1. Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.
2. Select an important nursing issue/topic that was inherent to the identified situation.
3. As a method of refection, use Carper’s Patterns of Knowing to analyze the situation. In a two- to three-page paper address the following:
4. Briefly explain the situation
5. Identify the nursing issue inherent in the identified situation
6. What do you think was the underlying reason for the situation? (Esthetics)
7. What were your thoughts and feeling in the situation? (Personal)
8. What was one personal belief that impacted your actions? (Ethics)
9. What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)
10. What new insights did you gain through this reflective practice opportunity?Application: Use Microsoft Word to create the written component of this assessment.
11. Length:
    1. The paper (excluding the title page and reference page) should be at least two but no more than three pages.  
12. A minimum of two (2) scholarly literature sources must be used.
13. Submission: Submit your file to the Canvas course site by the due date/time indicated.

Best Practices in Preparing the Reflective Essay

The following are best practices in preparing this reflective essay.

1. Review directions thoroughly.
2. Follow assignment requirements.
3. Make sure all elements on the grading rubric are included.
4. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scholarly writing.
5. Because the paper is a reflective essay, first person is acceptable for this assignment.
6. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
7. Ideas and information that come from scholarly literature must be cited and referenced correctly.
8. A minimum of two (2) scholarly literature sources must be used.
9. Abide by CCN academic integrity policy.

 

Rubric

 NR501: Week 2 Reflective Essay 

 

Disorders of the Nervous System and Special Senses Memo

-Imagine you are an official in a hospital or public health agency.

-Write a memo, at least 350 words in length, to a fictional colleague in which you use 5 words from the below.

Nervous

Encephalon

sulcus

Cerebellum

precentral

postcentral.

contralateral.

Neurosis

Psychosis

Schizophrenia

Antipsychotic

Bifida

Congenital

Neuropathology

Iris

Optic

blepharitis

Ophthalmoscope

Myopia

Auditory

-Be sure to use the words in such a way that it is clear to the reader that you know the exact meaning of each of the 5 words.

Note: without Plagiarism pleas

  

Overview:

Create a 4-6 page annotated bibliography and summary based on your research related to best practices addressing a current health care problem or issue of interest to you.

For this assessment, you will select and research a current health care problem or issue faced by a health care organization. Read each portion of the assessment carefully and use the Suggested Resources to help you complete the assessment. This assessment provides an opportunity to apply research skills to a current health care problem or issue.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

· Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.

· Summarize what was learned from developing an annotated bibliography.

Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

· Assess the credibility and relevance of information sources.

· Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.

Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals.

· Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

· Write following APA style for in-text citations, quotes, and references.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, a family member, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

· How do you approach a problem or issue within your organization, when you observe it?

· How often have you needed to find credible information to solve a personal or professional problem? How did you find the information you needed?

· What are peer-reviewed resources? Why are peer-reviewed resources considered to be credible and valid?

· How would you explore evidence-based best practices in your field of study?

Apply the Socratic approach

Applying the Socratic approach to problem solving helps you identify gaps and improve your thinking when writing papers or completing projects. The questions may be used to spark new insights when responding to discussion topics and posts.

· Identify the elements of the problem, issue, or question 

· Analyze, define, and frame the problem, issue, or question 

· Consider solutions, responses, or answers 

· Choose a solution, response, or answer 

· Implement your choice 

· Evaluate the results

Topics to choose from (Choose 1 of these 4)

Topic 1-Limited Access to Healthcare.

(Consumers face barriers to healthcare access for assorted reasons. For example: due to geographic location, provider availability, transportation issues and mobility.)

Topic 2-Health Care Disparities.

In 2010, the Federal Department of Human and Health Service (DHHS) launched the Healthy People 2020 goals to include a goal to eliminate health inequality/disparity. Healthy People 2020 defines a health disparity as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (Office of Disease Prevention and Health Promotion, 2017, p.1).

Topic 3- Medications errors.

A medication error is a preventable adverse effect of a patient taking the wrong medication or dosage, whether or not it is evident or harmful to the patient. Medication errors can be a source of serious patient harm, including death

Topic 4- Health Care System Errors.

The health care system in the United States has been the subject of much debate as experts try to determine the best way to deliver high-quality care. In Crossing the Quality Chasm, the Institute of Medicine (2001) called for the redesign of health care delivery systems and their external environments to promote care that is safe, effective, patient-centered, timely, efficient, and equitable.

Additional Requirements

1. Length: At least 4–6 typed, double-spaced pages, not including the title page and reference page.

2. Font and font size: Times New Roman, 12 point.

3. APA Template: Use the APA Style Paper Template as the paper format and the APA Style Paper Tutorial for guidance. See the Resources for these documents.

  

The work for this paper entails interviewing  TWO different categories of advanced practice nurses (APNs). One APN has to be a primary care nurse practitioner (e.g., family NP, adult NP, pediatric NP); that is, the NP cannot be one who is an acute care NP. Furthermore, the NP must work in a primary care setting such as a “doctor’s office” or community health center—that is, in a setting the buzz-word for which is now medical home. An NP who works in a retail clinic or free-standing urgent care center would also be acceptable (but NOT an emergency department). Yes, there are many APNs who are prepared as FNPs or adult NPs who take jobs in non-primary care settings (e.g., as hospitalists and as providers in nursing homes). But a common premise with health care reform and the Affordable Care Act is that there already is and will be a huge need for primary care providers, thus paving the way for even greater opportunities for NPs in this area. It is important that you get a firm grasp of how NPs are prepared for primary care, and thus why NP organizations assert an important solution to the primary care provider shortage is educating more NPs which is why every state should allow full independent practice authority for APNs, especially NPs. 

The other APN may be your choice of one of the following: a certified nurse midwife (CNM) or a certified nurse anesthetist (CRNA) or a clinical nurse specialist (CNS). There is no limitation regarding the types of settings these APNs might work. Be sure to indicate the state(s) where the APNs practice.

Although the information gathered from these APNs will be acquired via an interview, the paper should be written in summary format (i.e., it should not look like a dialogue between you and the APN). Information on both interviews should be in a single document. It is not necessary to provide the APNs’ full names. Most elements of APA format should be used, including a title page and abstract. Most students’ papers that address all of these questions for both APN are about five double-spaced pages, without counting the title page or abstract (be sure to read your APA manual regarding what an abstract should look like!). An exception to the APA format requirement is that a reference list is not required, since all of the information will be derived from two sources (the APNs whom you interviewed). Although you have free range to discuss other topics about advanced practice nursing, you must address the following issues with each APN (please follow the order of list below):

1. Reason for their choosing their specific APN specialty.

2. Descriptions of: (a) the type of setting where they work (e.g., community hospital, major medical center, private primary care practice, clinic for the underserved, etc.), and (b) a “typical” day as they render care. 

3. Level of satisfaction with their role in general, and specifically within the system where they are currently employed.

4. The type of APN certification that they hold, including identifying the accurate name of the certifying body with which they are certified (Note: Review your textbooks for the correct names of these certifying bodies. Also note there are several different certifying bodies for NPs).

5. Whether they have prescriptive authority and whether they prescribe controlled substances. If they do prescribe controlled substances, you must indicate from which schedules of controlled substances they are allowed prescribe.

6. Whether they must practice according to an agreement with a physician. If so, is the relationship supervisory or collaborative?

7. Are they credentialed and privileged by a hospital or health system?  If the answer is “yes,” ask them to explain what the credentialing and privileging process entails at their organization (e.g., are the documents reviewed by only the human resources department, the nursing department, or the medical staff office, a combination of all three, etc.).

8. Whether they belong to a professional organization(s) that specifically addresses APN issues. If so, which one (s)? If not, why not?

9. Their understanding about the DNP degree (i.e., have them actually explain what they know about the degree) and whether they have this degree already or intend to pursue it. Be sure to probe to see if they have positive or negative feelings about the DNP—and why.

10. Final grading criterion: Paper’s adherence to APA format (with the exception that references are not required for this particular paper), including grammar, spelling, punctuation, sentence structure, etc. 

Total points for this assignment is 100; each question above is worth 10 points. 

 

Watch the following videos, then complete the required assignment. Review the document in Course Resources for instructions on accessing the videos.

Lab 1

OSCE Clinical Skills

Sore throat15:08  

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan? 

Lab 2

OSCE Clinical Skills  

Cough 16:29

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan?