Category: Nursing

Please answer the following Discussion Questions. Please be certain to answer the three questions on this week DQ and to provide a well-developed and complete answer to receive credit. Your post must have 3 references for full credit. Also, please ensure to have read the assigned chapters for the current week.
Is there a model of leadership that better supports leadership at the point of service? Why? Why not?
How could formal leadership training for nurse managers and leaders impact hospitals in terms of saving money related to recruitment, nursing satisfaction, nurse wellness, and retention?
How do traditional attributes associated with the nursing profession promote effective leadership in the 21 st century?

Students are to write a 1-2 page summary of a 2-6 page article from a U.S. nursing journal, published within the past 5 years. Article chosen must show how it relates to the patient. Attached is information on the patient. The assignment is to be typed, double-spaced, with one-inch margins using APA 7th edition format, including the title page. The format should include an introduction, body, and conclusion. A care plan should also be submitted .

Compare and Contrast 2 current COVID articles that are discussing the same topic/question, and respond to all of the following prompts:
How are they similar?
How are they different?
Which article is easier to read and why?
Which provides better evidence and why?
APA formatting with citation

The following questions refer to your experience in this week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the moral and ethical dialog exercise, and address at least three (3) of the following:
Some questions are already answered:
Did you find any of the scenarios more difficult to deal with than others?
Did you feel any internal conflict with any of the scenarios?
How did your personal and professional background impact how you decided to interact with the patient? My nursing background consists of hospice and mental health, both professional backgrounds require empathy, active listening, authenticity, and building trust with our patients.
Do you feel the responses the patient gave to the practitioner’s response were reasonable or typical? Yes, before I became a nurse I worked in an OBGYN office as a medical assistant and these are very common situations and responses that I would hear in our practice. There are some cases were a patient does become verbally combative when information and resources are provided regarding their decison.
Were you taken aback by any of the patient’s reactions? No, many of the responses were very logical.
How might this activity contribute to your role as a nurse advocate in a moral and ethical practice? This activity helps exercise therapeutic communication such as open-ended questions, sharing information, and acknowledging of the patient’s feelings and current situation.
Did you utilize an ethical decision-making model to explore a systematic way to evaluate any of these ethical dilemmas? If so, describe the effectiveness.
Below is the link with all the ethical situations needed to answer this discussion post. “This Week’s exercise”
https://webapps.srm-app.net/CanvasContent/SF/WCU_N…
More resources if needed: https://webapps.srm-app.net/CanvasContent/SF/WCU_N…

My PICOT
Young adults diagnosed with schizophrenia.
Introduction
Schizophrenia affects a patient’s ability to think and feel and negatively influences their behavior. It is a debilitating disorder affecting less than 1% of the US population. A critical barrier to schizophrenia treatment involves the client’s resistance, whether due to denial, shame, stigma, or their disorder’s particular symptoms. For example, because schizophrenia patients often experience paranoia, delusional beliefs, and negative symptoms like alogia, anhedonia, and catatonia, a potential client may have difficulty trusting others and accepting help. In addition, for the most part, in younger patients diagnosed with schizophrenia, antipsychotic medications decrease their sex drive and increase their prolactin level, which leads to medication non-compliance (Morken, Widen, & Grawe, 2021). The sides effect often affect the patient’s quality of life.

Background:
Schizophrenia is a chronic mental severe disorder often treated with first and second-generation antipsychotic agents, such as risperidone, Thorazine, aripiprazole, quetiapine, and ziprasidone. In comparison, patients hospitalized for schizophrenia disorder receive these agents at discharge but stop taking the medications due to sigma, denial, or side effects. The process of relapses, treatment failure, and incomplete recovery leads many patients to more severe issues and chronic illnesses (Tandon, Nasrallah, & Keshavan, 2020). Research indicates that progression is characterized by measurable brain volume deterioration and loss if left untreated. (Bonilha et al., 2019).
Non-compliance to pharmacological treatment can be subdivided into two classes: complete cessation of medication and partial non-adherence. These issues lead to significant complications such as behavioral disturbances, substance abuse, and death. An expert consensus statement endorsed the percentage of medication not taken over a while as the preferred definition of non-adherence. The experts agreed that patients taking at least 80% of prescribed medication might be considered fully adherent, those taking 50-79% are partially adherent, and those taking less than 50% are nonadherent. (Bonilha et al., 2019).
In addition, non-adherence to antipsychotic drugs in young adults with schizophrenia increases the rate of early re-hospitalization and involuntary admissions in the psychiatric wards to 30%. How can NPs manage this problem after discharging patients to ensure they take their medications? (Novick, Haro, Suarez, Vieta, & Naber, 2019).
Significance of the problem:
According to studies, non-adherence results in partial or no response to antipsychotic treatment have negative consequences, including a higher mortality rate. In effect, non-adherence to antipsychotic medicines in patients with schizophrenia leads to frequent relapse, multiple re-admission, and, worse, suicide. Furthermore, patients with first-episode schizophrenia, especially young adults, experience numerous barriers to treatment; therefore, increasing adherence to antipsychotic drug therapy is a must in this group. (Peng et al., 2019).
Purpose:
This project aims to monitor and reduce non-adherence to antipsychotic medications in young patients. The long-acting antipsychotic medication is beneficial and does not require patients to take it daily.
Clinical question:
P: Young adults diagnosed with schizophrenia
I: Educate the patient about long-acting medication, and meet with the patient every two weeks for the first two months after taking the first dose. Then once a month for three months, the injections can be given in the clinic to ensure the patient takes the medication.
C: Lack of follow-up with patients after discharge
O: Decrease hospitalization by 20-30%.
T: Six months

Self-Assessment Paper
The purpose of this paper is to conduct a cultural self-assessment.
You will read each of the boxes in Chapter 2 of your textbook (one for each domain of the Purnell Model for Cultural Competence), answer these questions as they relate to you.
Remember to answer these questions from your personal perspective. At all times, explain why you do or do not adhere to the dominant cultural practices and beliefs of the ethnic group(s) with which you primarily identify.
If you do not wish to self-disclose a specific area from the Organizing Framework, indicate so instead of just not addressing it; of course, this should not happen very often.
Your paper should be formatted per APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)
I have attached a powerpoint with the boxes from the chapter and some of my answers you may use. Submission Instructions:
The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The paper is to be no shorter than 3 pages; nor longer than 5 pages in length, excluding the title, abstract and references page.
Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).
Grading Rubric Your assignment will be graded according to the grading rubric.
Essay/Paper Rubric
CriteriaRatingsPoints
Identification of Main Issues/Problems
Distinguished – 4 points
Identify and demonstrate a sophisticated understanding of the issues/problems.
Excellent – 3 points
Identifies and demonstrate an accomplished understanding of most of issues/problems.
Fair – 2 points
Identifies and demonstrate an acceptable understanding of most of issues/problems.
Poor – 1 point
Identifies and demonstrate an unacceptable understanding of most of issues/problems.
4 points
Analysis and Evaluation of Issues/Problems
Distinguished – 4 points
Presents an insightful, thorough analysis and evaluation of issues/problems.
Excellent – 3 points
Presents a thorough analysis and evaluation of most of the issues/problems.
Fair – 2 points
Presents a superficial or incomplete analysis and evaluation of issues/problems.
Poor – 1 point
Presents unacceptable analysis and evaluation of issues/problems.
4 points
Demonstrates a Conceptual Understanding
Distinguished – 4 points
Provides a thorough, competent and interpretive responses to all issues/problems, and shows a high level of conceptual understanding.
Excellent – 3 points
Provides a competent and interpretive responses to all issues/problems, and shows a moderate level of conceptual understanding.
Fair – 2 points
Provides a competent responses to all issues/problems, but lacks interpretation and a moderate level of conceptual understanding.
Poor – 1 point
Provides an unacceptable response to all issues/problems, and lacks interpretation and a moderate level of conceptual understanding.
4 points
Use of Citations to Course Readings and Additional Research/Literature
Distinguished – 4 points
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing.
Excellent – 3 points
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing.
Fair – 2 points
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing.
Poor – 1 point
Ineffectively uses the literature and other resources to inform their work. Unacceptable use of citations and extended referencing.
4 points
Writing Mechanics and APA Formatting Guidelines
Distinguished – 4 points
Demonstrate a high level of clarity, precision, and attention to detail. APA style is correct and writing is free of grammar and spelling errors.
Excellent – 3 points
Demonstrate a high level of clarity. APA style and writing mechanics need more precision and attention to detail.
Fair – 2 points
Demonstrate a moderate level of clarity. APA style and writing mechanics need more precision and attention to detail.
Poor – 1 point
Demonstrates issues in writing and communicating clearly. APA style and writing mechanics need serious attention.
4 points
Total Points 20

PICOT-Amongst staff nurses and employees, how can we implement a mindfulness 15 minute break with guided imagery activity to lower nursing burnout across three months?

ScenarioAs a manager on a medical surgical unit, part of the job responsibility includes chart audits.
A trend noted during the most recent audit was the overuse of the term “dementia.” The nurse manager notes that there may be a lack of understanding between the types dementia as related to neurological diseases.
The nurse manager developed a survey to evaluate the staff’s understanding of the different types of dementia. As a result of the survey, you have been asked to create a PowerPoint presentation to increase the nurse’s awareness of the types of dementia a presentation was created.
InstructionsChoose one of the following topics for a focused presentation:
Alzheimer’s
Parkinson’s
Vascular Dementia
The presentation should include the following:
Pathophysiology
Etiology & incidence
Health promotion and maintenance
History/Risk factors
Physical signs and symptoms
Changes in cognition
Changes in behavior & personality
Changes in self-management skills
Diagnostics: laboratory and imaging assessment
Planning and implementation
Interprofessional Collaborative Care
Psychosocial integrity
Medications
Safety considerations
Using Ignatavicius and one additional resource, develop a presentation to enhance the nurses’ knowledge of the differences between types of dementia and delirium. Be sure to document your source(s) in your presentation.

Create a one-page SUNY Downstate College of Nursing Health Equity Leadership Project Infographic that:
Articulates the skills required to be an effective and transformational leader for the future who demonstrates competence in diversity, inclusion, equity and sustainability
may explore ideas such as:
Leadership styles and competencies that are needed for nurses to play a role in diversity, inclusion, equity and sustainability
Lessons from transformational leaders that may be applied to the complex health system to achieve diversity, inclusion, equity and sustainability,
Interpreting EB literature on diversity, inclusion, equity and sustainability, or
Health team characteristics that will lead the change to diversity, inclusion, equity and sustainability.
Readings
1. What is Health Equity? May 1, 2017 Publisher: Robert Wood Johnson Foundation Author(s): Braveman P, Arkin E, Orleans T, Proctor D, and Plough A (SUGGESTED)
2. Dye, B. A., Duran, D. G., Murray, D. M., Creswell, J. W., Richard, P., Farhat, T., Breen, N., & Engelgau, M. M. (2019). The Importance of Evaluating Health Disparities Research. American journal of public health, 109(S1), S34–S40. https://doi.org/10.2105/AJPH.2018.304808
3. Schaffer, M. A., Keller, L. O., & Reckinger, D. (2015). Public Health Nursing Activities: Visible or Invisible?. Public health nursing (Boston, Mass.), 32(6), 711–720. https://doi.org/10.1111/phn.12191
4. Swider, S. M., Levin, P. F., & Reising, V. (2017). Evidence of Public Health Nursing Effectiveness: A Realist Review. Public health nursing (Boston, Mass.), 34(4), 324–334. https://doi.org/10.1111/phn.12320
5. Diversity, Equity, and Inclusion in Academic Nursing AACN Position Statement
https://www.aacnnursing.org/Portals/42/News/Position-Statements/Diversity-Inclusion.pdf
6. Unleashing the Power of the Nurse to Achieve Health Equity Interactive Website
https://www.nap.edu/resource/fon/interactive/
7. The Future of Nursing 2020-2030 Charting a Path to Achieve Health Equity Consensus Study Report Highlights
https://www.nap.edu/resource/25982/Highlights_Future%20of%20Nursing_4.30.21_final.pdf
Boamah, S. A., Spence Laschinger, H. K., Wong, C., & Clarke, S. (2018). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook, 66(2), 180-189. doi:10.1016/j.outlook.2017.10.004
Poghosyan, L., & Bernhardt, J. (2018). Transformational leadership to promote nurse practitioner practice in primary care. Journal of Nursing Management, 26(8), 1066-1073. doi:10.1111/jonm.12636
Pearson, Madelyn M. DNP, RN, NEA-BC. Transformational Leadership Principles and Tactics for the Nurse Executive to Shift Nursing Culture. JONA: The Journal of Nursing Administration 50(3):p 142-151, March 2020. | DOI: 10.1097/NNA.0000000000000858

For this assignment, you will work on setting goals for yourself using the SMART method. You will find an explanation of this method in the module that will guide you in your goal-setting process. You will list a minimum of five professional goals that you would like to accomplish during the clinical experience for Nurse practitioner pediatric clinicals in this term. For each goal, you must provide an explanation of how the goal is representative of each of the SMART characteristics: Specific, Measurable, Attainable, Realistic, Timely. Be sure to answer the following questions for each goal summary: Can you measure it? Is it attainable? Is it realistic? What is the time frame you have set for completing that goal?
Format: Each goal summary should be at least 100 words – totaling 500 words for this assignment (added to the speaker notes). The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references. The presentation should consist of 10-15 slides (excluding the introduction and reference page).