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

 

 

 

Karan Kortlander 

 

1 posts

 

Re:Topic 2 DQ 1

 

One of the five elements of emotional intelligence is self-awareness.

 

What behaviors would someone with strong self-awareness demonstrate within the context of leading and managing groups?

 

Provide an example.

 

A leader with strong self-awareness must be able to demonstrate all five elements of emotional intelligence to be able to lead others. I believe that a leader must first have self-awareness. That means that the leader understands what his/her strengths, weaknesses, and emotions. How a leader can manage his/her emotions can make an incredible difference. Emotionally intelligent leaders are self-aware are able to respond to constructive criticism and take a step back if needed (Yoder, 2011). A leader with self-regulation is able to express his/her self with maturity showing a high level of judgement and control. Emotionally intelligent leaders are motivated and driven by a strong inner drive and not by titles. Not only are emotionally intelligent leaders motivated but extremely resilient and optimistic and it takes a lot to make them break. Emotionally intelligent leaders possess empathy, understanding, and compassion which allow them to relate to others. Having empathy allows leaders to connect to others and provide them with excellent service. Emotionally intelligent leaders have people skills. Leaders with people skills understand how others tick. They are able to create rapport and trust with those they depend on and it just happens as second nature. According to Nurse Together, “EI is the ability, capacity and skill to identify, assess and control the emotions of oneself, of others and of groups. This quality plays an important role in nursing success whether they are working in management or at the bed side” (Nursing Together, 2012).

 

References

 

Nursing Together. (2012). Developing emotional intelligence for good to great nurses. Retrieved from http://www.nursetogether.com/developing-emotional-intelligence-good-great-nurses

Yoder-Wise, P. (2011). Leading and Managing in Nursing, 5th Edition. [VitalSource Bookshelf Online]. Retrieved from https://pageburstls.elsevier.com/#/books/978-0-323-06977-

NURSING RESPONSE #2_mm

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150 words no reference-this is a response to the post

 

The American Association of Nurse Anesthetists was founded in 1981. It is devoted to anesthesia research, education and development. AANAs purpose is to advance the science of anesthesia through education and research. “The AANA Foundation serves as the leading resource for assuring safe anesthesia care through education and research” (AANA Foundation Student Page , 2017).  When I was reading through posts in discussion board post number three I found students posting the need to educate the public about CRNAs role, education, and training. As Future CRNAs, it is important to participate in the AANA to “advance the science of anesthesia through education and research” (AANA Foundation Student Page , 2017).

 

    There are several ways SRNAs can participate within the American Association of Nurse Anesthetists (AANA). There is a student advocate program with the goal being to have one student advocate per anesthesia program. Student advocates share information about the Foundation with their student colleagues, including general information, dates and deadlines for Foundation events, scholarships, and awards. The program provides students with opportunities for growth and development. The AANA offers scholarships and research poster sessions for students. They also provide information for upcoming events where SRNAs can meet other SRNAs and CRNAs to get more involved. There is a Nurse Anesthesia Annual Congress meeting September 8-12, 2017 in Seattle, WA. The AANA funds research by SRNAs and CRNAs. The AANA offers the opportunity for one student to serve on the AANA Practice, Public Relations, and Health and Wellness committee as well as the AANA’s Political Action Committee- called CRNA-PAC (AANA Foundation Student Page , 2017).

 

    While reading through the 2016 abstracts and posters I didn’t notice any Evidence based research posters regarding CRNAs versus Anesthesia Assistant versus Anesthesiologist. There should be research comparing the three different types to see if there is a difference in safety or capabilities. There is no information about CRNAs taking on the most critical cases or patients with comorbidities.

 

    The AANA research priorities for 2017 include six questions. There are two promising questions I believe once answered will advance the science of anesthesia. The first question is “Has patient access to care improved in states that have opted out of physician supervision?” The second question is “What are the outcomes of patient cared for in exclusively CRNA-staffed Veterans Affairs health care facilities compared with VA facilities using other anesthesia staffing models?” (AANA Foundation and AANA Joint Research Program Overviewwith Suggested Areas of Research, 2016) I am looking forward to reading about the outcomes of these research topics. I believe the more research that is done that proves CRNAs are just as safe and capable as anesthesiologists in all facets then CRNAs will be used to their full scope. I feel conducting the research alone isn’t enough. There needs to be an outreach program to get this information to the public.

 

    Numerous nonmedical people are uneducated about what a CRNA is, what they do, or how they are trained. If these people don’t understand what a CRNA is I am sure they do not read or visit the AANA website on a regular basis.  There needs to be a way to educate regular people and congress with the facts and research. I feel a great way to get the word out is through social media. According to Statista.com, Facebook is the most popular social network worldwide with the total amount of users in the United states amounting to 214 million users (Number of Facebook User in the US, 2017). I saw the AANA has a facebook page but, when scrolling through the site I never saw any informational videos about CRNAs. I didn’t see information about what CRNAs do, educational background, training, or capabilities. To combat the negative attitudes created by the ASA it is important the AANA circulates the facts on social media where many people read their information.  

 

    Currently the AANA has a campaign called to RISE Above. The three-year campaign aims to receive 1 million dollars in funding for health services research. The research will educate the spectrum of healthcare stakeholders about the value and quality that CRNAs bring to their patients. The campaign states “we must rise above: local barriers to practice, state and federal legislation that inhibits scope or practice, workforce marketplace competition, and inaccuracies and mistruths about CRNAs” (RISE Above, 2017). This campaign is a great start for CRNAs future. The AANA is doing great work and research for CRNAs. It is important to keep up with the research and educating people to further CRNAs scope of practice.

Class 1 Unit 4 COMMENT 2

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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, try to find resources that are 5 years or less
  • No errors with APA format.

________________________

 

DISCUSSION: Opinion Leader

 

Hamric, Hanson, Tracy, and O’Grady (2014) describes opinion leaders as those who are well respected by their colleagues and can make change happen through mentoring other clinicians. Hamric et al. (2014) states characteristics of opinion leaders are “likeable, trustworthy, and influential.” Opinion leaders do not have to be just clinicians but can be anyone who is influential to the patient’s health (Heijmans, van Lieshout, and Wensing, 2017).  Heijman et al. (2017) conducted a study on health care providers and delivery of evidence based care for cardiovascular risk management, which found most opinion leaders were primary care providers and delivery of evidenced based care is associated with the presence of an opinion leader directing care. Another study on chiropractic care done by Bussieres, Maiers, Grondin, and Brockhusen (2017) found utilizing opinion leaders would ultimately improve patient care through evidenced based research when presented by respected and influential clinicians.

I am an opinion leader in my current role as a worker’s compensation case manager. Hamric, Hanson, Tracy, and O’Grady (2014) describes opinion leaders as those who are well respected by their colleagues and can make change happen through mentoring other clinicians. Hamric et al. (2014) states characteristics of opinion leaders are “likeable, trustworthy, and influential.”  I am the first case manager for the company I work for and have helped develop the standard of practice and train other case managers nationwide. I took my role to the next level and became certified as a case manager on my own to ensure I was doing the best I could for the company and my patients. I am well respected by community physicians in regards to awareness of current laws in the state regarding workers’ compensation, treatment practices, and work requirements. I am eager to share my expertise and knowledge with new case managers in the company as well as staff nurses.

In the future, I see myself being an opinion leader for preventative health. In my current role, I am not able to address the patient in a holistic fashion due to barriers with workers’ compensation I am only able to address the work issue at hand which is what has led me to return to school and pursue my NP. I want myself, my family and my patients to take charge of their own health and prevent disease. I will accomplish through relationship building, motivational interviewing, and clinical education. I will be positive and energetic regarding preventative health motivating everyone around me including myself to be a better version of themselves. I will be approachable and continue to be eager in sharing my knowledge with others. Opinion leaders can be very influential in patient outcomes and I strive to practice as such as a NP.

References

Bussières, A. E., Maiers, M., Grondin, D., & Brockhusen, S. (2017). Selecting and training opinion leaders and best practice collaborators: experience from the Canadian Chiropractic Guideline Initiative.Journal Of The Canadian Chiropractic Association, 61(1), 53-64.

Hamric, A.B., Hanson, C.M., Tracy, M. F., & O’Grady, E. T. (2014). Advanced practice nursing: An integrative approach (5th ed.). St. Louis, MO: Elsevier

 

Heijmans, N., van Lieshout, J., & Wensing, M. (2017). Information exchange networks of health care providers and evidence-based cardiovascular risk management: an observational study. Implementation Science, 121-12. doi:10.1186/s13012-016-0532-1

 

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