NOTE: Please use the following resources to answer below: Code of ethic for nurses with interpretive statements, Center for Medicare and Medicaid services,

Food and drug administration. Please label response to each section (A, B,C, etc.) to ensure each is answered.

A. Identify a nursing theory that has influenced your values and goals.

1. Explain how nurses apply the identified theory from part A to implement excellent nursing practices.

2. Discuss how the identified theory from part A fits your professional practice.

B.Identify the contributions of two historical nursing figures in the nineteenth or twentieth century.

1.Compare the differences in contributions of the two historical figures identified in part B.

2. Describe how the contributions of the two historical figures influence your professional nursing practice.
 

C. Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA).

1.Define the roles of these two organizations.

2. Explain how these two organizations influence your nursing practice.

3.Explain the requirements for professional license renewal in your state.

a. Discuss the consequences of failure to maintain license requirements in your state. (New York)

4. Compare the differences between registered nursing license requirements in a compact state versus a non-compact state.
 

D.Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below).

1. Discuss how the two regulatory agencies influence your professional nursing practice.

a. Describe your role as a patient advocate in promoting safety when a patient has requested to use an alternative therapy.
E. Discuss the purposes of the Nurse Practice Act in your state and its impact on your professional practice.

1. Discuss the scope of practice for a RN in your state. (New York)

2. Discuss how your state defines delegation for the RN.
 F. Apply each of the following roles to your professional practice: a scientist, a detective, a manager of the healing environment
G. Identify two provisions from the American Nurses Association (ANA) Code of Ethics (see web link below).

1. Analyze how the two provisions identified in part G influence your professional nursing practice.

2. Describe a nursing error that may occur in a clinical practice (e.g., clinical setting, skills lab, or simulation).

a. Explain how the ANA provisions identified in part G can be applied to the error discussed in part G2.
 H. Identify four leadership qualities or traits that represent excellence in nursing.

1. Discuss the significance of the four leadership qualities identified in part H in the nurse’s role as each of the following: 

a leader at the bedside within a nursing team or interdisciplinary team

2. Identify how your work environment impacts the following: nursing leadership, decision making, professional development

Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
 

 

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Reasoning in a Specialty Area

Bring to mind an important practice-related decision you have made recently. How did you approach this decision? What aspects of your specialty expertise informed your decision-making?

Evaluate your decision now in light of the principles of clinical reasoning presented in the Learning Resources this week. What new insights arise about your decision making as you look at it through this lens? What questions emerge as you reflect how you use reasoning in your practice?

In this Discussion, you and your colleagues examine the application of reasoning strategies in your specialty area of practice, particularly as it is connected to your EBP Project question.

To prepare:

• Consider the definition of clinical      reasoning and how it is distinguished from other terms in the      Simmons article. (see attached file)
• Bring to mind key characteristics of your      specialty area. Is the concept of clinical reasoning relevant and      sufficient to describe the process you utilize as you      make decisions and solve problems in your area of specialization? Why or      why not? If not, what terminology would be more useful for defining or      characterizing this process?
• Review the literature to identify at least two specific examples of reasoning strategies used in your specialty area. These may be part of your literature review related to your EBP Project question(s). (see PIICOT Question below      at the end of the page)
• Reflect on your EBP Project      question(s) (see PIICOT Question below at the end of the page).      Reexamine your project question(s) through this lens of clinical, or      alternately termed, reasoning.

By Day tomorrow 09/04/18 12 by 10 pm, write a minimum of 550 words in APA format with at least 3 references from the list of required resources below. Include the level one headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) How are reasoning strategies most often applied in your specialty area? Provide at least two specific examples supported by the literature.

2) How can you apply reasoning strategies to the refinement of your EBP Project question(s)? (see PIICOT Question below at the end of the page)

Required Readings

Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter      1, “The Importance of Research in the Doctor of Nursing Practice Degree”
       Read pages 12-18 beginning with “The DNP Graduate with an Aggregate Focus”      (see attached File)

       In this section of Chapter 1, the author explains relationship between the      DNP clinician, the research process, and developing an effective      evidence-based practice. The author also discusses facilitating change in      practice based on critically appraised and validated evidence. In      addition, Carper’s four essential patterns of “knowing” in nursing and      Rosswurm and Larrabee’s six-phase model for reviewing research are      highlighted.

Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing, 28, 479-485.

Harkanen, M., Voutilainen, A., Turunen, E., & Verhvilainen-Julkunen, K. (2016). Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses, Nurse Education Today, 41, 36-43. 

Lee, J., Lee, Y., Bae, J., & Seo, M. (2016). Registered nurses clinical skills and reasoning process: A think-aloud study. Nurse Education Today, 46, 75-80.

Simmons, B. (2010). Clinical reasoning: Concept analysis. Journal of Advanced Nursing, 66(5), 1151-1158.

PIICOT Statement

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients 

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients 

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

 

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In a 1- to 2-page paper, address the following in APA format, 3 reference within 5 years.

• Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
• Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
• Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.

 

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I did my paper but my Instructor needs me to address this issue. 

This is her feedback:

Recommend evidence-based decision-making strategies nurses can use during triage.

Non-Performance

Does not recommend evidence-based decision-making strategies nurses can use during triage.

Faculty Comments:“I did not see this area of the scoring guide addressed in the paper. Can you recommend evidence-based decision-making strategies nurses can use during triage?  Also, you could discuss how the recommendations will result in positive patient outcomes. This is needed for a higher performance score. If you decide to revise and add new content, please remember to highlight in yellow the added information. Thanks!”

This is the original instructions from her:

Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.       

• Explain the health care policies that can affect emergency care.
• Recommend evidence-based decision-making strategies nurses can use during triage.

 

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