Evolution of the APRN Role

Please write a 250 word paper about this question down below. Info needs to be true and related to question. do not invent or go out topic. include references. 

 

1. Why is it important to understand the history of the evolution of specific advanced nursing practice roles? What difference does this history make to you as a student beginning your education toward an advanced nursing practice degree? 

 

Week 3: Shared Governance and the Magnet Model

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Describe the nursing care delivery model used at your current or previous employer. Would you utilize this model at SLMC? Discuss current interprofessional collaboration and how you would encourage collaborative efforts. Does the model support the person-centred nursing framework by McCormack and McCance (2017)? Explain your rationale for choosing to use or not use the person-centred nursing framework.

Please refer back to the 2017 PCNF overview presented below. 

Patient-Centered Care: A Person-Centred Care Model Revisited

Caring continues to be a central concept in nursing; however, the context for caring is transforming, resulting in conceptual and theoretical advancements related to the evolving healthcare practice settings. McCormack and McCance originally developed a Person-Centred Nursing (PCN) Framework in 2006 and updated it in 2010 that can be applied to practice in complex healthcare systems (McCormack & McCance, 2006; McCormack & McCance, 2017). The PCN Framework provides a standard of care for practice and is a multidimensional process that places emphasis on the person as the center of care delivery (McCance, McCormack, & Dewing, 2011). The PCN Framework fosters outcomes related to therapeutic relationships through respecting individuals as persons and partners in care. The Person-Centred Care Nursing Framework consists of four constructs: prerequisites, the care environment, person-centred processes, and outcomes (McCance et al., 2011). To deliver effective care, one must work from the outer circle first to the core. McCormack, B. & McCance, T. (2017)Prerequisites focus on the attributes of the nurses and include being professionally competent, having developed interpersonal skills, being committed to the job, being able to demonstrate clarity of beliefs and values, and knowing self. The care environment focuses on the context in which care is delivered and includes appropriate skill mix, systems that facilitate shared decision making, effective staff relationships, organizational systems that are supportive, the sharing of power, the potential for innovation and risk taking, and the physical environment. Person-centred processes focus on delivering care through a range of activities and include working with a patient’s beliefs and values to overcome this gap between the concept and the reality of person-centred care we have developed the Person-Centred Nursing Framework…engagement, having sympathetic presence, sharing decision making, and providing holistic care. Outcomes, the central component of the Framework, are the results of effective, person-centred nursing and include: satisfaction with care, involvement in care, feeling of well-being, and creating a therapeutic environment. (McCance, McCormack, & Dewing, 2011).

                                                                                 McCormack, B. & McCance, T. (2017)

Reference

McCormack, B. & McCance, T. (2017). Person-centered practice in nursing and health care. Theory and practice (2nd ed.). Oxford: Wiley Blackwell.

 

Topic : Physician-Assisted Suicide – 

For this milestone, you will use your writing plan attached below and submit a draft of your persuasive essay. This milestone will help you address critical elements I–III below, which will ultimately inform your final submission of the persuasive essay. 

Specifically, the following critical elements must be addressed:

I. Introduction

This is where readers will have a chance to get an idea of what your essay will be about and what you will prove throughout. Do not give all of your information away here, but give readers a sample of what is to come. Do not forget to review your writing plan to make sure you are hitting all of the points that you planned out, while also stating your claim.

1. Provide an overview of the issue you have selected, briefly describing main points and your argument.
2. Compose an engaging thesis statement that explains the argument that you will prove and support throughout your essay. This statement will give direction to your essay and should be well thought out.

II. Body

The body is your opportunity to describe and support your argument in depth. Make sure your thoughts and evidence are clear and organized in a way that is easy for readers to follow and understand.

1. Be sure that you write multiple paragraphs that are focused, clearly state their intent, and move logically from one to the other, building the thesis argument as the essay progresses.
2. Your body paragraphs should support your argument by combining thoughts and ideas with evidence from sources. There is no such thing as a right or wrong argument; the key is how it is supported and the quality of the evidence used.
3. Address and refute any opposing viewpoints to your argument. This is your chance to discredit any opposing views, thus strengthening your own.

III. Conclusion

Think of the conclusion as a review of your argument. Use this section to restate your argument and remind readers of your supporting evidence. Think of this as your last chance to persuade readers to agree with you.

1. Review your argument. This section should consist of a review of your main points employed to support your argument. Think of this as your last chance to prove your point or your closing arguments.
2. Your conclusion should articulate insights about your argument established through your essay. This should follow logically from your essay, referring to key points or quotes used to support your argument.

  i need short short answer 

1. What kinds of foods provide fiber in the diet and what does fiber help with?

2. What are the different kinds of fats and some properties of them?

3. Why do we need water in our diet?

4. How is obesity defined?

5. What is the most prevalent underlying source of death in the United States?

6. What happens when a person goes on a very low calorie diet?

7. How many calories do one pound of fat represent?

8. What are the daily-suggested lower limits of calorie consumption for both men and women?

9. What happens when you exercise at a low-intensity rate as compared to a high intensity rate as far as types of calories burned?

10. What causes blood cholesterol to be raised?

11. How many calories does a gram of fat, protein or carbohydrate contain?

12. What are some risk factors for coronary heart disease?

13.  How does cancer start in the body?

14.  How many minutes of daily activity are required to prevent weight gain and to maintain substantial weight loss?

15. What kind of results can be expected when a person exercises and exhibits good lifestyle choices?

16. What mechanism seems to regulate how much a person weighs?

17. What are some results of sleep deprivation?

18. What are the different types of stresses?

19. What causes the stress response to occur?

20. What is the purpose of the “stress response” and what are some of the manifestations it has been turned on?

21. Are certain types of individuals at a greater risk of disease related to stress?

22. What are some good techniques to deal with stress?

Directions:

1. Download the Community Windshield Survey (Attached)form. You will type answers directly onto this Word document. Your form does not need to follow APA formatting; however, you are expected to use a professional writing style with complete sentences, accurate grammar, and correct spelling within the fill-in sections. References are not needed as this should be based on your observations.
2. You are required to use the linked form provided for this assignment. Assignments that do not follow the current guidelines or use the required form will be evaluated for evidence of an academic integrity violation.
3. After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.

Guidelines:

1. Introduction to the Community: Identify the community you will be using for this assignment with the city and state, and provide a brief, one-paragraph description of the community. Your community should be the area where you live or the area surrounding your work setting. The community must include a residential area and be a large enough area to answer the survey questions. Do not include epidemiological or demographic data as this is based on what you observe.
2. Windshield Survey: Assess your community by doing a windshield survey. Information about the components of a windshield survey is located in your textbook, Nies and McEwen (2019). Drive through the area and report your observations by answering the questions on the form. Be sure to include what you observed related to each of these categories, and also include any significant items that are missing in your community because this may be equally important in identifying a community health problem.
   1. Community vitality
   2. Indicators of social and economic conditions
   3. Health resources
   4. Environmental conditions related to health
   5. Social functioning
   6. Attitude toward healthcare
   7. Note: It is helpful to conduct this assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend. If possible, plan on asking someone to drive during your survey so that you can take notes.
3. Vulnerable population: Identify the aggregate or vulnerable populations that you observed in your community during your drive through. What did you observe about this population?
4. Community problem: Based on your assessment in the survey above, identify and discuss one priority community health problem that a community health nurse could positively impact.Example: If you observed teens who were pregnant or had young children during your survey and felt this was a priority problem in your community, the diagnosis could be
   Risk of unintended pregnancy among adolescent girls in XXXX community as evidence by observation of pregnant teens and teens caring for young children during windshield survey.
5. Healthy People 2020 Objective: Go to the Healthy People topic areas at https://www.healthypeople.gov/2020/topics-objectives. Find a topic area that relates to one of the vulnerable populations you observed. Click on the topic area, and then click on the green Objectives tab. Review the objectives within that topic area to complete the relevant sections of the form. State the Healthy People 2020 objective number (not just a goal) that describes your problem.Example: The topic area Family Planning would be relevant. You would click on Family Planning, and then click the green Objectives tab, and you might choose
   FP-8.1 “Reduce pregnancies among adolescent females aged 15 to 17 years” (U.S. Department of Health and Human Services: Healthy People 2020, 2018, Objectives: Family Planning, para 8).
6. Summary: Complete the summary of learning section.
7. References: The purpose of this assignment is to document your observations of your community. Outside sources other than Healthy People 2020 should not be used. We have included this reference on the Windshield Survey form for you.