Complete the DNR interactive case study following the readings and presentations for this week. Associate what you have learned in your weekly materials with what was presented in the case study.

https://www.dropbox.com/s/k0kvg0m6eqmtv96/Nurs440%20DNR%20Case%20Study%20-%20Google%20Chrome%202020-08-24%2023-11-54.mp4?dl=0

After you complete the case study, reflect upon what you have learned from the case study and related learning materials this week. Compare this case study to your nursing practice and give a similar example from your nursing experience in which you might have run into an ethical situation.

Note: No need for the cover page. However, please provide APA in-text citations and a reference page. Please cite from scholarly journals, accreditable websites, and the textbook attached. 

The textbook https://www.dropbox.com/s/1yjgjmty4tp5e2u/Professional%20Issues%20in%20Nursing%20%20%20%20%20Challenges%20and%20%20Opportunities-2014-CD.pdf?dl=0

  

1. A nurse is conducting a well-child assessment. The parents ask the nurse why growth charts are used. What information should the nurse provide?

​2. A nurse is caring for a client who has recurrent urinary tract infections (UTIs). What are the risk factors for UTIs in children?

​3. A nurse is preparing to administer cefixime 8 mg/kg/day by mouth divided into equal doses every 12 hr. to a toddler who weighs 22 lb. The amount available is cefixime suspension 100 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number.)

4. A nurse is caring for a child with moderate dehydration secondary to an acute gastrointestinal infection. If a client is hypokalemic, when is it considered acceptable to administer potassium replacement?

 

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. 

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. 

PLEASE FOLLOW THE RUBRIC

 A well-develop discussion of the problem, those affected, current ramifications, and consequences if the issue continues is presented. Strong and compelling rationale is provided. Insight into the problem and consequences is demonstrated. 

 A logical and well-developed idea for addressing the issue is outlined. Why legislation is the best course for advocacy is thoroughly explained. Strong and compelling rationale is provided. 

 Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states, are presented and demonstrate strong and compiling support for the idea. 

 All significant stakeholders in support of the proposed idea are presented and a well-supported explanation of why they are in support of the idea are provided. 

 All significant stakeholders in opposition to the proposed idea are presented. A well-supported explanation for why they are opposed to the idea and strategies for debating or conversing with opposing stakeholders is presented. 

 The financial impact for the issue and idea is clearly summarized. Strong rationale and support for claims is provided. 

 Legislative information needed and process to advocate for proposal are clearly and logically presented. The legislative process is clearly understood and insight into legislative advocacy is demonstrated. 

 A well-developed discussion of how Christian principles support unbiased advocacy for health care legislation is presented. The discussion demonstrates an ability to act impartially and in the interest of promoting inclusive patient care without regard to gender, sexual orientation, culture, race, religion, or belief. 

 Research is supportive of the rationale presented. Sources are distinctive. Addresses all of the issues stated in the assignment criteria. 

 The writer is clearly in command of standard, written, academic English. 

 Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 

Week 2 Discussion

• Choose two concepts in the theory you choose last week and describe:
  • How are the concepts defined in general (from other references)? 
  • How does the theorist define each of the concepts you have chosen?
  • How do those concepts apply to your clinical practice? Give concrete examples. To support your work, use the textbooks from your course and also use the South University Online Library, citing your sources in your work and providing references for the citations in APA format.

Remember to list two concepts – and remember that theories are derived from conceptual models and are comprised of concepts and propositions. The only concepts that are common to all nursing theories, in some shape or form, are patient, nurse, health, and environment – which we discussed last week.

This week, select two concepts that are unique to your selected theory from last week – but they CANNOT be one of the four metaparadigm concepts – person, nurse, health or environment.

This is weeks one discussion please use this as a reference like stated above 

Part One

The four meta paradigms of nursing are patient, health, nursing and environment. The metaparadigm of patient focuses on the recipient of care. It looks at the patient’s culture, spirituality, friends, family, and socioeconomic status. The premise of this metaparadigm is a patient is empowered to manage their health through positive connections (Branch et al., 2016). The second metaparadigm of health relates to the quality and patient wellness. Also, it includes patient’s access to health care. The third metaparadigm of environment refers to the internal and external factors relating with a patient. This includes a patient’s surroundings and interactions with visitors. The last metaparadigm of nursing component which relates to how nurses use their knowledge to provide care (Branch et al., 2016). It is important for nurses to apply these meta paradigms in their nursing practice to address patient care.

Part two

The theory applicable to my practice is the Theory of Human Caring disseminated by Jean Watson, a theorist in nursing. Watson advocates for developing specific theories to patient care (Nikfarid et al., 2018). Further, she interprets the nursing metaparadigm patient by promoting practice that satisfy human needs through human care. Watson believes it is important to honor the needs of a patient regardless of their beliefs or customs. Watson supports that individual patient needs should be valued and understood. Also, Watson interprets health as much more than curing an illness (Nikfarid et al., 2018). Watson believes that curing is a physiological response and nurses should use a holistic approach with patients.

This theory is appropriate in my area of clinical practice because I believe in satisfying human needs of every patient. I believe in addressing each individual needs and spending quality time with patients to provide a caring environment. Further, healing is a process that involves a lot of factors that the Watson theory discusses. Even though the theory has faced some criticism, I find it appropriate in my areas of clinical practice.

Reference

Branch, C., Deak, H., Hiner, C., & Holzwart, T. (2016). Four Nursing Metaparadigms. IU South Bend Undergraduate Research Journal, 16, 123-132.

Nikfarid, L., Hekmat, N., Vedad, A., & Rajabi, A. (2018). The main nursing metaparadigm concepts in human caring theory and Persian mysticism: a comparative study. Journal of medical ethics and history of medicine, 11

Purpose

The purpose of this activity is to deepen learning through reflective inquiry. It will allow for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals.

Course outcomes: This assessment enables the student to meet the following course outcomes.

·  Compare and contrast differences and similarities of qualitative, quantitative, and mixed method designs.

·  Analyze qualitative and quantitative data for the purposes of critical appraisal of evidence.

·  Appraise systematic reviews for translation science.

·  Differentiate selected statistical methods for the purposes of translation science. 

·  Evaluate selected statistical methods for the purposes of critical appraisal of evidence. 

·  Synthesize literature relevant to practice problems.

·  Formulate PICOT/PICoT questions relevant to advanced nursing practice. 

Preparing the Assessment

Follow these guidelines when completing this assignment. 

1.  Write a brief 1–2 paragraph weekly reflection addressing the questions posed in the Reflect section of each week. Edit your Reflection to include each weekly reflection.

2.  Include the following sections in your Reflection.

1.  Week 1

§  Provide one specific example of how you achieved the weekly objectives.

§  What did you learn about your capacity to read and appraise original qualitative research? What changed, if anything, following the week’s activities?

§  How will this skill improve your effectiveness as a practice scholar?

2.  Week 2

§  Provide one specific example of how you achieved the weekly objectives.

§  What did you learn about your capacity to read and appraise original quantitative research? What changed, if anything, following the week’s activities?

§  How will this skill improve your effectiveness as a practice scholar?

3.  Week 3

§  Provide one specific example of how you achieved the weekly objectives.

§  What did you learn about your capacity to read and appraise summaries of research evidence? What changed, if anything, following the week’s activities?

§  How will this skill improve your effectiveness as a practice scholar?

4.  Week 4

§  Provide one specific example of how you achieved the weekly objectives.

§  How has the course information influenced your understanding of descriptive statistics?

§  How can you bring this information of statistical analysis to practice?

5.  Week 5

§  Provide one specific example of how you achieved the weekly objectives.

§  In what ways did course information influence your understanding of parametric statistics?

§  What goals will you set in accordance with what you have learned this week?

6.  Week 6

§  Provide one specific example of how you achieved the weekly objectives.

§  What was the most rewarding learning experience you had this week?

§  How could you amplify the effectiveness of your skill in evidence synthesis and translation science?

7.  Week 7

§  Provide one specific example of how you achieved the weekly objectives.

§  How has course information changed your ways of knowing?

§  How does the knowledge gained advance your professional formation as a practice scholar?

8.  Writing Organization and Mechanics

§  Grammar and mechanics are free of errors.

Requirements 

1. Addresses all aspects of the weekly reflection 

2. Assesses own learning 

3. Assesses value of the learning experience

I ATTACHED EVERY WEEK DISCUSSION BOARD FOLLOWING THE GUIDE FOR THIS ASSIGNMENT AND THE ATTACHED, YOU CAN COMPLETE EVERY WEEK. REMEMBER IS 1 TO 2 PARAGRAPHS FOR EACH WEEK AND USE AT LEAST 5 SOURCES NO LATER THAN 5 YEARS AS WELL AS APA FORMAT 7 ED. IN ADDITION, COULD YOU COMPLETE EACH WEEK SEPARATED FOR EXAMPLE:

WEEK 1

WEEK 2

ETC.