Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?
Details:
This is a Collaborative Learning Community assignment.
The instructor will assign you to a CLC group.
The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.
This assignment consists of both an interview and a PowerPoint (PPT) presentation.
Assessment/Interview
Select a community of interest. It is important that the community selected be one in which a CLC group member currently resides. Students residing in the chosen community should be assigned to perform the physical assessment of the community.
Interview Guidelines
Interviews can take place in-person, by phone, or by Skype. Complete the “Provider Interview Acknowledgement Form” and submit with the group presentation.
Develop one set of interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.
Compile key findings from the interview, including the interview questions used, and submit with the group presentation.
PowerPoint Presentation
Within your group, create a PowerPoint presentation of 15-20 slides (slide count does not include title and reference slide) describing the chosen community interest.
Include the following in your presentation:
In addition to submitting this assignment in the LoudCloud dropbox, email a copy of your submission to [email protected]
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to Turnitin.
When submitting this assignment, include the interview questions, the interview findings, completed “Provider Interview Acknowledgement Form,” and the community assessment PPT presentation.
NRS-427V.R.ProviderInterviewAcknowledgementForm_10-14-13.doc NRS427V.R.FunctionalHealthPatternsCommAssessment_Student_10-14-13.doc
Details:
Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment.
Communicable Disease Selection
Choose one communicable disease from the following list:
Epidemiology Paper Requirements
Address the following:
A minimum of three peer-reviewed or professional references is required.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
NRS427V-RS-CommunicableDiseaseChain.doc
Using the patient information provided, respond to the following questions: (a) What cultural considerations are important for you to remember while you interview Ms. Li? (b) What is the abuse assessment screen? (c) If abuse is discovered, what should you do?
Patient Information:
Patient: Sue Li
Age: 20
Ethnicity: Asian American
How can community health nurses apply the strategies of cultural competence to their practice? Provide at least one example from each of the following four strategies: cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering. What is a possible barrier to applying the strategy/example chosen? Use an example that is different than the postings of other students. This example should include an evidence-based article that addresses a cultural issue. Response should include an APA reference
You are the registered nurse performing a health assessment on a newborn infant. From the functional health pattern portion of the assessment, you learn the mother is reluctant to breastfeed her baby. How do you respond? Explain the approach you will take to ensure adequate nutrition for the newborn, with or without breastfeeding. Provide rationale for your answer.
Traditionally, nutrition programs were targeted to the indigent and poor populations in developing countries. Many of today’s Americans are malnourished also, but they are inundated with unhealthy foods and require a multidisciplinary approach to nutrition education. What would be the three most important points to include in a public nutrition program? Provide current literature to support your answer and include two nutritional education community resources.
Comment 1
The reading that I found most interesting was the research presented by Puchalski on the role of spirituality in health care. Up to this point in my nursing career, I have leaned toward the scientific approach especially working in the ER and dealing with a lot of acute and severe medical emergencies. In these cases, I have realized that the religious approach is essential when it comes to providing care and comfort to the friends and family members of patients who are experiencing life-threatening injury or illness. The statistics that Puchalski presented on the effectiveness of spirituality on mortality, coping, and recovery were eye opening. When you consider how spirituality can increase life spans, help relieve pain and stress, and improve recovery from illness and surgery, its benefits cannot be denied (Puchalski, 2001, p. 353).
The difference between disease and healing is discussed briefly in Gilbert Meilaender’s book, Bioethics: A primer for Christians. My view of his analysis is that doctors aim to cure disease which sometimes is not possible (i.e. terminal cancer), and their approach may have little to no effect on the loved ones of the sick and injured. Healing, on the other hand, is always possible for patients and their loved ones who have faith and trust in God. Meilaender (2013) argues, “they [medical caregivers] are lordly and awesome in their technical prowess, but they are not the Lord whom death could not hold” (p. 9).
Comment 2
The aspect that I found most interesting in the reading is the polarity between the older and the newer nursing theories. The older nursing theories are associated with taxonomies and quantitative measures, whereas the newer more holistic nursing theories are more qualitative measures and softer phenomena (Shelly, J., 2006). The revolution in the approach of how we think about nursing and nursing interventions in association to ethical decision making relates to a belief that nursing as a profession is both a science and an art-based profession, and the the new theories expand upon the concept. The other aspect that is interesting to me is using world views to challenge contemporary ethos by using philosophical clarity, religious sensitivity, and proportionate level of care for the sick and others who may need other forms of physiological and psychological interventions and/or wellbeing.
As medicine is traditionally considered a healing profession, and modern medicine claims legitimacy to heal through its scientific approach to medicine (Starr, P., 1982), the marriage of science and medicine has generally empowered nurses and physicians to intervene actively in the course of disease, to effect cures, to prevent illness, and to eradicate disease Hauerwas, S. (1990). In the wake of such success, nurses and physicians trained as biomedical scientists, have focused on the diagnosis, treatment, and prevention of disease. In the process, cure, not care, became the primary purpose of medicine; as nurses and physician’s role have transformed to the “curer of disease” rather than “healer of the sick (Starr, P. (1982). Thus, healing in a holistic sense has faded from medical attention and is rarely discussed in the medical literature.
Max Points: 15.0
According to the assigned article, “Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes,” narratives tell the story of the interconnectedness between fear and health. Thematically, the issue of fearis a dominant feature that affects how an individual approaches day-to-day living and health. Explain the relationship between fear and health identified by the researchers in the article. Do you agree that structural violence perpetuates health disparity?
Comment 1
The social determinants of health refer to the social and economic conditions that determine an individual’s health and medical well-being. Economic and social conditions are variedly distributed amongst people and they affect people’s working and living conditions differently. The social determinants of health affect an individual working and living conditions. Social determinants are informed by public policies that mirror the political ideologies of the people in authority. Economic conditions determine the social conditions of a community. People who live in affluent areas are more content with their lives and they are mentally and physically healthier than people who are not content with their social status. Poor people generally are less healthy and have shorter life expectancies as compared to rich people.
This differences in health are social injustices and they illuminate powerful health determinants in the modern world. The differences have allowed an increased understanding of how remarkably sensitive health issues are in the social environment. Social determinants contribute to the development of diseases in that poor people are generally more exposed to pathogens than the rich. They eat and drink contaminated food and water, the share amenities and they have no easy access to medical attention.
According to the epidemiologic triad model, the repeated interaction of a disease-causing agent on their host in a conducive environment results in the spread of infectious diseases (CDC, 2014). The pathogen leaves its host and enters another potential host through a relevant portal. The pathogen thrives and multiplies in its habitat in what is referred to as a chain of infection (WHO, 2014). Understanding the various transmission channels and exit portals enable a care provider to know the best cause of prevention and treatment. Control measures are typically employed in the section of the infection chain that allows easy intervention. For instance, in the treatment of a bacterial respiratory infection, a nurse can administer antibiotics to a patient. A nurse can also wear protective gear such as masks and gloves to protect them from getting infections by touching infected bodily fluids.
Comment 2
The global health issue which I have chosen and has affected the international health community is Zika Virus. It is a virus, which is spread by mosquito popularly known as Aedes species of mosquito. The said species of mosquito can bite both during the day and night. An issue of concern about Zika virus is pregnancy. The virus can pass through placenta thereby leading to birth defects. Zika virus can also be spread through sexual intercourse or sexual acts (Salazar, 2016). Unfortunately, Zika virus does not have a vaccine. Some of the symptoms of Zika virus include headache, fever, joint pain, rash, muscle pain and red eyes. According to CDC, Zika virus symptoms can last for days or weeks. Death and hospitalization after Zika infection are very rare. After one is infected with Zika virus, immunity is built against infections in the future ((U.S.), 2018). Mosquitos, which spread Zika virus, can also spread chikungunya virus and dengue virus.
In the US, Zika infections have been reported in Florida and Texas states. On a global level, Zika infections have been reported in each continent except Europe and Antarctica. CDC already issued travel notices for regions including Asian nations of Singapore and Maldives, African countries of Guinea-Bissau and Angola, regions in Central America, Caribbean and Mexican regions such as Costa Rica, Belize, Guatemala, El Salvador, Nicaragua, Honduras and Panama. The CDC also reported other regions affected though it did not issue travel notices especially in Asia and Africa ((U.S.), 2018).
Health care delivery systems all over the world need to work together to address Zika virus especially by creating awareness and providing education on prevention of transmission to areas of risks. As said earlier, there is no vaccine for Zika Virus and they key here is the prevention of mosquito bites (Salazar, 2016). Travellers who are outside their home countries should be made aware of higher risk regions. There is also need for safe sex practices to prevent Zika infections. CDC suggests the use of both male and female condoms to reduce Zika transmission through sexual acts.
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