who controls nursing? (Consider nursing practice on all levels in your discussion.).I work in ICU. I would like discussion reflect ICU prespective if it applies.

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. who controls nursing? (Consider nursing practice on all levels in your discussion.).I work in ICU. I would like discussion reflect ICU prespective if it applies. This is a discussion post atleast 8 sentences. This is an example of discussion post from another classmate below by ashely poppa
2. Reply to stephanie renoylds post with reflective and respectful questions or arguments or constructive feedback- atleast 5 sentences
Ashley Popa –Nursing is controlled by a variety of people and groups, none of whom control nursing entirely. The public controls nursing by influencing public health issues and by creating different nursing environments such as homeless care, home health, public health clinics, etc. Patients control nursing by creating personal demands for care. Some patients are more or less demanding than others which can control nursing care in addition to the nursing care required by their medical needs. Study participants and researchers for evidence based practice can control nursing care because policies and procedures change based on study results. The nurse controls nursing care because he or she carries out the physical and emotional act of nursing. Doctors and mid-level providers control nursing care by entering orders for the nurse to execute. Management controls nursing care by creating goals for nursing staff such as infection control measures or overtime prevention. Hospital or clinic administration control nursing by creating policies, utilization management, ethics law, etc. that affects day to day nursing. Members of legislature and government agencies affect nursing by passing laws related to healthcare.In summary, there are many many people, groups and other factors that control nursing but none that control nursing as a whole. Nursing it far too comprehensive to be completely controlled by just one person or group.


Stephanie Reynolds
Who controls nursing?-I believe that nursing is controlled by many factors. One of which is the patient! Nursing scores are based solely on patient satisfaction and standards of care are being centered around patient surveys. While I do believe that nurses have a lot of power and influence regarding nursing as well as safe and effective practice, nurses still must battle with patient satisfaction versus standard practice. There are many evidence based practices that nurses follow day to day that are in place strictly to improve satisfaction scores because of what patients want and what will make them happier. For example, hospital bedside nurses are frequently being told how to provide care to patients that will increase the hospitals scores. Administration is so concerned with scores from patient surveys that they tend to forget why we became nurses in the first place. The state board of nursing plays a large role in nursing control. We must adhere to specific rules and nurse practice guidelines that are set by each state board. Nurses can also take better control by joining committees and voicing their opinions on nursing care and advocating for better standards of practice. Nursing is a very broad field and caters to many different job opportunities. It is hard for me to point to one direction when it comes to who controls nursing as there are so many factors in play. For myself, I would say that I am in control. I take care of every patient the same as I would the next one. I advocate for myself, other staff members, as well as my patients and I speak up when I see something that isn’t right or if I feel like it is not working on my unit. Nursing is about teamwork, as I believe that if we work together and ensure excellent nursing care, we will always have the upper hand in controlling our field of practice.
 
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.Explain which of the treatment techniques discussed in this course you will use the most in your career and why?

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Discussion—Licensure, Certification Requirements, and Career Enhancement

Over the course of the past few modules you have learned about the theories of substance abuse counseling. This includes the ethical principles of counseling, ways to apply these principles, and the development of treatment plans, as well as many other areas applicable to substance abuse counseling. You discussed and answered questions about how to deal with specific situations in counseling, how to work with clients, and how to develop a theoretical framework.
By now you will have come to the conclusion that your education as a substance abuse counselor does not stop here. There are many career enhancement resources available to substance abuse counselors. To prepare for this final discussion question, explore the following resources for both career enhancement and licensure or certification requirements:

  • Addiction Technology Transfer Center National Office (ATTC). (2011). Certification information. Retrieved from http://www.attcnetwork.org/certifications/search.aspx
  • National Association for Alcoholism and Drug Abuse Counselors (NAADAC). (2010). Retrieved from http://www.naadac.org/

Using the information you have examined on the recommended Web sites listed above, respond to the following questions:

  • 1.Explain which of the treatment techniques discussed in this course you will use the most in your career and why?
  • 2.Identify the areas in substance abuse counseling that you need for future learning to help you in your career and include at least one career enhancement resource available to substance abuse counselors that will help you meet this goal.
  • 3.Explore the licensure or certification requirements in your state.
  • 4.What are the steps to obtain licensure or certification in your state? 5.Identify the continuing education requirements for maintaining your licensure or certification in your state.

Write your initial response in approximately 300–400 words. Apply APA standards to citation of sources.

 
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Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.

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Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.
To Prepare
· Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.
· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
· Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.
To Complete
Write a 2- to 3-page paper that addresses the following:
· Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.
· Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.
· Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.
 
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Define, in your own words, qualitative research. Locate and cite two different types of qualitative research articles related to your PICOT project.

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Question description
Please, needs to be 1 page, use peer-reviewed nursing articles that are less than 5 years old
Topic 1: Qualitative Research Design
Using the knowledge and insights gained from the textbook and other reliable sources answer the following. Define, in your own words, qualitative research. Locate and cite two different types of qualitative research articles related to your PICOT project. Provide a brief explanation of each design. Identify a potential qualitative research study that is important to nursing and describe which design you would use for this study, why you would use that design, and how the information generated from the study could be applied in nursing practice. Reflect on the value of qualitatitve research adding to the science, knowledge, and practice of nursing.
See the Discussion Board grading rubric on the Course Home.
PICOT question:
 In patients with ventilation associated pneumonia, will evidence-based practice methods e.g. hand hygiene help in reducing spread in nosocomial infections.

 
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THE ROLE OF NURSING IN THE EMERGING HEALTH-CARE ENVIRONMENT

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THE ROLE OF NURSING IN THE EMERGING HEALTH-CARE ENVIRONMENT.

 NO COMMENTS

You have to create an E-Poster on what you see as the future of nursing practice and the role of nursing in the emerging health-care environment. You need to predict the future based on present evidence.

The E-Poster needs to include the following:

1. Introduction

2. Statement of the issue

3. Evidence supporting the issue

4. Prediction of the future role of the nurse

5. Conclusion

6. References: minimum of three references from peer-reviewed nursing journals (encourage the use of international journals). Articles need to be within the last 3 years unless historical.

 
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MICROBIAL APPLICATIONS AND VIROLOGY

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Module 4 – SLP

MICROBIAL APPLICATIONS AND VIROLOGY

Bioremediation is the use of organisms like bacteria, archea or fungi to metabolize pollutants. Instead of simply collecting the pollutant, bioremediation relies on living organisms to consume and break down the compound, turning it into a natural, harmless product. This technique is often used to help clean up major oil spills. Watch the following video and article link to learn more:

Oil-Eating Bacteria Could Be a Solution to Spill Cleanups. National Geographic. Accessed at https://www.youtube.com/watch?v=sPgLJrk0sGQ on September 14, 2016.

Prokaryotes and Environmental Bioremediation. https://courses.lumenlearning.com/trident-boundless-microbiology

Address the following questions in essay format:

Research a microbe that can be used in bioremediation and provide the following information:

1) Provide the scientific name and identification of the bacteria that is used in bioremediation. How is it classified? Give a brief description of your bacteria. What is it’s normal environment?

2) Which biogeochemical cycle does the bacterium participate in (Carbon, nitrogen, or phosphorus cycling)? How is this important to its role in bioremediation?

3) How are bacteria as a whole being genetically modified to improve bioremediation?

3) What are some limitations to using bacteria for bioremediation?

SLP Assignment Expectations

Page Length: 2 to 3 pages

Format           

TUI encourages all students to comply with APA style and format guidelines for proper citation of references.  Use the formatting in your Background page as a model for citing sources from the SLP assignment.

Scholarly Content                  

Your case assignments are considered scholarly works. Your final work should include peer reviewed (scholarly) sources.

Please keep in mind that you should not use sources such as “Answers.com” or “Wikipedia” or “Wikianswers.”  None of these are scholarly sources and they can be “modified” by any registered user which makes them unreliable. Upload your final word document to the SLP dropbox.

 
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Later Adulthood Development Report

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Later Adulthood Development Report

Question descriptionImagine you are a director at a nursing home facility. You are discussing, with a potential client’s family, the needs of, and the changes facing, older adults.

Write a 1,050- to 1,400-word report in which you describe to the potential client’s family the personality and social development that occur in later adulthood.

Address the following in your report:

  • Explain changes in role and social position during this stage.
  • Compare living accommodations, such as accessibility and the need for health care.
  • Illustrate the adjustment and transition from work to retirement.
  • Describe changes in marriage, family, and peer relationships.
  • Identify social policies that affect the older adult.

Include at least two peer-reviewed resources.

Format your paper consistent with APA guidelines.

 
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If you do not have enough information to successfully follow the guidelines, where might you locate the information

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This is a nursing paper Wherever you are within the RN-to-BSN Program, you have come in contact with American Psychological Association (APA) format. As you recall, this is the citing and referencing system used when publishing in most peer-reviewed journals. Also, recall that peer-reviewed journals are those that are reviewed by experts in the field prior to publishing in said journal. We have heard from many of you wondering why the RN-to-BSN Program requires and grades APA format in your writing assignments. Your Capstone project in your final course prior to graduation will require APA format. When your Capstone is complete, you are about 70% along the way to having material suitable for publishing. Wouldn’t that be a nice addition to your resume? If you pursue higher education, APA will be required as a part of that educational track as well. Finally, there is publishing as a part of your professional role. Thus far, you have explored several peer-reviewed journals. Have you noticed that many articles are written by practicing nurses? Your assigned Discussion Forum is as follows. Please consult your favorite professional journal and search for “Author Guidelines.” Attach the guidelines to the Discussion Forum along with your discussion content (we will set Moodle to accept 1 attachment). The Discussion Forum itself will include your comments on the following: DIRECTIONS: 1. Why would a practicing nurse want to publish? 2. Comment on the guidelines you’ve attached to your discussion. Point out those things that are familiar and those things that are not. 3. If you were writing an article today, do you currently have enough information to successfully follow the guidelines? 4. If you do not have enough information to successfully follow the guidelines, where might you locate the information? Your personal opinion is warranted for item one (1) above. However, for the remaining items (2-4), you must show critical analysis of the topic and, in addition, all items must be supported by evidence from the scholarly literature. Your response must be typed (or copied and pasted) directly into the discussion thread. The word limit is no less than 200 or more than 300 words, with at least 2 peer-reviewed journals no older than 5 years. Please double space between paragraphs but do NOT use double spacing or indentions throughout. The only APA format should be for citation of sources in-text and the reference list. No file can be uploaded.

 
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Nursing Autobiography:

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ou are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice.
This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory.
Your paper should follow a format that includes:

  • Nursing Autobiography: A brief (1 page) discussion of your background in nursing.
  • The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.
  • Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.
  • List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

Each week, you will complete various segments of your Concept Synthesis Paper and submit it to the W1: Assignment 3 Dropbox for facilitator feedback when necessary. Your paper should integrate these discrete elements and reflect your personal nursing philosophy.
Your Concept Synthesis Paper on your Personal Nursing Philosophy is due in Week 3. However, it is recommended that you begin working on your paper from Week 1 onwards and complete the various components related to the paper week wise as you progress through the course. The suggested tasks for each week are:
Week 1: Nursing Biography and The Four Metaparadigms of Nursing
Week 2: Two Practice-specific Concepts, and List of Propositions/Assumptions
Week 3: Due: Concept Synthesis Paper on Personal Nursing Philosophy
Consider the following questions as you complete your various tasks related to this assignment.

1. How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?
2. What are the major concepts I employ that are unique to my professional practice?
3. What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?
4. How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into my philosophy and practice?
5. What research supports these theories and concepts?
6. How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 6-10 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.
Your philosophy/framework is to be given a title that is appropriate to its content and emphasis.
Grading of the paper will be based on the following:

 
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Evidence-based care essay

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Evidence-based care essay

Give a positive comment on the following evidence-based care essay and edit the same.

The healthcare organizations are moving to have more bachelor prepared nurses so; they can help make patient care decisions. The Institute of Medicine (IOM) recommends nurses to have a BSN or higher to help with the overall changing healthcare system. By 2020, they want 80% of nurses to have a BSN or higher. Why? Nurses need to have an expanded more knowledge of different areas of nursing and evidence-based practice. As hospital care has become more complex, nurses must make critical decisions associated with care for sicker, frailer patients and work with sophisticated, life-saving technology (Garner, 2011). Evidence-based practice is vital to provide the most effective patient care to improve patient outcomes because patients are becoming more complex.

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Two ways that the author will continue to integrate EBP into their practice is continued education on the subject at hand to keep up to date on changes in patient care to help with improvement in patient care. Also, another way is to Engage colleagues and educate them on new EBP practices, studies, or interventions that may benefit their work environment or patients (Chrisman, Jordan, Davis, & Williams, 2014)

Obstacles to the plan for the author would be nurses resisting change and management not helping with the implementation of the plan. Education to the nurses will be the first of why this is helpful for our patient’s outcomes versus the old way of doing things. Showing articles and statistics will help bring the point across. Getting management on board to help with implementation as well. Management will be made aware that providing the evidence-based care will improve patient outcomes and decrease healthcare costs.

References

Chrisman, J., Jordan, R., Davis, C., & Williams, W. (2014). Exploring evidence-based practice research. Retrieved from https://www.nursingcenter.com/evidencebasedpracticenetwork/home/journalarticle.aspx?Article_ID=2492783

Garner, C. (2011, January 11). IOM Advocates for Higher Levels of Nursing Education [Blog post]. Retrieved from https://www.americansentinel.edu/blog/2011/01/10/iom-advocates-higher-nursing-education/

Evidence-based care essay

 
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