Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10-15 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:

1. Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.
2. Explain how the nursing theory incorporates the four metaparadigm concepts.
3. Provide three evidence-based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Peer 1 

 

The state where I plan to practice as a nurse practitioner is Florida. In terms of contraceptives under the Comprehensive Family Planning Act, statue 381.0051, states that their “access to service prohibitions except as otherwise provided that no medical agency or institution of this state or unit of local government shall interfere with the right of any patient or physician to use medically acceptable contraceptive” (Daley, 2016, p. 34). Furthermore, the act further claims that there are also allowances made and highlighted inside the statue that enables to treat medical complications apart from pregnancy that may be attributed toward to using contraceptive methods (Daley, 2016). 

      The laws and regulations that govern abortion in Florida tend to be more severe and restrictive compared to other states. “In 2013 Governor Ron Scott signed legislation requiring that doctors performing an abortion offer emergency health care when the baby is in some way born alive. This law is really a first degree misdemeanor that’s punishable with a year in prison along with a fine of $1000” (Sharma, Frederiksen, Malcolm, Rollison & Carter, 2018). Health care professionals and employees must highlight and report all instances towards the department of health. This can be a prime illustration of the significance and the seriousness of the laws and regulations that govern abortion in Florida. These laws and regulations broadly cover patients with and without use of insurance. The condition of Florida comes with an infant and mortality rate of 6 for each 1000 live births as stated by the connected press.  The bond between contraceptive access and also the infant mortality rate appear to become congruent.  But, there’s no definitive conclusion the two are associated.          

           Poverty is linked to the maternal and infant mortality, and issues such as diabetes, obesity, asthma and depression. The rates in Florida were 6.0 in 2016 for infant mortality compared to 7.2 as the national rate.                                                        

Peer 2 

After having conducted a detailed investigation regarding the selected case, it turned out that Florida experiences a high increase in the aspect of infant and maternal mortality rates. Without a doubt, this statistic cannot be underestimated under any pretext, as such situation remains rather alarming. Comparing this data with the general numbers received within other states, it is worth admitting that infant and maternal mortality rates in Florida are 1.5 times higher than in any other state or region of the U.S (March of Dimes Foundation, 2018). That is why there is a growing necessity in analyzing such state of things from different perspectives and providing a comprehensive understanding of such a dramatic situation. 

           According to the resented investigation, such medical program as Medicaid appears to regulate the nursing sphere and cover the healthcare expenditures of the low-income patients. It is worth remarking that around 65% of patients use this insurance, while around 30% of them are women (Hajizadeh, 2014). Relatively speaking, the program covers only 1/3 risks and dangers among the women related to the contraception and abortion (Hajizadeh, 2014, p. 301). Subsequently, the medical treatment of women with and without an appropriate insurance differs significantly on a daily basis.  

           As a result, the risks concerning the high mortality among infants have a tendency to augment. Conventionally, this state of things is interdependent with the number of regulating external factors, including healthcare environment, clinical setting and economic well-being of the patients (Hajizadeh, 2014, p. 280). Due to such a complicated situation, the local government is called to take into an accurate consideration the dependence of infant mortality rates on the inefficient healthcare system and on the lack of proper medical services.  

All in all, it can be stated that the external factors and a scarcity of financial funding provoke numerous difficulties not only in the context of preventive strategies related to contraception and abortion among the women but also aggravate the medical situation in this state in general. 

-I need a respond for these 2 classmates. Response posts must be minimum 150 words each. Double space. References must be cited in APA format (6th) 

This is the original activity if you needed 

Select the state where you plan to practice as a nurse practitioner and/or nurse leader and investigate the state’s policies on access to contraception and abortion for women with insurance and those without. What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors. 

 

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

1. Describe the health care organization or network.
2. Describe the organization’s overall readiness based on your findings.
3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

Search the GCU Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the Topic Materials or textbook.

Complete an article analysis for each using the “Article Analysis: Part 2” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 2,” for an example of an article analysis.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

RUBRIC

Attempt Start Date: 27-May-2019 at 12:00:00 AM

Due Date: 02-Jun-2019 at 11:59:59 PM

Maximum Points: 130.0

ARTICLE 1: https://ieeexplore-ieee-org.lopes.idm.oclc.org/stamp/stamp.jsp?tp=&arnumber=6179359&isnumber=6327735

ARTICLE 2: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0020748913000941

  

Practicum Experience Week 2 – 3

By tomorrow Saturday June 15, 2019 write a minimum of 550 words essay in APA format with at least three scholarly references. Include the level one header as numbered below:

As your practicum experience proceeds, talk with individuals in your practicum setting about social, political, technological, and/or financial considerations related to the implementation of an evidence-based practice project. For instance, you may opt to meet with a nurse manager or executive involved in financial matters to do a cost-benefit analysis or a return-on-investment analysis, or to develop a pro forma statement about how much it would cost to implement one practice versus another.

Consider these insights as you: 

1) Evaluate the strengths and limitations of the evidence-based project, 

2) Analyze potential barriers to sustaining practice changes.

Required Readings

Oermann, M. H., & Hays, J. C. (2016). Writing for publication in nursing (3rd ed.). New York, NY: Springer Publishing Company.

• Chapter      6, “Review and Evidence-Based Practice Articles” 

Chapter 6 explains types of reviews and EBP articles that are useful to nurses when exploring the literature on clinical issues. This chapter also provides recommendations for preparing articles for disseminating EBP research findings.

In addition to Chapter 6, select and read the chapter that best supports your scholarly product dissemination plan. Apply the information in these chapters and through additional research of your own as you begin the writing process for your DNP Project scholarly product for dissemination. 

Note: For the scholarly product, you should be able to select a journal or other format and write a letter of inquiry. You also should be able to work on the Literature Review section of your scholarly product. The information on pages 142-143 in the course text may be particularly useful for developing that section.

• Chapter      5, “Writing Research Articles”

This chapter provides general principles for writing research papers.

• Chapter      8, “Clinical Practice Articles” 

Chapter 8 revolves around strategies for writing articles about clinical practice.

• Chapter      9, “Other Types of Writing” 

In this chapter, the authors review strategies for writing a variety of articles, letters, reviews, and case studies.

• Chapter      10, “Books and Book Chapters” 

This chapter provides considerations and guidelines for writing books and book chapters.

• Chapter      11, “Writing Process” 

Chapter 11 describes the various steps of the writing process, including asking preliminary questions, the drafting phase, and revising a manuscript.

Brown, C. E., Ecoff, L., Kim, S. C., Wickline, M. A., Rose, B., Klimpel, K., & Glaser, D. (2010). Multi-institutional study of barriers to research utilisation and evidence-based practice among hospital nurses. Journal of Clinical Nursing, 19(13–14), 1944–1951. 

Note: You will access this article from the Walden Library databases.

This article details a study that explored the relationship between perceived barriers to research use and the implementation of evidence-based practice among hospital nurses.

Chang, H. C, Russell, C., & Jones, M. K. (2010). Implementing evidence-based practice in Taiwanese nursing homes: Attitudes and perceived barriers and facilitators. Journal of Gerontological Nursing, 36(1), 41–48. 

Note: You will access this article from the Walden Library databases.

The authors of this article describe a study that investigated attitudes and perceived barriers and facilitators toward research utilization among registered nurses.

Doran, D., Haynes, R., Kushniruk, A., Straus, S., Grimshaw, J., Hall, L., … Jedras, D. (2010). Supporting evidence-based practice for nurses through information technologies. Worldviews on Evidence-Based Nursing, 7(1), 4–15. 

Note: You will access this article from the Walden Library databases.

This article describes a study that sought to evaluate the usability of mobile information terminals to improve access to nursing information resources. The study also explored the relationship between PDA or tablet-supported information resources and outcomes.

Required Media

Laureate Education, Inc. (Executive Producer). (2012d). Factors affecting implementation of an evidence-based practice project. Baltimore, MD: Author.

Note: The approximate length of this media piece is 5 minutes.

Dr. Kris Mauk explores barriers to implementing change and discusses strategies for addressing those barriers.