3 DQ 2

Discuss the difference between a DNP and a PhD in nursing. Discuss which of these you would choose to pursue if you decide to continue your education to the doctoral level and explain why.

I recall some years ago there was a controversy with physicians about nurses claiming the honor of doctor. Physician’s and their allies pushed legislators to restrict who can call themselves doctor. A bill proposed in the New York State Senate would bar nurses from advertising themselves as doctors, no matter their degree (Harris, 2011). The Doctor of Nursing Practice (DNP) and Doctor of philosophy (PhD) are both doctoral degrees with a little bit different criteria required for graduation. Advanced practice degrees such as Midwifery are transitioning to doctoral degrees from master’s programs. The biggest difference between the DNP and PhD besides graduation requirements is that PhD programs do not teach nursing practice. The PhD role is usually for nonclinical nurses who are getting into the education and research realms. While PhD-prepared nurses focus on the discovery of new knowledge, DNP-prepared nurses focus on the application of new knowledge and research into practice in order to promote better health care and patient outcomes (Grand Canyon University, 2018). One can have both a PhD and a DNP, but if looking for a career in advance practice, Doctor of Nursing practice is the route to take. I would choose to pursue the Doctor of philosophy path because I feel my strengths would better fit the research role. I have no desire to return to bedside nursing at this point in my career.

  

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.

  

Maria is a sedentary, 68-year-old woman who is overweight. She complains that her hands and feet are always cold, and she tires quickly when cleaning the house. At her most recent visit to her doctor, her blood pressure was 184/98 mm Hg. She has edema around her ankles and legs, and her physician is concerned about an echocardiogram that indicates Maria has an enlarged heart. 

1. Identify two reasons why Maria will have tissue ischemia. How might this lead to hypoxia? 

2. What are the two early and reversible changes that occur to tissue cells when they are hypoxic? 

3. What specific type of cellular adaptation has taken place in Maria’s enlarged heart? What made you come to this conclusion? 

REQUIRED TEXTBOOK: Norris, T. (2019). Porth’s Pathophysiology: Concepts of Altered Health States. 10th Ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. ISBN: 978-1-4963-7755-5

Please be brief with your answers-do not copy answers from the book-read the case study and answer in your own words-briefly! You are not required to cite as your answers should come from your textbook-it is a demonstration that you understand the content and the case study. 

Follow this Example;

Case Study, Chapter 4, Genetic Control of Cell Function and Inheritance Marsha and Clement are both carriers of sickle cell anemia, a disease that is autosomal recessive. Their first child, Amelia, does not have the disease. Marsha and Clement are planning another pregnancy, but they are concerned about their second child having the condition. Clement’s father died from complications of sickle cell disease shortly before Amelia was born

1. What is the likelihood of Marsha and Clement having a baby with sickle cell anemia? What is the chance the baby will be a carrier of the disease, just like the parents?

The gene is recessive, so the parents will have a 25% chance of giving birth to a child with the disease. There is a 50% chance that the baby will be a carrier

2. Marsha suggested to the nurse at the local family planning clinic that if the baby were a boy, he might have a higher risk of developing the disease, just like his grandfather. How would you respond?

The disease is autosomal in nature, meaning the disease arises from an abnormality on chromosomes 1 to 22. These chromosomes are alike in both males and females.

1. When Amelia, who does      not have sickle cell anemia, grows up and marries someone who does have      the disease, how likely will her children have the disease?

If Amelia has children to a father with sickle cell disease, the children will be carriers only.

The purpose of this assignment is to apply the IDEAL problem-solving method to relevant business scenarios.

Professionals recognize the need to integrate problem solving skills in the work environment. The IDEAL problem-solving method developed by Bradford and Stein is implemented by Identifying the problem, Defining the problem, Exploring strategies, Acting on ideas, and Learning from experience.  

Review the “Problem Solving Scenarios” and select one relevant business scenario. You are required to address the following questions in a 300-500 word outline:

1-Examine the behaviors presented in the selected scenario. Apply the IDEAL problem-solving process to the scenario. Be sure you discuss each aspect (Identify, Define, Explore, Act, and Learn) of the method as it relates to the scenario.

2-Determine whether the behavior in the scenario could be described as unethical or illegal and how this should be addressed professionally.

3-Describe how you would resolve this issue using the IDEAL method.

 

Scheduling and Staffing

Competency

Collaborate in healthcare delivery systems settings for improved patient outcomes.

Scenario

You are making a staffing assignment knowing that you are short-staffed. You have five registered nurses (RNs), two licensed practical nurses (LPNs), and two nursing assistants. Those nine employees need to provide a 12-hour shift of services to 30 clients with a high acuity required to a ratio of nurse to client at 1:3.

Client acuity level

• Six acuity level 1
• Eight acuity level 2
• Nine acuity level 3
• Seven acuity level 4

You will use the acuity-based staffing model to develop the staffing assignment based on the needs of the clients. You will use the created template.

 

Instructions

As you create this assignment, include the following in an email to your manager to justify your short-staffing plan:

• Complete the staffing assignment based on the acuity level.
• Defend how you would direct the staff to their assigned roles for this shift and provide a rationale for the staffing assignment.
• Describe how you would communicate with each level of care provider to assure the best outcomes possible.
• Address how you would ensure client equity in the delivery of services.
• Provide stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.

Resources

For assistance completing this assignment, review the article titled Patient Acuity Model.

Week 3 Ati: The Communicator 2.0: Video Interaction: Clients Displaying Aggressive Behavior 

(The transcript of the video is attached below).

Do a 100-word Reflection

The Communicator 2.0 Guidelines ( attached below)

Purpose 

Use interactive simulation to enhance student knowledge, skills, and attitudes in the area of professional communication.

Reflective Journal

Required criteria

1. 100-word minimum reflection.

2. Identifies how this scenario enhanced understanding of communication techniques.

3. Addresses how these communication techniques will be incorporated into their own communication style to improve the nurse-patient/family relationship.

4. Logical reflective flow which follows standard grammatical rules with minimal (1-2) misspellings and APA where applicable.

APA format (7th ed.) and is free of errors       

Grammar and mechanics are free of errors free of Plagiarism   

References: Use your book, the outside source must be within the last 5 yrs, Scholarly Articles,s or Nurse journals within the last 5 yrs.