in the nursing practice she cannot use a different way in assessing the patient’s case while using a different model. This is because the model she utilized is well versed with others to achieve positive results……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..