Provide examples of previous mentors who have enhanced your learning experiences. Describe methods utilized by your mentors to improve educational experiences. Discuss the impact on your nursing practice.

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WEEK 5 DISCUSSION

Each week students will participate within a discussion by answering ONE of two questions. Students must post their original work within the initial post before peer postings can be viewed. Remember to receive maximum participation points students are required to post peer postings at LEAST 2 days per week AND answer professor question.

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned and complete your participation for this assignment by Day 7. To support your work, use your course and text readings and also use resources from the South University Online Library.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

TASK

Post your initial response to one of the two topics below.

Topic 1

Mentoring

a. Provide examples of previous mentors who have enhanced your learning experiences.

b. Describe methods utilized by your mentors to improve educational experiences.

c. Discuss the impact on your nursing practice.

Topic 2

Formative and Summative Learning Assessment

a. Create a teaching scenario that includes formative and summative learning assessments.

b. Discuss how you would communicate your findings with the learner.

c. Provide examples of positive vs discouraging learner feedback.

How can we, as nurses, ensure that the patient understands that he or she is at the center of our care and that the technology is an adjunct to it? Share your experiences and ideas to ensure a patient-focused experience in a high-tech environment.

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WEEK 5 DISCUSSION

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned and complete your participation for this assignment by Day 7. To support your work, use your course and text readings and also use resources from the South University Online Library.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

TASK

Post your initial response to one of the two topics below.

Topic 1

Simulation technology has been transformative in nursing education. Through the use of simulation, nurses can repeatedly practice skills and gain clinical confidence in a risk-free environment. Simulation, however, is not just for health care professionals.

How can nurses leverage simulation technology for patient and family education? (Include your rationale.)
Share your experiences and ideas for leveraging simulation technology for patient education.

Topic 2

IT can be a great tool in our caring environment, but it can also be perceived as a hindrance. Recent patient satisfaction surveys have had comments such as “the nurse and the doctor were more interested in the computer than me” and “I felt like they were treating the machines not the person connected to them.”

You read in your textbook about Jean Watson and her Theory of Human Caring.

How can we, as nurses, ensure that the patient understands that he or she is at the center of our care and that the technology is an adjunct to it? (Include your rationale.)
Share your experiences and ideas to ensure a patient-focused experience in a high-tech environment.

Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes. Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.

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Assessment 1 Instructions: Collaboration and Leadership Reflection Video

PRINT

For this assessment you will create a 5-10 minute video reflection on an experience in which you collaborated interprofessionally, as well as a brief discussion of an interprofessional collaboration scenario and how it could have been better approached.

Interprofessional collaboration is a critical aspect of a nurse’s work. Through interprofessional collaboration, practitioners and patients share information and consider each other’s perspectives to better understand and address the many factors that contribute to health and well-being (Sullivan et al., 2015). Essentially, by collaborating, health care practitioners and patients can have better health outcomes. Nurses, who are often at the frontlines of interacting with various groups and records, are full partners in this approach to health care.

Reflection is a key part of building interprofessional competence, as it allows you to look critically at experiences and actions through specific lenses. From the standpoint of interprofessional collaboration, reflection can help you consider potential reasons for and causes of people’s actions and behaviors (Saunders et al., 2016). It also can provide opportunities to examine the roles team members adopted in a given situation as well as how the team could have worked more effectively.

As you begin to prepare this assessment you are encouraged to complete the What is Reflective Practice? activity. The activity consists of five questions that will allow you the opportunity to practice self-reflection. The information gained from completing this formative will help with your success on the Collaboration and Leadership Reflection Video assessment. Completing formatives is also a way to demonstrate course engagement

Note: The Example Kaltura Reflection demonstrates how to cite sources appropriately in an oral presentation/video. The Example Kaltura Reflection video is not a reflection on the Vila Health activity. Your reflection assessment will focus on both your professional experience and the Vila Health activity as described in the scenario.

References
Saunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students’ reflections on an interprofessional placement in ambulatory care. Reflective Practice, 17(4), 393–402.

Sullivan, M., Kiovsky, R., Mason, D., Hill, C., Duke, C. (2015). Interprofessional collaboration and education. American Journal of Nursing, 115(3), 47–54.

Demonstration of Proficiency
Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
Identify how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature.
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Reflect on an interdisciplinary collaboration experience noting ways in which it was successful and unsuccessful in achieving desired outcomes.
Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work more effectively together.
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Identify best-practice leadership strategies from the literature, which would improve an interdisciplinary team’s ability to achieve its goals.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
Communicate via video with clear sound and light.
The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format.

Professional Context
This assessment will help you to become a reflective practitioner. By considering your own successes and shortcomings in interprofessional collaboration, you will increase awareness of your problem-solving abilities. You will create a video of your reflections, including a discussion of best practices of interprofessional collaboration and leadership strategies, cited in the literature.

Scenario
As part of an initiative to build effective collaboration at your Vila Health site, where you are a nurse, you have been asked to reflect on a project or experience in which you collaborated interprofessionally and examine what happened during the collaboration, identifying positive aspects and areas for improvement.

You have also been asked to review a series of events that took place at another Vila Health location and research interprofessional collaboration best practices and use the lessons learned from your experiences to make recommendations for improving interprofessional collaboration among their team. Your task is to create a 5–10 minute video reflection with suggestions for the Vila Health team that can be shared with leadership as well as Vila Health colleagues at your site. Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.

Instructions
Using Kaltura, record a 5–10 minute video reflection on an interprofessional collaboration experience from your personal practice, proposing suggestions on how to improve the collaboration presented in the Vila Health: Collaboration for Change activity.

Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:

Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.
Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.
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 best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.
Communicate in a professional manner, is easily audible, and uses proper grammar. Format reference list in current APA style.

You will need to relate an experience that you have had collaborating on a project. This could be at your current or former place of practice, or another relevant project that will enable you to address the requirements. In addition to describing your experience, you should explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes, as well as aspects of the collaboration that could have been improved.

A simplified gap-analysis approach may be useful:

What happened?
What went well?
What did not go well?
What should have happened?
After your personal reflection, examine the scenario in the Vila Health activity and discuss the ways in which the interdisciplinary team did not collaborate effectively and the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.

Building on this investigation, identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals. Be sure to identify the strategy and its source or author and provide a brief rationale for your choice of strategy.

Additionally, identify at least one interdisciplinary collaboration best practice or strategy to help the team achieve its goals and work more effectively together. Again, identify the strategy, its source, and reasons why you think it will be effective.

You are encouraged to integrate lessons learned from your self-reflection to support and enrich your discussion of the Vila Health activity.

You are required to submit an APA-formatted reference list for any sources that you cited specifically in your video or used to inform your presentation. The Example Kaltura Reflection will show you how to cite scholarly sources in the context of an oral presentation.

Refer to the Campus tutorial Using Kaltura [PDF] as needed to record and upload your reflection.

Additional Requirements
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.
You may wish to refer to the Campus APA Module for more information on applying APA style

Respond to discussion below using current APA edition and 2-3 references within 4 years or less. Must be at least 150 words.

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Discussion 4

Respond to discussion below using current APA edition and 2-3 references within 4 years or less. Must be at least 150 words.

The nursing profession is grounded on three essential elements: practice, research, and theory. These components have a reciprocal and cyclical relationship, where clinical practice generates research questions and knowledge for theory, and research guides practice and builds knowledge through theory development (Saleh, 2018). For effective nursing practice, it is crucial to apply knowledge, skills, and care to provide patients with care that is efficient, effective, and considerate. Research findings play a critical role in making clinical decisions, and ideally, all patient care decisions should be evidence-based.

The purpose of research in nursing is not only to guide practice but also to generate and test theory to build knowledge in the field. The relationship between research and theory is reciprocal, with each one generating more knowledge and informing the other (Saleh, 2018). A good theory enhances our understanding of a subject and is evaluated based on its effectiveness in guiding research and practical applications (Butts & Rich, 2018). The primary objective of a theory is to compress and retain knowledge and express our understanding of the world in concise statements. The process of developing a theory involves conducting research to test or generate theories and utilizing research-supported theories in practical settings (Butts & Rich, 2018).

The primary goal of nursing theory is to improve practice and positively influence patient health and quality of life. The relationship between theory and practice is reciprocal, with practice serving as the foundation for theory development and theory needing validation through practice (Saleh, 2018). However, there is often a perceived gap between theory and practice in the nursing profession, with practicing nurses using the language of nursing theory only when mandated to do so by accrediting bodies. Several factors contribute to this gap, including the perception that theory development is the domain of nurse educators and scholars rather than practicing nurses and the view that nursing theory and practice are separate activities (Saleh, 2018).

To bridge the gap between theory and practice, nursing leaders must maintain the reciprocal and cyclical relationship among practice, research, and theory. This can be achieved through continued interaction between nursing researchers, educators, and practicing nurses (Saleh, 2018). Increasing exposure to theoretical principles for undergraduate and graduate student nurses and stressing theoretical concepts and principles following formal education are essential. It is also necessary to provide nursing theorists and researchers with the opportunity for clinical involvement to minimize the disparity between the theoretical world and the world of practicing nurses. Finally, addressing healthcare and nursing issues from a theoretical perspective will help to guide theory-guided practice, which is the future of nursing (Saleh, 2018). Nurses must rely on sound theoretical principles to develop and implement effective, efficient, and holistic plans of care.

Describe the practice-related issue and its impact on the nursing profession and/or healthcare delivery. How does this issue influence healthcare safety, quality, and/or health outcomes?

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PICOT statement

Revisit the practice-related issue of interest that you identified in the week one discussion posting, and respond to the following:

  • Describe the practice-related issue and its impact on the nursing profession and/or healthcare delivery.
  • How does this issue influence healthcare safety, quality, and/or health outcomes?
  • What nursing intervention would you recommend to improve the issue?
  • As you conduct a review of literature to better understand the issue and your proposed intervention, what search terms might be most helpful?

Based upon your responses to the above, develop a PICOT statement that conveys the following elements.

  • P-Population and Problem – What is the nursing practice issue or problem and who does it affect?
  • I-Intervention – What evidence-based solution for the problem would you like to apply?
  • C-Comparison – what is another solution for the problem? (Note that this is typically the current practice, no intervention at all, or alternative solutions.)
  • O-Outcome – Very specifically, how will you know that the intervention worked? What will be the indicator of success, and how will that outcome be measured?
  • T-Timeframe – Target date for outcome achievement.

Use a sentence format to construct your PICOT statement. Here is an example from the educational field (remember, your PICOT will address a nursing practice issue or problem):

Do kindergarteners experiencing learning disabilities (P) who are given a stress ball to squeeze (I) compared to those who don’t have a stress ball (C) experience improved academic performance in class (O) over a 6 week period (T)?

Research an article that relates to client needs for quality safe patient-centered care. Choose a peer-reviewed article that addresses one of the following topics: -Safe/effective environment, management of care, safety and infection control, health promotion and maintenance, reduce risk potential, healthcare policy, provider of care, and/or patient-centered care.

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Research an article that relates to client needs for quality safe patient-centered care.

Research an article that relates to client needs for quality safe patient-centered care. Choose a peer-reviewed article that addresses one of the following topics: -Safe/effective environment, management of care, safety and infection control, health promotion and maintenance, reduce risk potential, healthcare policy, provider of care, and/or patient-centered care.

Describe the 4 most common elements found in each nursing theory and how “knowing” is related to theory foundation.

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Response

Respond to Lester post:

Describe the 4 most common elements found in each nursing theory and how “knowing” is related to theory foundation.
McKenna (2017) mentions that theories are made up of concepts, variables, statements, and formats. However, specific to nursing there are 4 common elements that are found in each nursing theory. These elements are the person, environment, health, and nursing. The person is basically the one that will receive the care. (McKenna, 1997). This person can either be viewed in terms of an individual client, family, or a whole community. (McKenna, 1997). The environment is the physical environment or can also be a particular situation. (McKenna, 1997). Health is most defined as a concept that includes the exchange or interaction between the person, environment, and the nurse. (McKenna, 1997). Nursing is defined as the diagnosis, care, and treatment of human responses to potential or actual problems which is in contrast to Medical Care that is based on a medical diagnosis. (McKenna, 1997). Within the concept of nursing, the nurse should create an “individualized plan of care” that is based on the patient’s personalized needs, their environment, and their current level of health. (McKenna, 1997).

Furthermore, according to Christensen (2011), knowledge can be considered Theoretical, which is “knowing-that” or Practical which is “knowing-how”. (Christensen, 2011). Knowing is related to theory foundation in the form of the inclusion of many different things. (Christensen, 2011). These points include things that are already known from many different written sources or media, things that are known from personal experiences, and things that are related to the common elements in nursing theory that are person, environment, health, and nursing. (Christensen, 2011).

Briefly describe the 4 types of theories in nursing and their purpose.
Theories in nursing according to Butts & Rich (2022), can be differentiated in many different ways depending on which sources are referenced. (Butts & Rich, 2022). However, they claim that the 4 types of theories in nursing are Descriptive, Predictive, Explanatory, and Prescriptive. (Butts & Rich, 2022). The purpose of descriptive theory is to present information and usually just involves one particular component. (McKenna, 1997). The purpose of predictive theory is to confirm knowledge and usually is the cause & effect relationship between 2 or more components. (McKenna, 1997). The purpose of explanatory theory is to build knowledge and usually involves 2 components that relate to each other in a specific way. (McKenna, 1997). The purpose of prescriptive theory is to utilize knowledge that builds on descriptive, explanatory, and predictive theories and goes beyond just cause & effect. (McKenna, 1997).

Choose one theory and briefly apply it to your chosen DNP CSP topic, explaining the type of theory it is and demonstrating the links of the theory elements to your clinical problem. (It should be clear that this is an appropriate theory for use in your clinical area and reflects your personal theoretical framework for advanced practice nursing.
One theory in mind is Martha Rogers and her model of unitary human beings based on the concepts of systems theory. (Aranha, 2015). This model and theory apply to my potential choice topic for my DNP Clinical Scholarly Project which is decreasing the prevalence of suicide with the use of new and advanced technologies; this is what describes my clinical problem and also addresses a cause & effect relationship. Thus, this particular model and theory is considered to be a prescriptive theory because my goal is to utilize the knowledge that goes beyond all comparative components and cause & effect. (Butts & Rich, 2022).

In Martha Roger’s model and theory known as the Science of Unitary Human Beings is centralized in the idea of how humans are intertwined with their environments and how this interaction comprises of different organizational patterns that are transmitted through waves. (Aranha, 2015). Different components that are also significant in Martha Roger’s model are “the use of energy fields, openness, patterns, and pan dimensionality as the building blocks”. (Aranha, 2015). Rogers theorized that “the universe is an open system within which individuals and their environment interact independently and continuously.” (Aranha, 2015). Applying this theory to the person, is seen as a “unified whole” or energy field that is comprised as whole and is “different from the sum of its parts,” which is the community or the suicidal population. (McKenna, 1997). Applying this theory to Nursing, which is seen as a profession that will maintain & promote health for the sick and disabled, or the methods that will help to decrease incidence of suicide. (McKenna, 1997). Applying this theory to health, it is defined by the community to classify behaviors as either high or low in value, which are the emerging technology tools used to compare and contrast the suicide prevention methods that are utilized. (McKenna, 1997). Lastly, applying this theory to the environment, means that there is a “Four-Dimensional negatrophic energy field identified by pattern, organization, and encompassing all that is outside any given field,” which will comprise of the descriptive visualization of technological methods utilized. (McKenna, 1997).

What information should be collected from Mr. Beatty before the administration of the penicillin G? Mr. Beatty asks why he cannot receive the medication in oral form. How should the nurse respond?

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Chapter 18 Discussion

Ed Beatty is a 52-year-old client with a history of chronic renal insufficiency who presents to the medical clinic reporting a severe sore throat. He is diagnosed with a streptococcal pharyngitis. He is informed by the primary care provider that he will be treated with an IM injection of penicillin G. (Learning Objectives 2, 3, and 9)

1. What information should be collected from Mr. Beatty before the administration of the penicillin G?

2. Mr. Beatty asks why he cannot receive the medication in oral form. How should the nurse respond?

3. Describe the equipment that the nurse should have available before administering the medication to Mr. Beatty. Why is this necessary?

4. After receiving the penicillin G, Mr. Beatty experiences cardiac arrest. He is successfully resuscitated. Discuss the potential causes of the cardiac arrest.

5. Mr. Beatty has recovered from the arrest and the nurse is preparing his discharge teaching. What information related to the penicillin G should the nurse include?

Create a concept map for one of the topics from the list below: Hypertension.

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Week 3 | Lesson 7 Concept Map

Create a concept map for one of the topics from the list below:

  • Hypertension

The content of the concept map must include:

  • pathophysiology
  • definition
  • etiology
  • risk factors (genetic predisposition and environment factors if applicable)
  • causative factors
  • common signs and symptoms for the disease
  • labs & diagnostic tests
  • nursing interventions
  • medical treatment
  • complications of the disease
  • patient & family education
  • 4-6 references using APA 7th ed. format

What are the benefits of administering fibrinolytic therapy, nitroglycerin, and oxygen in the early management of STEMI? What is the inflammatory response in the postinfarction recovery period? Why will Martha’s heart function be compromised after her STEMI?

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Disorders of Cardiac Function, and Heart Failure and Circulatory Shock

Martha had just finished dinner with her husband, and they had just sat down to watch television. She is 72 years old and has had a history of angina. Shortly after they sat down, Martha said she had indigestion and went to take some antacid tablets. An hour later, she began to feel warm, restless, and anxious. Her husband noticed she was looking pale and said he would take her to a nearby walk-in clinic. By the time they arrived, Martha said her left arm and shoulder were sore. Suspecting Martha was having a heart attack, her husband turned the car around and rushed her to the hospital. Three hours after the onset of her symptoms, Martha was receiving oxygen, fibrinolytic therapy, and nitroglycerin in the emergency ward. Afterward, she was moved to the cardiac unit for STEMI (Chapter 27, Learning Objectives 5 and 6).

  1. An ECG of Martha’s heart demonstrated an elevated ST segment. What are the physiologic effects of myocardial ischemia that produce this finding? What variables affect the ECG tracing of a patient with ACS?
  2. What are the benefits of administering fibrinolytic therapy, nitroglycerin, and oxygen in the early management of STEMI?
  3. What is the inflammatory response in the postinfarction recovery period? Why will Martha’s heart function be compromised after her STEMI?