/in /by

The collaborative discussion this week is focused on a summary of your DNP project. It is important to be able to articulate the message of your project in a concise and brief message. This is often referred to as an ‘elevator speech’. In 100 words or less, please provide a summary of your DNP project, including the purpose, project description, project results, and implications to nursing/and or healthcare
It is important to be able to articulate the message of your project in a concise and brief message. This is often referred to as an ‘elevator speech’. In 100 words or less, please provide a summary of your DNP project, including the purpose, project description, project results, and implications to nursing/and or healthcare.

What ethical dilemmas is the LPN faced with at this point in her career?

/in /by

An LPN is in her first employment position since graduation. She is working at long-term care facility in the respite unit. In this unit there are 12 beds for respite care as well as clients who live in the facility permanently. This means that respite clients are admitted from the community for short periods of time, perhaps to give family members and caregivers a break, or to allow them to go on holiday. Sometimes, respite allows a caregiver to take care of their own failing health or to have a needed surgery.

The unit is very busy with 2 to 3 admissions and 2 to 3 discharges every day. The LPN has been given four shifts of orientation – 2 days, one evening and one night – working alongside another LPN. After this she starts to work on her own, being placed in charge of the unit and responsible for the supervision of four care aides, one dietary staff at meal times and one rehab assistant. The unit is also supported by an activity aide and a music therapist (for a few hours per week). Residents may go off the unit to attend entertainment activities in the home.

After six shifts in charge, the LPN is looking forward to her days off, starting tomorrow. She feels she is unable to keep up with the pace of the unit and is concerned that she has not been able to complete all of her work satisfactorily. She is aware that she has cut corners during each day and, sometimes, did not have enough time to complete all of the checks she was taught about in school before administering medications to some of the residents. She tells the nurse manager about this situation before leaving for her days off.

  1. What ethical dilemmas is the LPN faced with at this point in her career?
  2. What specific parts of the BCCNP Professional Standards do you believe are under threat in this situation?
  3. As a member of the public or a family member, what would you want the LPN to do at this point in time?

Part 2:

The LPN returns from days off for the evening shift and is told that the unit is “really busy today”. She is already aware of this, because, as she entered the unit, she was approach by at least two new residents asking to go out and meet their family members, and to “let me go home”. She also noticed that the nurse on duty was completing an admission interview with caregivers of another new resident who had arrived just 30 minutes previously. The LPN immediately became immersed in the workload and only had time for a very brief handover from the departing nurse. She senses her anxiety rising as the shift progresses. In the mid-afternoon, the Director of Care pops into the unit for a few minutes, “just to see how the new residents are settling”. She tells the LPN she had received calls from 2 families who told her that no one is answering the phone on the unit. The LPN admits that she had forgotten how to use the phone and had hit the wrong button for a few calls.

  1. What are the ethical responsibilities of the LPN now?
  2. What risks is she running in continuing to work under current conditions?
  3. Would you consider this LPN to be a professional nurse? Why or why not?

 

Part 3:

A week later, the LPN meets with the Director of Care to discuss her progress. At that meeting she raises a number of the ethical issues identified above. The Director of Care explains that the unit is busy and there is a lot of pressure on the unit to take as many respite cases as possible in order to alleviate the pressure on families and caregivers, and to keep dementing people in the community for as long as possible. She realises that this is a high demand position for a new graduate, but she is confident that the LPN will soon settle into the position. She reassures the LPN that she is doing a good job. She tells her just to call when she needs help. The LPN is aware that the Director is not always on site in the evening of weekend. She agrees to give it “a try for a bit longer” to see if she can settle. In her mind she thinks, “Maybe it is just me? I’m new and other nurses on the unit have not complained. At least, they haven’t told me if they have and the Director did not mention it.”

  1. What new issues have arisen from this meeting and how does this change the situation?
  2. Has the LPN addressed her professional requirements, in terms of the BCCNP Professional Standards? Why or why not?
  3. What is your assessment of the ethical conduct of the Director of Care in terms of interdisciplinary collaboration?

Develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains & Competencies (Appendix A) related to that course.

/in /by
  • Use the Individual Success Plan to develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains & Competencies (Appendix A) related to that course.

Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (see Appendix A).

Completing your ISP does not earn clinical practice experience hours, nor does telephone conference time, or time spent with your preceptor.

  • Within the Individual Success Plan, ensure you identify all graded course assignments and indirect clinical assignments listed in the table on the next page.

Name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal.

/in /by

Name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal.
Proposal- to increase effective nurse to nurse handoff in the perioperative setting,
Explain how your proposal will directly and indirectly impact each of the aspects.

Summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

/in /by

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” [PROVIDED IN MATERIALS] document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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.

Discuss how these two articles will be used to answer your PICOT question.

/in /by

Research Critique Guidelines – Part I

Qualitative Studies

Background of Study

  1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

  1. Discuss how these two articles will be used to answer your PICOT question.
  2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

  1. State the methods of the two articles you are comparing and describe how they are different.
  2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

  1. Summarize the key findings of each study in one or two comprehensive paragraphs.
  2. What are the implications of the two studies in nursing practice?

Ethical Considerations

  1. Discuss two ethical consideration in conducting research.
  2. Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their research.

 

 

Provide an overview of the problem and discuss why the problem should be studied.

/in /by

Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss why the problem should be studied. Provide rational and support for your answer.

SOURCES [You do not have to use all]

Read Chapter 1 in Nursing Research: Understanding Methods for Best Practice.

Describe the difference between a nursing practice problem and a medical practice problem.

/in /by

PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem.

Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.

Read Chapter 1 in Nursing Research: Understanding Methods for Best Practice.

Create a blog speaking to your perspective and your own transformation on this issue.

/in /by

MSN vs. DNP – Which is Better?

There is much debate about the DNP as entry to advanced practice nursing. There is also lack of clarity surrounding the differences between an MSN and DNP prepare nurse. Go to your profile in the Doctor of Nursing Practice online community. Create a blog speaking to your perspective and your own transformation on this issue. You will see blogs from other students there as examples. Copy your blog on a Word Document and upload it here for credit. In general, blogs should have a professional tone and be less than 500 words.

APA format and at least 3 references.

 

What is the likely cause of the discharge?

/in /by

Betty is a 20 year old single black female. She has never been pregnant, and she does not have a history of any health conditions. Her family history includes HTN on her father’s side (PGF and F). Her MGM had breast cancer, and is now deceased. She does smoke, but states that she plans to quit when she stops being so “stressed out from school”. She presents in the health clinic complaining of a foul-smelling vaginal discharge. Which questions would you ask to elicit thorough information about her history?

What is the likely cause of the discharge?

Which tests do you anticipate?

Treatment  options?

Teaching for Betty?

Betty has now graduated from college, and plans to marry the man of her dreams. She is 24 years old, and has not developed any new medical conditions. She is not ready for children yet, but wants to explore birth control options now that she is monogamous. Explain Betty’s options.

Now Betty presents to the clinic in tears. She forgot to replace her vaginal birth control ring, and realizes that she ovulated last night just after having intercourse with her husband. Betty is upset, because she is not ready to have a baby. She is starting a new internship, and wanted to delay childbearing for a little longer. What are Betty’s options?

Betty discussed her options with her husband, Frank, and they both agreed that they would just “wing it” and see what happens this month. Frank grew up in the Catholic Church in Honduras, and he believes that any medication that impedes implantation might be a violation of his religious practice. What is the appropriate nursing response?

Now it has been 2 months, and Betty has not had a period. She presents in the office requesting a pregnancy test. In which way does a pregnancy test detect pregnancy?

Betty’s test is positive. GTPAL? _____________

Her last menstrual period was 3/10/08. What is her EDC?___________________