#1 – The Lived Expression of a Nurse 

     Being a brand-new nurse, I wanted to focus on interviewing a nurse that had a little more experience than me. I had the pleasure of interviewing one of my co-workers, Ayah, who worked on my floor for a year and recently transferred to the ICU about 6 months ago. She graduated from Broward College in 2016 and has been at my hospital ever since. Being as she had just transferred to a department of higher care, I decided to focus on Benner’s Stage of Nursing Proficiency. Based on my interview and of the clinical skills she demonstrated, I would place her in the competent practitioner’s stage. This stage usually occurs with 2-3 years after of experience in a nursing setting (Black, 2014). She recalled that at the beginning that she had difficulty prioritizing needs and wants of patients. At times, she stated that she would feel lost on how to proceed with her days. Over the course of 2 years, she progressively grew as a nurse and would seek out opportunities as a nurse. Eventually, she was able to see the bigger picture with her patients and was able to think “outside of the box” when situations arose.

     I learned a lot from interviewing my coworker. The overall feeling that I got from her is that proficiency takes time to achieve. I can empathize with her because I am currently going through what she went through as a new nurse. Sometimes I feel uncertain of myself and lost when I’m working, and it was comforting to see that I’m not the only one that goes through this. She stated that you need specific knowledge and values to attain your role as a competent nurse, and that’s exactly what I am going to seek out.

References

Black, B. P. (2014). Professional nursing: Concepts & challenges(7th ed.). St. Louis, MO: Elsevier/Saunders, 121-122.     

#2 – I had the pleasure to interview a new registered nurse named Khadijah who works in the burn intensive care unit. She graduated from the University of South Florida with a Bachelor of Science in Health Sciences in 2016 and became an RN in 2017. After passing her Florida state boards, Khadijah relocated to her home state of Georgia to begin a year-long nurse residency program at Grady Memorial Hospital.

Khadijah has completed her 13-week orientation and is now on the floor on her own charting, administering medications, and performing nursing tasks. At the very beginning of her orientation process, Khadijah admitted that she was overwhelmed with all the information in regards to hospital policies and procedures. According to Cohen’s Model of Basic Student Socialization, the first stage of unilateral dependence correlates with Khadijah’s initial impressions (Black, 2016). The first stage of Cohen’s model describes the student’s limited background knowledge and significant dependence on a preceptor or mentor (Black, 2016, p. 94). Within 4 weeks of orientation, Khadijah learned many valuable skills that were particular to her burn unit, such as wound care. She still felt like she didn’t depend on her preceptor as much as she did in the beginning and felt more comfortable with the charting system. Cohen’s second stage, negativity/independence, is associated with this phase in Khadijah’s orientation process. The second stage in Cohen’s model relates to the reduced dependence on the student’s preceptor or mentor (Black, 2016, p. 94). Khadijah’s critical thinking capacity as a nurse is challenged and she began to gain more confidence in herself. The third stage in Cohen’s model (p. 95) is called dependence/mutuality and it explains the consideration of concepts and ideas from preceptors or teachers (Black, 2016). I believe this is the stage that Khadijah is currently at as a new nurse who recently completed the orientation process. She is able to receive information from her preceptor and other experienced nurses and then filter what applies to her in regards to patient care.

This assignment to interview a new nurse was informative and refreshing because I learned about the personal experiences of someone who finished their orientation process of a nurse residency program. I am a new registered nurse who is excited to begin my nurse residency program in a couple weeks and I believe and am in the first stage of Benner’s Stages of Nursing Proficiency. As a novice nurse, I know I will follow the policies and procedures of the hospital to keep myself and patients safe (Black, 2016).

Reference

Black, B. P. (2017). Professional Nursing Concepts and Challenges (8th ed.). (pp. 94-96). Maryland Heights, MI: Elsevier/Saunders. 

– I need good short responses to these two post. Must be a decent length and have APA style citations with at least one reference. 

COMMENT1

. The American Cancer Society offers 24 hours a day, and seven days a week support to patients newly diagnosed with cancer, currently going through treatment or to caregivers, by offering information, day-to-day help, and emotional support. Their support ranges from temporary housing, free transportation, understanding the diagnosis, treatment options, treatment side effects and near the end of life support (ACS, 2018).

Educational support starts with understanding the diagnosis. The patient can learn what cancer is, how it spreads to other parts of the body, and how cancers are different. Some cancers spread very quickly, and others grow more slowly. The patient can learn that some type of cancers is best treated with surgery, while others do betters with medication and radiation treatments (ACS, 2018).

Patients can access information online at www.canger.org or via telephone Cancer Helpline 800.227.2345. A team of doctors writes the information provided at the American Cancer Society, master prepared nurses, journalist, editors and translators specialized in medical writing.

The patient can learn how is treatment planned and anticipate their growth rate of cancer. An example would be certain types of leukemias and lymphomas grow faster than solid tumors. Thus, the treatment for those cancers should be started in a couple of days (ACS, 2018). 

The ACS service that I would recommend for someone I knew, who is diagnosed with cancer would be the American Society of Clinical Oncology(ASCO). The reason is finding a clinical oncologist for a second opinion. The diagnosis of cancer is overwhelming and having the reassurance that the right treatment is initiated, or finding out a different treatment option can help the patient explore all options. I would advise the patient to communicate that decision with their physician and to verify with the insurance before making arrangements (ACS, 2018).

COMMENT2

Over the next decade, it is expected that there will be nearly 1.5 million new cancer diagnosis. Factors that contribute to this include people being more in tune with their bodies. More woman are doing routine self-breast exams, and now with the Affordable Care Act, pap smear, mammograms, HPV, lung cancer  and nutrition screening are covered at 100% as preventative health (HealthCare.gov, nd.) . By having more people tested, there will be more diagnosis but hopefully in early stages. Medical advancements also make detecting cancer faster and easier. MRI’s, CT Scans, Pet Scans and now digital mammography make it easier to find abnormalities quicker, leading to faster treatments. It would be nice to see these numbers trend down but having people starting to eat more organic foods and quit smoking, but unfortunately, cancer is a disease that is becoming more common in this day and age.

Research projects being funded and encouraged by the ACS mostly include ways to diagnosis and treat the cancers themselves. Dr. Jennifer Mack (2018), of the Dana-Farber Cancer Institute in Boston, recently received a grant to allow her to study support systems, a different but equally important role in the fight against cancer. The purpose of her research is to improve relationships between parents and their child’s cancer doctor. The focus was on how to encourage positive relationships to help reduce miscommunication and anxiety. The team is studying relationships that are working well along with difficult ones to learn strategies to quickly identify and repair relationships in need. The plan is to design interventions to diffuse stress and distress and eventually put those interventions into action. The ACS has provided comfort and peace of mind to millions of individuals and their families when they receive a cancer diagnosis. With support through donations and fundraising events, this organization will continue to make strides in treatments, hopefully eliminating cancer for good.

Module 2 – SLP

*****I HAVE ATTACHED MODULE 1 SLP YOU COMPLETED*****

PLANNING HEALTH PROMOTION PROGRAMS: NEEDS ASSESSMENT

For this component of your SLP, based on the public health topic you selected in Module 1 SLP, please discuss the following:

1. What behavioral factors influence the problem? Which of these behaviors are more important and which are more amenable to health promotion/ intervention? Which behaviors would you design a program/intervention for based on these considerations? What environmental aspects seem to also affect the health issue you selected?
2. What are the predisposing, enabling, and reinforcing factors for the health behaviors you identified? Include any environmental influences.
3. What policies, resources, and circumstances can facilitate or hinder your proposed program/intervention on the factors you identified?
4. If you were doing a project in real life, and this would be a comprehensive plan, how would you gather your needs assessment data? What would be your data sources?

SLP Assignment Expectations

Please make sure that all assignment questions are specifically answered, that your answers are clear, and your paper is well organized. It is important that you analyze the information you find in various resources, cover relevant areas, formulate conclusions, and provide enough depth, while paying attention to grammar, spelling, and punctuation. Properly cite your references and limit your paper to a maximum of 3 pages.

Your assignment will not be graded until you have submitted an Originality Report with a Similarity Index (SI) score <15% (excluding direct quotes, quoted assignment instructions, and references). Papers not meeting this requirement by the end of the session will receive a score of 0 (grade of F). Papers with a lower SI score may be returned for revisions. For example, if one paragraph accounting for only 10% of a paper is cut and pasted, the paper could be returned for revision, despite the low SI score. Please use the report and your SI score as a guide to improve the originality of your work.

Discussion Question

Begin your discussion by sharing your problem statement and research question. Next, discuss your sampling plan. In addition, discuss your research design. Consider the following as you craft your response.

Sampling

• How will the sample be selected?
• What type of sampling method is used? Is it appropriate to the design?
• Does the sample reflect the population as identified in the problem or purpose statement?
• Is the sample size appropriate? Why or why not?
• To what population may the findings be generalized? What are the limitations in generalizability?

Research design

• What type of design will be used?
• Does the design seem to flow from the proposed research problem, theoretical framework, literature review, and hypothesis?

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Click on Courses on the top, and then click on Introduction to Human Resource Management, click on Module 3- Staffing and Recruiting, then Assignments. Click on  Module 03 Written Assignment – Active and Passive Candidates Complete that assignment.