...Identification of Selected Steps of the Research Process Participation is this Discussion Board is required and will contribute to your participation grade. Discussion Board is focused on the following Critical Appraisal Article: Cossette, S., Frasure-Smith, N., Dupuis, J., Juneau, M., & Guertin, M. (2012). Randomized controlled trial of tailored nursing interventions to improve cardiac rehabilitation enrollment. Nursing Research, 61(2), 111-120. Discussion Board Assignment Discuss 3 of the following questions or areas identified below and respond to the posting of one other student. Submit your original posts by the end of the day on Friday of Week 2. Reply to one other student posting by the end of the day on Sunday of Week 2 1. Authors qualifications Discuss research expertise, clinical experience, educational preparation of the authors. If the author information is not in the article, find it on the Internet by Googling the author’s name. 2. Discuss the article title (clear; interesting; identifying type of study, variables, and population). 3. Identify any missing elements in the abstract (purpose, framework, design, sample size, and key results and findings). 4. Problem statement: Describe the healthcare problem or issue that was the impetus for this study including significance, background, and problem statement. 5. Purpose: State the study purpose from the article, whether explicit or implied. 6. Literature review. Provide an example of...
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...My Reflection on Application of Analytic Methods Course Nursing profession of today’s world has called for the elevation of the advanced nursing education to a higher degree for a better patient health outcome (Cronenwett, et al., 2011). To this effect, in 2004 the American Association of Colleges of Nursing (ANCN) endorsed that the Advanced Practice Registered Nurses (APRN) receive training to the Doctor of Nursing Practice (DNP) degree. In reference to the APRN approval for a higher degree, I went back to school to earn a DNP degree. Looking back at my journey towards obtaining a DNP degree at Chamberlain College of Nursing, I will proudly say that I have completed a sixteen week of my DNP journey that the ANCN has advocated for. Hence, the following account is a self-reflection of my experience in the application of analytical methods course. Over that...
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...Impact of the IOM report on Future of Nursing Terry Garcia Grand Canyon University. NRS-430 April 13, 2014 Impact of the IOM report on Future of Nursing After the passing of the Affordable Care Act (ACA) by the congress, it has become clear that the whole health care system is in need of a major transformation. The future of the health care system is focused on health maintenance, disease prevention, and providing quality and affordable care to the public. Nurses are at the heart of this renovation. Institute of Medicine (IOM) in partnership with Robert Johnson Foundation, released the report The Future of Nursing: Leading Change, Advancing Health on October 5, 2010.This report compiled two years of research and is based on top nursing practices in the United States. It explores the need of change in the nursing profession and includes recommendations for this transformation in order to meet the demands of the new and complex health care system. The main segments of suggested modifications are nursing education, practice, and leadership (Institute of Medicine [IOM], 2010). Nurses must achieve higher levels of education and implement obtained knowledge to encounter the challenges of health care. The IOM report emphasizes the need of health care professionals that are better prepared to care for people with chronic conditions. To do this, nurses will need to...
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...Perceptualizing the Profession In the health care field, there is ongoing debate on subjects such as health care reform, ethical dilemmas, and ideals regarding nursing as a profession. Those debating the issue are generally passionate about their stance on regarded topics. Some teeter or straddle the fence, while others have no opinion or just do not care. The view of nurses in the workforce has fueled discussions on how nursing is categorized in terms of perception: Is nursing an occupation or is it a profession? In the Oxford Dictionary (US) online (2014), the word profession is defined as “a paid occupation, especially one that involves prolonged training and formal qualifications.” A precise definition has been debated among scholars since the beginning of the 1900’s and was historically reserved for learned professions such as law, ministry, medicine and educators of higher learning (Williams, Onsman, & Brown, 2009). It is interesting to note, as society has changed, so has the term, profession, in its application. There are professions such as athletes or actors and actresses who have coined the term profession, which only serves to further distort the public’s perception and acceptance. This perceptual view varies across geographical, cultural and historical milieu. In an effort to understand nursing as a profession and where it may be in the future, one must return to its very beginning. Regardless of the blurred edges, the criteria of a profession have evolved...
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...Click Link Below To Buy: http://hwcampus.com/shop/nur-647e-complete-class/ NUR 647E Week 1 Discussion Questions Review the competencies for the nurse educator role of your choice (either hospital-based or academic; ANA or NLN) in the assigned readings. Select one competency and share it with your classmates. Be sure to address why you selected the one you did. Discuss how you have already met it or how you plan to meet it as you embark on your journey as a nurse educator. Support your response with literature. How do you see health care reform affecting the role of the nurse educator? Use the literature to support your response. Be specific to your selected area of interest. NUR 647E Week 2 Discussion Question Find an article on a societal factor that is affecting nursing/patient education curriculum. Summarize your article for your classmates in 1-2 paragraphs. Discuss why you chose the article and what we can learn from this trend – how would you use it to improve the quality of nursing/patient education? This article and those posted by your classmates may become the foundation of your paper due in Topic 2. Be sure to include the entire citation in APA format. The article you select cannot be from any of the course materials or supplemental readings. Please note: It is a violation of copyright law to post the entire text of the article to an online discussion board. So be sure to post only the citation information so that we can locate it if we are interested in...
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...National competency standards for the registered nurse Introduction • • returning to work after breaks in service, or • National competency standards for registered nurses were first adopted by the Australian Nursing and Midwifery Council (ANMC) in the early 1990s. The ANMC was a peak national and midwifery organisation established in 1992 to develop a national approach to nursing and midwifery regulation. The ANMC worked in conjunction with the state and territory nursing and midwifery authorities (NMRAs) to produce national standards – an integral component of the regulatory framework – to help nurses and midwives deliver safe and competent care. educated overseas seeking to work in Australia involved in professional conduct matters. The National Board may also apply the competency standards in order to communicate to consumers the standards that they can expect from nurses. Universities also use the standards when developing nursing curricula, and to assess student and new graduate performance. The ANMC officially became the Australian Nursing and Midwifery Accreditation Council (ANMAC) on 24 November 2010. The name change reflected ANMC’s appointment as the independent accrediting authority for the nursing and midwifery professions under the new National Registration and Accreditation Scheme (the National Scheme) that came into effect on 1 July 2010 (18 October 2010 in Western Australia). These are YOUR standards — developed...
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...Running head: WEEK TWO DISCUSSION BOARD Week Two Discussion Board May 27, 2010 Conceptual frameworks for advanced practice nursing play an integral role in the guiding of practice, formulating educational curricula, and the overall development of the specialty. The continued evolution of advanced practice nursing has seemingly sparked numerous conceptual models influencing practice. Many models share common similarities, while each maintains their own unique characteristics specific to their developers and contributors. Ann Hamric developed Hamric’s Integrative Model of Advanced Practice Nursing in 1996, that has undergone two subsequent revisions in response to research, variations in practice, and theoretical influence. The resiliency of Hamric’s Model is exemplified by its continued presence in advanced practice nursing literature (Hamric, Spross, & Hanson, 2009). Hamric’s model presents a foundational approach to advanced practice nursing that is generalizable among all specialties of advanced practice nursing. The structural basis for Hamric’s model shares many similarities with Abraham Maslow’s Theory of Self-Actualization. Hamric centralizes a foundation in education, certification, and experience that is built upon to develop central and core competencies. These competencies are patient focused and all encompassing of actions that take place in the healthcare setting. Like Maslow’s strive for self-actualization, where one must progressively...
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...to develop a more diversified staff, which they define as one representing the racial/ethnic diversity of their community. In addition to diversifying, there is an urgent need to modernize the nursing department, as its outdated procedures and inefficient practices concern accreditors. Compounding the hospital’s concerns is the recent retirement of the director of nursing—just as another nursing accreditation visit looms on the horizon. THE INTERVIEW HR director Jorge Hansen listens as the search committee discusses a candidate they have just interviewed for the director of nursing position. The candidate is Dr. Saryn Soysa, a heavyset, pleasant young woman. Although she is very much overweight, she looks even younger than her 32 years. Originally from Sri Lanka, she has been educated in U.S. universities and is now a U.S. citizen. Dr. Soysa’s credentials are truly outstanding. She took advanced exams, graduated early from college summa cum laude, and completed advanced graduate work by studying full time on national and international fellowships.With a doctorate from a prestigious U.S. graduate school, this articulate young woman has already won several research grants as well as a number of awards and honors. Her work experience is appropriate for the director of nursing position, and her references laud not only her skills, but also her...
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...Critique of Quantitative Article Elona Kronke NURS 3270: Nursing Research and Evidence-Based Practice December 07, 2010 Article.Critique of Quantitative Article Chiang, C. Y., & Sun, F. K. (2009). The effects of a walking program on older Chinese American immigrants with hypertension: A pretest and posttest quasi-experimental design. Public Health Nursing, 26(3), 240-248. Background and significance Hypertension has many negative impacts on health; hypertension among Chinese American immigrants has not been widely studied. Sedentary behavior is one of the major risk factors for both stroke and hypertension. The significance of identifying culturally specific interventions to decrease sedentary behavior in older Chinese American Immigrants may be useful in reducing hypertension in this population. Research question and hypothesis Two hypotheses are identified hypotheses number one is Stages of change (SOC) and participation in the walking program with/without cultural modification would affect blood pressure. Hypotheses number two is SOC and participation in a walking program with/without cultural modification would affect duration of walking. The walking program is the independent variable, and the effect of BP/duration of walking are the outcomes or dependent variables, the relationship between variable has been established. The conceptual frame work includes, Prochaska and DiClement’s Stages of Change (SOC) the SOC are identified as precontemplation...
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...of the essential activities are covered. It can be used by the BOD, CEO, CMO, chief quality officer (CQO), C-Suite champion (CSC), and physician champion (PC) as a starting point for discussion. It is provided in a native file format (MS Word) so that it can also serve as a template for the final, approved version of leadership accountabilities. Board of Directors (BOD, or Board)—can include whole Board or just its Quality Committee • Approves a blood-clot prevention initiative as a high priority • Sets performance standards and benchmarks for blood-clot prevention • Approves the format, frequency, and level of detail expected for the quality reports the Board receives • Appropriates specific funds for clinic\al quality improvement activities • Formally reviews and discusses venous thromboembolism (VTE, or blood clots) performance data and seeks explanations for rates that fail to meet standards and benchmarks • Establishes and revises priorities for improving patient safety and clinical quality of care • Assures structure is clearly delineated for: a) obtaining stakeholder input; and b) approving materials for improving clinical quality and patient safety (e.g., policies, protocols, standing/pre-printed order sets, patient education/staff education) • Spends time on the nursing units talking to patients, families, and staff to understand problems related to preventing blood clots in hospitalized patients ________________________________________ ...
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...Journal of Nursing Research, 32(8), 1055-1072. This journal covers the important stages of the Learning needs assessment and how it impacts every educational process that is aimed to inform changes in practice and policy for continuing professional development. Professional opportunities have been widely used as a basis for the development of learning needs assessment. This article reports on the development of a learning needs assessment questionnaire for Community Health Nurses (CHNs). Exploratory and confirmatory factor analyses were conducted to examine the consistency of factors underpinning the Canadian Community Health Nursing (CCHN) Standards. Also, validity and reliability of the questionnaire were evaluated using appropriate techniques. This process resulted in a valid and reliable CHN learning needs assessment questionnaire to measure learning needs of large groups of practitioners, where other forms of measurement cannot be feasibly conducted. Aydin, A.K., & Karadaq, A. (September-October 2010). Assessment of nurses knowledge and practice in prevention and management of deep tissue injury and stage 1 pressure ulcer. Journal of Wound, Ostomy, and Continence Nursing, 37(5), 487-494. This is a good overview from a well-known nursing journal that focuses on a descriptive study on how to determine a nurses knowledge and usual practice and prevention of deep tissue injuries. It gives an in depth explanation on the methods and assessment tools used for nursing education...
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...Difference Professional nursing organizations such as the Wisconsin Nurses Association (WNA) function as an advocate for registered nurses at the state level. The Wisconsin Nurses Assocation “works to protect, promote, and enhance the practice of professional nursing.” (“WISCONSINNURSES.ORG,” n.d.) The WNA encourages members to follow the American Nurses Association Code of Ethics for Nurses, provides assistance with professional development, and represents nurses at the state and national level. As a member of the WNA I know my voice is heard in Madison and Washington D.C. due to the actions of political action committees. I have the Code of Ethics to guide my practice. And I have access to numerous resources such as workshops, webinars and conferences to assist in developing my professional career as an RN in the state of Wisconsin. The Wisconsin Board of Nursing is a regulatory agency that is part of the Wisconsin Department of Safety and Professional Services. “The Board of Nursing is involved in education, Legislation, licensing, and discipline of Licensed Practical Nurses (LPNs), Registered Nurses (RNs), Nurse Midwives and Advanced Practice Nurse Prescribers (APNP).” (“dsps.wi.gov/Boards –Councils/Board-Pages/Board-of-Nursing-Main-Page/,”n.d.) Chapter 441 of the Wisconsin State Statues provides an overview of the regulatory responsibilities of the Wisconsin Board of Nursing. The Nurse Licensure Compact...
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...quantitative study that demonstrates comprehension of the research study conducted. Each study analysis will be 750-1,000 words and submitted in one document. Questions under each heading should be addressed as a narrative, in the structure of a formal paper. Include the following: I. An introduction to the article. II. Protection of human participants, including: * Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify? * Was informed consent obtained from the subjects or participants? * Did it seem that the subjects participated voluntarily in the study? * Was institutional review board approval obtained from the agency in which the study was conducted? 1. Assessing study tools. 2. Addressing ethical issues. III. Data collection methods, their critique, potential biases and ethical issues thereof. * Are the major variables (independent and dependent variables) identified and defined? What were these variables? * How were data collected in this study? * What rationale did the author provide for using this data collection method? * Identify the time period for data collection of the study. * Describe the sequence of data collection events for a participant. IV. Problem statement: 1. Problem statement is clearly stated. 2. Provides justification for the study. 3. Topic is significant to nursing. 4. Topic of study is researchable. V. Data...
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...Desmond Mueller California State University, Fullerton School of Nursing Concepts of Professional Nursing Practice BSN 306, Section 05 Anne Johnston-Silverberg, MS, FNPc September 14, 2012 The Affordable Care Act: The Role of the Nurse Practitioner The recent implementation of the Affordable Care Act (ACA) has had a significant impact on the American health care delivery systems. The passage of this bill mandates that all Americans must have health care coverage and that insurance companies cannot disqualify applicants due to preexisting conditions (National Council of State Boards of Nursing, 2014). These changes will undoubtedly lead to an increase in the number of people seeking medical care, particularly those with chronic diseases. It is estimated that this influx in the number of patients will result in a primary care provider shortage of 20% by the year 2025 (Poghosyan, Boyd & Knutson, 2014). With many new physicians choosing to pursue specialties due to the promise of a larger salary, hospitals and clinics will need to start looking to other health care providers, such as nurse practitioners, to fill this role. The purpose of this paper is to discuss the role nurse practitioners play with regards to the Affordable Care Act by examining the history and qualifications of nurse practitioners, the current practice of nurse practitioners, the basics of the Affordable Care Act legislation, and potential nursing challenges. History of Nurse Practitioners The role of...
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...CURRICULUM REVISION A CONCEPTUAL MODEL to Support Curriculum Review, Revision, and Design in an Associate Degree Nursing Program B E T T Y W. D AV I S P A R T I C I PAT I O N IN CURRICULUM DESIGN of program outcomes has been identified as a core competency for nurse educators A N D E VA L UAT I O N (Billings & Halstead, 2009; Southern Regional Education Board, 2002). Facing declining NCLEX-RN® pass rates, faculty at an associate degree nursing program at a public community college in Mississippi responded to the National League for Nursing ([NLN] 2005b) call to transform nursing education by undertaking an intensive critique of its curriculum and program outcomes. Based on this analysis, a conceptual framework was created to guide curriculum revision, development, and implementation. The framework provides structure for ongoing and systematic curriculum review and revision. A review of the literature revealed the need to move from a teaching-centered to a learning-centered approach to teaching. Learning-centered institutional design is reflective of a number of principles: the need to bring about substantive change in participants; the full engagement of learners and the mindset that students bear primary responsibility for personal choices; multiple learning options to appeal to students’ preferred learning styles; the enhancement of collaboration; educators as learning facilitators; and measurement of success through the documented improvement...
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