Calista Roy case study

A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.

 

Both the DNP prepared nurse and PhD prepared nurse have valuable and vital roles within the healthcare field.  PhD prepared nurses are skilled in the area of research methods, such as quantitative, qualitative, and mixed research methods (Trautman, Idzik, Hammersla & Rosseter, 2018), therefore are research centered.  PhD prepared nurses are defined as linking research, teaching, and practice within the nursing profession (Andreassen & Christensen, 2018).  According to a quantitative study by Andrerassen & Christensen the number of PhD nurses is growing worldwide.  A priority of the PhD nurse is to complete practice based research with a goal to maintain a positive overall impact on patient care. 

   The DNP program was intended to prepare the advanced practice nurse to become a leader in a clinical practice setting (McCauley, Broome, Frazier, Hayes, Kurth, Musil, Norman, Rideout & Villarruel, 2020), therefore is more focused on clinical practice.  DNP prepared nurses often find themselves bridging the gap between research and the bedside (Trautman et al., 2018).  DNP nurses lead quality improvement initiatives while utilizing data to translate research into evidence based practice (Trautman et al., 2018).  Over the years the number of DNP programs available for one to enhance their education has grown.  DNP nurses complete coursework involving assessments of the most up to date technologies available to prescribers and will be prepared to apply this technology in the workforce to solve various problems (McCauley et al., 2020), such as solving emerging problems during this pandemic.   

   Both roles (DNP and PhD) aim at improving one’s healthcare services and wellbeing also are degrees of the highest level of nursing practice.  The goal of both the DNP and PhD prepared nurse is to have a positive patient care outcome.   Nurses have the opportunity to obtain either a PhD or DNP while expanding their knowledge in the healthcare field.  Overall this is a great opportunity,  one is able to choose what career path most suits them and their career goals.  I am excited to take advantage of this educational pathway with a goal to practice in a PMHNP role leader position.  I fully intend to  pursue my career in the mental health field and strengthen my clinical practice skills.   

                                                                                        References

Andreassen P., & Christensen M.K. (2018). “We’re at a watershed”: The positioning of PhD 

nurses in clinical practice. Journal of  Advanced Nursing, 74(8), 1–11. doi.org/ 10.1111/jan.13581

McCauley, L. A., Broome, M. E., Frazier, L., Hayes, R., Kurth, A., Musil, C. M., Norman, L. D., 

Rideout, K. H., & Villarruel, A. M. (2020). Doctor of nursing practice (DNP) degree in the United States: Reflecting, readjusting, and getting back on track. Nursing outlook, 68(4), 494–503. https://doi.org/10.1016/j.outlook.2020.03.008

Trautman, D.E., Idzik, S., Hammersla, M., Rosseter, R., (2018). Advancing Scholarship through 

Translational Research: The Role of PhD and DNP Prepared Nurses. OJIN: The Online Journal of Issues in Nursing, 23(2) 1-1. doi: 10.3912/OJIN.Vol23No02Man02

ALL READ: The Evolution of TIGER article is found here and in the course resources. 

Shaw, T., Sensmeier, J., & Anderson, C. (2017). The evolution of TIGER. CIN: Computers, Informatics, Nursing, 35(6),278-280. doi: 10.1097/CIN.0000000000000369

TIGER Initiative  (Minimum of 250 words and three references)

Access the HIMSS TIGER Initiative website using this link     

http://www.himss.org/professionaldevelopment/tiger-initiative?%2Ftiger%2F (Links to an external site.)=

Read the information provided on the website page to gain a base knowledge of what TIGER is all about.  View the video supplied on this webpage.

Discuss the following:

1) History of TIGER

2) International Informatics Competency Synthesis Project

3) TIGER Definitions

4) Reflect on this portion of the initiative and what you found interesting and of value to nursing informatics.

  

Nursing Case study and pamphlet due 10/30/2020 

Case study

A few weeks ago you were hired as Director of Patient Education for a regional medical center

located in the Midwest. The medical center includes three community hospitals ranging from 175 to

321 beds, four outpatient clinics, and five centers of excellence. The five centers of excellence are

located at two of the hospitals and focus on heart disease, cancer care, care of the aging,

neuromuscular disorders, and women’s health.

In your position you are responsible for coordinating patient education across the medical

center, including all programs and print materials. Your staff includes three BSN-prepared nurses,

one located at each of the hospitals. As one of your initial steps in this new position, you have

completed an assessment of the current educational offerings and staff satisfaction with the quality

of the current programs. One area of need stands out: The professional staff report that a growing

number of patients have been joining online social networking sites. One staff member said, “I think

they are all helping each other get online.” These patients are now raising new and sometimes

difficult questions about treatment options. None of the staff has explored any of the online sites,

and they are afraid to join for fear that they could become involved in some sort of violation of the

Health Insurance Portability and Accountability Act (HIPAA).

Discussion Questions

1. 400 words. Describe how you would develop a staff education program and create an outline of key points that you would include.

2. 200 words Develop a patient handout that the staff can use to educate patients on the effective use of

online social media materials. Within the pamphlet speak on key information regarding the program and the benefits of various form of social media in health promotion and disease prevention. Include pictures in the pamphlet to appeal to your customers. 

A template is provided as an attachment.