Category: Nursing

THEORY-BASED EXEMPLAR PAPER (TEP): THEORY ANALYSIS ASSIGNMENT INSTRUCTIONS
OVERV

THEORY-BASED EXEMPLAR PAPER (TEP): THEORY ANALYSIS ASSIGNMENT INSTRUCTIONS
OVERVIEW
You will research, identify, summarize, and critique the theory you plan to use for your Theory-Based Exemplar Paper (TEP) Assignment. Sources for nursing theories include the McEwen & Wills text or accessing various theory websites.
Use 1 of the approaches for critique and evaluation of theory as described in chapter 5 of the McEwen & Wills text. Be sure to identify the approach you use; name the model/approach and the authors/researchers who developed the model, then follow the selected approach for the analysis. References should be from (2019-2024)
TEXTBOOK: MCEWEN, M. WILLIS, & E.M 5TH EDITION (2019) ( 3 PAGES)
INSTRUCTIONS
• This analysis must be 3–5 pages (excluding the title page and reference page) and include at least 2 scholarly sources.
• You do not need to include an abstract for this paper but otherwise, follow the current APA format (i.e., the inclusion of a title page, double-spaced content, and method for citation of references in the body of the paper and the reference list, etc). Include in-text citations in APA format. Cite your textbook and any documentation/articles you utilize in your paper related to your selected theory. Information in all paragraphs must be cited. Please there should be no plagiarism on the paper or AI writing
Please reference the Listing of Selected Established Theories and Theorists below for further assistance.
Please use the book author as the intext-citation in each paragraph and include 1 other scholarly reference ( 2019-2024) ( author of the book and one scholarly article

dentify an issue in nursing education that you would like to investigate and dev

dentify an issue in nursing education that you would like to investigate and develop a nurse education research proposal. The paper should include an introduction, review of literature, aims and objectives, research design and method, ethical considerations, budget, appendices, and citations (references). The paper should be approximately 10 – 20 pages in length excluding appendices and citations. The review of literature should include a minimum of 5 references. 
The effect of e-learning on nursing education- THIS IS THE TOPIC I HAVE CHOSEN
The above topics are simply examples of topics. You may choose something completely off the charts, but it must pertain to nurse education. It may be a quantitative or qualitative proposal. Keep in mind that you will not be conducting the research, just coming up with an idea and a plan for a research study.

My Master’s in Psychiatric (PMHNP). I live in Miami and due to my clinical rotat

My Master’s in Psychiatric (PMHNP). I live in Miami and due to my clinical rotation in Better Living medical center
Develop a PowerPoint presentation that includes the following criteria:
Slide 1:  Title Page.
Slide 2:  SBIRT overview – Describe the history of SBIRT, the SBIRT process and how it is used in clinical practice settings using US research articles.
Slide 3:  Case Presentation – Do not include patient identifying information but include demographics i.e. age, gender, race/ethnicity, chief complaint, social history, family psychiatric history, psychiatric history, and risk factors.
Slide 4:  Screening Tool used – Describe the screening tool, validity (sensitivity and specificity), scoring information, and citation.  Your patient’s score and the interpretation of the patient’s score are required.
Slide 5:  Brief Intervention – How was the Motivational Interviewing process applied and shared your client’s score and need for behavioral changes.
Slide 6:  Referral for Treatment – Describe the referral for follow-up treatment plan.  Include the name, address and telephone number of the local large organization.  Be specific with the department where necessary.
Slide 7:  Evaluation of the process – Share the patient’s outcome and your evaluation of the SBIRT process.
Slide 8:  References –5 references.  7th Edition APA format.  Include Screening Tool authors.
Submission Instructions:
The slides are to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
The narration is to be fluid with clear enunciation and the volume of speech is appropriate, with no pauses or distracting fillers.
The PowerPoint presentation should be formatted per current APA guidelines and 8-10 slides in length, including the title and references slides. Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.  For presentation clarification, students may include the presenter’s notes.
Record the project with whatever software works best for you, upload it to Studio, and submit the project using Canvas Studio.
Upload your PowerPoint without the narration for this assignment.
Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
All replies must be constructive and use literature where possible.

Purpose of Assignment: Demonstrate understanding of verbal and nonverbal techniq

Purpose of Assignment: Demonstrate understanding of verbal and nonverbal techniques as it is applied to therapeutic communication.
Instructions:
This assignment will use PowerPoint or other presentation software as a display of content based upon student preference.
Content:
The unit where you work has had several complaints regarding communication between the staff and clients. You have been selected as a committee member to create an educational tool identifying potential areas of improvement. The education tool should include a scenario of a nurse-client exchange that includes both verbal and nonverbal communication and provide the following:
Identify examples of therapeutic and non-therapeutic communication techniques and therapeutic and non-therapeutic responses from the nurse used within the scenario.
Explain how communication techniques demonstrated in scenario will contribute to a safe and therapeutic environment.
Identify how non-verbal communication plays a role in communication.
Describe how to incorporate this education into inter-professional communication.
Format:
Standard American English (correct grammar, punctuation, etc.)
Logical, original and insightful
Professional organization, style, and mechanics in APA format
RUBRIC
Provided an in-depth, complex scenario to incorporate examples for the teaching tool.
Provided in-depth description of communication techniques including both therapeutic and non-therapeutic techniques and specified therapeutic and non-therapeutic responses from the nurse.
Provided detailed description of non-verbal communication, providing several examples.
Provided in-depth examples how therapeutic communication, including non-verbal components, into inter-professional communication.
Demonstrated an exemplary application of spelling and grammar.

In this assessment, you’ll develop an intervention as a solution to the health p

In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following:
Creating an educational brochure.
Producing an educational voice-over PowerPoint presentation or video focusing on your topic.
Creating a teaching plan for your patient, family, or group.
Recommending work process or workflow changes addressing your topic.
Plan to spend at least 3 direct practicum hours working with the same patient, family, or group.
In addition, you may wish to complete the following:
Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.
Conduct sufficient research of the scholarly and professional literature to inform your work and meet scholarly expectations for supporting evidence.
Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.
Part 1
Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.
Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:
Leadership.
Collaboration.
Communication.
Change management.
Policy.
Quality of care.
Patient safety.
Costs to the system and individual.
Technology.
Care coordination.
Community resources.
Part 2
Submit your proposed intervention to your faculty for review and approval.
In a separate written deliverable, write a 5–7 page analysis of your intervention.
Summarize the patient, family, or population problem.
Explain why you selected this problem as the focus of your project.
Explain why the problem is relevant to your professional practice and to the patient, family, or group.
In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.
Define the role of leadership and change management in addressing the problem.
Explain how leadership and change management strategies influenced the development of your proposed intervention.
Explain how nursing ethics informed the development of your proposed intervention.
Include a copy of the intervention/solution/professional product.
Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.
Identify the patient, family, or group.
Discuss the benefits of gathering their input to improve care associated with the problem.
Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.
Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.
Cite the standards and/or policies that guided your work.
Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.
Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
Cite evidence from the literature that supports your conclusions.
Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.
Cite evidence from the literature that supports your conclusions.
Write concisely and directly, using active voice.
Apply APA formatting to in-text citations and references.

1. How might the statement, “What may be an ethical dilemma for one registered n

1. How might the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.” apply to this episode?  Define the term ethical dilemma in your response.
Apply the framework of The Five R’s approach (Recognize, Reflect, Resolve, Respond, Reflect on Outcomes) to ethical nursing practice from this week’s reading to answer the questions about values and choices. In your posts, feel free to agree, disagree, question, compare, and discuss each other’s responses in a way that fosters thoughtful and respectful dialog. 
What are values?
Q. What are your core values?
Q. Why do you value them?
Q. What are the values in your society?
Q. How do your core values impact your personal choices?
What are the limits to personal choice?
Q. Who or what limits your choices?
Q. Do you find limits to choices to be beneficial or harmful? Explain why.
Q. Should a health care organization or the government limit people’s choices? If so, how and under what circumstances?
Website for video:   https://www.dropbox.com/scl/fi/fek51vyjqbxcu8mw6b3ib/IMG_7280.MOV?rlkey=f0z4rjuyyhzi6y09a6ow2c1yw&st=r8r1o6lp&dl=0
2. 
In the context of cancer epidemiology and lifestyle choices, how can nurse practitioners effectively communicate the link between modifiable risk factors, such as tobacco use and poor nutrition, and the development of various types of cancer while also addressing potential cultural or social barriers to behavior change?

Identify the professional code of ethics for your professional specialty or a sp

Identify the professional code of ethics for your professional specialty or a specialty that you are interested in, describe the decision criteria, and analyze each theory using examples and the Ethical Theory Matrix Template.
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Moral Theories, Principles of Health Care Ethics, and Professional Ethics Codes
Ethics is a branch of philosophy devoted to the study of morality. Ethics has a long history of theories about determining right from wrong and identifying the principles of living a good life. For this assessment, you will be asked to apply foundational principles in ethics, such as autonomy and justice, in a relevant health care setting.
Each profession within health care has its own code of ethical behavior designed to help individuals within that profession to make sound ethical choices in carrying out the tasks and practices particular to their professional role. It may be useful to locate one or more relevant codes of ethics for your current or desired career path. This research will be beneficial to your professional development, and you will have a chance to apply it to the Tonya’s Case: Ethics and Professional Codes assessment in this course.
Autonomy, Truth-Telling, and Confidentiality
These are broad-ranging topics, which, if taken alone, seem almost comically simple. Of course, rational people of legal age should be able to make decisions concerning themselves and their minor children. Of course, medical professionals should be honest with patients, and, of course, patients should be honest with members of their health care teams. Of course, one’s medical issues should be kept private. But rarely are things as simple as they seem. Take some time to scratch beneath the surface, and we encounter myriad ethical dilemmas.
Honesty tends to be a revered trait in many cultures. However, many people admit to lying occasionally, especially if the intent is to spare someone pain, embarrassment, or anguish. Is lying to someone because of love, concern, or reputation ever ethical?
Privacy and confidentiality are also important concepts. But are there limits? Can the greater good ever outweigh the rights of individuals?
And at what point can others, whether an individual or an entity such as a government body, ethically determine someone’s actions, fate, or choices? Fluoridated water, smoking regulations, compulsory K–12 education, and speed limits are only a few examples of how we, as a society, agree to limited personal freedoms because these things are good for us.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Articulate ethical issues in health care.
Articulate the time-tested theories of ethics.
Describe the strengths and weaknesses of the time-tested theories of ethics.
Competency 4: Explain the conceptual framework that health care leaders use to make ethical decisions.
Identify the decision criteria of the time-tested theories of ethics.
Preparation
As you begin work on your Ethical Theories Matrix assessment, it may be helpful to review the suggested resources focused on moral and ethical considerations. For your own reference, you may want to briefly jot down your thoughts related to:
An inventory of the basic principles of health care ethics. These principles are nonmaleficence, beneficence, utility, distributive justice, and autonomy.
An explanation of each principle as well as your own example to illustrate the application of each.
Instructions
Drawing from the material covered in the resources as well as your own research, complete this assessment using the Ethical Theory Matrix Template [DOC] Download Ethical Theory Matrix Template [DOC].
For each theory, first describe the decision criteria. The decision criteria are the instructions the theory gives for how to reach the morally correct choice in a situation that requires action.
Then, provide your own example of how someone might act using the decision criteria of the theory.
Finally, briefly describe the strengths and weaknesses of each theory using the last two columns of the Ethical Theory Matrix Template.
The suggested resources for this assessment could help you get a start on completing the matrix, but do not hesitate to use any outside resources that you can find online, the Capella library, or elsewhere.
This matrix is a tool you will use throughout the rest of the course. Submit your completed matrix as an attachment to this assessment.
Refer to the Matrix of Ethical Theories Scoring Guide for more information on how this assessment will be graded

For the master’s-prepared nurse, knowledge of epidemiology and its application t

For the master’s-prepared nurse, knowledge of epidemiology and its application to preventive screening guidelines is important in many clinical areas: administrative, education, and nurse practitioner fields. Individual patient preventive screenings are ordered as a secondary measure before symptoms occur. Preventive screenings are recommended based on outcome data from epidemiological studies, that the test is beneficial; based on risk and characteristics of the identified population in the screening guideline.
Select one screening below from the United States Preventive Services Task Force guidelines.
Abdominal aortic aneurysm
Breast cancer
Cervical cancer
Colon cancer
Diabetes mellitus II
Lung cancer
Condition and Screening
Define the condition and type of screening
Epidemiology of Condition
Discuss the epidemiology of the condition in the United States, via three statistical terms. Include the mortality and related morbidity statistics in numerical format and address trends. Include 3 comparisons: related disparities, such as race, sex, age, etc. Clearly state an analysis of the data, identifying gaps and inequities in care. Provide trends and outcomes related to screening benefits in numerical statistics.
Methodology
Incorporate the described USPSTF guideline development methodology process, (How the guideline was developed).
Discuss the preventive guideline criteria, the population, and provide details on the screening tool.
Include detailed risk factors. If there is a risk prediction tool, include this.
Critical Analysis
Conduct a literature review of the guideline’s support used for its development. You may include alternative studies found in more recent literature supporting or offering alternative views.
Identify and discuss four studies used in the guideline development clearly relating the impact on the guideline criteria for screening, tool, or population etc.
Identify each study clearly in the paper and cite.
Summary
Provide a summary conclusion of the screening guideline, general benefit to the individual, and why it is important.
Format expectations:
Follow all assessment directions.
Introduction and conclusion are included.
Information in paragraphs and paper organized to convey the content to the reader.
Paper length paper should be 3–4 pages of content.
Follows APA in paper format, reference page, in-text citations, or headings.
Uses four or more credible peer-reviewed sources.

Rewrite:
Nurse Turnover: Impact, Solutions, and Leadership
Issue Description and

Rewrite:
Nurse Turnover: Impact, Solutions, and Leadership
Issue Description and Impact on Quality of Care
Nurse turnover, particularly among newly licensed registered nurses (NLRNs), significantly impacts healthcare quality and financial efficiency. High turnover rates lead to increased workloads for remaining staff, decreased continuity of care, and substantial financial burdens for healthcare facilities. For instance, turnover rates for NLRNs range from 12% to 25% annually, with smaller hospitals in nonmetropolitan areas experiencing even higher rates (Bae, 2023a). The consequences include increased medical errors, longer patient hospital stays, and decreased patient satisfaction (Bae, 2023a). Additionally, nurse turnover is costly, with expenses related to hiring, training, and decreased productivity of new hires estimated to be three times the annual salary of a nurse (Bae, 2022).
Potential Solution: Interprofessional Collaboration
Interprofessional collaboration (IC) presents a viable solution to nurse turnover. IC involves structured communication and teamwork among healthcare professionals from various disciplines, aiming to enhance patient outcomes and job satisfaction. During the COVID-19 pandemic, IC has proven essential for providing safe and effective patient care (Campoe, 2020). Implementing IC requires initial investments in training and development, but the long-term benefits include reduced turnover rates and improved patient care quality.
Financially, while the initial costs for training and development are considerable, the savings from reduced turnover and improved patient care efficiency justify these expenses. Hospitals investing in IC frameworks can expect better nurse retention, leading to lower recruitment and training costs, and ultimately, enhanced patient care (Campoe, 2020).
Leadership Style to Address Nurse Turnover
Transformational leadership is particularly effective in addressing nurse turnover. Transformational leaders inspire and motivate their staff, creating a supportive and inclusive work environment. This leadership style emphasizes recognizing individual staff needs, providing mentorship, and encouraging professional development, which are crucial for enhancing job satisfaction and retention (Whitney, 2023). Transformational leaders focus on long-term goals, vision-oriented strategies, and empowering their team members, fostering a positive work culture and reducing turnover rates.
My personal leadership style aligns closely with transformational leadership. I believe in leading by example, empowering team members, and promoting a culture of continuous learning and improvement. This approach, combined with effective communication and relationship management, can significantly impact nurse retention and overall job satisfaction.
Leadership Theories for Resolution
Two leadership theories applicable to resolving nurse turnover are the Contingency Theory and the Leader-Member Exchange (LMX) Theory.
Contingency Theory: Proposed by Fred Fiedler, this theory posits that the effectiveness of a leader depends on the fit between the leader’s style and specific situational variables (Whitney, 2023). In the context of nurse turnover, a leader could adapt their style to meet the unique needs of their staff and the organizational environment. For instance, in a high-stress unit with frequent turnover, a leader might adopt a more supportive and participative approach to build trust and job satisfaction.
Leader-Member Exchange (LMX) Theory: This theory focuses on the relationship between leaders and their subordinates, emphasizing the importance of high-quality exchanges for effective leadership (Whitney, 2023). By fostering strong, individualized relationships with staff, leaders can enhance job satisfaction and reduce turnover. LMX theory suggests that leaders who invest time in developing these relationships will see improved performance and commitment from their team members.
Both theories are effective in addressing nurse turnover. Contingency Theory’s adaptability ensures that leadership approaches are tailored to specific challenges, while LMX Theory’s emphasis on relationships helps build a supportive and cohesive work environment.
Nurse’s Role in Interdisciplinary Teams
Nurses play a crucial role in promoting patient quality and safety within interdisciplinary teams. They act as advocates for patient care, ensuring that all team members are informed and aligned with patient goals. Effective communication and collaboration among nurses and other healthcare professionals are essential in managing patient care, particularly in high-stress environments prone to turnover.
Interprofessional collaboration (IC) is critical in this regard. According to Campoe (2020), IC is vital for promoting patient safety and improving care quality, especially during crises like the COVID-19 pandemic. Nurses collaborate with various healthcare professionals to ensure comprehensive patient care. This collaboration reduces errors, improves patient outcomes, and enhances job satisfaction, thereby addressing some of the root causes of nurse turnover.
Nurses can lead IC initiatives by participating in committees focused on patient safety and quality improvement, advocating for patient-centered care, and fostering a culture of teamwork and mutual respect (Campoe, 2020). By actively engaging in IC, nurses can improve the quality of care, reduce turnover, and promote a supportive work environment.
Conclusion
Nurse turnover significantly impacts healthcare quality and financial stability. Implementing interprofessional collaboration, guided by transformational leadership, can effectively address this issue. The application of Contingency and LMX theories provides a framework for adaptable and relational leadership strategies. By actively participating in interdisciplinary teams, nurses can enhance patient care and contribute to a supportive professional environment, ultimately reducing turnover rates.
References
Bae, S. H. (2023a). Comprehensive assessment of factors contributing to the actual turnover of newly licensed registered nurses working in acute care hospitals: a systematic review. BMC Nursing, 22(31). https://doi.org/10.1186/s12912-023-01190-3
Campoe, K. (2020). Interprofessional collaboration during COVID-19. MEDSURG Nursing, 29(5), 297-298.
Whitney, S. (2023). Theories and Concepts in Leadership and Management.
Bae, S. H. (2022). Noneconomic and economic impacts of nurse turnover in hospitals: A systematic review. International Nursing Review, 69(3), 392–404. https://doi.org/10.1111/inr.12769

Discussion – Group 4
This week’s discussion investigates the cardiovascular syst

Discussion – Group 4
This week’s discussion investigates the cardiovascular system and stroke.
Answer the following questions in your discussion post. You can also use other relevant resource videos additional to the video provided.
Discussion Assignment:
What causes a stroke?
What are the symptoms of a stroke?
What side of the body would be affected by a stroke on the left side of your brain?
What is a TIA?
What is the difference between an ischemic stroke verses a hemorrhagic stroke?
How do you manage an ischemic stroke verses a hemorrhagic stroke?
Reference:
A stroke, or brain attack, happens when blood flow to your brain is stopped. It is an emergency situation. The brain needs a constant supply of oxygen and nutrients in order to work well. If blood supply is stopped even for a short time, this can cause problems. Brain cells begin to die after just a few minutes without blood or oxygen.
https://www.khanacademy.org/science/health-and-medicine/circulatory-system-diseases/stroke/v/what-is-a-strokeLinks to an external site.
*Feel free to use additional relevant and reputable resources/videos, in addition to the video provided, to add depth to the group discussion.  When searching for additional resources, be sure they are science based, academic, current and verified as reputable in the modern medical community/practice. A good way to do this is to observe their source and purpose in addition to their production date. A good rule of thumb would be that information is no more than 10 years old and there has clearly not been any new leading research to overturn the validity of the research behind the utilized information. I should also be information that is guiding current, mainstream, medical practices.