Reflect on the three (3) most challenging patients you encountered during the practicum experience. What was most challenging about each? What did you learn from this experience? What resources were available?

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WEEK 11 JOURNAL ENTRY FOR PSYCHIATRIC Mental Health Nurse Practitioner Student 3rd quarter

Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
Reflect on the three (3) most challenging patients you encountered during the practicum experience. What was most challenging about each?
What did you learn from this experience?
What resources were available?
What evidence-based practice did you use for the patients?
What would you do differently?
How are you managing patient flow and volume?
How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

Reflect on how you might improve your skills and knowledge, and communicate those efforts to your Preceptor.
Answer the questions: How am I doing? What is missing?
Reflect on the formal and informal feedback you received from your Preceptor.

Identify two middle-range theories that could be used to view the phenomenon of interest. Compare and contrast how the phenomenon would be shaped by each theory.

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Middle range theories

Identify two middle-range theories that could be used to view the phenomenon of interest. Compare and contrast how the phenomenon would be shaped by each theory.

 

How is the GFR measured? What are the strengths and limitations of methods of determining GFR? Could you explain the mechanism of action of this abnormality in children?

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Nursing question

The kidneys are highly vascular organs that filter the blood, removing wastes for excretion and returning the rest of the blood to the vascular system. The functional units of the kidneys are nephrons, each composed of a glomerulus and a tubule.

  • How is the GFR measured? What are the strengths and limitations of methods of determining GFR?
  • Often an incidental finding in children during a urinary tract infection workup, in vesicoureteral reflux (VUR), urine flows from the bladder back up the ureters.
  • Could you explain the mechanism of action of this abnormality in children?

 

Using an appropriate search strategy locate 3 evidence primary research papers from appropriate databases that discuss your intervention, this must be primary research and ideally within the last ten years.

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An annotated bibliography

Only primary research should be used in all three papers.
Part 1 – Identify a nursing intervention and formulate a question based on this– you may choose your personal synopsis diabetics/copd etc .

Part 2 – Using an appropriate search strategy locate 3 evidence primary research papers from appropriate databases that discuss your intervention, this must be primary research and ideally within the last ten years.

Part 3 – Using a critical appraisal analysis tool of your choice, critically appraise the 3 papers you have found and prepare 3 annotated bibliographies for each of these. Ensure ethics are explored and any barriers to the intervention you have chosen to critique.

Part 4 – Summarise your findings by developing key themes from your chosen papers

Part 5 – Identify the implications for practice

Part 6 – Include a reference list using APA 7.

Provide level 1 headings for each section and page or paragraph numbers for in text citations and paraphrasing. Use more than one regulatory agency for paper-Preference would be that at least three different agencies are used.

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The Healthcare Regulatory Environment

Paper instructions included in word document. Provide level 1 headings for each section and page or paragraph numbers for in text citations and paraphrasing. Use more than one regulatory agency for paper-Preference would be that at least three different agencies are used. If you choose a state specific agency to talk about, please choose an Oregon regulatory agency. When talking about workplace specifics please relate what is written to be applicable to a hospital working environment.

Identify a theory or model which can be used as a framework for a future evidence-based project (preferred if it is related to Nursing/Healthcare).

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DISCUSSION ESSAY

Identify a theory or model which can be used as a framework for a future evidence-based project (preferred if it is related to Nursing/Healthcare).

 

Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

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Case Study

Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)
• Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)
• Which decision did you select?
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary

literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary

literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)
• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary

literature.
• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)
• Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

 

Develop a presentation, augmented by 12-15 slides, for administrative leaders and stakeholders that outlines your plan to develop or enhance a culture of quality and safety within your organization or practice setting.

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DISCUSSION ESSAY

Develop a presentation, augmented by 12-15 slides, for administrative leaders and stakeholders that outlines your plan to develop or enhance a culture of quality and safety within your organization or practice setting.

Introduction
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

As a nurse leader, you will be expected to communicate effectively with leaders and stakeholders at all levels in an organization in a variety of ways, depending on your purpose and your audience. Being able to deliver effective presentations is one important skill you will likely be called upon to use often.

This assessment provides an opportunity to hone your presentation skills and enlist the support of stakeholder groups who will be key to achieving desired changes in the organization and developing or enhancing a culture of quality and safety.

This assessment is based on the work you have completed in the previous three assessments.

Preparation
The report you completed in the previous assessment has convinced the executive leadership team of the benefits to the organization of taking the next step toward changes aimed at improving outcomes and cultivating a culture of quality and safety. You have been asked to follow up your report with a presentation to administrative leaders and stakeholders that outlines your plan to develop or enhance the organization’s culture of quality and safety. A number of key stakeholders will be unable to attend your presentation for a variety of reasons, so you have decided to provide those individuals with a video recording of the presentation.

You have the option of using Kaltura Media or another technology of your choice to record your presentation.

If you decide to use Kaltura, you are encouraged to:

Install and test your recording hardware (if you have not already done so), using the installation instructions provided by the manufacturer.
Practice using your recording hardware to ensure adequate audio and video quality.
Refer to the Using Kaltura tutorial for directions on recording and uploading your video in the courseroom.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

How might you engage stakeholders to help develop, implement, and sustain a vision to actually change and improve patient outcomes?
What arguments might be most effective in obtaining agreement and support?
What recommendations would you make to implement a proposed plan for change?

Requirements
Note: The requirements outlined below correspond to the grading criteria in the Planning for Change—A Leader’s Vision Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Planning for Change—A Leader’s Vision Scoring Guide and Guiding Questions: Planning for Change—A Leader’s Vision [DOCX] to better understand how each criterion will be assessed.

Developing the Presentation
Summarize the key aspects of a plan to develop or enhance a culture of safety.
Identify existing organizational functions, processes, and behaviors affecting quality and safety.
Identify current outcome measures related to quality and safety.
Explain the steps needed to achieve improved outcomes.
Create a future vision of your organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role in developing that potential.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.

Communication and Supporting Evidence
Argue persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety.
Support your main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Additional Requirements
Your slide deck should consist of 12–15 slides, including a title slide and a references slide.
List your sources on the references slide at the end of your presentation.
Use of a small font is permitted to fit all 8 references on a single slide.

Portfolio Prompt: You may choose to save your presentation to your ePortfolio.

Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective.
Summarize the key aspects of a plan to develop or enhance a culture of safety.

Competency 2: Determine how outcome measures promote quality and safety processes within an organization.
Identify current outcome measures related to quality and safety.

Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliability and high-performing organizations.
Identify existing organizational functions, processes, and behaviors affecting quality and safety.

Competency 4: Synthesize the various aspects of the nurse leader’s role in developing, promoting, and sustaining a culture of quality and safety.
Explain the steps needed to achieve improved outcomes.
Create a future vision of an organization’s potential to develop and sustain a culture of quality and safety and the nurse leader’s role developing that potential.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
Argue persuasively to obtain agreement with, and support from, administrative leaders and stakeholders in an organization for a plan to develop or enhance a culture of safety.
Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

Evaluate what is working and what is not working for a hospital organization. Extreme care must be taken to avoid disclosure of the name of the organization or any of its employees or any confidential information of the organization.be built upon to provide a basis for improving job satisfaction.

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DISCUSSION ESSAY

Perform an in-depth assessment of the organization’s approach to improving job satisfaction.
Evaluate what is working and what is not working for a hospital organization. Extreme care must be taken to avoid disclosure of the name of the organization or any of its employees or any confidential information of the organization.be built upon to provide a basis for improving job satisfaction.
This will be added onto the presentation that was developed in Module 2, and the combined presentation will be uploaded for this Assignment 2.

Provides a thorough SWOT Analysis of the organization’s job satisfaction plan.
An assessment of what the organization is doing to improve job satisfaction (
An evaluation of the strengths, weaknesses, opportunities, and threats associated with this (these) job satisfaction policy and procedure(s)

Explain how five ethical principles relate to and influence the healthcare decisions made by nurses or clients pertaining to the controversial healthcare situation. Support with credible referencing.

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Ethical and Theoretical Influences in Healthcare Decisions

Scenario
As a member of the Nursing Ethics committee in your organization you have been asked to create a poster presentation for the nursing staff breakroom for display during the upcoming Nurses’ Week. You look forward to this opportunity to share how ethical principles, theoretical frameworks, and the Code of Ethics for Nurses, can influence decision making in the face of controversy. The poster presentation should feature ethical principles, theories, and standards that guide ethical nursing practice pertaining to a current real-world controversial healthcare situation in your workplace or current news.

Instructions
Include the following detail in your poster presentation:

Summarize the controversial healthcare situation chosen from your workplace or current news.
Explain how five ethical principles relate to and influence the healthcare decisions made by nurses or clients pertaining to the controversial healthcare situation. Support with credible referencing.
Compare and contrast two theoretical frameworks as they guide decision making related to the controversial healthcare situation. Support with credible referencing.
Explain how five of the nine provisions of the ANA Code of Ethics for Nurses relate to and influence healthcare decisions made by nurses or clients in healthcare decisions pertaining to the controversial healthcare situation. Support with credible referencing.