Considering your role specialization ( family nurse practitioner), identify the top three current trends or issues that you believe to be most important with regard to your chosen role and the impact the role has one patient outcomes. Synthesize knowledge from values theory, ethics and legal regulatory statutes, and develop your personal philosophy for a career as an advanced practice nurse in DQ1.Incorporate the content of Week 5 ( audio-visuals) .

These are the audio-visual of week 5 

Video 1

https://www.youtube.com/watch?v=rgojAOyPvfk&list=PLU05He9EuwhlRCO5iVPgjeA7-K1lE3Y8X

VIDEO 2 

https://www.youtube.com/watch?v=d-kL1OFbCC8

COPY THE LINK IN YOUTUBE TO SEE THEM. 

 

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1. Professional socialization relates to the manner in which we learn the roles and functions of being a nurse once we enter the healthcare system. What are some of the ways this socialization occurs in your place of employment, and do you believe it leads to effective assumption of the nursing role? This socialization occurs in a patriarchal healthcare system that still remains predominantly male physician-based. Discuss the impact, you believe, this has on socialization to the nursing role.
2. Identify an area of practice where change theory may find applicability. Provide examples to support your answer. Comment on the inherent weaknesses in change theory that may impact real life situations or give rise to difficulties in the process of applying this theory.

 

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Discussion #6

Discuss the use of Evidence-based Guidelines in Practice by Patient Provider, Healthcare Agency.

  

· 250-word minimum

· At least 1 outside scholarly reference is required besides the course textbook.

· Must answer the discussion question and address the topic in the reply

post.

Must respond to 1 other discussion question. Reply must be a minimum of 100 w

Turnit it similarity maximum 20%

 

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Case

Frustrated with ongoing complaints from family members, Reba Sanders, the administrator of 100-bed Lakeview Skilled Care and Rehabilitation Facility, replaced the director of nursing (DON) after she had been on the job for less than 2 years. At the exit conference with Reba, the DON had remarked, “I don’t think pressure ulcers have been a problem in this facility the way it is made out to be by some families. Some patients develop the ulcers at the hospital before they come here; we try our best to take care of them, and I have explained to the families what we are doing. I think firing me is unfair, but it is your decision.” Before the new DON, James Osterwal, was hired for the job, Reba had mentioned to him that looking into the pressure ulcer problem would be his first priority. Reba arranged for James to attend meetings of the local chapter of a national quality improvement organization for nursing homes. Based on some of the information presented at the meetings, James quickly settled on making pressure ulcer elimination as his primary goal. James was quite familiar with the PDSA quality improvement cycle. He discussed it with the charge nurses, decided how data would be collected, and started a campaign asking all nursing staff to adopt the motto: “We will eliminate pressure ulcers at Lakeview.” The associates liked the motto because it gave them a specific goal to work toward. At James’ request, Reba approved hiring an RN nurse coordinator to float between the three shifts. The charge nurses asked their nursing assistants to report to them right away all cases of skin breakdown. James trained the nurses in best practice protocols to treat pressure ulcers. After 4 months, data showed little to no improvement in the prevalence (total number of cases) of pressure ulcers at Lakeview. Both Reba and James could not understand why.

Questions

1.  Based on what you have learned to this point in the course, evaluate the quality improvement program as it pertains to pressure ulcers at Lakeview. Provide a specific outline of weaknesses in the overall approach.

2.  Use the PDSA cycle to address the issue of pressure ulcers. Be specific. For example, how should data be collected? How would you go about identifying root causes of the problem? What interventions would you implement? What roles should the various personnel and the administrator have?

 

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Discussion # 7

Find a study published in a nursing journal in 2010 or earlier that is described a s a pilot study. Do you think the study really is a pilot study, or do you think this label was used inappropriately? Search forward for a larger subsequent study to evaluate your response. 

 

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