THIS IS A DISCUSSION RESPONSE APA 6TH ED WITH IN TEXT CITATIONS AND REFERENCES.

Personal knowing is hard to measure and define precisely in my opinion. I believe it is one’s know-how, ethics, compassion all mixed in one. It is because of one’s personal knowing that one wouldl pursue professional development and advancement in our profession. It takes someone with a good personal knowledge to understand the positive effect of investing in one’s self not only professionally but also personally. Clinical and theoretical experience is an example of personal knowing, they complement each other. 

In my practice I have two qualities that comes to mind and stand out, I, as well as some colleagues, have noticed: I tend to remain calm in stressful and urgent situations, and I am good at starting IVs. My qualities reflect some of my personal knowledge because I attribute being calm in stressful situations and being able to start IVs as a result of my experience and professional knowledge. I was lucky to be thought mostly in a safe, non-threatening environment, which caused a positive effect in my learning (Little, 2006, p. 135).

In addition, I also consider myself an expert in some nursing tasks, which causes me to have more confidence and in turn creates a quality interpersonal contact favorable for patient flourishment (Little, 2006, p. 135; Polifroni & Welsh, 1999, p.18). 

On the other hand my two weakness are my accent and not being able to cut someone off without coming off as rude. Because English is my second language, I talk with an accent and that becomes a weakness when I have to time manage my patients and speak fast. The words mash together, and the accent sometimes makes it hard for someone to understand me. The same goes when a patient starts telling me his or her life story and I have other more urgent tasks to take care of. I always feel bad cutting them of because if it were another day I would love to hear their stories. 

Well, coming to think of it, my weaknesses float around the time management area. I should take my time and be in the moment with each patient while at the same time allocating a fair amount of time to all of them. Maybe nursing theory can help me by applying certain tasks to my routine that would benefit the patient as well as myself as a practitioner. 

References

Little, M. (2006). Educational innovation. Preparing nursing students to be health educators: personal knowing through performance and feedback workshops. Journal Of Nursing Education, 45(3), 131-135.

Polifroni, E. C. & Welsh, M. (1999). Perspectives on Philosophy of Science in Nursing: An Historical and Contemporary Anthology. Philadelphia, PA: Lippincott Williams & Wilkins

  In your reply posts, incorporate challenges you would anticipate for the proposals, as well as arguments to overcome those challenges. Each reply should be 200  :

 Today, I believe most of the money being spent on healthcare should be used on educating patients on possible lifestyle modifications that can be made for many different disease preventions. Diet is one of the most modifiable factors for numerous diseases that the majority of the population suffers from, such as diabetes and hypertension. “The Dietary Approach to Stop Hypertension (DASH) diet, a dietary pattern, currently receiving much attention, was originally designed to reduce blood pressure13; this diet emphasizes intakes of fruits, vegetables, whole grains, nuts, legumes, moderate amounts of low-fat dairy; and underscores reduced intakes of red or processed meats, sodium, and sweetened beverages( Hossein, 2019) ” Here the author stresses the importance of DASH diet and how it can manage hypertension apart from using prescription drugs. With the stress of education on patients, they would be able to manage hypertension and save money on costs such as insurance premiums, and copays. “and higher adherence to DASH diet score was related with lower odds of metabolically unhealthy normal weight phenotype in comparison to metabolically healthy normal weight younger adults ( Hossein, 2019) “ Here, the population can avoid metabolic syndrome by following the DASH diet, which is proven to be a modifying factor. The avoidance of liquor is also a large modifying risk factor in the role of hypertension.
Other modifying factors include exercise. It has been proven that 30 mins of exercise at least 3 times a week reduces blood pressure levels. Diet and exercise have great impact in the prevention of hypertension and diabetes ( type 2) “ brings attention to the importance of healthy aging. Adoption of healthy lifestyle activities such as participating in physical activity on a daily basis is key to maintaining physical and mental health. (Norma, 2020).” Here, we can even use education to involve the elderly population to prevent any extra complications of aging. “he results indicated that the exercise intervention contributed to significant improvements in the older adults’ health-related variables for the EG when contrasted with the control group ( Norma, 2020 )” So, you see the Dash diet, and even exercise is useful at any age so this would be a modifiable factor. This method has also proved to be effective in reducing diastolic, systolic blood pressures, cholesterol, blood lipids, and even depressive symptoms. Money that is given to insurance companies should be spread out to other healthcare branches in order to spread knowledge. Health companies would be putting money towards prevention. Money should also be going towards mandatory screening of preventable diseases. Offices need to be constantly reminded of annual blood work up, lung cancer screening, and even regular blood pressure work up. As far as end of life care goes, money would be spent naturally less on chronic treatments and even procedures because of better health maintenance and wellness which was added earlier in life. In regard to policy utilizing this information we can install schools to have only healthy food option in order to prevent diabetes. The cost of diabetes is a lifelong commitment to insulin, blood checks, and doctor visits if not controlled early on. There should be no sodas, fresh squeezed juices, and more gym time. I hope to see a future that focus more on wellness to eliminate the prognosis of diseases and money spent on these diseases. A lot of diseases can be prevented by exercise, proper eating, and being active with screening. We should educate regrading things like the DASH diet to promote wellness. There should be strict polices in regards to foods in children’s school’s, and free screenings.

1. Watch the patient documentation in EHR for Nurses webminar.
http://www.youtube.com/watch?v=TBs60F6WXpw

2. Watch the YouTube video; Nurse informatics take electronic medical records to the next level.
https://www.youtube.com/watch?v=Dq1Br5bE_y4

3. Watch the YouTube simulated Electronic Health Record DocuCare.
http://vimeo.com/65644695

—Turn in a two page summary of your findings, including any personal experience you have had or know of regarding this topic

Personal Philosophy of Nursing Essay 

Use the questions from Box 3-2 on page 111 of your textbook as a guide as you write your personal philosophy of nursing. The essay is to be type written and double-spaced (1,000 words) and should include the following: 

1. Introduction that includes who you are and where you practice nursing 

2. Definition of nursing 

3. Assumptions or underlying beliefs 

4. Definitions and examples of the major domains of nursing 

5. Summary that includes answers to the following questions: a. How are the domains connected? b. What is your vision of nursing for the future? c. What are the challenges that you will face as a nurse? d. What are your goals for professional development? 

Plagiarism report need it. thanks

Note. Please read the attach note because have to be exactly like the professor ask.