Cultural competency in nursing is most essential in providing quality patient care.

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The importance of competency based nursing cannot be over emphasized. A culturally competent health system can only exist with culturally competent nurses (Green & Reinckens, 2013). This is an indispensable tool of patient-centered care necessary for nurses to practice efficiently and effectively in a diverse cultural based healthcare system. A culturally competent nurse is able to meet the needs of patient irrespective of race, value, culture, belief, religion, socio-economic background or political orientation. A cultural competent nurse must identify their own beliefs, culture, and value system as well as that of the patient avoiding bias and stereotyping (Green & Reinckens, 2013). A culturally competent based nurse must possess effective communication skills both verbal and non-verbal as this will help to identify and understand the patient’s healthcare needs. By identifying the patient’s needs, the nurse is able to gain insight in developing a plan of care that is most suitable for that specific patient. Culturally competence nursing involves improving patient outcomes, less hospitalization and healthcare cost saving for the patient and family.

Cultural competency in nursing is most essential in providing quality patient care. Cultural competence requires the nurse to be sensitive to patient‘s cultural needs predispositions and health risks that are related to specific cultures, addressing these as needed. This writer work in a Care Center that is much diversified culturally. There is this patient that will not respond to a female staff in the early hours of the day for cares. It was a challenge until the investigation revealed that in that patient’s culture only their wives are allowed to see them before 5.am. This patient felt honored and respected after the investigation. It was wired for the nurses in the unit, but a great accomplishment for the patient. Indeed, patient satisfaction is Patient- Centered care which every culturally competent nurse must practice in this diverse population.

 

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Healthy People Initiative

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Healthy People Initiative

1313 unread replies.2020 replies.

This week’s graded discussion topic relates to the following Course Outcomes (COs).

  • CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
  • CO3 Utilize effective communication when performing a health assessment. (PO 3)

The topic this week asks you to apply what you have learned to the following case study.

As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020 (Links to an external site.)Links to an external site. and your text as a guide, answer the following questions.

  1. What additional information would you like to gather from Maria?
  2. What are Maria’s real and potential health risks?
  3. Why is Maria’s culture important when obtaining the health assessment?
  4. Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?
  5. What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.
  6. Class,

    As we begin this week starting to talk about Healthy People 2020, I am looking forward to your input and answers to the questions with the scenario and Maria. As you are reviewing the Healthy People 2020 new topic areas, in this week’s lesson, what are your thoughts on them? Do any of these topics apply to your current workplace setting? Can you share an example of the scenario or a workplace example, and would these new areas benefit you in your practice?
 

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Group formation stages: the five stages of group development are forming, storming, and norming, performing and adjourning.

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Groups

According to Rodriguez, Ferreira, Mishima & et al. (2016), group dynamics is a form of communication, interaction and collective relationship that provides learning and education for group interest. Group interacts, exchange opinions and communicates to accomplish better outcomes. Group dynamics are essential for leadership and management of any healthcare organization.

Group belongings: The group I am currently involved in my organization is the unit based council. It is an open group committee for the psychiatric department. Although the purpose is to collaborate with staff for our department improvement, it is open to employees and management for the development and growth of patient care. It uses evidence-based practice to improve nursing practice. It empowers employees to provide excellent care for a better outcome. It focuses on things that influence nursing standard, quality improvement, patient safety and care. It gives nurses shared decision-making skills and encourages nurse to take shares governance, voice, and ownership of patient care to make change possible for better patient outcomes. We meet twice a month to discuss any issues or solution to problems in the department, and it is a paid or clock-in education in-service.

Group formation stages: the five stages of group development are forming, storming, and norming, performing and adjourning. The forming stage of group development involves group orientation, guidance, and direction. This stage includes the gathering of strangers to form common goals, impression and seeking ways to known and understand each other. The storming stage evaluates prospective leaders among the group, rules are created, and individual members struggle for power or authority in the group. Norming is group unity showing interpersonal relationships. Here, members gather, contribute, maintain and tries to solve group problems. In performing stage, subgroups are created, and group morale is high, and the members are working together for group goals. The final step of group development is adjourning. It involves rewarding members for their contributions.

Group role and leadership strategies: during the formation of unit-based council and meeting involve anxiety, vision, and communication. Leadership strategies involve commitment, delegation and open-minded in carrying out group mission.

In conclusion, group communications are needed to assess and advance group mission adequately. In healthcare, nursing leadership is necessary to inspire members and contribute to group success.

 

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Research Proposal

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Research Proposal Paper Due

What is a research proposal?

The purpose of a research proposal is to identify and formulate questions that arise from nursing practice and to design a research project to study the identified problem. The goal of a research proposal is to present and justify a research idea you have and to present the practical ways in which you think this research should be conducted. Research proposals contain extensive literature reviews and must provide persuasive evidence that there is a need for the proposed research study. In addition to providing a rationale for the proposed research, a proposal describes detailed methodology for conducting the research consistent with requirements of the professional or academic field and a statement on anticipated outcomes and/or benefits derived from the study.

Directions

Write a research proposal using your clinical question formulated earlier in the course that was approved by your instructor. This may be either a qualitative or quantitative research proposal. Your proposal must include APA formatting. The proposal should be a 6–10 in length plus appendices cover page, and reference page. The appendices should include your survey instrument created in week 6. You will be presenting your research proposal in a 6–8 minute recorded presentation in week 8.

Introduction

  • Clearly stated problem and purpose of the study
  • Independent and dependent variables
  • Definition of terms
  • Assumptions, hypothesis, or questions (depending on research type)

Theoretical Framework

  • Description of the theoretical framework to be utilized
  • Identification of the concepts to be explored
  • Rationale for choosing framework

Review of the literature

  • At least four scholarly sources included
  • Appropriateness of the review and the proposal focus
  • Inclusion of primary or secondary sources

Methodology

  • Description of study type (quantitative or qualitative)
  • Description of study design
  • Rationale for the use of the selected design
  • Inclusion of sample size, type, sampling method, inclusion/exclusion criteria, setting, data collection method (instrument), and data collection process
  • Method for Protection of Human Subjects (consent)
  • Questionnaire and consent forms must be included as appendices

Data Analysis

  • Data analysis method is appropriate for study design.
  • Method of data analysis is clearly stated.
  • Method for displaying findings is stated.

Applicability to Nursing

  • Research focuses on a problem significant to nursing.
  • Research would contribute to nursing knowledge.
  • Proposal is complete so that another researcher could replicate the study.
  • Statement about areas of nursing that would benefit from this study.
 

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The leadership potential of stewardship in nursing requires new models of delivery of care, and we need to address the ever-changing nature of the work of a nurse

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Please do a paragraph about this post with this instruction .

post most have 4 or more sentences .

you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the reading

When nurses work together, patient care and the workplace atmosphere improves. Yet, so often nurses become too busy to effectively collaborate with one another, which can increase stress levels among the nursing team. Creating a workplace that values teamwork can not only improve existing staff relationships, but it can help temporary nurses feel welcomed if the hospital needs to employ a nurse staffing agency. Three strategies to boost nurse teamwork:1. foster a culture of respect,2. start huddles,3. have nurse mangers involved (Pasqual, 2016).I will encourage open communication, and having each staff member opinion’s on any new implementation that will benefit our staff and our patients.

The leadership potential of stewardship in nursing requires new models of delivery of care, and we need to address the ever-changing nature of the work of a nurse (Fouche, 2011). Servant leadership as a leadership philosophy was first defined by Robert K. Greenleaf. He described servant leaders as those who achieve results for their organizations by attending to the needs of those they serve.Greenleaf proposed that leadership was about serving others including employees, other stakeholders, and society.

Developing nursing stewardship skills is being a truly advocate and feel the passion for what you and the ones you care for.For that I will look to the needs of the staff and continually asks how they can help them solve problems and promote their personal development. I would encourage open communication, daily unit huddles, coaching employees, clear direction, respectful atmosphere, nonpunitive environment, and shared responsibility for team success.As a nurse steward is fundamental to focus in the needs of others without focusing on our own rewards. Steward leadership is caring leadership and helps to build trust because followers believe that their leader genuinely cares about their welfare.

 

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Evaluate the implications of the effects of contemporary health policy on providers and consumers.

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  1. Evaluate the implications of the effects of contemporary health policy on providers and consumers.

2.Assess the legislative and policy-making strategies specific to scope of practice and nursing roles that influence health care services and practice.

Choose a health care treatment option that is controversial and maybe costly. Describe the positive and negative benefits from the treatment, evidence of effectiveness, and the potential harm of a different treatment option. What strategies would you use to advocate for a legislative change in your state to influence insurance coverage for this treatment.

Choose a controversial health care treatment option. Describe the treatment.
Describe the social and legal controversy associated with your controversial treatment.
Describe the evidence that supports the effectiveness of the controversial treatment.
Describe the evidence that does not support the effectiveness of the controversial treatment.
Compare and contrast the positive and negative benefits or harm of the controversial treatment.
Compare and contrast positive and negative aspects of available traditional treatments.
Compare and contrast the costs of the controversial treatment with the costs associated with traditional treatments
Describe the required process for legislative change to occur in your state.
Describe a strategies that you would you use at the local and state level to advocate for a legislative change in your state that would influence insurance coverage for this treatment.
Provide an estimated timeline for your legislative change to occur. Use the steps describe in required process for legislative change for your state.
Note:

This is a fact-based Assignment that will not include your opinion.
This will require research and support for what is written.
The Assignment should be in your words after reading the scholarly and fact-based publications and have proper citations. There should be no quotations. The professor wants to hear your voice as a masters trained nurse.
The paper should have a minimum of seven citations and some of these should be case law or applicable statutes.

 

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Developing and Refining Research Problems

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In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.

To prepare:

  • Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.
  • Review the section beginning on page 71 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.
  • Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.
  • Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.
  • Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question?
  • Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.

To complete:

Write a 3- to 4-page paper that includes the following:

  • A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
  • The 5 questions you have generated and a description of how you analyzed them for feasibility
  • Your preliminary PICOT question and a description of each PICOT variable relevant to your question
  • At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections
 

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Is very anxious and asks whether she is going to die.

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Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5 kg
  2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
  5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

 

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Identify the three branches of Texas government and describe their functions.

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Essay: Students will be required to write an essay for this course. The deadline for final submission is July 6th

at 5 p.m. Students should choose ONE topic from the following and write a 4 page essay (with an MLA style Works Cited Page at the end) that addresses the topic completely:

1.African Americans in Texas today have full voting rights. Explain the political and legal steps taken by African Americans to achieve this right.

2.Identify the three branches of Texas government and describe their functions. In your essay, please specify the current leaders of each branch of Texas government. Identify ways in which each branch of Texas government can exercise a check on each of the other branches.

3.Identify and describe the importance of the functions of political parties in Texas. Describe the differences between liberals and conservatives. Describe the progression that has led to the dominance of the Republican Party in Texas. In your essay explain the different political philosophies of the different factions within the Republican Party in Texas.

The essay MUST be a minimum of 4 pages, not including the Works Cited page. Please cite a minimum of 4 reputable sources and include in -text citations throughout the essay.

When writing your essay, the header should NOT be half a page in length. I need to see that you have made the effort to write a FULL 4 pages. It’s acceptable to have an essay that’s longer in length, but shorter will result in points being deducted.

 

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