• Ethical Dilemma
  After reviewing The Invisible Patients documentary, define/describe in detail an ethical dilemma that was experienced by the NP. Please note, there are several ethical issues, so there should be diversity in the responses.  Explain how you would have handled the situation.
• How is the NP in the documentary a Disruptive Innovator?
• Discuss if there is a relationship between your personal beliefs and values and this ethical dilemma/barrier.
• Describe at least one mechanism to overcome the barrier discussed.
• Examine the potential cost and benefits to this barrier.
• Remember there is no right or wrong answer for this ethical question. Suggested reference Look at the Nuremburg Code (US Department of Health & Human Services, 2005; Washington, 2012) as it was the major start of ethics in research and that can carry over to nursing practice.
  US Department of Health & Human Services. (2005). The Nuremberg code.
    Retrieved from http://www.hhs.gov/ohrp/archive/nurcode.html
  Participation Responses: No later than the due date assigned, review and comment on the discussion question responses posted by at least two of your peers and faculty. Continue to monitor your question and responses until the end of the week.
  Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course readings and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.
  In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples that demonstrate a clear connection to the readings.
  In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.
• Week 3 ProjectAssignment Due June 21 at 11:59 PMProfessional Practice Paper
  Based on the AP role of the person that you interviewed in W1 Project, in a 2-4 page paper (excluding the title page, references, and appendices) describe the role, the type of organization, and address all the interview questions, and include:
• List the type of organization. For example: Primary care office, ED, Specialty, cardiology GI etc.
• List the type of and how many clients it serves. FP would see all ages. Research in your area the number of visits in a local office per year or # of visits seen local ED, specialty office etc. 
• The professional fit for advanced nursing role. “Fit” refers to the Qualifications in order to be an AP provider at that agency/organization. What license, credentialing (accrediting agency, and other expectations NPI, CMS)?
• What are the core competencies required in this role?
• Include a brief job description
• Discuss board of nursing NPA or scope of practice of the state. Include what the NPA in the state allows and restrictions.
• Submission Details:
• Submit your document to the Submissions Area by the due date assigned.

 Ask five nurses the following question.  Ask the question without explanation or expansion.  Tell them you are doing a class project and need the following question answered.  There are no right or wrong answers. “What is the purpose of nursing?” Ask five lay persons the exact same question in the exact same manner.  Summarize your findings and report to the class. When you complete this project, you will have just completed your first qualitative research project.  Albeit an abbreviated one, but nonetheless, a qualitative study. 

I have attached the answers I got from 10 individuals. 

• Length: A minimum of 300 words, not including references
• Citations: At least one high-level scholarly reference in APA from within the last 5 years

Charlie Dee is a 56-year-old male client with a 30-year history of smoking two packs of cigarettes per day. He is seeing nurse practitioner Sandra Gee for the first time after being diagnosed with chronic obstructive pulmonary disease. Pattern appraisal begins with eliciting the client’s description of his experience with this disease, his perceptions of his health, and how the disease is expressed (symptoms). Mr. Dee states that he has a productive cough that is worse in the morning, gets short of breath whenever he is physically active, and always feels tired. Through specific questions, the nurse practitioner discovers that Mr. Dee has experienced a change in his sleep patterns and nutritional intake. He is sleeping for shorter periods and eating less. She also learns that Mr. Dee’s wife smokes, and that they have indoor cats for pets. He does not think that his wife will be amenable to changing her habits or getting rid of the cats. During this appraisal, the nurse seeks to discover what is important to Mr. Dee and how he defines healthy.

Mutual patterning involves sharing knowledge and offering choices. Upon completion of the appraisal, the nurse summarizes what she has been told and how she understands it. In this way, the nurse and the client can reach consensus about what activities would be acceptable to Mr. Dee. Ms. Gee provides information about the disease and suggestions that will increase his comfort. Noninvasive interventions include breathing retraining, recommendations for a high-protein high-calorie diet, eating smaller meals more frequently, sleeping with the head elevated, and using progressive relaxation exercises at bedtime. The nurse recommends that the Dees buy a high-efficiency particulate air (HEPA) filter and humidifier to assist in removing environmental pollutants and maintaining proper humidity in the home.

Because Mr. Gee has expressed a desire to quit smoking, the nurse suggests that he use forms of centering, such as guided imagery and meditation, to supplement the nicotine patches prescribed by his physician. She also provides him with written material about the disease that he can share with his wife. At the end of the visit, Mr. Dee states that he feels better knowing that he has the power to change some things about his life.

Critical thinking activities

1. Review two published research articles with Rogerian science as the framework guiding the research process. Identify the middle-range theory that was developed or guided the research process in each of the articles.

2. What is the nature of the evidence generated by research of the middle-range theory in critical thinking activity 1?

3. What philosophical tenets from Nightingale contributed to the basis for development of the Rogerian conceptual model?

4. Locate three publications and discuss how the authors used Rogerian science in nursing education.

5. Analyze your clinical practice, and identify areas in which practice based on Rogerian science would improve nursing care. Enumerate the changes and the anticipated positive outcomes.

Select a care environment where advanced practice registered nurses (APRNs) may practice. Some examples to choose from may include:

• Rural health clinic
• Emergency department
• Urgency care
• Community health center
• Family practice
• Pediatric Clinic

Using the conditions listed in Box 11.1 in the Joel textbook, identify and discuss two different conditions that may have a significant impact on revenue in the care setting. Describe how these conditions might affect how APNs provide care in these settings?

Expectations

Initial Post:

• Due: Saturday, 11:59 pm PT
• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA from within the last 5 years

TOPIC:Reexamining Nurse Manager Span of Control with a 21st Century Lens

Daily Journal format:

1. All journal entries are 2 pages typed and double-spaced, reflective response which summarizes what you read and learned through reading articles.**Article attached**

2. Font size = 12 Times New Roman

3. Each entry is compliant with guideline questions. 

4. At least 1 Citation/s and reference list are compliant with APA 7th edition standards

Content:

1. Date (corresponds with journal entry) 

2. What did I do? (Brief description of the activity)

3. What did I learn? (Personal reflection)

4. What were the positives and or negatives about the experience?

5. What were the components that impacted your practice?

6. Recommendations for future experiences or practice?

Reflections must demonstrate a high degree of critical thinking in applying, analyzing, and evaluating key course concepts and theories from readings, lectures, media, discussions activities, and/or assignments. Insightful and relevant connections are made through contextual explanations, inferences, and examples. Synthesizes current virtual experience into future implications.