Comment 1

One weakness that I have with regards to professional presentations is pressured speech and tendency to skip information because of pressure and timing. All the “professional presentations” (nursing school) that I have been in, there is always a time limit. I then feel that I need to talk faster to be able to present all the information. If I feel the audience knows some of the information, then I will skip some bullet points and move on to another. I have come to realize this takes away from other individual’s learning experience. One personal strength that I have with regards to professional presentations is enthusiasm. No matter what the topic, I always put 100% into all my work. This information could change someone life. I also like to personalize the presentation in some way or another. Your personal experience could help someone in the future, or spark inspiration in someone to achieve one of their dreams.

One method of improvement for my weakness would include patience and non-assumption. I need to understand that the information being presented is important and to take time to present the material. I need not to assume that everyone’s knowledge base is the same, and need to present all the information that is one the PowerPoint. Working on these methods will make me as an individual seem more professional and that I have knowledge about the topic. Why would someone take information and use it in their practice if the presenter is unsure of themselves? One method of improvement for my strength would be limiting my personal experiences and know that not everything you say will change a situation forever. Too much personal experience takes away from the validity and importance of the presentation. Not every presentation will change a life, but it could expand their knowledge and understanding.

Comment 2

Professional presentations are not my favorite topic, I do not like being center of attention by any means. I tend to get nervous and anxious when I have to get in front of a group of people or present to an audience. One of my weaknesses giving professional presentations is my speech, I talk very fast when I get nervous, sometimes forgetting what just came out of my mouth and repeating myself. One way to improve this would be to create an outline of my presentation, write down notes on note cards, numbering each note card, turning them over after each point is covered, to make sure I do not repeat myself. Practicing the presentation in front of other people would also help reduce my anxiety. However, one of my strengths is using power point presentations and other visual aids. I enjoy being creative, using designs, graphs, and clip art to communicate important points. I have also found, that when I use power points in my presentations, it takes away some of the anxiety and fear that I am feeling. I am no longer the center of attention in my professional presentation, the power point I created becomes the focus.

It is important that I work on my speech and presentation, if I want to present my findings in a more formal setting, so other professionals will visualize me as being strong confident in my knowledge. Part of professional presentations, is understanding your audience, and determining what they want and expect to get from your presentation (Mind Tools, 2019). I know from experience, when presenters come across as nervous and anxious, the audience becomes bored and loses interest. A professional presentation, should engage an audience and make them feel important, providing information in a well-structured format, identifying key points, and using examples to support findings. Reading from note cards and a lecture, can also detour audiences from being engaged, losing their interest.  According to Mind Tools (2019) “you owe it to yourself, and your organization, to develop the skills you need to present your ideas clearly, purposefully, engagingly, and confidently” (p. 1). It would me in my best interest to take a class on public speaking, to help decrease my anxiety and give me the confidence and skills to become a better speaker and presenter.

Commant 3 DQ 2

Two potential barriers that may prevent my EBP change proposal from continuing past the 6 months to one-year interval would be time devoted to implementation and preparation and knowledge of the EBP being implemented according to Ginex (2018).

Time should be devoted to preparation of the staff and unit and also  including knowledge of why this practice is being changed or improved. The benefits to the staff and patients regarding this EBP should be clear and focused. Time should be allocated to questions and education regarding the concept. Provide opportunity for stakeholders to offer input and observations regarding the implementation.

 According to Ginex (2018), behavior change is not easy. It takes persistence, determination, and a readiness to be open to new options along the way. Working together will promote positive outcomes for both patients and ourselves.

Strategies for overcoming these barriers are according to Wyant (2017) include development of EBP models that address the clinical problem and an approach to ongoing practice change. Wyant (2017) refers to the Iowa Model of Evidence-Based Practice to Promote Quality Care, the Advanced Research and Clinical Practice Through Close Collaboration Model, the Johns Hopkins Nursing Evidence-Based Practice Model, and the Promotion Action on Research Implementation in Health Services (PARIHS) Framework as examples of tools to help implement and EBP change. Each of the models address the sustainability of EBP through cultural change, stakeholder engagement, comprehensive literature review, barrier identification, and outcomes distribution.

Comment 4 DQ 2

Supporting a change can be interesting as well as difficult since many things can affect the process of changing. The two most critical potential barriers that may impact the evidence-based project is the patient’s attitude. A patient of urinary tract infection must involve himself/ herself in physical activity, but if the doctor is not allowing to perform any physical work, so the patient must stop doing it as it will be harmful to their health. The second most significant barriers that may impact the evidence-based project is the practice environment that is provided to the doctors.

I believe one of the most critical issues to support a change is to do self, require it from others and to maintain consistency. It seems very often, as judged from the practice at work, that supervisors are complacent and reluctant to require something from staff. I believe in the personal example, if needed to do it by self in the allocated time, then I can require it from others. For example, if management asked to do a procedure, the management must be ready to follow the procedure themselves and to remind staff to use the procedure over and over.

Sometimes doctors are not being facilitated by all the equipment to do the research and cannot find the solution of the new diseases. If doctors do not have enough knowledge of the disease, so it becomes difficult to suggest any solution to their diabetic patients. It is not easy to deal with such kind of barriers, but it is not impossible. One should try to communicate with patients more sensitively and try to convince them on our opinion and try earning their trust so that they can share every problem (Lyon, 2011). If a firm is unable to provide the equipment such as computers and machinery, then the doctors can launch awareness programs and should discuss more ideas with their trainees to have more possible solutions.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

COMMENT 1 TEACHER’S QUESTION

Welcome to week 2 DQ.  As you’re answering this DQ, reflect on the medical advances for cancer treatments and outcomes.  Is cancer terminal?  Why or why not?

COMMENT 2 

I really like your ideas about incorporating diet and exercise interventions. As you have stated that it is a very cost effective and easy way to improve your health. Many people are unaware of the immediately positive effects of diet and exercise on their body. Also, educating our patients on the the importance of these components is crucial as preventives measures against other co-morbidities. Obesity has become an epidemic in America and has been causing many problems in American’s bodies (Hruby and Hu, 2015). Through education and support we can help our communities learn the importance of living an active and healthy lifestyle. 

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Comment 1

First, knowing what a
CNL does is important to know why they need to meet certain requirements. The
American Association of Colleges of Nursing (AACN) describes the role as “a
point-of-care leadership and provides care in situation of particular
complexity” (Point-of-Care, n.d.). A CNL is someone that “identifies ways to
improve the quality of patient care by consistently evaluating patient outcomes,
assessing cohort risk, changing care plans, advocating for change and mentoring
fellow nurses” (Clinical Nurse Leader, n.d.). Other responsibilities of a CNL is
to provide care coordination for patients with complex needs, implementing evidence-based
practice, instituting quality improvement measurements, and coordinating
lateral interdisciplinary care that includes disciplines as diverse as
occupational and physical therapy (Point-of-Care, n.d.). In order to fulfill these
job requirements, one must possess strong problem solving and critical thinking
skills, the desire to work closely with patients, and the willingness to mentor
fellow nurses (Clinical Nurse Leader, n.d.). Academically, the CNL must also
earn a minimum of an Master’s of Science degree in Nursing (MSN) in the
Clinical Nurse Leader program as well as taking and passing the CNL certification
from the Commission on Nurse Certification.   

A CNL’s role or influence
in patient care is through implementing and ensuring that care delivery is
safe, evidence-based, and targeted towards optimal quality outcomes (Reid &
Dennison, 2011). The intent of the new implementation of a CNL is to promote patient
safety but also to incorporate the CNL’s focus on safety and to provide
front-line care instead of being in a back hall, disconnected from the eyes and
ears of the medical staff.

Comment 2

The role of clinical nurse leader (CNL) began in 2003-2004 due to the quality and safety reports of the Institute of Medicine. Clinical nurse leaders are prepared for direct clinical leadership to provide safe, evidence-based care and ensure that the patients get optimal healthcare. Clinical nurse leaders have multiple roles in the workplace. CNLs collect and evaluate treatment results and develop solutions to improve the outcome of patient care, evaluate the safety of the workplace, wnsure that the facilities are up-to-date on the latest research, and also provide patients with direct care and education. In order to become a clinical nurse leader, and BSN must be obtained followed by a Master’s of Science Clinical Nurse Leader program. Once completed a CNL certification test must be taken and passed.

There are multiple ways that they can ensure the safety of the patients. By providing direct patient care and education, CNLs are able to educate patients on their treatment plan and educate them on how to continue their treatment plan once they are discharged from the hospital. They can also ensure the safety of the patient by educating them on their medications. For example, they can teach them what each medication is for, the appropriate times to take each medication, any side effects they may experience, along with the correct dose of the medication they are taking. Safety is not just something that needs to be taken in to consideration while the patient is in the hospital, but once they are home.

Comment 3

A Clinical Nurse Leader (CNL) is expected to have a master’s degree level of education or higher. CNLs play an active role in “designing, implementing and evaluating client care by coordinating, delegating and supervising the care proved by a healthcare team at the clinical level, as opposed to the administrative level, as is the case with other nursing leadership roles” (GNE, 2018, para. 4). CNLs must be competent and knowledgeable as a part of the nursing team. The American Association of Colleges of Nursing (AACN) board acknowledges that the role of the CNL is multi-faceted and their education needs to have components of liberal arts and sciences, professional values, core competencies, core knowledge, and role development (GNE, 2018). CNLs should prepared in quality improvement, interdisciplinary team care, patient-centered care, evidence-based practice and the utilization of informatics (GNE, 2018).  Clinical nurse leadership education focuses on policy and organization, nursing leadership, outcomes management, and care management. After completing a CNL education program, to be CNL certified a registered nurse, must hold a current NR license, hold a master’s degree, complete a minimum of 400 clinical hours within their formal education program, and complete a minimum of 300 clinical hour in a clinical immersion experience in the CNL role (GNE, 2018). CNLs are expected to be educated in advanced nursing knowledge to provide the best care, while improving patient outcomes with the latest innovations in health care.

A CNL can address minority health issues in health care. For example, a CNL overseeing the care of diabetic patients on a hospital unit may notice some discrepancies in outcomes. The CNL works as a leader to evaluate the patients, to see if there is a relationship between ethnicity-related issues and outcomes. The CNL can review the literature to see if this clinical issue has been previously identified within this particular minority patient population. Then, the CNL can develop and implement a plan of care to improve health outcomes for those patients.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Comment 1

Diane Black is a register nurse who represents Tennessee in Congress.  Mrs. Black was the first woman to chair the influential House Budget Committee. She serves on the House Ways and Means Committee and was quick to establish herself as a leader.  She is focused on dismantling the president’s health care law and advancing true market-based, patient-centered reforms that will bring down the rising cost of care by increasing private sector competition and consumer choice.Her goal was to reform the U.S. tax code which has not been initiated in over twenty five years. She was selected to chair the Ways and Means Education and Family Benefits Tax Reform Working Group during the 113th Congress.  During her career as a nurse, she saw a loophole in the Patient Protection and Affordable Act (PPACA)that allowed some higher paid middle class Americans to receive Medicaid benefits. She pointed out that the PPACA, unintentionally, would allow a couple who made close to $60,000 in income to qualify to receive Medicaid benefits. This loophole would allow for individuals whose incomes were up four hundred percent of the federal poverty level to also qualify to receive Medicaid benefits. The PPACA set a new income formula to calculate the income levels and make the determination for Medicaid eligibility. This formula did not include incomes received from all Social Security benefits including Supplemental Security Income, Supplemental Nutrition Assistance Program (food stamps), Temporary Assistance to Needy Families, and public housing.  After her election to Tennessee representative, Mrs. Black started lobbying to change the bill H.R 2576. She made her claim that Medicaid should only be used for those who are in the most need and Medicaid needed to get back in line with all other public assistance. Mrs. Black made her claim to Congress that by passing her bill that America would save $13 billion dollars over ten years. She made it clear that they would be saving this money without taking away any benefits from anyone who currently has Medicaid. Mrs. Black’s bill was passed and signed into law. She was the first member of Congress to have legislation signed into law that repeals the health care provision in Obamacare.

Comment 2

Congresswoman Mrs. Deb Soholt is some of the current nurses who are currently serving in Congress. Mrs. Deb Soholt is an RN and also a senator in South Dakota (American Nurses Association, 2015). She is a Senate for South Dacota congressional District 14 before joining politics.
She had sponsored several bills that have influenced health care. For example, “the Senate Bill 61 is to update, revise, and repeal certain provisions relating to nurse practitioners and nurse midwives” (South Dakota Legislature, n.d.). The bill can help redefine the role and function of nurse practitioners and nurse midwives to change the health care delivery and resolve the health provider shortage. Health care can be more accessible and affordable.
The nurse role gives the legislators the ability to understand and recognize nursing and health care issues. Therefore, the legislators who are also nurses can use the political power to alter and guide the direction of health care delivery in an optimal way. Health policies at the state level impact the health and safety of the state’s residents, as well as lead the nursing and other health professions’ scope, practice, and performance through the state’s professional practice acts (Cherry & Jacob, 2016) “The federal government’s role in health care includes significant funding for health and disease prevention and research; supplemental funding for education for health professionals, including nurses and physicians; and paying for individual health care services “(Cherry & Jacob, 2016, pg. 400). Therefore, the legislators in the federal level will focus on these categories to shape health care delivery.
She firmly believes that there is a strong need for more healthcare professionals in Congress. After all, health care is at the forefront of many political debates. Since she was the nurse, she sees the importance of having lawmakers with the healthcare background, that way the issues could better be addressed. In 2011 she was the first to engage in the debate on the Affordable Care Act.

Comment 3

The legislator that I consider to answer the above question is Erin Murphy. Murphy has a long career advocating on legislation related to health care and childcare issues.  As a nurse, Murphy serves as state representative in the Minnesota of Representatives. The new elected representative participated on the Health and Human Services Finance Committee.

In that capacity, she was instrumental and active to help craft reforms to “Minnesota’s health care system that aimed to expand access to affordable coverage and care” (Diane, S., 2017).  The legislator has worked on various health care reforms such as women’s health, affordable childcare, and expanding access to health care for school employees.

One of the bills that Murphy sponsored and supported is the “Health Care Homes.” This specific bill is part of a “statewide health care reform initiative” (2017). The legislation embraces and endorses a health care strategy that focuses primarily on prevention, self-management, and community services. This health care model guarantees better outcomes and quality of life people with chronic and acute health conditions.    

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"