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COMMENT 2 1

The three most important elements of Hamric’s definition of Advance Nursing Practice are research skills collaboration and ethical decision-making skills.
Research skills are proven by the ability to be the intervention nurse in a research study. This includes knowing the goals and purpose of the study being a part of the research team helping to design the evidence-based intervention content providing the content and continuing the patient relationship according to the objectives of the study and using evidence-based literature to influence the designer intervention for the advantage of their patient.Collaboration is validated by partnerships and application of other health care team supporters to control care for patient’s benefit.Ethical Decision-Making skills are proven by planning informed consent documents detecting possiblezones for ethical concerns stressing the patient care during study application and reporting concerns management.
Reference
Hamric A Hanson C Tracy M O’Grady E. Advanced Practice Nursing:An Integrative Approach.Elsevier Saunders; 5th ed.

COMMENT 1 1

Hamric has defined advanced nursing practice which can be applied to any of the Advanced Practioner Nurse roles. Whether it be the role of a Certified Registered Nurse Anesthetist a Certified Nurse Midwife or a Nurse Practitioner Hamrics definition of nursing practice applies and gives a proper representation of the elements and qualifications these professionals possess. In my opinion the three elements that are most important of Hamrics definition of advanced nursing practice are graduate education evidence-based practices and leadership. I believe these are the most important elements because they are what creates the basis for a successful Advanced Nurse Practitioner. In my opinion it is essential to have graduate education in nursing so that one knows the information such as the human body diseases diagnoses treatments and other aspects. As mentioned in our textbook graduate education would fall under the category of direct care which would be considered a central competency (Hamric Hanson Tracy & O’Grady 2014). Having the basic knowledge of advanced nursing practice forms a foundation in which the professional can grow from. I also believe it is essential to be up to date with the latest evidence-based practices so that treatment and patient care can be given following the latest research studies and experiments. Lastly having leadership skills is essential to have as an Advanced Nurse Practitioner because one has greater responsibilities and needs to be able to delegate tasks to other nurses. Leadership is a quality that Advanced Nurse Practitioners when caring for patients because they need to be able to form a strong foundation for those patients who need an individual to lead them in the path to optimal health. Hamrics definition of advanced nursing practice entails many elements that are crucial for a successful advanced nursing professional to attain.
Reference
Hamric A. B. Hanson C. M. Tracy M. F. & O’Grady E. T. (2014).Advanced practice nursing: an integrative approach. St. Louis: Elsevier.

DQ1 15

Discuss how evidence-based practice is defined as translational research. Describe the framework that supports that definition. Identify a population health issue you are interested in researching and discuss the issue using that framework. As you select an issue remember you will be building upon your research in this course for your evidence-based practice project in the next course. Think about how you can focus your research now to help you complete your EBP project.
Note: While you will only be proposing a solution and implementation plan in your EBP project keep in mind EBP projects lay a foundation for doctoral research since doctoral candidates have the opportunity to actually implement their projects. If you are interested in pursuing doctoral education it is a good idea to choose an issue you would be interested in pursuing in greater depth. The research and work you complete on your EBP project now can be used if you choose to move forward into doctoral education.
at least 250 words. at least one citation and intext citation.

DQ1 and 2

DQ1:
Discuss how evidence-based practice is defined as translational research. Describe the framework that supports that definition. Identify a population health issue you are interested in researching and discuss the issue using that framework. As you select an issue remember you will be building upon your research in this course for your evidence-based practice project in the next course. Think about how you can focus your research now to help you complete your EBP project.
Note: While you will only be proposing a solution and implementation plan in your EBP project keep in mind EBP projects lay a foundation for doctoral research since doctoral candidates have the opportunity to actually implement their projects. If you are interested in pursuing doctoral education it is a good idea to choose an issue you would be interested in pursuing in greater depth. The research and work you complete on your EBP project now can be used if you choose to move forward into doctoral education.
at least 250 words. at least one citation and intext citation.
DQ2:
Identify at least one barrier that relates to challenges with population health. Consider how you could employ translational research to potentially overcome this barrier. Identify the best type of translational research to address this barrier and provide rationale for the type you have chosen. What would be the challenges of using this type? What strategies would you employ to provide an understanding of your chosen type of translational research and to gather collaborative support? at least 250 words. at least one citation and intext citation.

NEED COMLETED – PHARMACOLOGY

Overview:
This case study will help you practice analyzing a patient record. This case will focus specifically on cardiovascular and hematopoietic treatment. Prompt: Consider the following scenario:
At age 63 Ms. Breene lived a sedentary life as a clerk in a small insurance company. She would joke that
since her dog died her only exercise was walking back and forth to her car. She had talked with friends about joining the local health club and it was on her to – do list perhaps when she retired in a couple of years. Shortly before lunch one morning someone at work found Ms. Breene at her desk in a confused and unresponsive state. A colleague drove her to the emergency room where elevated cardiac markers and EKG changes showed that Ms. Breene had suffered a myocardial infarction. The ER doctor prescribed oxygen by mask anticoagulants a thrombolytic analgesics and a bronchodilator.
In a short paper the following critical elements must be addressed:
Identify the incorrect medication/drug classification/treatment and explain why it is incorrect.
What drug classification would you use instead? Why?
Provide an example of a generic medication from each drug classification. How would each of the medications/treatments in the scenario act on the patient’s body? Support your answer with relevant resources.
Guidelines for Submission:
Your answers to the questions can be in short – answer or bullet – point form when appropriate. Use
12 – point Times New Roman font one – inch margins and APA format for any citations.

CLASS 2 COMMENT 2

Nursing philosophy is the core of nursing practice.It is a perspective that I feel can differ from nurse to nurse based off of their views and experiences.According to Poliforni a philosophy will deem some ideas correct others inconsistent and some simply wrong (pg 3). Philosophies are ever changing and can be proven right or wrong. The important thing is to be able to adapt and change views when it means putting patient’s first.Whether a registered nurse or an advanced practice nurse consistency of actionsis key for patients.
I believe a key value to nursing philosophies is empathy. Without empathy it is very difficult to be able to be a patient advocate.Having the ability to put oneself in a patients shoes and really understand what they are going through is a philosophy I would like tostrive for as an advanced practice nurse. One of the basic building blocks of ethics and ethical conduct towards others is empathy (Dinikins 2011).
Inconclusionnursing is a profession where something new is learned everyday. Not one day is the same as another. Being able toadapt a philosophy and include empathyfor my patients is something I intend on practicing as an advanced practice nurse.
References:
Polifroni C.E. (2018). Chapter 1. In J. B. Butts & K. L. Rich (Authors)Philosophies and Theories for Advanced Nursing Practice(3rd ed.pp.3-18). Burlington MA: Jones and Bartlett Learning
Dinkins C. (May 10 2011) Ethics: Beyond Patient Care: Practicing Empathy in the WorkplaceOJIN: The Online Journal of Issues in NursingVol. 16 No. 2.

CLASS 2 COMMENT 1

According to Polifroni (2018) nursing philosophy is a reference that helps deem ideas correct inconsistent or wrong and aids in guiding assumptions and actions in advanced nursing practices. Not only does it examine how nurses approach studying science it also brings into question knowledge itself. Using this process helps nurses develop best standard practices by way of praxis.
Praxis is a part of the philosophy of science. Prolifroni defines praxis as the planned deliberate and thoughtful creation of a plan of action to achieve a set goal (p. 11). I believe this is a technique used in all parts of nursing to achieve the best possible patient outcomes. Praxis is also applied to all fields of nursing. From community health to floor nursing nurses set goals to achieve and collaborate with other specialties in order to find the best way to arrive at that goal.
Rodgers (2018) also adds much of the focus of nursing is on skills rather than the knowledge which drives those skills. Nursing theory provides the framework for what makes nursing a professional discipline. Having a defined base that examines why nurses do what they do supports the work of nurses and provides information necessary to the delivery of effective care and continuing the development of nursing as a discipline (Rodgers 2018). Advanced practice nurses will be an important factor in the devolvement of new research and forming evidenced-based practices as our society continues to evolve and change.
References
Polifroni E. C. (2018) Philosophy of science: an introduction and a grounding for your practice. In J.B. Butts & K.L. Rich (Eds.)Philosophies and theories for advanced nursing practice(pp. 1-18). Burlington MA: Jones & Bartlett Learning.
Rodgers B. L. (2018) The evolution of nursing science. In J.B. Butts & K.L. Rich (Eds.)Philosophies and theories for advanced nursing practice(pp. 1-18). Burlington MA: Jones & Bartlett Learning.

comment from post 6 16

The seven levels of research evidence identified byMelnyk & Fineout-Overholt (2011) are listed below with examples of level of research evidence and how nurses can use them in practice.
Level I: Evidence from a systematic review or meta-analysis of all relevant randomized controlled trials (RCT) from evidence-based clinical practice guidelines that are based on systematic reviews of RCTs or from three or more RCTs of good quality that have similar results. For example reviews and updates to nursing certification courses ie. chemotherapy. Nurses use these certifications to become an expert in their field.
Level II: Evidence obtained from at least one well-designed RCT
For example gathering evidence to support the initiative of nursing bundles and their effect on lowering the incidence of catheter associated urinary tract infections. Nurse educators can use this study to educate nurses on ways to prevent this hospital acquired infection.
Level III: Evidence obtained from well-designed controlled trials without randomization
For example a study done on a specific group or culture. Nurses use information from these type of studies to be aware of what risk factors a certain culture may be more at risk thatn other cultures.
Level IV: Evidence from well-designed case-control or cohort studies For example a study that follows a certain group of people over their life span and analyzes their risk factors for certain diseases. Nurses can use this to anlyze the area that they work in and see what people in their area of work may be more susceptible to.
Level V: Evidence from systematic reviews of descriptive and qualitative studies(often referred to as integrative or mixed-method)
For example constant review of studies all related to treatment of pressure ulcers with use of Santly. Nurses use this research to use the best available treatment for pressure ulcers.
Level VI: Evidence from a single descriptive or qualitative study
For example One study done by a surveying individuals on one specific treatment recieved. Nurses can use this information because it is in the patient’s own experience at times and how they felt a certain treatment was effective or not effective for a cure.
Level VII: Evidence from the opinion of authorities and/or reports of expert committee For example the American Nurses Association lists studies and updates on eveidence-based practice. Nurses who are a part of larger committess can be made aware of up and coming or new studies that help us institute the best evidence-based practice in caring for our patients.
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comment from post 5 17

Based on my research there are several scales for levels for evidence and no standardization of them (American Nurses Association n.d.). The American Nurses Association (ANA) gives several examples on their website. One example is thefive level model adopted by Johns Hopkins Medicine.Here is an over view of that model:
Level I: Experimental study randomized controlled trial (RCT); systematic review of RCTs with or without meta-analysis
Example: Updates and improvements in ACLSBLSNRP guidelines based on research change the way we deliver high
quality nursing care in advanced life support
Level II: Quasi-experimental study systematic review of a combination of RCTs and quasiexperimental or quasi-experimental
studies only with or without meta-analysis
Example: Baby Friendly Hospital Initiative (BFHI) designation at my hospital has changed the way we support
breastfeeding mothers.
Level III: Non-experimental study systematic review of a combination of RCTs quasi-experimental and non-experimental studies
or non- experimental studies only with or without meta-analysisqualitative study or systematic review with or without a
metasynthesis
Example: adoption of a nursing theory by an institution as a framework for supporting andadvancing nursing; in the case of
my hospital Dr. Joanne Duffys Quality Caring Model
Level IV: Opinion of respected authorities and/or nationally recognized expert committees/consensus panels based on scientific
evidence
Example: staffing guidelines and position statements developed by AWHONN
Level V: Based on experiential and non-research evidence; includes: Literature reviews Quality improvement program or financial
evaluation case reports opinion of nationally recognized experts(s) based on experiential evidence (Johns Hopkins n.d.)
Example: implementation of an algorithm for appropriate surgical site dressings after a team evaluates product use and
outcomes after a trial period
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Professional Advocacy through Association Membership

Purpose
Professional advocacy is about supporting the interests of ones profession. Professional associations advocate for their members by uniting as a single voice and taking action to advance or remove barriers to the profession. Nurse practitioners (NPs) unite in member-created associations and organizations at many different levels: local state national and international. They unite as specialty groups to further the goals or interests of their profession. Each of these organizations has a purpose or mission membership benefits and role in professional advocacy. While individually the NP may be able to contact a legislator on an issue of concern a professional organization has the collective power of being able to be heard in numbers. These organizations are poised to take the course of action needed to influence the stakeholders. Just as these groups take action to make change individual NPs must take action to promote their own professional interests and causes. One of the best ways a professional can support their profession is by joining an association or organization.
Directions
In a 3-5 page paper address the following:
To view the Grading Rubric for this Assignment please visit the Grading Rubrics section of the Course Home.
Assignment Requirements
Before finalizing your work you should:
Your writing Assignment should: