qep

 The personal philosophy must include the following domains: Nursing, Environment, Health and Person. You should include your personal definition of each domain and how these fit into your philosophy of nursing. In preparing your philosophy the faculty require that you review the philosophies of Miami Dade College, Benjamin Leon School of Nursing and at least one hospital. A limit of 1 to 3 pages is acceptable in APA format.  

provide a replyy as a DNP student, use different scholarly references from the post at least 2, no older than 5 years. use APA 7 format. DO Not use AI and avoid plagiarism

 

Nursing has undergone significant evolution over the years, transitioning from a role primarily focused on caregiving to an advanced, evidence-based profession integral to healthcare. This transformation has been evident across all areas of nursing, from acute care to community health. However, I would like to focus more specifically on the field of mental health nursing, which is the area in which I practice. The evolution of psychiatric-mental health nursing has been marked by significant changes over time, reflecting advancements in research, treatment modalities, and the recognition of mental health as a critical component of overall well-being. Despite these developments, historical challenges such as societal perceptions, stigma surrounding mental illness, lack of formal education, and limited recognition as a scientific discipline have shaped the field’s progression.

One of the earliest challenges in psychiatric nursing was the pervasive stigma surrounding mental illness. Historically, individuals with psychiatric conditions were often institutionalized with minimal medical care, and nursing interventions were largely custodial rather than therapeutic (McCurry et al., 2019). The absence of standardized psychiatric nursing education contributed to this issue, as mental health nurses were often seen as attendants rather than skilled professionals. Over time, the integration of psychiatric nursing into formal curricula and the emergence of therapeutic approaches, such as cognitive-behavioral therapy and psychopharmacology, have strengthened the profession.

Another significant challenge was the exclusion of psychiatric nurses from higher education and scientific research. In the early 20th century, psychiatric nursing lacked specialized training programs, limiting its development as a distinct discipline. As a result, the profession was slow to adopt evidence-based practices, which are now foundational to modern psychiatric nursing (Porter-O’Grady et al., 2020). The establishment of psychiatric-mental health nurse practitioner (PMHNP) programs has played a crucial role in advancing mental health nursing by integrating research, clinical expertise, and leadership.

Stigma and gender biases have also shaped the evolution of psychiatric nursing. Historically, psychiatric care was male-dominated, with physicians leading treatment efforts and nurses relegated to supportive roles. This dynamic limited the ability of nurses to contribute meaningfully to psychiatric interventions and policy development (D’Antonio, 2020). Today, PMHNPs play an essential role in diagnosing and treating mental illnesses, advocating for mental health policies, and leading community-based interventions. The expansion of the Doctor of Nursing Practice (DNP) degree has further strengthened the role of psychiatric nurses in healthcare leadership.

Despite these challenges, psychiatric nursing has evolved into a highly respected, research-driven field with a critical role in mental health care. The establishment of the DNP with a focus on psychiatric-mental health exemplifies the profession’s commitment to integrating science and clinical expertise. The DNP emphasizes evidence-based practice, healthcare policy, leadership, and quality improvement, further advancing psychiatric nursing (AACN, 2021). By continuing to address historical barriers and embracing innovation, psychiatric-mental health nursing will remain at the forefront of mental healthcare transformation.

References

American Association of Colleges of Nursing (AACN). (2021). The essentials: Core competencies for professional nursing education. Retrieved from https://www.aacnnursing.org/Education-Resources/AACN-Essentials

D’Antonio, P. (2020). Nursing history review, volume 28: Official journal of the American Association for the History of Nursing. Springer Publishing Company.

McCurry, M. K., Revell, S. M., & Roy, S. C. (2019). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 20(3), e12265.

Porter-O’Grady, T., Clavelle, J., & Iro, E. (2020). Quantum leadership: Creating sustainable value in health care. Jones & Bartlett Learning.

PMHNP-WK9

Select a child/adolescent or adult patient from your clinical experience who presents with a significant concern. Create a focused SOAP note for this patient using the template in the Resources. When you submit your SOAP note, you should include the complete SOAP note as a You must submit your SOAP Note using Turnitin.

  • I will post the specific instructions for everything that should be covered in a direct chat with you.

RESP TO DIS EPID

Unit 4 DB: Ethics of Healthcare Professionals

 NOTE: Cite at least 2 scholarly references published within the last 2-3 years, and one reference must be the course textbook, Medical Law and Ethics: Chapters 3 & 10. All sources should be cited using APA format, 7th edition.  

Primary Task Response: Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Locate a case where a healthcare professional has been disciplined by the licensure board. Examine the issues, compare those issues with the professional ethics of that profession, and discuss the ethical violations that may have occurred in the conduct leading to disciplinary action.

RES TO DIS. DATA

week 1re

#1

 

“Nursing stakeholder engagement is an essential component of human resources for health planning processes, and the gap in literature points to a need for up‐to‐date guidance to ensure nurses’ active involvement” (North et al., 2022). Being a nurse influences my role as a healthcare consumer by allowing me to discuss further healthcare options with providers. Whether this discussion is professional or personal, being a part of the healthcare system gives me a unique perspective on the processes that should be followed to treat a client appropriately. Knowing some about the U.S. Healthcare system can help me assist other stakeholders by assisting them in reviewing policies and procedures they may not understand. 

“Always remember, your voice as a practicing nurse can guide policy and influence changes that may significantly impact patient safety and overall patient outcomes” (What Are the Impacts of Health Policy on Nursing?, 2024). As nurses, our voices can have the most impact on implementing new policies and procedures or modifying existing policies and procedures. As consumers and providers, we have a unique position to be involved on the frontlines of an ever-changing healthcare system.

#2

 

1. As a nurse, you wear at least two or more stakeholder hats; how does being a nurse influence your role as a consumer of healthcare?

Being a nurse definitely influences how I approach my own healthcare. I’m more aware of what’s going on medically, which often leads me to wait to seek care—sometimes a bit too long—because I feel like I can handle things or I’m unsure if it’s serious enough. This could be a good thing or a bad thing, but I think it’s pretty common for nurses to hold off on seeking care until it’s absolutely necessary (Mason et al., 2021). I also tend to ask a lot of questions when I do go to the doctor, which might not be something every consumer is able to do. This proactive approach can be helpful, but it also highlights the disparities in patient advocacy that exist across different populations (Mason et al., 2021).

That said, navigating the U.S. healthcare system as a consumer is tough. Insurance is expensive, confusing, and hard to understand. And, honestly, many of the benefits don’t seem worth the cost of premiums and out-of-pocket expenses. Research shows that the cost of healthcare continues to rise without corresponding improvements in care quality, which leaves many consumers feeling disillusioned (Mason et al., 2021). I know the system has its flaws, but it’s frustrating to see how many people have to choose between paying for care and other basic needs. As a nurse, I understand the importance of high-quality care, but as a consumer, I’m often left questioning if the benefits justify the costs (Mason et al., 2021).

Mason et al. (2021) highlight that healthcare providers are often more aware of the barriers patients face, like the high cost of care and insurance challenges. This awareness makes me more critical of the system as a consumer because I know firsthand how these issues limit access to care for many people. The rising cost of care and insurance, along with inequities in access, are ongoing problems that affect millions of Americans (Mason et al., 2021).

As both a nurse and a consumer, I can appreciate the hard work that goes into healthcare, but the system itself is hard to navigate and too expensive for most people. The lack of accessibility and value for the cost is something that definitely stands out to me. Moving forward, we need a more transparent and equitable system that addresses both the needs of consumers and the challenges providers face (Mason et al., 2021).

2. How does your knowledge of the U.S. health care system impact how you can help other stakeholders?

As a nurse, I see the healthcare system from a unique perspective. I know how expensive and complicated it can be, but that understanding helps me better guide patients and families through the process. I can, point them to resources like financial assistance programs, explain highlights of insurance, and make the system feel less overwhelming (Mason et al., 2021). I also use what I know to help my colleagues understand the challenges patients face and encourage compassion.

My experience also gives me a voice in advocating for policy changes that could make healthcare more affordable and accessible. I’ve seen firsthand how the system can make it harder for people to get the care they need, and I want to be part of the solution (Mason et al., 2021).

In short, my knowledge of the U.S. healthcare system helps me be a better advocate for patients, support my colleagues, and push for broader change to make healthcare more accessible and affordable.

3. Explain the various sphere(s) of influence (consumer, provider, etc.) that would be the most impactful in advancing healthcare policy initiatives and explain why.

To push for meaningful healthcare policy change, the consumer, provider, and policy-maker spheres are all essential.

Consumers, including patients and the public, have a huge impact. When they speak out and push for change—whether it’s about costs, coverage, or access—they can force policymakers to take action. Their votes and advocacy are key to influencing healthcare reforms that directly affect their lives (Mason et al., 2021).

Healthcare providers like nurses and doctors are also crucial in shaping policy. We understand firsthand what works and what doesn’t in the system, and we can use our voices to advocate for changes. Our input helps ensure that policies are practical and focused on improving care.

Lastly, policy-makers are the ones who actually make and implement the laws. But their decisions are influenced by what consumers and providers push for. Effective policy-makers listen to both groups to create policies that truly work.

All these spheres need to work together. Consumers drive demand, providers give real-world insights, and policy-makers make the changes happen.

4k55 pub h assess 1

Nursing Dnp Essentials

 

CLO 1: Analyze the AACN DNP Essentials within the context of providing the highest quality population health.  

CLO 2: Evaluate the evolution, past, present, and future of the role expectations of a competent doctoral prepared nurse within a diverse, global environment.  

CLO 3: Explore clinical and leadership opportunities of an advanced practice nurse with interprofessional collaboration.  

Requirements 

This assignment is a narrated presentation file (i.e., PowerPoint or Prezi). 

 use up to 15 references with at least 10 research references AND only websites used were .org, .edu, or .gov.  

Rubrics to use- power point should contain an exemplary discussion of the chosen essential and the significance of this essential to the impact of the DNP on the quality, safety, efficiency, and cost effectiveness of healthcare for individuals and/or populations. There is excellent use of high-quality research evidence to support contentions.  

 There should be an exemplary discussion of the need for and impact of interprofessional collaboration related to the selected essential. There is excellent use of high-quality research evidence to support contentions. 

Create A Reply For A Discussion Using APA 7 Format, And Scholarly References No Older Than 5 Years

Please ensure that the reply includes more than 200 words with scholarly articles, and the plagiarism level must remain below 20%.

Knowledge in nursing is constantly developing and very dynamic. The grand nursing theories have played a central role in this evolution as they laid the foundations: conceptual frameworks that have guided practice, education, and research. However, we now ask ourselves: is it pertinent to continue using these theories today? Have they become obsolete in the face of the contemporary needs and realities of the profession? To guide this analysis, let’s look at both sides of the coin: the arguments for and against.

First, it must be said that great nursing theories offer a holistic view of nursing care. These theoretical knowledge bodies allow nurses to understand and address patients’ needs comprehensively. They facilitate the systematization of practice and ensure that interventions are based on solid and coherent foundations. Nursing practice and research are guided and structured by these nursing models and theories, which have historically served as the basis for nursing education (Maxwell, 2023). How can we ensure preparation in nursing if we do not know how the thinking of our predecessors on health, care, patient, environment, and nursing evolved? These theories ensure that future professionals acquire an understanding of the basic principles of the discipline. Properly applying theories in practice facilitates comprehensive approaches aimed at patient-centered care (Maxwell, 2023).

But why do some professionals argue that great nursing theories may not be fully adapted to the current complexities and challenges of clinical practice? The rigidity of some of them could limit the ability of nurses to respond flexibly and effectively to emerging situations and the changing needs of patients. The evolution of science and technology in health demands more dynamic and specific theoretical frameworks that can be easily integrated into evidence-based practice (Roy, 2021). So, despite the substantial theoretical framework that supports and guides the work of nurses, these are of relegated importance in professional practice, which suggests the need to update and adapt existing theories. In addition, cultural diversity and variations in health systems globally require more contextualized and adaptable approaches (Roy, 2021). Hence, middle-range theories and situation-specific theories have emerged as more applicable alternatives to particular contexts (Roy, 2021). These, more focused, favor the prescription of practice and theoretical verification (Maxwell, 2023). The combination of traditional theoretical frameworks with new perspectives is the actual formula for offering more effective, personalized care based on scientific evidence. Knowing how to generate new knowledge and integrate the positive aspects of all eras will lead us to excellence in our practice.

References

Maxwell, E. (2023). Perspectives: Who needs theory? Journal of Research in Nursing, 28(4), 314-317. 10.1177/17449871231178926

Roy, S. C. (2021). Nursing theory makes a practice turn in the 21st century. Aquichan, 21(4). https://doi.org/10.5294/aqui.2021.21.4.2