Parents bring their 3-month-old infant to the urgent care you work at complaining that he has had constipation for 5 days that was preceded by weakness for several weeks. Upon physical exam, you note hypotonia, hyperreflexia, and respiratory distress. You advise the parents you believe the child needs to be admitted to hospital and taken immediately to the local pediatric emergency room.

In your initial post answer the following questions:

1. The parents ask you why you are so concerned and tell you they would prefer you to give him something for the constipation. They would rather just take him home. How would you respond?
2. The parents persist that they do not think their son needs to be admitted to the hospital. As a clinician, you believe they are making the wrong decision and are concerned for the infant’s health. What alternatives might you consider to ensure the parents understand the gravity of their decision?

• Reflect on how you have grown in the qualities, skills, behaviors, and knowledge required to function as a patient advocate.

• Reflect on how your BSN experiences have improved your abilities to practice high quality care, assess and evaluate patient outcomes, and provide leadership in improving care.

• Reflect on the role of the BSN-prepared nurse in public service.

• Reflect on your aspirations to facilitate change and foster innovation to improve the health care system.

• Write coherently to support a central idea with correct grammar, usage, and mechanics as expected of a nursing professional.

 

Discussion Questions

By the due date assigned, post your response to the assigned discussion questions in the below Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University Online Library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

No later than by the end of the week, review and comment on the discussion question responses posted by at least two of your peers. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area.

Discussion Question

For this discussion, you are asked to review the student learning outcomes for this course and discuss how you met these outcomes. The intention here is to provide you an opportunity to “reflect” on the learning achieved during this term and how you successfully met these learning outcomes. If you do not feel you successfully met the objective, discuss your plans to successfully complete the objective in the future.

Upon completion of this course, the student should be able to:

1. Critically analyze current practice to formulate researchable problems.
2. Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice. 
3. Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.
4. Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.
5. Explore national and international initiatives and research priorities.

 

I feel that I have gained a core of formulating research questions to problems. I feel that I have gained a broad perspective improving outcomes with evidence based practice. The proposal development was a challenge initially, but everything seemed to fall into place until the statistical portion of the class. At that point, that is where I struggled and I feel that it is because I am not mathematically inclined.
Even though I knew about the Tuskegee incident, I learned more about the incident. This new gained information was an eye-opener for me, and I was more horrified at the events. I learned some new ethical issue related information regarding the informed consents and how difficult it was to write in “layman’s” terms as well as more information on the protection of human subjects. Most of the ethical information to me was understood or common knowledge and made sense.
Research is a process of discovering new knowledge. The charter rules (45 CFR 46.102 (d)) have been defined as “related to the survey results.” The purpose of the National Academy of Sciences is to “broaden the knowledge of the people in the physical, biological and social world” as well as the study of the knowledge of other types of knowledge reading, etc.), using a systematic process called a different scientific approach.
As far as the exploration of national and international initiatives and research priorities, this information is minimal. I feel that I have a lot to learn and that this class was only an exposure. Also, I feel that I need to explore these topics beyond this class to further myself and the core knowledge that was gained from this course.
Although I have learned to research, I feel that I am no expert but have gained good base knowledge. I am supposed to be able to form my own research. However, I feel that again with a good basic familiarity; I will probably never do my own research. Instead, I would be involved with research done by others or create performance improvements. I do not feel that I can create my own research trial all by myself and therefore would learn by others. This was an opportunity to “get my feet wet.” Additionally, since I am somewhat statistically challenged, I would need help with creating my own research. Therefore, I feel that I would never be alone and would bring in the people who would help me create a well-designed and well written study. In the end, it is all about teamwork.
When researches are done in the real world and money is spent and political people or doctors or scientists do the research. The research’s unique features are one of the common criteria published in academic journals. (Callaham, Michael et al., 2002) Diploma students usually need to conduct their first research as part of a dissertation.

References
Callaham, Michael; Wears, Robert; Weber, Ellen L. (2002). “Journal Prestige, Publication Bias,
and Other Characteristics Associated With Citation of Published
Studies in Peer-Reviewed Journals”. JAMA. doi:10.1001/jama.287.21.2847.

     

Family Health   Assessment Part 

Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

1. This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

a. Values/Health Perception

b. Nutrition

c. Sleep/Rest

d. Elimination

e. Activity/Exercise

f. Cognitive

g. Sensory-Perception

h. Self-Perception

i. Role Relationship

j. Sexuality

k. Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

2. Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

a. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.

b. Summarize the overall health behaviors of the family. Describe the current health of the family.

c. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.

d. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Cen

  

Explain in detail using a minimum of 100 words why it is important to have a foundation in ethics if you are involved in health care? How is this different for the people that are not involved in health care?

Books Required Health Care Ethics: Critical Issues for the 21st Century 3rd Edition Author: Morrison, E.E. & Furlong, B. ISBN: 978-1449665357 Publisher: Jones & Bartlett Learning, (2014)