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Disscusion Boards Week 2

Week 2 Discussion 1

DISSCUSION BOARD 1

Explain the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.” Be sure to define an ethical dilemma in the course of your discussion. Describe a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. (Be sure to respect and maintain patient and colleague confidentiality.)

· Compose at least 2-3 paragraphs all in APA format with proper references.

DISSCUSION BOAR 2

Week 2 Discussion 2

Apply the framework of The Five R’s approach to ethical nursing practice from this week's reading to answer the questions about values and choices.

What are values?

Q. What are your personal values?

Q. Why do you value them?

Q. What are the values in your society?

Q. How do you make choices?

Q. Are your choices based on your values?

Q. What values are useful in society?

What are the limits to personal choice?

Q. Who limits your choices?

Q. Are limits to choices good?

Q. Do you limit other people's choices?

Q. Should the health care organization or the government limit people's choices? If so, how, and under what circumstances?

Finally, consider this: A common idea in health care is that if you are drawn to health care as a profession, you are inherently guided by an inner compass that is composed of a strong moral framework. Why is this a dangerous assumption?

· Compose at least 2-3 paragraphs all in APA format with proper references.

BOX 2-6 The Five Rs Approach to Ethical Nursing Practice

1.  Read: Read and learn about ethical philosophies, approaches, and the ANA’s Code of Ethics for Nurses. Insight and practical wisdom are best developed through effort and concentration.

2.  Reflect: Reflect mindfully on one’s egocentric attachments—values, intentions, motivations, and attitudes. Members of moral communities are socially engaged and focus on the common good. This includes having good insight regarding life events, cultivating and using practical wisdom, and being generous and socially just.

3.  Recognize: Recognize ethical bifurcation (decision) points, whether they are obvious or obscure. Because of indifference or avoidance, nurses may miss both small and substantial opportunities to help alleviate human suffering in its different forms.

4.  Resolve: Resolve to develop and practice intellectual and moral virtues. Knowing ethical codes, rules, duties, and principles means little without being combined with a nurse’s good character.

5.  Respond: Respond to persons and situations deliberately and habitually with intellectual and moral virtues. Nurses have a choice about their character development and actions.

Intellectual virtues: Moral virtues, Insight

Practical wisdom; Compassion, Loving-kindness, Equanimity, Sympathetic joy

Insight: Awareness and knowledge about universal truths that affect the moral nature of nurses’ day-to-day life and work

Practical wisdom: Deliberating about and choosing the right things to do and the right ways to be that lead to good ends

Compassion: The desire to separate other beings from suffering

Loving-kindness: The desire to bring happiness and well-being to oneself and other beings

Equanimity: An evenness and calmness in one’s way of being; balanceSympathetic joy: Rejoicing in other persons’ happiness

Journal Entry

See attachments for instructions

Self Assessment

Use the PMHNP Clinical Skills Self-Assessment Form to complete the following:   

  • Rate yourself according to your confidence level performing the skills identified on the Clinical Skills Self-Assessment Form.  
  • Based on your ratings, summarize your strengths and opportunities for improvement.   
  • Based on your self-assessment and theory of nursing practice, develop 4 measurable goals and objectives for this practicum experience. Include them on the designated area of the form.   

RESEARCH METHODOLOGIES – EBP

 

  • Differentiate between quantitative, qualitative, and mixed-method research methodologies 
  • Analyze the relationship between peer-reviewed articles and clinical issues
  • Analyze research ethics related to clinical issues and peer-reviewed research
  • Analyze the aims of research studies presented in peer-reviewed articles
  • Analyze research methodologies described in peer-reviewed articles
  • Analyze strengths, reliability, and validity of research methodologies in peer-reviewed research

References: 

 Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

  • Chapter 2, “Asking Compelling Clinical Questions” (pp. 37–60)
  • Chapter 22, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 731–776)
  • Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries JournalLinks to an external site., 26, 91–108. doi:10.1111/j.1471-1842.2009.00848.x
  • Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing StandardLinks to an external site., 27(18), 48–55. doi:10.7748/ns2013.01.27.18.48.c9488

Fall Prevention

due 09-9-23 @10am

wk4691B

1

This assignment and the following two months' work should be written related to your

previous writing. You should not change the stories. Then I will lose the points(scores). If

you talked about improvement of patient flow in the urgent care setting, your next

writing should be something similar with the previous style. I mean you should not write

about totally different topics like cancer patient management or something like that. If

you have any questions, you can ask me. I can give you enough time to complete it. One

week for this job.

Pls read your previous writings. Keep these links unless you remember about your

previous writings.

https://www.sweetstudy.com/thread/473292317

https://www.sweetstudy.com/thread/473883197

https://www.sweetstudy.com/thread/473172845

https://www.sweetstudy.com/thread/473003787

https://www.sweetstudy.com/thread/472667933

Week 4: Change Project Rough Draft

2

This week, you will bring together all of the assignments you have completed thus far,
and compose the rough draft of your change project paper. At this point, you will have
submitted each section and received feedback. An attempt to incorporate all previous
assignment feedback should be evident. 
Your rough draft contains all of the expected
components of the final draft and is presented in APA format including a cover page,
references, and appendices when warranted. Your rough draft is your opportunity to
polish previously submitted assignments and combine the sections in a comprehensive
paper that show your change project is ready to be implemented.

You will take this time to identify and address any weaknesses or gaps in your change

project. Your rough draft should only require minor revisions before the final paper.

Your paper should be between 20 and 30 pages in length, not including the cover page,

references, and any appendices. It must follow the current APA manual style and

format. Each section of the paper should be clearly identified using proper headings.

NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based
Change Project Paper Rubic (rough draft)

NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based Change Project Paper

Rubic (rough draft)

Criteria Ratings Pts

This criterion is linked to a
Learning Outcome
Introduction and
Background

3.5 to >2.87 pts

Meets Expectations

The change project topic is introduced. All

background information is included. Project

importance within the field or significance

for the designated facility is described.

3.5
pts

3

This criterion is linked to a
Learning Outcome
Problem Identification and
Description in PICOT
Format

3.5 to >2.87 pts

Meets Expectations

Presents a thorough and insightful analysis of the

chosen topic/problem. Describes the problem

thoroughly, including the target population

description and history/background information

at the assigned clinic or hospital. The significance

and applicability to nursing is included and well

presented. Includes an appropriate topic

identification related to an advanced practice

nursing issue or practice problem of concern.

Population is fully defined and present in the

research question. Includes specific interventions,

identifies comparisons, and presents appropriate

outcomes in a timely manner for the question.

Overall, the question is well-built using the PICOT

format.

3.5
pts

This criterion is linked to a
Learning Outcome Critical
Appraisal/Literature
Review

3.5 to >2.87 pts

Meets Expectations

The minimum requirement of peer-reviewed

articles, books, or limited non-research literature

(tool kits or standardized procedures) are present.

Literature is supported by scientific evidence that is

credible and timely. Subtopics are used to support

the main topic. In-text citations are present and

correctly formatted. Presents a thorough and

insightful analysis of significant findings related to

the change project topic. Ideas are synthesized and

professionally sound and creative. Insightful and

comprehensive conclusions and solutions are

present.

3.5
pts

4

This criterion is linked to a
Learning Outcome Project
Aims, Values, and Desired
Outcomes

7 to >5.74 pts

Meets Expectations

The project, aims, values, and desired outcomes are

well-developed. They are clear and thorough. Aims

include examples of projected features and

functions. Values include implementation benefits

for specific stakeholders. Desired outcomes state the

purpose, have a quality focus, and describe the

benefits that will occur as a result of

implementation.

7 pts

This criterion is linked to a
Learning Outcome
Theoretical Framework

7 to >5.74 pts

Meets Expectations

Identifies independent theories or conceptual models

that relate to the change project topic and describes

how they will be applied to the change project.

Thoroughly discusses how each element of the

phenomenon applies to the framework. Clearly

applies each element of the theory to the elements

of the phenomenon under study. Develops the

rationale for the sample selection criteria, and

expertly discusses, analyzes, and critiques pertinent

research that uses the framework.

7 pts

5

This criterion is linked to a
Learning Outcome
Intervention

7 to >5.74 pts

Meets Expectations

Provides keen insight into obstacles and proposes

sound, creative solutions or interventions based on

the literature review findings. Expertly compares

other views on the problem and solutions with detail.

Uses examples to thoroughly address the FNP role in

the intervention and discusses implications for

clinical practice. Thoughtfully discusses the

implications of the change project and its significance

to the nursing profession and filling gaps in

knowledge. Accurately categorizes and thoroughly

explains specific methods of data collection to be

used. Explains in detail how data will be analyzed and

used. Provides a sound justification for subject

selection and sampling procedure. Accurately and

thoroughly describes potential limitations to data

collection and control.

7 pts

This criterion is linked to a
Learning Outcome
Recommendations and
Conclusion

10.5 to >8.61 pts

Meets Expectations

Provides an insightful and thorough summary of the

project, main points, and details the significance of

the project to the advanced practice nursing

profession. Provides detailed and creative

recommendations for future research and

implications for clinical practice. Discusses limitations

of the study in detail. Suggests specific directions for

future research. Insightfully considers changes in

theoretical construct and provides reasonable and

creative suggestions for public policy and/or changes

in educational practice. Expertly ties the theoretical

framework to the overall product.

10.5
pts

6

This criterion is linked to a
Learning Outcome Rough
Draft

17.5 to >14.35 pts

Meets Expectations

Submission shows a concerted effort to present a

high-quality draft requiring minimal adjustments to

content and mechanics. All parts of the research

paper are submitted and efforts to integrate

feedback are highly apparent. Significant and

substantive improvements have been made to each

section of the paper.

17.5
pts

This criterion is linked to a
Learning Outcome
Mechanics and APA

10.5 to >8.61 pts

Meets Expectations

Writing is clear, concise, formal, and organized.

Information is well organized and clearly

communicated. The assignment is free of spelling and

grammatical errors. All the requirements related to

format, length, source citations, and layout are

followed. A complete reference page is included and

formatted using correct APA format. If applicable,

appendices and tables are complete and

appropriate.The

10.5
pts

Total Points: 70

7

  • Week 4: Change Project Rough Draft

spiritual care!!!!!

  

    

Prepare a spiritual workshop discussing the “Obstacles to Christianity and providing spiritual care to elderly with chronic illness.”

1. Provide Professional nurses with information on how to offer spiritual care to elderly Christians.

2. Include 2 learning outcomes.

3. Include 3 annotated bibliography.

Document this in 2-page word document. Include a minimum of 4 articles published in the last 5 years.

Discussion 6

  Florida Nurses Association 

Go to the FNA website and critically read and review the topics under the tabs “legislative” and “get involved”.  Based on the textbook reading and FNA website discuss at least 2-topics below:

  • The Nursing Legislation and Advocacy page on the FNA website identifies 4-different ways for you to get involved with advocacy.  Discuss which way(s) you would most likely get involved with and why?
  • Find and peruse the Barbara Lumpkin Toolkit (BLT).  What are your thoughts about the information provided in the toolkit and what did you learn that you didn’t know before?
  • The Florida Keys community experiences unique healthcare needs.  Identify 1-healthcare issues or trends would you consider advocating for that would have an impact on nursing in the Florida Keys.  Based on the BLT how would you go about advocating for the healthcare issue?

Wk4DP

Week 4 Discussion Forum

There are many possible sources of literature available (e.g., the West Coast University
library electronic databases, such as Medline, Cinahl, and PubMed). Which specific
scholarly articles did you use and why did you choose them for your topic?

More than 300 words other than references. Can wait 4 days.

  • Week 4 Discussion Forum