class 2 unit 1 comment 2

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What does nursing philosophy have to do with your practice and how you practice as an advanced practice nurse?

 

Philosophy, or a type of mindset, as discussed in our book (Butts & Rich, 2015, pg 24.), is the underlying logic and ethical background that guides nursing practice. Nursing philosophy is composed from all the reasoning, rationale, and knowledge instilled in the nursing student so that it is carried forward to project the scientific basis and values molded by clinical experience. Nursing theories are used to help explain reasons for cause and effect of human behavior. Both philosophy and theory are important to nursing, especially advanced practice nursing because of their ever growing presence in the health care world. As nurse practitioners are becoming more necessary to be primary providers, both in rural and urban populations, and both primary care and specialty settings, the philosophy of caring for people needs to reign firm and true.

 

An important part of my own person nursing philosophy stems from being raised in a home with morals such as ‘doing unto others as you would have others do unto you’. I know I am not alone on difficult days where you have to dig deep and remind yourself of why you became a nurse in the first place. My own nursing philosophy has a lot of emotional support and stems from the ideas that this particular patient is a grandmother, a sister, a loved one of someone else and deserves great care. I also am a champion for education, and providing the tools to the patient in order to help better care for themselves when they leave our care. In the article by Hountras (2014), she discusses the importance in her own guided practice, and about educating new nurses and being a mentor as they develop their skills. I agree with this also and how much of a positive influence nurses can have on new nurses, students and patients. According to Butts & Rich (2015) providing care, educating and progressing the profession of nursing are all encompassed in a necessary societal duty we have within our discipline.

 

A final philosophy I implement into my nursing practice is advocating for patient self care. This is a branch of the education I already discussed, however this aspect of it goes further to empower the patient, providing resources and community support groups among any other necessary resources to set up the patient for optimal success. Dorethea Orem’s self care model is one I have always been found of because it does not place the provider drivers seat that control the patient’s health. In an article by Thrasher (2002), she discusses how Orem’s theory model promotes self care so that the person (if capable) should engage in learning about new health issues, be motivated to participate in future preventative scenarios and invest in reaching realistic goals along the way. This gives the patient more control over their health and treatment, allows them to understand they are part of the preventative primary health care, and that we have some role and determination in our own outcomes.

 

Butts, J.B., & Rich, K.L. (2015). Philosophies and Theories for Advanced Nursing Practice (2nd ed.). Page 11. Burlington, MA: Jones & Barlett Learning.

Hountras, S.C., (2015). What Guides Your Nursing Practice? Journal of Christian Nursing, 32(3), 179-181. 

Thrasher, C. (2002). The primary nurse practitioner: advocate for self care. Journal Of The American Academy Of Nurse Practitioners, 14(3), 113-117. doi: 10.1111/j.1745-7599.2002.tb00101.x

class 1 unit 7 comment 2

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According to Mantoya & Kimball (2012), “The American Marketing Association (AMA) defines marketing as “the process of planning and executing the conception, pricing, promotion and distribution of ideas, goods and services to create exchanges that satisfy individual and organizational objectives”   (Montoya & Kimball, 2012 p.187). Advance practice nurses (APNs) can expand opportunities through utilization of the 4 Ps of marketing which include produce, price, place, and promotion. (Hamric, Hanson, Tracy, O’Grady, 2014, p. 540).  According to Hamric (2014), “to market themselves successfully, it is essential that APNs integrate clinical expertise, leadership, collaboration, other APN competencies, and business skills” (Hamric et al., 2014, p. 538).

               The product is the object or service being marketed for sale (Hamric, 2012 p. 540) APNs do not have an object to market, but can promote marketing of the skilled nursing knowledge gained through continued education and clinical expertise. According to Mantoya & Kimball (2012) “the promotion of a strong and highly capable nursing image is an important strategy in marketing of health care services” (Mantoya & Kimball, 2012 p.187)  

               Price is the amount of money that is charged for a service or product (Hamric et. al, 2014, p. 540). According to Hamric et al. (2014) APNs are cost-effective in providing preventive health care to chronically ill patients. This allows the number of readmissions to decrease among hospitals (Hamric et al., 2014, p. 540).  I feel the APNs can save medical institutions money as their salaries are less than physicians.  In an economy that emphasizes on cost containment, this gives APNS an advantage.

               Place refers to the environment and operations needed to make the object or service available to the market (Hamric et al., 2014, p.540). APNs work in a variety of settings including hospitals, out-patient clinics, physicians’ offices, etc. I feel the place APNs render care is of utmost importance. There are multiple areas under the category “place “that can influence a patient’s decision about committing to an APN service. This includes the location of the office, parking space, waiting times, and friendliness of the office staff. APNs should be aware of their surroundings, ensuring it provides a positive aspect to the services provided.

               Promotion is the ability to advertise a service or object and increase its awareness to the public. Marketing has multiple strategies including reciprocation, commitment, social proof, liking, authority, and scarcity. (Hamric et al., 2014, p. 540)  The APNs can market their services through a detailed resume or curriculum vitae. The goal of the resume or curriculum vitae is to clearly state personal achievements and clinical expertise (Hamric et al., 2014, p. 541).  This allows possible employers or patients to understand one’s competencies’ and aid them in their decision-making process.

               I feel the most important role in marketing for an APN is the ability to identify their ideal target population. According to Hamric et. al (2014) identifying an ideal client and creating a message that correlates with the client will increase the probability of the client receiving, hearing, and acting on the APN’s message (Hamric et al, 2014, p. 544). By identifying a target population, the APN can identify marketing strategies that will appeal and attract the target population (Hamric et al., 2014, p. 545).

 

References

 

Hamric, A.,Hanson, C., Tracy, M., & O’Grady, E. (2014). Advanced Practice Nursing: An   Integrative Approach. (5thed.). St. Louis: Sanders

COMMENT SHEILA

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

Every few minutes someone in America commits suicide. In North America, suicide is the third-leading cause of death among people 15 to 25 years olD. And note this tragic feature of American life: among children between 5 and 14 years of age, suicide is the sixth most common cause of death (Smedes, 2000). Meilaender puts it that “Suicide as a rational project expresses a desire to be only free and not also finite-a desire to be more like Creator not creature”. As a Christian I do not condone suicide at the same time I am not at liberty to judge one’s actions as a sin or not. It is not my place. The Bible says “thou shalt not judge”.

“Euthanasia, also known as assisted suicide, physician-assisted suicide (dying), doctor-assisted dying (suicide), and more loosely termed mercy killing, means to take a deliberate action with the express intention of ending a life to relieve intractable (persistent, unstoppable) suffering” (Nordqvist, 2016). Considering the fact that one of Christian principle is to relieve suffering, when it comes to assisting to take one’s life, it becomes a difficult discussion. Meilaender emphasized that, euthanasia cannot simply be termed as an extension of one’s private autonomy or a non-interventional act in a private choice, this is because it requires the participation of another person, thus making it a communal act. This is quite difficult for me in this profession especially when it come to the point of given morphine schedules. Medicine is there to  ease the suffering. All life is precious and God oversees all of it. Nevertheless, to classify suicide and euthanasia as sin to me lies with God.

 

Reference:

Meilaender, G. (2013).  Bioethics: A Primer for Christians . William B. Eerdmans Publishing Company.

Nordqvist, C., (2016).  Euthanasia and Assisted Suicide . Retrieved from: http://www.medicalnewstoday.com/articles/182951.php

Smedes, L.B., (2000).  Christianity Today: Is Suicide Unforgivable?  Retrieved from: http://www.christianitytoday.com/ct/2000/july10/30.61.html

 

comment eve

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

Spiritual care is part of the art of nursing and professional care. Spiritual care is defined by the literature as recognizing, respecting, and meeting patients’ spiritual needs; facilitating participation in religious rituals; communicating through listening and talking with clients; being with the patient by caring, supporting, and showing empathy; promoting a sense of well-being by helping them to find meaning and purpose in their illness and overall life; and referring them to other professionals, including chaplains/pastors (Baldcchino, 2015). My strengths are that I am genuinely not a judgmental person and I am interested in learning about different cultures and beliefs. I feel that I can learn just as much from my patients as they can learn from me. I am also good at building trust with my patients. My charge nurse always jokes when a patient is being “difficult” by saying “give the crazy to Eve.” I usually do end up with the difficult patients but I often find that they were feeling disrespected or neglected by the staff prior to my shift. I think that my weakness is that I am to emotionally invested with my patients. I have a hard time with not providing words or services that I feel will help the patient even when it is against policy. For example, we are not allowed to hug our patients but I have been hugged by a patient and did not feel right about not returning the gesture.

If I were a patient and had difficult decisions to be made, my sister would make the decisions. Both my husband and my sister agree that my husband would not be able to carry out my wishes. I love my husband to death but he is not capable of making the decision to take me off life support if necessary, especially because he doesn’t believe that anyone should be taken off because of stories he has read about people waking up after years and being perfectly fine. My sister is very matter of fact and I know that she will do exactly what I want even if it’s hard.

Baldcchino, D. (2015). Spiritual Care Education of Healthcare Professionals. Religion, 6, 594-613.

Class 1 Unit 5 COMMENT 1

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Purpose: Discussion

Thing to Remember:

 

•   Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

•   1 References, find resources that are 5 years or less

•   No errors with APA format 6th Edition

 

Discussion: 

Physician assistant’s verses Nurse Practitioners are both similar and different.  First thing is the viewpoints and attitudes towards healthcare, nurses take the nursing approach, where physician assistant’s take a medical style. (nursingjournal, 2017) “Nurse practitioners (NPs) work in a variety of settings. So do physician assistants (PAs). They can both be found in hospitals and clinics, from rural to urban practices. PAs care for a variety of conditions. So do NPs. They both treat illnesses, provide patient teaching and prescribe medications, often acting as the primary care provider.” (2011, January 09) Both professions are important and are needed to assist in the growing demand on health care.  They both have advantages and disadvantages.  NP’s are a little freer as in they can practice in their own clinic whereas PA’s need to have a medical doctor oversee their work. 

Nurse practitioners are considered part of the advance practice nursing core, but the difference between APN’s and NP’s is the path of specialty they go towards.  NP are often more of a general practitioner, where other APN’s specialize in areas such as mid-wife’s, or anesthesiology. “the clinical nurse specialist (CNS) role was created for the following reasons: (1) to provide direct care to patients with complex diseases or conditions; (2) to improve patient care by developing the clinical skills and judgement of staff nurses; and (3) to retain nurses who are experts in clinical practice.” (Hamric, 2014, p. 359) Many people if they do not feel like there is advancement in their job or profession will quit and move to another job, nursing is no different. Many nurses want to be recognized but do not necessarily want to go back to school to further their education.

References

Hamric, A. B., Hanson, C. M., Tracy, M. F., & OGrady, E. (2014). Advanced practice nursing: an integrative approach. St. Louis, MO: Elsevier/Saunders.

Http://nursejournal.org/, 2. N. (n.d.). Nurse Practitioner Vs. Physician Assistant. Retrieved June 22, 2017, from http://nursejournal.org/nurse-practitioner/np-vs-physician-assistants/

Nurse Practitioner vs. Physician Assistant. (2011, January 09). Retrieved June 22, 2017, from http://www.washingtonpost.com/wp-dyn/content/article/2011/01/07/AR2011010704936.html

 

Post#3

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Hello i need a good and positive comment related with this argument .A paragraph  with no more  90 words.

 

Patricia Cruz  

 

Re:Topic 1 DQ 1

 

My idea of a healthy community is one where there are low crime rates and good physical and emotional health. A healthy community should promote well-being of its inhabitants in various ways such as: strong social networks, clean water, pollution-free air, affordable quality healthcare, and
 great schools. A healthy community is one that promotes well-being by encouraging its residents to screen for illnesses for prevention to avoid the burden of chronic disease.  Education campaign should be organized to sensitize people about the most common illnesses and educate them on how to avoid them to achieve a better life. Resident should be aware of resources available to them in their community, allowing them to feel safe. In my opinion, there is a strong relationship between healthy people and strong communities.

 

A collaborative effort is needed to promote a healthy community.  For example, I consider my community, Delta, British Columbia a fairly healthy community overall, compared to most. It has a
 very low crime rate. Delta municipality offers very good services to the public regarding law enforcement, recreation, maintenance of public parks, recreation areas and centers. There is regular night patrolling of police in all areas. Public health services are extra ordinary in my community; community health nurses identify vulnerable people from infant to senior, do regular health
visits, follow- up regularly. Postnatal mothers and infants get very good services from public health nurses and pediatric nurses including the provision of lots of free resources, Families with kids get reminder mails and phone calls from community health nurses before the immunizations are  due. 
There has been an improvement in air quality since the ban of smoking in all public areas and tobacco free environment in schools colleges, and public places few years ago. The community offers a number of Public Health Centers, regional hospitals, great schools districts, public libraries, recreation centers, fire stations, and police stations at walking distance for residents of each community. There is also a variety of public parks, play ground and recreation areas accessible to the general public at no cost or a small fee. I believe in prevention and, in British Columbia and several agencies do a goodjob conducting campaigns raising awareness regarding air and water pollution throughout the year. Another excellent job is done by voluntary organizations in the maintenance of each and every street in the community. In schools teachers and children participate in various health programs with school nurses and public health nurses. Some of the topics for creating awareness among children are,

 

As a Community Health nurse, I would collaborate with others, to identify the obstacles or barriers in the community and work to reduce or erase them to achieve the target of  healthy community.  I would also network with community leaders, other public health nurses, volunteers, school nurses to promote health programs, initiate safety strategies, promote education, provide as many resources available for health promotion, initiate prevention strategies, provide health education to all age groups in the
 community in order to reach the goal of a healthy community.

 

 

 

 

 

 

 

 

 

COMMENT REGINA

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

As per Study.com (2017). experimental research is done in a lab and is able to manipulate the predictor variable and subjects to identify a cause and effect relationship.  An example of experimental research is done with two groups an experiment group and a placebo group which has high level of control and variability.  With experimental research the variable has to be able to change.  Gender cannot be a variable with experimental research. 

Non experimental research cannot control, manipulate or alter the predictive variable or subjects.  It relies on observation, interpretation or interaction to come to a conclusion.  This means non experimental research relies on surveys, correlation and case studies.  An example of non experimental research is the question how compassionate are men and women?  Gender cannot be used in experimental research.  In experimental research there is a high level of control and in non experimental research there is a low level of control but you can have a larger amount in the study compared to experimental. Non experimental research has a lot of disadvantages.  It cannot find a cause an effect relationship and cannot manipulate predictor variables (Burns, et al, 2015).  It’s important to know the difference between experimental and non experimental research. 

References

Burns, N., Gray, J., Grove, S., (2015). Understanding Nursing Research: building an
evidence-based practice (6st ed).   Retrieved from VitalSource Bookshelf Online.

Study.com (2017). Non-Experimental and Experimental Research: Differences, Advantages & Disadvantages. Retrieved from http://study.com/academy/lesson/non-experimental-and-experimental-research-differences-advantages-disadvantages.html 

 

P1

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Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 

 

Deactivated

 

Shasta Stocker 

 

1 posts

 

Re:Topic 3 DQ 2

 

This was a tough discuss questions for me. Hopefully I answered it right. 

 

Creation: “According to Christianity, the Christian God is the creator of everything that exists” (Grand Canyon University, 2015).

 

Fall: “Sometime after the creation, there occurred an event in human history in which this created order was broken” (Grand Canyon University, 2015).

 

Redemption: “The rest of the story in the Bible after Genesis 3 is a record of humanity’s continual struggle and corruption after the Fall, and God’s plan for its redemption” (Grand Canyon University, 2015).

 

Restoration: “The final chapter of this narrative is yet to fully be realized. While God has made available a way to salvation, ultimately the end goal is the restoration of all creation to a state of Shalom. The return of Jesus, the final judgment of all people, and the restoration of all creation will inaugurate final restoration” (Grand Canyon University, 2015).

 

Every human on this earth is made by God. God sacrificed His son for our sins. God has a plan as to when a person will be get sick and even die. I like to believe everyone here on earth has a purpose. I find myself questioning if God is so powerful why does he let people die at a young age? I must deeply believe He has a purpose when someone is taken from earth way too soon.

 

I also read when a human get ill it’s so “His purposes might be fulfilled” not exactly sure what this means. Or “God has also used sickness as a judgment against people who were in rebellion against Him” in hopes that individual will turn to Him for guidance 

 

To find comfort and hope in the light of sickness one must turn to God for guidance and healing hands. 

 


 

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P6

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Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 

 

Marisa Atencio 

 

1 posts

 

Re:Topic 1 DQ 1

 

Scientific Management Theory’s main objective is to improve performance in the work places. There are advantages and disadvantages to most things, which include the Scientific Management Theory. Advantages of Scientific Management include enhanced teamwork, cooperation between managers and workers, better planning and decision-making, improved democracy in workplace and improved physical working conditions for employees. Some disadvantages and ways this theory can be ineffective are managerial decisions may involve strictness and stress for managers due to need for complete control over the work place, influences feelings of pressure among workers and it may de-motivate workers (Advantage & Disadvantage of Scientific Management Theory | Study Psychology Online, 2013) An example of how it can de-motivate employees and be ineffective is the management tells the workers that they are now to perform a workflow a certain way. There’s no explanation, there’s not wiggle room, that’s just the way it is. The workers may feel frustrated! When a change is put into effect, an explanation of why the change is needed is helpful for the change to occur. If there is no chance for the workers that are actually going to perform the workflow to give input, they are de-motivated.

 

 

 

An example of participative decision making that has occurred in my workplace is allowing nursing staff to have input on new workflows that are developed. We have an opportunity to give ideas and insight to the IT department and the leadership. Although everyone’s input is taken into consideration, we aren’t allowed the final say which is what participative decision making is all about. The good think about this process is employees do feel valued and feel that their opinion matters. Another way that this occurs
is nursing staff from each team is allowed to be involved in the interview process for adding members to their pod.

 


References

 

 

 

Advantage & Disadvantage of Scientific Management Theory| Study Psychology Online. (2013). Retrieved from http://studypsychologyonline.blogspot.com/2013/05/advantage-disadvantage-of-scientific.html

 


 

 

 

COMMENT KARAN

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I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

In our topic reading this week spiritual care is defined as “Spiritual care means putting people in touch with God through compassionate presence, active listening, witness prayer, Bible reading and partnering with the body of Christ (the church community and the clergy). It is never coercive or rude.” (Shelly, Allen & Miller, 2006).  My definition of spiritual care is taking care of the whole person, body and spirit.  To me this means not only taking care of physical ailments but also taking care of their emotional ones as well.  Being nice, compassionate and caring towards our fellow man can go a long way in healing our patients. Because the facility I work for is not religiously affiliated, it is not encouraged that we offer prayer to our patients.  However if my patient asks, I will absolutely pray with them or for them. Just last week one of my patients told me she has been on dialysis for the last 7 years and she is not doing well, she is on a donor list for a new kidney. She asked me to pray for her and I have been. This subject is near and dear to me as my sister that is two years older donated a kidney to a man from her church that was in dire need. She flew to Seattle for the procedure and had to take 3 weeks off from work. The surgery was a success and she and the recipient are doing great. When we think of organ donation most times it comes from someone that has lost their life but not always. I think of my sisters selfless act as that of an angel that helped another person extend their life here on earth.

 

References:

Shelly, J. A., & Miller, A. B. (2006). Called to care: a Christian worldview for nursing (2nd ed.). Downers Grove, IL: IVP Academic/InterVarsity Press.