Comment 1

As a nurse preceptor for new grads coming on to the our unit I see the pressure there is to have all of this documentation and the amount of time away from the patient the nurse has to spend sitting down making sure the documention is intact. Now don’t get me wrong I know documentation is crucial but should it trump patient care.  There is a disconnect the amount of charting done and the time spent face to face with the patient, especially considering the aging population that have not grown up in front of an electronic devise. I feel the pressure myself when im taking care of my 5-6 patients and the amount of charting needing to be completed and then God forbid I have to stay over to complete my charting. As the journal International Journal of Nursing Practice states; The Complexities in nursing documentation include three aspects: disruption, incompleteness and inappropriate charting. Related factors that influenced documentation comprised: limited nurses’ competence, motivation and confidence; ineffective nursing procedures; and inadequate nursing audit, supervision and staff development. These findings suggest that complexities in nursing documentation require extensive resolution and implicitly dictate strategies for nurse managers and nurses to take part in solving these complicated obstacles.

there needs to be a middle ground and it should be lead by nurses that are currently performing bedside nursing, not the nurses that have been away from the floor and have lost touch with the work that is being done. 

Comment 2

Nursing is a constantly changing field. For as long as an individual is a nurse, they have an opportunity to learn. Patients’ needs change, and care delivery changes, resulting in a need for the nurse to understand, and adhere to these changes. Nursing research and evidence-based studies allows for nurses to thoroughly take a look at issues (or potential issues) in nursing, and find ways to fix them. One issue that has been ongoing in nursing from the beginning of time (probably since Florence nightingale years), until now is nursing staffing issues. Studies have shown that shortages in nursing staffing levels have contributed to poor patient care, and clinical errors. “The quality of care that nurses provide is influenced by individual nurse characteristics such as knowledge and experience, as well as human factors such as fatigue” (Clarke & Donaldson, 2008). In recent years, more studies have been done on understaffing nurses, and its effect on quality patient care. These studies have concluded that adequate nurse to patient ratios generally ensure that the patients receive better care. This finding is of no surprise considering, a nurse that is caring for an adequate amount of patients as more time to complete things that although may not be essential to their care, nonetheless will affect the quality of the care the patient receives. An example of this would be, a nurse that notices that her ICU patient still has residue on them from a motor vehicle accident, however that nurse may not be able to remove some of that dirt, and debris if he/she has two other very ill patients. On the other hand, that same nurse, that has only one patient would be able to give that same patient a bed bath, if he/she is her only patient. This small yet grand act of giving the patient a bed bath makes a lot of difference to the patient, and patient’s family.

Based on last week’s reading, you now have an idea of the role of the APRN, and legal/professional issues in prescribing. As a future nurse practitioner, you have the authority, based on your state nurse practice act, to prescribe medications for the patients for whom you will provide care, and the responsibility of prescriptive authority is more than just simply writing a prescription correctly.

Important Links:

https://www.flsenate.gov/Committees/BillSummaries/2016/html/1424

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html

https://floridasnursing.gov/new-legislation-impacting-your-profession/

https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-prescriptive-privilege

Discuss the role of advanced practice nursing in safe prescribing and 3  prescribing barriers for APRNs.

1. You need 1 initial post, and 2 replies to 2 different students.

2. A minimum of 2 paragraphs is required for all posts (initials and replies).

3. Support all posts with at least 2 cited peer review references within 5 years of publication (references cannot be older than 5 years).

4. All posts are to be written in APA 6th edition format as required by the university.

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In quantitative research, we looked at the rate of falls numerically before and after the implementation of a program. In qualitative research, if you were interested in study the impact of falls on the patient’s quality of life, you could obtain this information through personal interviews. The unit of measurement would be the words that the patient uses, and a qualitative method would be used to analyze this data.

Give a different example of qualitative research design. How does qualitative research improve quality of care and health outcomes?

Application: Part 1 – Developing a Health Advocacy Campaign

Paper Topic Is——- Diabetes 

                                                  To complete:

For the Part 1 application (approximately 3–4 pages of content with a title page and references in APA format) address the following:

Describe your selected population health issue and the population affected by this issue.

Summarize the two advocacy campaigns you researched in this area.

Explain the attributes that made those campaigns effective.

Begin to develop a plan for a health advocacy campaign that seeks to create a new policy or change an existing policy with regard to the issue and population you selected. 

                             Be sure to include in your plan: 

A description of the public health issue and proposed policy solution 

Specific objectives for the policy you want to be implemented

Begin to substantiate of your proposed campaign by data and evidence.

Be sure to paste the rubric at the end of your paper

Include references

Edit question’s body

*Use the attached template to complete this assignment.

*Use at least two scholarly sources to support your interventions and rationale. Be sure to cite your sources in-text and on a reference page using APA format.

*Find 5+ (scroll to the bottom to see the rubric, mastery is MORE than 5) interventions with rationales, they EACH must be cited with literature support

*Do NOT copy and paste, turn in Grammarly report. Plagiarism score <15%