COMMENT 1

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Hamric has defined advanced nursing practice which can be applied to any of the Advanced Practioner Nurse roles. Whether it be the role of a Certified Registered Nurse Anesthetist, a Certified Nurse Midwife, or a Nurse Practitioner, Hamric’s definition of nursing practice applies and gives a proper representation of the elements and qualifications these professionals possess. In my opinion, the three elements that are most important of Hamric’s definition of advanced nursing practice are graduate education, evidence-based practices, and leadership. I believe these are the most important elements because they are what creates the basis for a successful Advanced Nurse Practitioner. In my opinion, it is essential to have graduate education in nursing so that one knows the information, such as the human body, diseases, diagnoses, treatments, and other aspects. As mentioned in our textbook, graduate education would fall under the category of direct care which would be considered a “central competency” (Hamric, Hanson, Tracy, & O’Grady, 2014). Having the basic knowledge of advanced nursing practice forms a foundation in which the professional can grow from. I also believe it is essential to be up to date with the latest evidence-based practices so that treatment and patient care can be given following the latest research studies and experiments. Lastly, having leadership skills is essential to have as an Advanced Nurse Practitioner because one has greater responsibilities and needs to be able to delegate tasks to other nurses. Leadership is a quality that Advanced Nurse Practitioners when caring for patients because they need to be able to form a strong foundation for those patients who need an individual to lead them in the path to optimal health. Hamric’s definition of advanced nursing practice entails many elements that are crucial for a successful advanced nursing professional to attain. 

 

Reference

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Advanced practice nursing: an integrative approach. St. Louis: Elsevier.

comment tania

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 I NEED A POSITIVE COMMENT BESED IN THIS ARGUMENT. PLEASE USE YOUR OWN WORDS TO DO THE COMMENTS. BETWEEN 150-200 WORDS.

 

The     US health care system is defined to be faced by  different    mismatch  on how activities are carried outin the internal    perspective and    external  perspective. Though    efforts have being implemented so  that  effectiveness can    be obtained in the U.S.  Health Care System, satisfaction    has not been  obtained to both patients and physicians this is    as  stated by Clift, (2014). More so, industrial     efficiency  that are appropriate should be emulated     so that diversity can be  obtained in all context is  the    health care functionality. The health care has  not been    in a position to enhance and offer structure  that  define    the problems that revolve within the  industry hence causing    a    barrier in offering  efficiency. This is    reflected to the delivery  contest where poor quality of    care is offered to word the  big population of U.S.   

 The structure    and process of the existing U.S health care system    is that  it has not been a position to be financed    by the government this means that difficulties    are    faced in offering care. This aspect is     based on  the financial concept that analyses how    inefficiency is  obtained in the organization structure    through  the country. More so,  the management    contest is  not structured to offer efficiency due    to inadequate facility and funding in every facility that    offers care,  and the functional capabilities do not meet    the required standards. The identified contest can be made    effective by resolving the  structural  problems of the    health care system and    implementing better ways    that will make the health    care offer    diversity in to patients.In addition, a fundamental result will be    obtained that is full  of  efficiency on how care is    delivered, and this means U.S. Health Care System will be    in a better position.  

 Health care    reform is essential when it comes to issues that    pertain  health care practices; this is done so    that  improvements can be obtained indifferent    concept that makes up health care.  For instance,     inadequate coverage and inefficiency care of variable quality    are  the core reason as to why health care reform s    required this is  because health care is  required is to    offer an effective and  efficient  care that is full    of diversity so that patients can feel  more    recognized.  Requiring more transparence    and  accountability is another aspect  that    enhances need for health care  reform. This is based on    the aspect of eradicating discriminatory  health insurance    practices, which means that all patients should be treated    with the same  consideration.    

 Another  Issue   that prompted a need for health care reform is the  increased  number of patients and inadequate facilities in    the whole country . This means that  the health care opts to    strategies a better  functionality aspect that will    improve how services are delivered  to  patients. More so, the amount of time that is required to offer   care   is another issue that  prompted a need for    health care reform.  Lack  of fund result to    inadequate medication which means that  health  insurance   coverage should be offered to for   America’s  patients. More so, by  the provision of health insurance, their ought  to  be consideration of cost efficiency which  will reflect  improvements in health  care and lower health care cost. This means that better benefits  should be offered to patients so   that healthcare can keep patients healthy in a common  perspective without segregation. However improving the U.S.  economic outlook is another factor that  improves medicals sustainability to patients. In  addition, it is important to    initiate long terms aspect that emphasizes the health care  perspective in a better manner  (Cohen, 2013).      
      
 References     
Clift,C. (2014).The World Health Organization for ? : Final   report  from the  Centre on  Global  Health Security Working Group on Health    Governance.    London:   

Chatham  House,   the Royal Institute of International    Affairs. Cohen,  I.    (2013). Globalization of Health Care: Legal and Ethical  Issues.Cary: Oxford University Press, USA

            

p4

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

 

 

Idalmis Espinosa 

 

1 posts

 

Re:Topic 5 DQ 1

 

Reengineering of health care is at the center of most health care institutions today. The concept entails putting in of the appropriate measures to ensure that it provides cost effective care, there is increased value in customer service as well as there is the reordering of priorities within the institution that will facilitate the achievements of goals and objectives.

 

            Nurse Managers play a crucial role in the health care organizations. Their primary function is to manage the nurses who offer services to the patients. Nurse leaders facilitate reengineering of health care in different ways. Firstly, they help in decision making. Appropriate decisions are vital in the reengineering of the health care. Nurse leaders recruit the member of the nursing staff and provide oversight. When doing this, they ought to follow ethical principles that guide their profession. They have to ensure that they adhere to the professional code of ethical to protect not only the rights of the patients but also those of the members of staff. A well-managed team of professionals will deliver expected services to the customers (Coonan, 2007).

 

            Secondly, they help in the implementation of the legal environment. The nurse managers stay up to date with the legal requirements of the nursing profession to ensure that they operate smoothly. The nurse leaders work with the families of the patients and also doctors to delivering health care services. While doing this, they have to operate within the laws that protect patients such as in issues of confidentiality and also those legislations that protect the professionals.

 

            Nurse leaders also support innovations in the organizations. For instance, they take part of discussion and implementations of any technologies that will help facilitate the provision of quality and fast services to patients and also make the work easy for the staff members (Larson, 2016).

 

 

 

Class 1unit 4 comment 1

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An opinion leader is someone who is well respected, experienced, and patient (Hamric, Hansen, Tracy, & O’Grady, 2014, p. 277). This is a person who leads by example and is seen as leader because of the qualities they possess not by the position they hold. An opinion leader is often sought out by others for their advice and expertise (Hamric et al., 2014, p. 277). 

I see many characteristics of an opinion leader in myself. I have always been committed to continuing education and have attended several conferences and continuing education seminars. Due to this many of the nurses that I work with are eager to hear what I have learned in these conferences. My peers trust my clinical judgement and skills and often seek out my advice or my help with difficult skills. I feel I also show characteristics of an opinion leader when educating the certified nurse aids (CNAs). The CNAs I work with respond more effectively when I take my time to educate them why something is important rather than just telling them to do a task. 

An example of a time that I felt I was acting as an opinion leader was after attending an in-service put on by our local pharmacy. At that in-service, I learned that the use of Diphenhydramine in elderly patients drastically increases the risk of falls (J. Krichner, personal communication, January 21, 2015). Prior to this in-service, myself and the other nurses I worked with would routinely ask physicians for orders for Acetaminophen with Diphenhydramine when patients were having difficulties sleeping. After sharing this information with my peers all of the nurse stopped requesting Acetaminophen with Diphenhydramine as a first request to the physicians as a sleep aid. This continuing education allowed myself to make an important change to better care for my patients. 

References

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. (2014). Advanced practice nursing: 

            an integrative approach (5th ed.). St. Louis, MO: Elsevier/Saunders.

comment

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

 

The ethos of scientism and postmodernism has exacerbated the perceived philosophical and cultural tension between science and religion. What is your perception of this tension? Use the lecture and the topic readings to support your response.

“Scientism is the belief that the best or only way to have any knowledge of reality is by means of the sciences” (Moreland & Craig, 2003, pp. 346-350). This does not mean that scientism and science are one in the same. Scientism lacks the ability to differentiate between making moral or ethical decisions due to science being based solely on testing and facts. Modernism “social scientists and health care professionals are calling for a more holistic view that brings humans into harmony with their environment” (Shelly & Miller, 2006). This type of method is based off of religions and philosophies.

Often in nursing there is tension between science and religion. In my nursing career, I have encountered patient conflicts related to science vs religion. Patients who have a strong religious and cultural backgrounds may opt out of treatments that are based on scientific evidenced based practice because of their beliefs. But as time has progressed I have noticed that religion and science are being incorporated more into patient care to achieve a better patient outcome. This is where the most important part of our job duties as a nurse becomes crucial which is education. We should give written literature and verbally explain to the patient the science rationale because this is what will help with treatment of the patient while incorporating their religious beliefs. After educating the patient and the treatment or procedure is still unacceptable in their religious beliefs, it will not be performed but at least the patient has gained knowledge and can then make their personal decision. I believe that if the healthcare team works with the patient and their families this can help reduce the tension between science and religion.  

 

References:
Moreland, J.P., & Craig, W.L. (2003). Philosophical foundations for a Christian worldview. Downers Grove, IL: IVP Academic.

 

Class 1 unit 5 Comment 1

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Team work is an essential part of nursing. In order for a team to succeed in achieving positive patient outcomes the team members must show mutual respect for one another, and have excellent communication and collaboration skills. Not all team members have to like each other, but they must show mutual respect for once another. If team members do not respect each other they will be less likely to share ideas and communicate effectively. When all team members show respect for one another the team members will be able to communicate more openly and share ideas to improve patient outcomes. 

It is essential that teams communicate effectively. For example, if a certified nurse’s aide does not communicate a new skin issue to a nurse in a long-term care facility the nurse will not know to asses this issue and contact the primary care provider if needed. This lapse in communication could lead to a negative patient outcome. Without proper communication, the whole picture of the patient is not seen. It is important that the primary care providers get the whole picture of the patient when making recommendations and when prescribing medications. 

Collaboration is also a very important part of a good clinical team. Hamric, Hansen, Tracy, and O’Grady (2014) explain that, “By definition, collaboration describes relationships that are positive and work well for professionals, patients, and communities” (p. 300). Collaborations is a partnership that promotes an open exchange of ideas (Hamric et al., 2014, p. 300). An effective team requires collaboration to promote open communication and exchange of ideas. When team members share ideas, they are able to brainstorm and put all of their expertise together to benefit their patients. I feel that respect, communication, and collaboration are all linked together and are all needed to make an effective team. 

Although team work is an essential part of nursing, it does not come without its challenges. Disagreements, conflicting personalities, lack of respect, and poor communication can all make team work very challenging. In every team, there are going to be disagreements. The important part is how a team handles those disagreements. Team members must be respectful to one another when discussing these disagreements and must be open to all ideas. Hamric et al. (2014) explains that teams must create strategies to handle disagreements in order to promote good collaboration (p. 300). 

Often in teams there will be conflicting personalities. Not all team members are going to get along. Not all team members need to be friendly on a personal level. The important part is that the team members are able to put personality differences aside and focus on the patient’s care. Similarly, team members must be able to put aside any personality conflicts and show respect for one another. When teams are able to work through differences and show respect for one another, all team members will feel more comfortable communicating with one another. This will allow for increases in positive patient outcomes. 

 

 

COMMENT EVE

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

 

Management is a set of systems and processes designed for organizing, budgeting, staffing, and problem solving to achieve the desired results of an organization. Leadership defines the mission and vision; it inspires the team to embody the beliefs and behaviors necessary to take the actions needed to achieve those results. The most successful transformations occur when strong, visionary leadership converges with great management. Both are required to define a clear path, plan accordingly, and see the mission plan through to fulfillment (Gleeson, 2017). Management consists of controlling a group or set of entities to accomplish a goal. Leadership refers to an individual’s ability to influence, motivate, and enable others to contribute toward organizational success. Influence and inspiration separate leasers from managers not power and control (Nayar, 2014). When I worked in Alabama I had a manager that was all about the bottom line. She gave out write-ups every day. Before she came in to work she looked through all of the charting and if anything was missing she would write you up. In one way her method worked because our unit had the highest compliance rate, the highest customer service rating, and the lowest number of bad incidents. However, the staff was so unhappy that the turnover rate was the highest of any department. There was never enough staff and because there are no ratios in Alabama, many nurses often had nine or more telemetry patients. She did not allow the nurses to participate in “management decisions” and there was no communication between management and staff. My current director is the kind of leader that I hope to become. I remember the day I met her when I interviewed, I was impressed by the vision she had for this small L&D unit in an underserved community. She inspires us to come to work and do the best job we can with what we are given and she makes us feel like we are an important part of the team. We have meetings every morning where we can discuss what is going well and what could use some improvement. When we have issues with policies and even computer systems she is always willing to hear us out and often times sends emails to the CEO and CFO to bring about change. In the short six months that I have worked there we have accomplished so much including becoming officially baby friendly. I strive to be the type of leader and manager that she is. People always work harder and more diligently when they feel like they a part of something. I think that it is important to assert your authority while respecting each member of your team and that includes their opinions and recommendations.

Gleeson, B. (2017, February 23). The Fundamental Differences Between Leadership and Management. Retrieved June 28, 2017, from https://www.inc.com/brent-gleeson/the-fundamental-differences-between-leadership-and-management.html

Nayar, V. (2014, August 07). Three Differences Between Managers and Leaders. Retrieved June 28, 2017, from https://hbr.org/2013/08/tests-of-a-leadership-transiti

P2

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

 

 

Ijeoma Igbokwe 

 

3 posts

 

Re:Topic 3 DQ 1

 

You have an idea to improve patient care that you would like upper management to support and fund. What type of communication tool would you use to present your idea and why?

 

It is good to prepare yourself by researching almost everything about the ideas you have before formal presentation. Good and proper preparation and practice could help boost someone’s confidence. First, I would share my ideas with my colleagues, their feedback could give me a hint on how the management might react or the questions they might ask. One of the keys to a successful upward communication is the emphasize the benefits of the ideas to the patient’s care rather than the processes and background details, because when you speak upward (top management), the audience wants to address the questions that are most relevant to them, rather than how you get there, so it is important to be precise and clear when communicating (Grant, 2017)

 

Communication vary among groups, the tools, channels, and pattern used determines its effectiveness, communication could be transmitted through both verbal or non-verbal modes. Formal and informal methods also may be use when communicating. (Huber, 2014)

 

The communication tools I would use is the leaflets because information contained on it, is precise, clear and on point. It could contain some graphics that could engage and sustain the attention of the readers.

 

Email could also be used, because it is faster to disseminate information via emails and to a larger number of audience wherever they are, even people on vacation could access the information.

 

Presentation; Power-point presentation would be ideal because voluminous information can be compressed to a smaller, but concise, clear, and precise. There is an opportunity to answer questions asked and get feedbacks. There could be opportunity to have physical contacts with people.

 

Holding a meeting could also be beneficial as well, to better explain the ideas to the board members, especially to convince them to support and fund the ideas that would greatly benefit patient care delivery.  

 

 

 

References

 

Grant. A (2016) Your Guide to Communicating with Upper Management. Fast Company. Retrieved from https://www.fastcompany.com/3049998/your-guide-to-communicating-with-upper-management

 

Huber, D. (2014). Leadership and nursing Care Management (5th ed.). Maryland Heights, MO: Saunders Elsevier. ISBN-13: 9781455740710

 

 

 

comment ijeoma

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  I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT.BETWEEN 120-150 WORDS

 

A new director decides to reorganize the department you work in. This reorganization comes about without input from the employees and many of the nurses that you oversee are feeling resentful of the change. As a nurse leader, identify factors that may lead to conflict and ways you can manage them.

The fact that everyone is different, has different personality and opinions, there would always be conflict, but when this conflict arises, it is best to resolve it than to ignore it. (Cardillo, 2011) Some people quit jobs to avoid resolution of conflict at work, but this could lead to increased stress, unresolved feelings of anger, hostility, low esteem, and resentment. (Cardillo, 2011) The best option is to learn how to deal with the conflict and adjust to the change. (Cardillo, 2011) Change needed for progress, upgrade and transformation, the only thing that is not constant in life is “change”. As a healthcare providers, we should be ready for change as the world around us especially the world of technology changes and advances, almost every instrument and tools are going “high-tech”, so nurses must be part of that change, which in other words could mean “update” (Cardillo, 2011)

As a nurse leader, one need to be prepared to deal with peoples’ personalities and attitudes, it takes a lot of patience and self-discipline to handle conflicts, no leadership position is easy, especially in healthcare, a nurse leader would have to handle patients’ affairs, deal with other nurses, and healthcare teams’ attitudes.

 Identify factors that may lead to conflict and ways you can manage them

1)      Communication; A nurse leader must work on his/her communication skills, being able to express self clearly and respectively would help prevent some conflicts that could arise due to miscommunication or being misunderstood. A nurse leader must be professional while dealing with other nurses irrespective of how friendly they are outside the job. Some people may be resentful about reorganization because they lack information about the process, why it must be done and the benefits to both the patients and the staff. It is the role of a nurse leader to find out why they are resentful, and let the manager know their concerns. Effective communication would make it possible for everyone to be on the same page.

 

2)      Fair and bias; People take note and notice of how they are treated verses how others are treated in similar and different circumstances. As a nurse leader, I must avoid favoring people based on their race, personal preference, or other reasons. Everyone is important and must be treated fairly without bias. It is easy to judge people because they have different opinions or ways of handling things, it is important to know that everyone is entitled to his/her opinion, it is ok to be different. Nurses’ opinion must be considered and respected. A good leader must be able to accommodate other people even if they hesitate changes. It takes time to accept and absorb “changes”, some people transition faster and easily than others, and people should be able to tolerate that.  

 

3)      Compromising; In a situation, whereby the staff is reject the idea of reorganization, or does not agree with the management plan, compromising strategy should be used to resolve the conflict. Compromising strategy calls for both sides to give up some elements of their position or stand to accommodate others or establish an acceptable and agreeable solution. (Dontigney, 2017)

Reference

Cardillo. D (2011) 7 Strategies for Managing Conflict. Nurse.com. Retrieved from  https://www.nurse.com/blog/2011/11/28/seven-strategies-for-managing-conflict/

                       Dontigney. E (2017) 5 Conflicts Management Strategies. Chron. Retrieved from      http://smallbusiness.chron.com/5-conflict-management-strategies-16131.html

 

Class 2 Unit 6 COMMENT 1

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Purpose: Comment the 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 6 Edition

Discussion:

I really enjoyed reading about Florence Nightingales environmental model of nursing. I feel like this model speaks to my advanced practice nursing because it deals with observing the patient and asking many questions to understand the full picture (Butts, & Rich, 2018 p.427). This model puts the patient’s needs, and their environment first. 

Florence Nightingales theory emphasizes environmental factors that could affect the patient. “The Nightingale model involves nurses manipulating environmental factors that affect the patient’s health status, including noise, light, cleanliness, bedding, and ventilation (Butts et.al, 2018 p.427-428). “Observation is the primary method of data collection and evaluation of outcomes” (Butts et.al, 2018 p.428). 

I feel that working at the hospital while studying for APN has really opened my eyes to observe how other APN’s treat their patients. Many times, the APN’s can be just as rushed as the doctors are. However, some take their time to really get to know and assess the patient in detail. I want to be the kind of APN who takes their time, and really makes the patient feel comfortable in assessments and questioning. By making the patient feel comfortable in the environment they’re in, can cause the APN to observe the patient in a more natural state. “Nightingales model places an emphasis on relationships not regarded as revolutionary or complex” (Butts, et.al, 2018 p. 430).” “Three major relationships specified- environment to patient, nurse to environment, and nurse to patient (Butts et.al, 2018 p. 430). 

In conclusion, I would like to build a relationship with my patient’s and help them feel comfortable, in a not so comfortable environment. I would like to be the kind of APN that practices Florence Nightingales theory of always putting the patient’s needs first. I realize that every situation is different, but I will strive for these goals as an APN. 

References: 

Butts, J. B., & Rich, K. L. (2018). Philosophies and theories for advanced nursing practice. Burlington, MA: Jones & Bartlett Learning.