Remember is a Reflection about the class

1) Minimum 6 full pages 

             Minimum 3 pages per document- not words

             Cover or reference page not included) 

2)¨**********APA norms, please use headers 

            All paragraphs must be narrative and cited in the text- each paragraphs

            Bulleted responses are not accepted

            You  can write in the first person.)

3) It will be verified by Turnitin and SafeAssign 

4) Minimum 4 references not older than 5 years. 

             Must include: 

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author. 

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You must submit 2 documents (each one 3 pages).

Copy and paste will not be admitted. 

You should address the questions with different wording, different references, but always, objectively answering the questions.

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Directions:

1) Introduction (minimum 1/2 page):

Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

Headers:

a. Course Reflection 

b. Conclusion 

Introduces the purpose of the   reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare   policy and advocacy. (See file 1)

Purpose:

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course. 

  

– This course will enable the student to identify and apply components of the different cultures (ACCN Essential I, II, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration and patient-centered care).  

– The students will be able to determine the impact of culture in health care (ACCN Essential I, II, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration and patient-centered care).

 

2) Body (minimum 2 pages): 

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

  

1. “Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.

2. Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems.

3. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.

4. Use behavioral change techniques to promote health and manage illness.

5. Use evidence­ based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.

6. Use information and communication technologies in preventive care.

7. Collaborate with other healthcare professionals and patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions.

8. Assess the health, healthcare, and emergency preparedness needs of a defined population.

9. Use clinical judgment and decision-making skills in appropriate, timely nursing care during disaster, mass casualty, and other emergency situations.

10. Collaborate with others to develop an intervention plan that takes into account determinants of health, available resources, and the range of activities that contribute to health and the prevention of illness, injury, disability, and premature death.

11. Participate in clinical prevention and population ­focused interventions with attention to effectiveness, efficiency, cost-effectiveness, and equity.

12. Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities.

13. Use evaluation results to influence the delivery of care, deployment of resources, and to provide input into the development of policies to promote health and prevent disease.” (pp. 24-25).

 

3)  Conclusion (minimum 1/2 page)

An   effective conclusion identifies the main ideas and major conclusions from the   body of your essay. Minor details are left out. Summarize the benefits of the   pertinent BSN Essential and sub-competencies (AACN, 2008) pertaining to scholarship for   evidence-based practice

 

Read Chapter 4

1-which of the following behaviors may be (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical.

A. Working in a clinic that performs abortions

b. Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”

c. Respecting the health surrogate’s wishes regarding termination of life support of her friend

d. Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient.

2-differentiate among the following: deontological theories, utilitarianism, and principlism.

3-what do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress.

4-What do they think about health-care professionals disclosing information to clients against family wishes?

5. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do?

6.Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?

7. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? .

8-You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?

Comment1

According to the article titled, Teaching Evidence Based Practice to Undergraduate Nursing Students it is essential for BSN-prepared nurses to implement evidence-based practice into their daily practice. Per author Sin and Bliquez, undergraduate nurses spend much of their shift providing direct care to patients and the National Academy of Medicine’s Roundtable on Evidence-based Medicine has suggested that 90% of clinical interventions must be supported by up-to-date clinical evidence. This goal has been established to be implemented by 2020 (Sin & Bliquez, 2017). Nursing interventions are a reflection of patient outcomes. For this matter, following evidence-based practice in all nursing interventions shows a promising future in patient health.

After concluding the RN-to-BSN program, I plan to continue taking courses relevant to labor and delivery such as fetal heart monitoring, maternal and newborn care, neonate resuscitation program (NRP) as a way to reach my goal of becoming an labor and delivery nurse. In addition, in the future I would like to pursue my career into becoming a nurse midwife. Although, obstacles that may challenge this plan is starting a family. Therefore, I plan to work as a labor and delivery nurse for a couple years and return to school when my children start school. 

Comment2

Evidence-based practice (EBP) is the conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions. Best evidence includes empirical evidence from randomized controlled trials; evidence from other scientific methods such as descriptive and qualitative research; as well as use of information from case reports, scientific principles, and expert opinion. Clinicians and healthcare planners who want to improve the quality and efficiency of healthcare services will find help in research evidence. To affect better patient outcomes, new knowledge must be transformed into clinically useful forms, effectively implemented across the entire care team within a systems context and measured in terms of meaningful impact on performance and health outcomes. The recently-articulated vision for the future of nursing in the Future of Nursing report from Institute of Medicine (IOM) focuses on the convergence of knowledge, quality, and new functions in nursing. The recommendation that nurses lead interprofessional teams in improving delivery systems and care brings to the fore the necessity for new competencies, beyond evidence-based practice (EBP), that are requisite as nurses transform healthcare. As nurse always strives to provide quality and efficient care to patients EBP which helps to incorporate new knowledge into practice is essential component of the practice of a BSN-prepared RN. Nurses often need to discard old process and incorporate new procedures in the light of new understandings. However, there are several barriers to the successful application of research evidence to health care.

Respond

 Hello Group – you have really engaged in a great discussion about change, how useful the different change models might be, and the difficulties encountered in this type of situation. How can you use spheres of influence held by staff who are being “restructured” and those who are not to bring about positive outcomes of the change? How is your decision influenced by ethical, intuitive, and collaborative decision-making models?