After reading/watching all of the required resources, be sure to do the following in your journal reflection using subheadings:

a. Discuss the main points of the text and videos,

b. Identify any specific standards (and cite them) from the 2014 ACA Code of Ethics that are applicable to the content you read/viewed,

c. Identify specific advocacy steps that you could do (personal and/or professional) to increase multicultural awareness; and

d. Describe a new learning experience for you after reading/viewing the text/videos and how it will impact your role as a professional counselor.

Note:  Be sure to reference all required resources in your reflection.   

At least 2 pages long.

You may use “I” statements to describe your reactions, thoughts, emotions, etc.

Rebecca weaver said

The global nursing shortage, high nurse turnover rates, and increased difficulty of retaining new graduate nurses in acute care settings lead to my proposed capstone project initiative. Approximately thirty to seventy percent of new nurses leave their jobs or their profession within the first year of receiving licensure due to the stress level and overwhelming workloads and increasing demands they face (Ke, Kuo, & Hung, 2017). Thus, organizations need to look at ways to successfully transition new graduate nurses to the workforce and in turn increase retention rates. My current perspective related to the mentioned problem remains the same as it did previously.

The proposed solution to address this problem is the development and implementation of a formal unit-based preceptor program that guides the orientation process of new nurses in their work setting. Evidence-based research shows that effective, successful preceptorship is an integral source of knowledge and an essential educational component needed when orienting new graduate nurses and preparing them to work in the clinical setting (Ke, Kuo, & Hung, 2017). Quality preceptorship programs significantly increase critical thinking skills, competency, and problem-solving aspects, job satisfaction and retention rates (Ke, Kuo, & Hung, 2017). Therefore, I remain passionate about my project initiative, and my perspective is that a model unit-based preceptor program will significantly enhance the orientation experience of both the preceptor and preceptee.

Reference

Ke, Y., Kuo, C., & Hung, C. (2017). The effects of nursing preceptorship on new nurses’ 

competence, professional socialization, job satisfaction and retention: A systematic 

review. Journal of Advanced Nursing, 73(10), 2296-2305. doi:10.1111./jan.13317

KIMBERLY MORRIS SAID

When I first envisioned my project, I was more focused on the education of parents of children under the age of five. I had no intention of including pregnant women in my target audience. One of the things that led me to include this population was by the suggestion of Professor O’Brien. She stated that educating moms and dads on the dangers of lead through toys and other material items made in other countries is a need which should be addressed. After doing a little more research and thinking about it, I could not agree more.

The statement she made reminded me of a study I had looked at a few years ago and how certain food items and makeup which are bought into stores targeted to different cultures and ethnicities can contain foods high in lead. These foods and other items are being brought to the United States by people of other cultures and are being eaten or used. The lead contained within these products is high and, after doing a study to figure out why, they discovered where the contamination was coming from. Originally I was just going to target children between birth to five years but knowing how many parents plan for the birth of their baby by buying items prior to birth and utilizing the internet to find the cheapest deal, I took Professor O’Brien’s suggestion into consideration and decided to expand my target audience to include pregnant moms as well.

Reference:

Washington State Department of Health. (2016, May). A targeted approach to blood lead screening in

children, Washington State. Retrieved from https://www.doh.wa.gov/Portals/1/Documents/Pubs/334-

383.pdf

How Healthcare reform is impacting primary care https://www.ajmc.com/contributor/sophia–bernazzani/2016/03/how–healthcare–reform–is–impactingprimarycare 

• Healthcare reform 101: What the health is going on in 2018? 

https://www.youtube.com/watch?v=cwTWhwWLzHQ  

• Healthcare Transformation and Changing Roles for Nursing https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/ornur3612.pdf 

Frequently when the shortage of primary care providers is mentioned with regard to healthcare reform, insurance companies and other institutions forget to factor in the impact nurse practitioners can have on increasing access. 

How do you think we can improve this understanding of the nurse practitioner role?

Please the discussion would have more than 300 word apart from the references

 

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

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. Refer to the LopesWrite Technical Support articles for assistance.