Reply to my peer – 2025 Begin reviewing and replying to peer postings responses early in the week to enhance peer discussion

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Reply to my peer – 2025

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

TASK

Post your initial response to the  topic below.

Advance Care Planning and Analysis

Read the section titled “Reflective Practice: Pants on Fire” from the chapter “Health Policy, Politics, and Professional Ethics” and address the questions below.

  • How do you judge Palin’s quote below, as an effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering? 
    • “And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.” 
  • Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?
  • Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? 
  • Does this apply to the recently failed American Health Care Act?

Peer 1

I think Palin’s stance was to much of a show of emotion related to her at home situation.  I feel that when it comes to modern politics that emotions do not seem to get very much accomplished.  I understand some of her frustrations with Obamacare. I honestly find myself have more conservative views when it comes to politics, but I do feel that it takes both parties to get every view point across.  One reason that I do feel nurses should be involved with legislation is due to the amount of trust the public has for our profession.  According to Huie (2017), “Nurses have consistently been ranked the most trusted profession in honesty and ethical standards above other healthcare professionals such as medical doctors, pharmacists and dentists” (p. 3).  I think this raises the bar for nurses to become more involved in politics.  My opinion on the AHCA is that its failure is due to Trump’s hast to get it passed.  I believe there will be no perfect system to healthcare.  Therefore, without being able to back an imperfect system nurses will never be able to get involved.   

Huie, R. (2017). Nurses, The Most Trusted Profession! Alabama Nurse, 44(1), 3.

Peer 2

I feel that the above quote by Sarah Palin was both an effective strategy against the Democrats and unethical fear mongering. Playing on the emotions of people by naming the most vulnerable people in society is a good way to get someone’s attention and a good way for people to automatically dismiss the AHA without giving it a fair chance just by her statement and her analysis of it. Why take the time and go through the strenuous details when she gets to the gist of it in one short, powerful statement. I personally think it was a low blow, however this is politics and you have to hit them where it hurts to get results or to get people’s attention. My judgment is based on analysis of facts. Obamacare was created so Americans can have insurance coverage and to include more Americans to ensure they have coverage. The AHCA is similar to Obamacare so I think the statement can pertain to it as well.

EHealth Insurance. (2017, October 22). Trumpcare (AHCA) vs. Obamacare (ACA). Retrieved August 01, 2020, from https://www.ehealthinsurance.com/resources/affordable-care-act/trumpcare-vs-obamacare

Nursing Discussion- Reply to my peers – 2025 Reply to my peers responses Begin reviewing and replying to peer postings responses Participate in the

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Nursing Discussion- Reply to my peers – 2025

Reply to my peers’ responses

Begin reviewing and replying to peer postings/responses. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. You may use this APA Citation Helper as a convenient reference for properly citing resources.

Task

Consider one of the nursing theories, conceptual frameworks, or mid-range theories presented in the textbook and class.

·  Which philosophy/conceptual framework/theory/middle-range theory describes nursing the way you think about it?

·  What is your rationale for selecting this theory/framework?

·  Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.

Peer #1

 

Hildegard Peplau’s Interpersonal Relations Theory

Peplau’s interpersonal relations theory is the mid-range theory that captures what nursing ought to be. In this regard, it is the assertion that nursing is a therapeutic interpersonal process where nurses work with others to make health possible (Alligood, 2018, pg. 45). It is, therefore, the expectation that nurses work together with their patients, understand their health needs, and work together to ensure that the patients go back to their health status.

           The rationale for the choice of this theory is because it appreciates that nursing is an interpersonal process; an assertion that is coherent with what the principle of evidence and patient-centered care expects from nurses. The exchange between the nurse and the patient is what allows a nurse to access critical information which in turn helps a nurse to realign the care towards securing better care for the patient. Moreover, the interpersonal relations theory also expects the nurse-patient relationship should be a learning experience (Smith, 2019, pg. 78). This is a phenomenon that is coherent with the fact that nursing skills need to be constantly improved. As a result, the nurses must keep on learning about health needs as this ultimately helps improve relevant skills by nurses.

           Consequently, Peplau’s interpersonal relations theory demands that a nurse ensure that securing of health for the patient is done in a manner where the patient is an active party to the treatment process decisions. Therefore, my critical thinking will be comprised of both professional expertise together with the insights collected from the patient. This will ensure that the final decision is sensitive to both the principle of evidence-based practice and the patient’s taste and preferences when it comes to health services. As a result, from this approach to critical thinking, the final decision-making process will also be sensitive to the basic expectation of a nurse prioritizing the interest of the patient and the special needs and expectations that the patients have issues in terms of medical attention he or she needs.

References

Alligood, M. R. (2018). Nursing theorists and their work. St. Louis, Missouri: Elsevier.

Smith, M. (2019). Nursing Theories and Practice. Philadelphia: F.A. Davis Company.

Peer #2

I think of nursing mostly in ways similar to Hildegard Peplau’s “Theory of Interpersonal Relations in Nursing” (Black, 2017, p. 185).  Her theory was initially designed for psychiatric patients.  However, her work has become applicable to all nurse-patient relationships.  The basis of this theory is divided into four phases, orientation, identification, exploitation, and resolution.  The orientation phase includes defining the problem and the individual roles.  The identification phase is about clarifying the expectations of the relationship.  For example, when a patient arrives in the hospital, the problem needs to be identified and then the patient needs to be aware of what needs to be done.  The exploitation phase occurs when the patient takes complete use of his or her available services offered by the nurse.  The final stage is the resolution phase.  This phase consists of the problem being resulted and the end of the relationship; the patient is discharged from the hospital.  These phases do not occur without the previous one; they are interdependent, overlapping, and must be completed in a proper nurse-patient relationship (Peplau, 1991, pgs. 18-42).

I chose this theory because it is a full cycle of the nurse-patient relationship.  I believe we all must be aware of the situation, be educated, and utilize all available personnel to properly complete a hospital stay.  This theory can also be relevant to other hospital staff, not solely nurses.  For example, a case manager is assigned to this patient’s case.  The case manager will inform the patient of what his or her job will entail, the two will formulate a plan for discharge, the patient has the ability to take advantage of what the case manager is offering, and then the patient is discharged and can call back if they have questions. 

Hildegard Peplau’s “Theory of Interpersonal Relations in Nursing” is a wonderfully coordinated set of roles and processes for the nurse-patient relationship.  From admission to discharge, this theory speaks to me as a nurse.  If we are able to understand the patient’s background and other influencing factors during the orientation phase, we can modify how we respond during the identification phase.  By doing so, the patient will be able to better utilize the exploitation phase.  Thus, the care of the patients is better and the outcomes are improved (Gonzalez, 2019).

References

Black, B. P. (2017).  Professional nursing: Concepts & challenges (8th ed.). St. Louis, 

            MO: Elsevier.

Gonzalez, A. (2019, August 24). Hildegard Peplau: Interpersonal Relations Theory Guide. Retrieved June 23, 2020, from https://nurseslabs.com/hildegard-peplaus-interpersonal-relations-theory/

Peplau, H. E. (1991). Interpersonal relations in nursing  : A conceptual frame of 

            reference for psychodynamic nursing (Reprint). Springer Pub Co.

unit 2 assignment – 2025 Advanced Nursing Practice and Advanced Practice Nursing Analyze the differences between Advanced Nursing

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unit 2 assignment – 2025

 

Advanced Nursing Practice and Advanced Practice Nursing

  1. Analyze the differences between Advanced Nursing Practice and Advanced Practice Registered Nursing.
  2. Appraise the population served through your Advanced Nursing Practice Role.
  3. Evaluate certification opportunities for your chosen role.
  4. Develop your licensure, accreditation, certification, and education plan based on your chosen advanced nursing practice role.
  5. Investigate state-specific implications for your chosen role.

Your paper must be presented in a single Word document. The paper must be between 4 to 5 pages in length, not including the title and reference list pages. The paper must use proper APA formatting as directed in the APA Publication Manual, 7th edition formatting, including title page, and reference list with properly formatted citations in the body of the paper.

You are encouraged to consult the Academic Success Center prior to submitting your paper. To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 7th edition format.

week 4 discuss 6051 – 2025 Discussion Big Data Risks and Rewards When you wake in the morning you may reach for your

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week 4 discuss 6051 – 2025

Discussion: Big Data Risks and Rewards

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

  • Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
  • Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.
By Day 3 of Week 4

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)
Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)

American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

Office of the National Coordinator for Health Information Technology. (2017). Standard nursing terminologies: A landscape analysis. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf 

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.
Note: You will access this article from the Walden Library databases.

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Topaz, M. (2013). The hitchhiker’s guide to nursing theory: Using the Data-Knowledge-Information-Wisdom framework to guide informatics research. Online Journal of Nursing Informatics, 17(3).  
Note: You will access this article from the Walden Library databases.

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.
Note: You will access this article from the Walden Library databases.

Required Media

Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Laureate Education (Producer). (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Baltimore, MD: Author.

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Vinay Shanthagiri. (2014). Big Data in Health Informatics [Video file]. Retrieved from https://www.youtube.com/watch?v=4W6zGmH_pOw.
 

Discus

Course Reflection 4516 – 2025 Course Reflection Guidelines Purpose The purpose of this assignment is to provide the

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Course Reflection 4516 – 2025

  

Course Reflection 

Guidelines

Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR4516 course.  

Course Outcomes

This assignment provides documentation of student ability to meet the following course outcomes: 

– The student will identify the different types of crisis and their impact on the patient safety and health (AACN Essentials, QSEN: safety, teamwork and collaboration, quality improvement, informatics and patient centered care). 

– The student will be able to approach and safely manage patient/families in crisis.

Points

This assignment is worth a total of 100 points (10%).

Due Date

Submit your completed assignment under the Assignment tab by Friday 11:59 p.m. EST of Week 15 as directed.

Requirements

1. The Course Reflection is worth 100 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab. 

3. The length of the reflection is to be within three to six pages excluding title page and reference pages. 

4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered): 

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

a. Course Reflection 

b. Conclusion

Preparing Your Reflection

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the NUR4516 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. “Integrate theories and concepts from liberal education into nursing practice.

2. Synthesize theories and concepts from liberal education to build an understanding of the human experience. 

3. Use skills of inquiry, analysis, and information literacy to address practice issues.

4. Use written, verbal, non­verbal, and emerging technology methods to communicate effectively.

5. Apply knowledge of social and cultural factors to the care of diverse populations.

6. Engage in ethical reasoning and actions to provide leadership in promoting advocacy, collaboration, and social justice as a socially responsible citizen.

7. Integrate the knowledge and methods of a variety of disciplines to inform decision making.

8. Demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the healthcare system.

9. Value the ideal of lifelong learning to support excellence in nursing practice.” (p. 12).

Reference:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

cultural diversity – 2025 Nancy is an autonomous 85 year old living in her own home She is hospitalized for atrial fibrillation

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cultural diversity – 2025

 

Nancy is an autonomous 85-year-old living in her own home. She is hospitalized for atrial fibrillation and two new medications are added to her regime. She has been forgetful and asks the nurse to repeat statements several times. She doesn’t think she can remember to take all her medications and asks if Medicare can pay for someone to come administer the medications twice a day.  Does Nancy meet the eligibility for home care visits? If so, how much (if any) would Medicare pay for home care for Nancy? What other options could be discussed with Nancy? Explore options for living in an independent or assisted living home. What are the costs involved?  Your initial post must include a minimum of 300 words and include proper grammar, punctuation, and reference(s). 

Assignment 2: psychology

 The deep dive this week involves the class of drugs, anti-psychotics. Pick 1 drug from this family and write up a short description of the med, its uses, side effects, contraindications, warnings, any labs that need to be followed etc. Again, write it as though you were instructions a patient. 

Nursing Informatics – 2025 Learning Resources Required Readings McGonigle D Mastrian K G 2017 Nursing informatics and

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Nursing Informatics – 2025

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 175–187)
Chapter 12, “Electronic Security” (pp. 229–242)
Chapter 13, “Workflow and Beyond Meaningful Use” (pp. 245–261)

Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference

Agency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkit. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit

Required Media

Louis, I. (2011, August 17). Systems development life cycle (SDLC) [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8f the Nurse Informaticist in Systems Development and Implementation

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
  • Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

  • Planning and requirements definition
  • Analysis
  • Design of the new system
  • Implementation
  • Post-implementation support

At least 3 citations APA 7TH Edition format 

Week 5 Research Proposal Project: Implementation Plan (Ethics, Recruitment, Data Collection) – 2025 Implementation Plan For this section of your research proposal assignment you will

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Week 5 Research Proposal Project: Implementation Plan (Ethics, Recruitment, Data Collection) – 2025

Implementation Plan

For this section of your research proposal assignment, you will focus on the implementation plan, which includes considerations for ethics, recruitment practices, and a plan for how you will collect your data. Please note that you will not explain how to analyze your data in this section, but rather how you will go about collecting the data.

The following components must be addressed:

  • Explain how you will ensure your research is conducted in an ethical manner 
  • Include a copy of an informed consent that will be included for participants of your research proposal project (see pp. 202–203 for a sample) 
  • Explain how you will recruit participants for your study, and how your recruitment process will remain ethical. Be sure to address any incentives (if applicable) 
  • Explain what quantitative data you will collect and how you will go about collecting this data (survey, questionnaire, observation, etc.) 

APA formatting, references, and citations are required.

Your research project implementation plan should be included as part of your final submission for your research proposal project in week 7 and your research proposal presentation in week 8. Use the feedback you receive from your instructor on your implementation plan to modify and improve before submission of your final project in weeks 7 and 8.

Critical Reflection Paper : Chapter 9 – 2025 Students will judgmentally appraise the reading from Chapter 9 on your textbook This assignment is intended

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Critical Reflection Paper : Chapter 9 – 2025

Students will judgmentally appraise the reading from Chapter 9 on your textbook. This assignment is intended to help you assessment, examination, and spread over the readings to your healthcare ethics as well as become the foundation for all for your remaining assignments. You need to read the article reflecting your appreciative and ability to apply the reading to your ethics. 1- Introduction- provide a short-lived summary of the undertone (not a description) of each chapter and articles you read, in your own words. 2- Your critique – What is your response to the content of Chapter 9?

-What did you absorb about Ethics and Safe patient handling? Mention and explain two examples where you can apply them. 

3- What are the ethics arguments for advocacy on SPHM programs and behaviors?

4- For the Professional role you have right now, what are the implications of this chapter for you?

-Conclusion- Fleetingly recapitulate your thoughts and postulation to your analysis of the articles and Chapter you read. How did these articles and Chapter impact your thoughts about the principles of ethics?

Discussion: Comparing Existential-Humanistic Therapy to Other Types of Therapy – 2025 Understanding the strengths of each type of therapy and which type of

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Discussion: Comparing Existential-Humanistic Therapy to Other Types of Therapy – 2025

Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each client is an essential skill of the Psychiatric Mental Health Nurse Practitioner. In this Discussion, you will compare Existential-Humanistic therapy to a therapy you select from the previous weeks of this course. You will identify the strengths and challenges of each and describe a fictional client that you think is best suited for each.

Assignment:

Post a summary of the psychotherapy that you selected and explain why it resonates with you the most at this time. Then compare the psychotherapy you selected with existential-humanistic therapy. What are the strengths and challenges of each type of psychotherapy? Describe a fictional client that you think would be best suited for the therapy you selected and one fictional client you think would be best suited for existential-humanistic therapy. Explain why.

The psychotherapy I selected was COGNITIVE BEHAVIOURAL THERAPY (CBT)

Rubric:

Quality of Work Submitted: The extend of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.

Quality of Work Submitted: The purpose of the paper is clear.

Assimilation and Synthesis of Ideas: The extend to which the work reflects the student’s ability to:

Apply and integrate material in course rsources (i.e. video, required readings, and textook) and credible outside resources.

Assimilation and Synthesis of Ideas: The extend to which the work reflects the student’s ability to:
Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings,  textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.

Written Expression and Formatting
Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.

“Written Expression and Formatting
English writing standards: Correct grammar, mechanics, and proper punctuation

Assimilation and Synthesis of Ideas: The extend to which the work reflects the student’s ability to:
Understand and interpret the assignment’s key concepts.

“Written Expression and Formatting
The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.”