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2025 The nursing metaparadigm offers insights concerning the nature in which the nursing profession should be set up and properly functioning
by adminREPLY 1 TP OF N 2025
The nursing metaparadigm offers insights concerning the nature in which the nursing profession should be set up and properly functioning. From the nursing perspective, the concept of the metaparadigms consists of four attributes including the patient as an entity, the patient’s environment, the well-being and health of the patient, and the responsibilities of the nurse (Alimohammadi et al., 2014). These four metaparadigms have a direct impact on the implementation of culturally proficient nursing care. With the advancement in technology and ease of patient access to quality care, there is an increased number of nurse-patient relations. The nurse has to ensure the provision of patient-centered care while focusing on the nursing metaparadigms. The aspect of culturally proficient nursing care makes use of the attitudes, knowledge, and skills that are in support of the caring of patients that originate from various cultures and ethnic backgrounds. In this accord, culture is able to directly influence the nature of the health care practice and the manner in which the healthcare provider, as well as the patient, perceives the diseases or illness (Lee, & Fawcett, 2013). Based on the theoretical frameworks that the nursing metaparadigm offers together with the assumptions, conceptual models, and propositions, the nurses can be in a position to comprehend the cultural aspect of patient care and act accordingly. The Person Component The patient, as the receiver of the care, makes up the person component aspect of the nursing metaparadigm. Other connections with the person component include close friends, family, and other social groups that are important to the patients and their overall well-being (Bahramnezhad et al., 2015). In this metaparadigm, nurses are able to comprehend the patient as and individuals and how they relate with others in society. The nurses are also able to understand the cultural aspects of the patient through an inquiry from the patient and close relatives in the event of patients who are not in a position to speak for themselves or make sound decisions. The Environment Component This concept of the nursing metaparadigm is focused on the natural and physical surrounding that impacts the day to day life of the patient. in order to offer culturally proficient care, it is important for the nurses to have a deep understanding of the patient’s environment, climatic condition, cultures, and other societal elements (Bahramnezhad et al., 2015). Be that as it may, the environment constitutes both internal and external influences that depict the nature in which the patient directly interacts with the surrounding which may or may not affect their health and wellness. Health Component While there is easy access to quality health care with the Affordable Care Act, the health component still focuses on the aspect of health care wellness and ease of access. The health component also focuses on the genetic makeup of the patient, social or spiritual standpoints, lifespan, and the various ways in which the emotional, social and intellectual can all be integrated into the patient’s care. Nursing Component This component of the nursing paradigm is involved with the provision of optimal health outcomes of the patient by creating a safe and caring environment. The nurse components make use of knowledge, skill, and technology to offer quality services and interprofessional collaboration towards the attainment of positive patient outcomes (Bahramnezhad et al., 2015). In this regard, nurses have the capacity to make use of professional judgment and efficient communication strategies to understand the various patient attributes required to conduct their duties and responsibilities. References Alimohammadi, N., Taleghani, F., Mohammadi, E., & Akbarian, R. (2014). The nursing metaparadigm concept of human being in Islamic thought. Nursing Inquiry , 21 (2), 121- 129. Bahramnezhad, F., Shiri, M., Asgari, P., & Afshar, P. F. (2015). A review of the nursing paradigm. Open Journal of Nursing , 5 (01), 17. Lee, R. C., & Fawcett, J. (2013). The influence of the metaparadigm of nursing on professional identity development among RN-BSN students. Nursing Science Quarterly , 26 (1), 96-98. REPLY 2 Nursing Metaparadigm Impact on Nursing Care Metaparadigm is the patient’s quality and wellness, which includes the access which the patient has to the health care. Additionally, through metaparadigms, nurses can exercise their skills when caring for patients to address patient care at large (Nikfarid, et al., 2018). Besides, four concepts of metaparadigm usually make up the overall metaparadigm of nursing. Those concepts of metaparadigm include the following, nursing, person, environment, and health. Starting with the first concept, nursing has a lot to impact nursing care. Under the nursing concept, some domains go hand in hand to ensure that quality care is provided to the patients deserving of the care. Such domains include professional values like patience (Nikfarid, et al., 2018). If a nurse goes all-around angry with a frowning face, it cannot be an example of a good nurse. Patience helps nurses to confront their daily stress. Moreover, responsiveness also qualifies to be the value of a profession that defines nurses. Responsiveness helps nurses attend to most patients in emergency states and are worried about their lives (Nikfarid, et al., 2018). By providing them with a sense of comfort. Besides, good communication and interpersonal skills also stand to be an important domain in nursing since it helps nurses communicate with their colleagues and patients. Furthermore, other domains include nursing leadership, which has a crucial role in impacting nursing care since it ensures the entire team’s success, where qualities such as encouraging, inspirational, and supportive are considered. Additionally, there is a concept of the person in the metaparadigm. A person is the one who usually receives nursing care. Nurses ensure that the person’s health is cared for by giving all the necessary support to enhance the well-being of the person (Nikfarid, et al., 2018). Through the person concept, it determines the care nurses are to give to the recipients. Health concept also plays a crucial role in the metaparadigm in nursing care and its relative to the person since it depends on the patient perspective. On the other hand, health can be defined as the wellness of the person (Nikfarid, et al., 2018). If the person gets unhealthy, it’s the nurses’ responsibility to ensure proper care is given to them. Florence Nightingale, one of the pioneers of nursing, described the nursing job to be all about putting patients in their best conditions of nature as possible (de Florence Nightingale & Crítica, 2015). Furthermore, for one to be in a healthy state, some aspects are associated with health and are biological, psychological, social, and spiritual aspects. Through professional values of nursing, nurses can offer teaching to the patients and offer psychomotor teachings, which helps keep the patients moving by getting empowered with hope by the nurses. The fourth concept that makes up the nursing metaparadigm, an environment, also impacts nursing care as follows. Florence Nightingale described different environments to give back healthy or unhealthy conditions (de Florence Nightingale & Crítica, 2015). In her implications, she concluded that low environments give chances of poor health and the rise of diseases where friendly environments sum up to good health, which comes with little or no diseases. Both environments dictate the kind and type of care offered by the nurse and at what specific period. Through all discussed points of view contributes to the culturally skilled nursing care. References de Florence Nightingale, T. A., & Crítica, U. A. (2015). The Florence Nightingale’s environmental theory: a critical analysis. Escola Anna Nery Revista de Enfermagem , 19 , 3. Nikfarid, L., Hekmat, N., Vedad, A., & Rajabi, A. (2018). The main nursing metaparadigm concepts in human caring theory and Persian mysticism: a comparative study. Journal of medical ethics and history of medicine , 11 . Edited by Perez, Gilberto O on Sep 8 at 8:51pm All replies must be constructive and use literature where possible. Your assignment will be graded according to the grading rubric.
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2025 Work with your preceptor to assess the organization for required resources needed for the strategic plan if the
by adminCapstone Change Project Resources 2025
Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal. The assignment will be used to develop a written implementation plan. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines
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2025 Directions For Week 1 complete the Learning Agreement with self identified goals to
by adminNR 632 week 1 LA 2025
Directions For Week 1, complete the Learning Agreement with self-identified goals to meet COs and initial plans to meet those self-identified goals; review the TIPS document to help you and discuss your goals and plans with your mentor. Your mentor must sign the Learning Agreement for your Week 1 submission. The agreement should be revised each week to reflect completed goals, additional goals, and changes to the plan dictated by the actual experience or revisions suggested by faculty or the mentor. At the end of the practicum experience, evaluate success with your mentor and obtain the mentor’s signature at the bottom of agreement. Save this form as a Word document and enter required information directly onto it; submit the completed Learning Agreement, signed by your mentor, on the Friday of Week 8. See the Learning Agreement Grading Rubric for grading details.
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2025 To prepare for this Discussion Note To access the following case studies click on the Case Studies tab on
by adminCase 2: Volume 1, Case #14: The scatter-brained mother whose daughter has ADHD, like mother, like daughter 2025
To prepare for this Discussion: Note: To access the following case studies, click on the Case Studies tab on the Stahl Online website and select the appropriate volume and case number. (Already attached with this posting) Case 2: Volume 1, Case #14: The scatter-brained mother whose daughter has ADHD, like mother, like daughter Review this week’s Learning Resources and reflect on the insights they provide. Go to the Stahl Online website and examine the case study you were assigned. Take the pretest for the case study. Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office. Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.). Consider whether any additional physical exams or diagnostic testing may be necessary for the patient. Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance. Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient. Review the posttest for the case study. By Day 3 Post a response to the following: Provide the case number in the subject line of the Discussion. List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions. Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why. Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used. List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why. List two pharmacologic agents and their dosing that would be appropriate for the patient’s ADHD therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other. If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided. Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations. Learning Resources Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear. Clancy, C.M., Change, S., Slutsky, J., & Fox, S. (2011). Attention deficit hyperactivity disorder: Effectiveness of treatment in at-risk preschoolers; long-term effectiveness in all ages; and variability in prevalence, diagnosis, and treatment. Table B. KQ2: Long-term(>1 year) effectiveness of interventions for ADHD in people 6 years and older. Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press. To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter. Chapter 12, “Attention Deficit Hyperactivity Disorder and Its Treatment” Stahl, S. M., & Mignon, L. (2012). Stahl’s illustrated attention deficit hyperactivity disorder. New York, NY: Cambridge University Press. To access the following chapter, click on the Illustrated Guides tab and then the ADHD tab. Chapter 4, “ADHD Treatments” Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press. To access information on the following medications, click on The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate medication. Review the following medications: For ADHD armodafinil amphetamine (d) amphetamine (d,l) atomoxetine bupropion chlorpromazine clonidine guanfacine haloperidol lisdexamfetamine methylphenidate (d) methylphenidate (d,l) modafinil reboxetine American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Optional Resources Hodgkins, P., Shaw, M., McCarthy, S., & Sallee, F. R. (2012). The pharmacology and clinical outcomes of amphetamines to treat ADHD: Does composition matter? CNS Drugs, 26(3), 245–268. doi:10.2165/11599630-000000000-00000 Psychiatric Times. (2016). A 5-question quiz on ADHD. Retrieved from http://www.psychiatrictimes.com/adhd/5-question-quiz-adhd?GUID=AA46068B-C6FF-4020-8933-087041A0B140&rememberme=1&ts=22072016 Course Texts These course texts are available through Stahl Online Resources http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/ Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press. Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
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