Module 04 Content

1. Provide your answers to the following questions in a 2-page paper. Use APA Editorial Format for all citations and references used.
   
   1. What should the “culture and environment of safety” look like when preparing and administering medications?
   2. Discuss a common breach of medication administration.
   3. Identify three (3) factors that lead to errors in documentation related to medication administration.
   4. What can I do to prevent medication errors?
   5. Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
      Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:
      Jstudent_exampleproblem_101504

Use this space to build your submission.

You can add text, images, and files.Add Content

  

Answer the following questions with evidence-based research: (Modules 2-7 Discussions must have citations and references) 

How do we know this is a problem or issue?

Who needs the information about the problem or issue?

What are possible solutions?

How will dissemination of this researched information impact behavior?

Post another article synopsis; defining key words and how article relates to chosen area of interest.

Post your initial response by Wednesday 2359. Reply to at least two of your colleagues’ posts by Saturday 2359 of Module 3.

  

Flott, E. A., & Linden, L. (2016). The clinical learning environment in nursing education: a concept analysis. Journal of Advanced Nursing, 72(3), 501-513. 

 Xu, J. H. (2016). Toolbox of teaching strategies in nurse education. Chinese Nursing Research, 3(2), 54-57. 

 Raymond, C., Profetto-McGrath, J., Myrick, F., & Strean, W. B. (2018). Balancing the seen and unseen: Nurse educator as role model for critical thinking. Nurse education in practice, 31, 41-47. 

 

  

discussion 1 week 2/ what I posted

Identify the methodology, design, and rationale of the below titles.

1.         Exploring the rate of seasonal-pattern depression in an Inuit community

The methodology analyzes rate of depression of an intuit town.  The design is quantitative based on weather and the study of depression.  Quantitative research is based on a cause and effect relationshi  The study results would produce numerical data in a Quasi-experimental study.  The rationale is based on how similar the behavior patterns and weather patterns coincide. 

2.         Democracy in America

The methodology suggests that there is only democracy in America.  The design is qualitative based as it implicates that America is only democratic. Qualitative research produces subjective data concerning opinions of individua  The rationale is an opinion there is much democracy in America.

3.         The relationship between compassion fatigue and burnout among critical care nurses

The methodology discloses fatigue, compassion, and burnout as feelings of highly demand nurses. The design is qualitative based as it focuses on highly demand critical care nurses and extreme feelings.  The rationale is that nurses work with little breaks and may experience these feelings which are subjective in nature.

4.         Two drugs for Alzheimer’s show promise

The methodology is suggestive advertising for a pharmaceutical company.  The design is based on quantitative research as an experimental study.  The rationale is that the medications may have potential for improving symptoms of Alzheimer’s.

5.         Evaluating technology with student success

The methodology suggests that evaluating student success can be accomplished with technology.  The design is suggestive of a qualitative study as it can be based on an opinion and experience of students.  This study can be two-fold to evaluate technology based on student success.  The rationale being that a student benefits with technology in order to be a fully successful student.

6.         Factors that influence weight control among women

The methodology implies that a list of factors may follow and the qualitative design relates how these factors make it difficult for women to maintain their weight. The rationale is that difficulty in weight control is more for women and these related factors explain why.

7.         The meaning of living with brain injury and stroke 10 years after the injury

The methodology is irony because life after a brain injury and stroke is difficult and has many challenges.  The qualitative design of the title is meant to make one believe that life afterwards is not as bad as one may believe.   The rationale is that an individual may live in a vegetative state and would not gain much fulfillment in life after these incidents. 

8.         Exploring the beliefs of healing among Aborigines

The methodology anticipates research to be completed and the qualitative design is based on the healing powers of the Aborigines.  The rationale being that Aborigines have special powers and healing beliefs that assist one to heal.

“Nurses must remain alert to provide safe care, recognize discrete changes in patient conditions, and intercept potentially dangerous errors in medication and procedural orders”As nurses we work long hours shift, short break and workload. Patient safety can be at risk due to nurses fatigue exposing our self to make a medical error.

                                                                                              References:

Houser, J. (2015). nursing reasearch: reading, using and creating evidence (3rd ed.). Retrieved from

https://digitalbookshelf.

southuniversity.edu/#/books9781284055702/cfi/6/2[;vnd.vst.idref=p01cover]

Scott, L. D., Hofmeister, N., Rogness. A. E. (2010). July/Agust). An interventional approach for patient and nurses safety: A fatigue countermeasures feasibility study. Nursing Reseach, 59(4), 250-258.

http://dx.doi.org/10.1097/NNR.0b013e3181de9116

PROFESSOR QUESTION/NEEDS TO BE ANWERS

Thank you for discussing your thoughts in regards to the methodology and design of these research articles, along with your rationale. You had stated “Nurses must remain alert to provide safe care, recognize discrete changes in patient conditions, and intercept potentially dangerous errors in medication and procedural orders”. This is a very thought-provoking statement! What are your thoughts on nurses working double shifts or numerous shifts in a row? Do you feel there should be a limit on how many hours a nurse can work in a row? If so, what do you feel the limit should be? What is your reasoning? Thank you for your post!

Reply to at least 2 of your peers’ submissions. In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.

Peer 1

Kolcalba’s Theory of Comfort

            Katherine Kolcaba’s Theory of Comfort recognizes that an important concept that needs to be addressed in a patient’s care is comfort. Comfort is defined by Kolcaba as not only physical, such as pain, but spiritually, socially, and environmentally. According to Peterson and Bredow (2017), nurses traditionally cared for the comfort of the patient, and in the past was one of the sole focuses of the nurse before advancements in medicine. Currently comfort is majorly addressed in both nursing home settings and hospice. 

What is the phenomenon of Concern?

            The main phenomenon of concern when it comes to this theory is comfort. Ensuring that the patient is not only physically comfortable but comfortable in other ways. There are three other areas of comfort that this theory addresses, psychospiritual, social comfort, which later became sociocultural, and environmental comfort (Peterson & Bredow, 2017). Psychospiritual, addresses the patient’s awareness of self, their spirituality, and even sexuality. Sociocultural, addresses the need to address cultural issue that may interfere with care of the patient, and even their relationship with family. Finally, Environmental addresses things such as the amount of noise, light, temperature of where the patient is being given care. In a study by Barreto et al. (2020), they state that hospitalization is “an unpleasant experience for older people and can increase frailty, making them more susceptible to suffering and discomfort and potentially impairing their recovery.” Addressing these needs would allow for an increase in positive outcomes. 

What are the assumptions underpinning this theory?

            There are three distinct assumptions made in this theory that are as follows:

1. Human beings have holistic responses to complex stimuli.
2. Comfort is an immediate and desirable holistic state of human beings that is germane to the discipline of nursing.
3. Human beings strive to meet, or to have met, their basic comfort needs. It is an active endeavor (Peterson & Bredow, 2017).

As a community nurses generally base care on physical needs, and not necessarily needs in any of the other areas of comfort. In the study done by Berreto et al. (2020), they found that out of the 26 nursing diagnoses that they looked at, only four of those nursing diagnoses address a need outside of the physical dimension. 

References

Barreto Cardoso, R., Alfradique de Souza, P., Pereira Caldas, C., & Ribeiro Bitencourt, G. (2020). Nursing diagnoses in hospitalized elderly patients based on Kolcaba’s

           Comfort Theory. Revista de Enfermagem Referência, 4, 1–9. https://doi-org.su.idm.oclc.org/10.12707/RV20066

Peterson, S., & Bredow, T. (2017). Middle range theories: Application to Nursing Research and 

Practice (4th ed.). LWW.

Peer 2

Discussion 3-  Pender’s Health Promotion Model 

In the text author Butts (2017 p.425) describes Nola Pender’s Health Promotion Model as one of four theories “that may be categorized as focusing on goals and functions”.  This classification of Pender’s theory allows it to be qualified and quantified, which has therefore led to a broad spectrum of research.  Butts goes on to describe Pender’s theory as a “multidimensionality of persons interacting with their interpersonal and physical environments as they pursue health…” (2017 p. 445) The understanding of this theory is that it addresses the metaparadigms by acknowledging the patient or client, seeking health which can be determined by an illness, injury, or prevention, being guided, and educated by an advanced practice nurse, in the environment of choice.  The promotion of health is vital to the campaign for better health or fight against chronic disease.  No matter which outcome you seek, this model can provide measurable ways to track efficacy.  

            In one article written by authors Da Silva Santos et al., (2018), the research is described how they utilize “the Pender Health Promotion Model, which provides a simple and clear structure, allows for the planning, intervention and evaluation of actions of Nursing.”  (Da Silva Santos et al 2018, p. 583) This article measured how effectively advanced nursing interventions were in relation to HPV vaccinations and education in schools.  The Health Promotion Model was used to quantify research and understand if the education was productive in lowering incidences of HPV. (Da Silva Santos et al 2018, p. 583) This article along with many others uses a myriad of different health conditions to follow trends and efficacy to better provide health promotion.

            There are assumptions to this model.  To assure the accuracy of the data collected in researching this model, it is typically assumed that participants intend to follow the education and direction of the advanced practitioner, that there is no veering from the plan, and that all other things equal, the data inferred is correct.  These can sometimes be large assumptions, however for the greater good of the population, such assumptions must be made.

References:

Butts, J. B. (2017). Philosophies and Theories for Advanced Nursing Practice. [South 

University]. Retrievedfrom https://digitalbookshelf.southuniversity.edu/#/books/9781284143010/

Da Silva Santos, A., Amaral Viana, M. C., Camelo Chaves, E. M., De Morais Bezerra, A., 

Gonçalves Júnior, J., & Ribeiro Tamboril, A. C. (2018). Educational Technology Based on Nola Pender: Promoting Adolescent Health. Journal of Nursing UFPE / Revista de Enfermagem UFPE, 12(2), 582–588. https://doi-org.su.idm.oclc.org/10.5205/1981-8963-v12i2a22609p582-588-2018

Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2011). Health promotion in nursing

 practice (6th ed.). Pearson.