A philosophy of nursing is a written paper declaring a nurse’s beliefs, values, and ethical considerations regarding their practice of nursing.  The purpose of this paper is to provide you with the opportunity to reflect on your nursing care and treatment of patients and how you see yourself as a practicing nurse and an individual.  You will find that your nursing philosophy is dynamic, growing as you grow personally and professionally. 

Write a scholarly paper using the following:

Assignment Criteria:

• Discuss your professional belief system of nursing. This will include broad statements of your values and beliefs that propose the nature and concerns of nursing and its moral obligations to society.
• Use the nursing theory you chose for the nursing theory PowerPoint. Explain the theory and how your values and beliefs are guided by the theory. 
• Provide your definition of nursing based on your personal belief system and nursing theory.
• Give at least two examples of how you apply your definition of nursing to your nursing practice.
• The scholarly paper should be in narrative format, no more than three (3)pages in length excluding the title and reference pages. An abstract is not needed. Include an introductory paragraph and a conclusion.
• Include Level 1 and 2 headings to organize the paper (see below).
• This scholarly paper is intended to include first person formatting, with statements such as “Ibelieve…” or “My values include…”
• Include a minimum of four (4) professional peer-reviewed scholarly journal references, professional organizations, or government websites to support the paper. At least two (2) of the four (4) references are current peer reviewed journal articles.References must be no greater than five (5) years old unless considered a “classic source”.
• APA format is required (attention to spelling/grammar, a title page, a reference page, and citations).
• Review your Turnitin Similarity Score and make any needed changes.If the score is greater than 20%, you must revise the paper prior to submission.  A Turnitin Similarity Score of 20% or less is required by the RN to BSN Program.

Title of Paper

(Note: Here you will write your introductory paragraph but do not label it as Introduction)

My Personal Belief System and/or Worldwide View of Nursing (Note: Choose one or the other, or both)

Nursing Theory Best Matching My Values and Beliefs

My Definition of Nursing Based on My Values, Beliefs, and Nursing Theory

How I Apply My Definition of Nursing to My Practice of Nursing

Conclusion

 Week 10 Discussion: Gastroesophageal Reflux Disease and Peptic Ulcer Disease 

J.G. is a 42-year-old white man presenting with a 2-month history of intermittent midepigastric pain. The pain sometimes wakes him up at night and seems to get better after he eats a meal. J.G. informs you that his doctor told him that he had an infection in his stomach 6 months ago. He never followed up and has been taking over-the-counter Zantac 75 for 2 weeks without relief. He takes no other medications. He is concerned because the pain is continuing. He has no other significant history except he is a 20 pack-year smoker and he drinks 5 cups of coffee a day. He eats late at night and goes to bed about 30 minutes after dinner. He is allergic to penicillin.

Diagnosis: Peptic Ulcer Disease: Answer the following questions in full sentences using APA citations. 

List specific goals for treatment for J.G.

What drug therapy would you prescribe for J.G.? Why?

Discuss specific patient education based on the prescribed therapy.

List one or two adverse reactions for the selected agent that would cause you to change therapy.

What would be the choice for second-line therapy?

What lifestyle changes would you recommend to J.G.?

 Work must be supported by peer-reviewed article published within 5 years.

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
• Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
• Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
• Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

A nurse on the research and practice committee is preparing for an update on evidence-based practice (EBP). There is a need to address the potential changes with several EBP policies. This presentation will examine the EBP policies as well as reasoning and rationale as to why changes may be needed. 

• Choose an EBP topic and two scholarly peer-reviewed journal articles- MATERNAL MENTAL HEALTH
• Compare the difference between theory, research, and practice in nursing
• Choose a theory that best correlates with the EBP practice change that you would like to make
• Compare and contrast the quantitative and qualitative research article that you choose for the EBP topic
• What technology did you use to locate the articles? Databases? Search terms?
• What are the philosophical, theoretical, and methodological perspectives in the research articles that were chosen?
• What are the ethical and scientific integrity issues related to the research?
• How did your nursing knowledge advance through the utilization of research?

This PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation should be a minimum of 20 slides, including a title, introduction, conclusion and reference slide, with detailed speaker notes and recorded audio comments for all content slides. Use at least four scholarly sources and make certain to review the module’s Signature Assignment Rubric before starting your presentation. This presentation is worth 400 points for quality content and presentation.

I remember when I was in nursing school there was a clinical instructor that everyone talked about and no one wanted to be in her clinical group.  My second semester I ended up in her group and because of what everyone had said about her I was very nervous and anxious to be in her group.  She was very hard because she expected each of us to know our drugs we would be giving for our patients down to the smallest detail and what their medical conditions were and why exactly they were in the hospital.  It all seemed like a lot to remember or memorize the day before clinical and she always asked each of us questions before, during and in conference after each clinical day. 

It became a great experience when I understood that she was only trying to get us to critically think everything through and that she wasn’t out to fail us.  What she expected from us was that we participate and try to give her reasonable answers, she never belittled us when we were wrong, only provided answers.  She motivated me to challenge myself without fear of failure.  I enjoyed learning from her so much that I requested her again when I found out she was teaching clinical again in my fifth semester. 

I feel that the cognitive learning theory best describes the method by which I learn.  “According to this perspective, the key to learning and changing is the individual’s cognition (perception, thought, memory, and ways of processing and structuring information). Cognitive learning—a highly active process largely directed by the individual—involves perceiving the information, interpreting it based on what is already known, and then reorganizing the information into new insights or understanding” (Bastable, 2013, p. 73).  As a very visual learner I absorb what I see and hear in order to process it and be able to understand and use it in my practice.