Nursing Theories Paper

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Nursing Theories Paper

Nursing Theories: An OverviewSource Link: http://currentnursing.com/nursing_theory/nursing_theories_overview.html

Prompt: 

What is my experience with nursing theory?  Have I ever seen nursing theory in practice?  How important do I think nursing theory is to nursing practice? What do I find most interesting about what I am learning about nursing theory? Is my mind and heart open to learning to see nursing from a different perspective?

Summary: The purpose of the Reflective Journal is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection in Action has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011). Also, a useful definition of reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).

Boyd, E. M., & Fales, A. W. (1983). Reflective learning: Key to learning from experience, Journal of Humanistic Psychology, 23(2), 99-117.

Hill, M. & Watson, J. (2011). Creating a Caring Science Curriculum. New York, NY: Springer Publishing.

Nursing Theories Paper

 
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FINAL GOALS PRESENTATION

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Question description

FINAL GOALS PRESENTATION

This week, you will submit your presentation using the Kaltura recording tool within Blackboard. See the Getting Started with Kaltura link listed under the Resources area in your course menu to learn how to use this tool. Your presentation must include both audio and visual components and be professional in nature.

 

Follow these assignment parameters in your presentation:

  • Identify three short-term goals and three long-term goals related to your professional aspirations. You may also include a five-year plan if you wish. These goals should be reasonable within the time frames presented.
  • Describe how you plan to meet your professional goals:
    • What steps will you take?
    • What milestones will you set? (How will you know you are making progress?)
    • How will you use your strengths to meet your goals?
    • What challenges do you foresee, and how will you overcome them to meet your goals?
    • Include opportunities to leverage your ePortfolio and other resources to meet your goals.
  • Explain how this nursing program and specific courses or assignments within it impacted your goals (goals met and goals still to achieve).
    • Identify specific achievements during your program (e.g., a goal GPA, an attendance goal, certificates, improved writing skills).
    • Self-evaluate your success at meeting the program outcomes and essentials.
  • Identify memorable assignments or courses, epiphanies, or moments when your course work directly impacted your professional work.
  • Describe your current nursing philosophy and reflect on how it supports your goals and aspirations.
  • Be sure to include an introduction (introduce yourself briefly) and a conclusion to your presentation.
  • Your presentation should be between 7 and 12 minutes long.
 
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Describe reducing healthcare cost. Why is this issue of particular interest/importance to you and to the profession of nursing.

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Describe reducing healthcare cost. Why is this issue of particular interest/importance to you and to the profession of nursing.

Reducing Healthcare Cost

REQUIREMENTS
Assignment Criteria for Presentation:
1. Provide an introduction to reducing healthcare cost issue.

2. Articulate key points under each of the , using the headings in your paper.
A- Describe reducing healthcare cost. Why is this issue of particular interest/importance to you and to the profession of nursing
B-. What is the specific problem, including background, surrounding this issue? Is there a need for a new law or campaign related to this issue? Is there a need for change to an existing law? Is there need for a change in regulatory issues? What specific supportive evidence do you have for this issue, including evidence and references? You will need to include this in your message/ask/recommendation(s).

C- Review thoughts regarding reducing healthcare cost. It is important to analyze your issue thoroughly. Be sure you address the following with evidence and research:
• Context
• Goals/options
• Evaluation of options
• Recommended solutions

D. How can you find out the current status of reducing healthcare cost? Is there a website (professional organization such as the American Nurses Association or local, state, or federal government) that provides status updates or alerts? Please describe.

E. What level(s) of government does reducing healthcare cost involve (local, state, federal)? What level of government is your immediate target? Please describe.

3. Provide a critique of empirical evidence that supports reducing healthcare cost and analysis.

4. Demonstrate the importance and impact of reducing healthcare cost to nursing.

5. Provide concluding statements summarizing the content.

Please use APA 6th edition.

 

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Assume that the company uses absorption costing. Compute the unit product cost for one gamelan.Ida Sidha Karya Company is a family-owned company located in the village of Gianyar on the island of Bali in Indonesia.

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Assume that the company uses absorption costing. Compute the unit product cost for one gamelan.Ida Sidha Karya Company is a family-owned company located in the village of Gianyar on the island of Bali in Indonesia.

EXERCISE 5–1 Variable and Absorption Costing Unit Product Costs [LO 5–1]

Ida Sidha Karya Company is a family-owned company located in the village of Gianyar on the island of Bali in Indonesia. The company produces a handcrafted Balinese musical instrument called a gamelan that is similar to a xylophone. The gamelans are sold for $850. Selected data for the company’s operations last year follow:

Units in beginning inventory. . . . . . . . . . . . . . . . . 0
Units produced. . . . . . . . . . . . . . . . . . . . . . . . . . 250
Units sold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
Units in ending inventory. . . . . . . . . . . . . . . . . . . 25
Variable costs per unit:
Direct materials. . . . . . . . . . . . . . . . . . . . . . . . $100
Direct labor. . . . . . . . . . . . . . . . . . . . . . . . . . . $320
Variable manufacturing overhead. . . . . . . . . . . . $40
Variable selling and administrative. . . . . . . . . . . $20
Fixed costs:
Fixed manufacturing overhead. . . . . . . . . . . . . . $60,000
Fixed selling and administrative. . . . . . . . . . . . . $20,000
Page 200

Required:

Assume that the company uses absorption costing. Compute the unit product cost for one gamelan.
Assume that the company uses variable costing. Compute the unit product cost for one gamelan.
EXERCISE 5–2 Variable Costing Income Statement; Explanation of Difference in Net Operating Income [LO 5–2]

Refer to the data in Exercise 5–1 for Ida Sidha Karya Company. The absorption costing income statement prepared by the company’s accountant for last year appears below:

Sales. . . . . . . . . . . . . . . . . . . . . . . $191,250
Cost of goods sold. . . . . . . . . . . . . 157,500
Gross margin. . . . . . . . . . . . . . . . . 33,750
Selling and administrative expense. . . 24,500
Net operating income. . . . . . . . . . . . $ 9,250
Required:

Determine how much of the ending inventory consists of fixed manufacturing overhead cost deferred in inventory to the next period.
Prepare an income statement for the year using variable costing. Explain the difference in net operating income between the two costing methods.
EXERCISE 5–3 Reconciliation of Absorption and Variable Costing Net Operating Incomes [LO 5–3]

Jorgansen Lighting, Inc., manufactures heavy-duty street lighting systems for municipalities. The company uses variable costing for internal management reports and absorption costing for external reports to shareholders, creditors, and the government. The company has provided the following data:

 

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Explain the appropriate use of the pharmacology related to the topic. Include elements such as diseases or health concerns associated with the topic and the efficacy and applicability of the pharmacology.

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Write a 5–6-page article on a controversial topic related to pharmacology. Explain appropriate use of pharmacology; the relationship between quality patient outcomes, patient safety, and the use of pharmacology; and how the topic affects communities and organizations. Describe inequities regarding access to pharmacological treatments.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 1: Apply practice guidelines and standards of evidence-based practice related to pharmacology for safe and effective nursing practice.
. Explain the appropriate use of pharmacology.
· Competency 2: Explain the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology and psychopharmacology.
. Explain the relationship between quality patient outcomes, patient safety, and the use of pharmacology.
. Explain how pharmacology affects communities and organizations.
· Competency 3: Apply the principles and practices of cultural competence with regard to pharmacological interventions.
. Describe inequities regarding access to pharmacology.
· Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.
. Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
. Correctly format paper, citations, and references using current APA style.
Assessment Instructions
In your professional nursing practice, you will likely encounter both patients and coworkers whose personal or cultural views on pharmacology may be quite different from your own. Understanding the most current research on pharmacological topics will help you make informed choices.
For this assessment, imagine your supervisor asks you to write an article on a controversial topic for the organization’s monthly newsletter in which you review the most recent research on the topic. She stresses you must present a balanced overview and equally address the pros and cons of the topic.
Preparation
Complete the following as you prepare to write your article:
1. Choose a topic from the list below:
. The use of medical marijuana.
. The use of complementary and alternative medicines (CAM) versus traditional Western medicine.
. Experimental drug programs and disease management.
. Mandated vaccinations for children and the implications for parental choice not to vaccinate.
· Search the Capella library and the Internet to locate peer-reviewed research articles on your selected topic. The information you use to support your work in this assessment must be as recent as possible.
Note: These are very broad topics. Limit your work to the scope of your practice and be mindful of the page-length requirements.
Requirements
Once you have identified your topic, organize your article as you wish. Be sure to include the following:
· Explain the appropriate use of the pharmacology related to the topic. Include elements such as diseases or health concerns associated with the topic and the efficacy and applicability of the pharmacology.
· Explain the relationship between quality patient outcomes, patient safety, and use of the pharmacology related to the topic. Remember to address both the benefits and limitations of the pharmacology in terms of specific diseases and populations.
· Explain how the topic affects both the community and the organization in terms of promoting health and wellness.
· Describe any inequities regarding access to the pharmacology related to the topic. Is access limited to specific groups or populations? Who determines access? On what is it based? Does access influence choice?
Follow APA guidelines to format this assessment. Include a title page and reference page.
Additional Requirements
· Number of pages: 5–6 (no more than 7).
· At least 4 current scholarly or professional resources.
· Times New Roman, 12 point, double-spaced font.

 
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ASSESSING QUALITY AND TECHNIQUES FOR IMPROVING QUALITY AND SAFETY

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ASSESSING QUALITY AND TECHNIQUES FOR IMPROVING QUALITY AND SAFETY

Instructions: In this assignment, you will be researching dimensions of quality and safety in healthcare, specifically longterm care, and how various industries can apply these concepts to improve operations. ● Using the Medicare Nursing Home Compare website, research one nursing home that displays a low level of quality as indicated by their Five Star Rating* ○ The nursing home should display a low level of quality (-2 star rating) ○ The nursing home should display a low level of safety ● Provide a general overview of the nursing home (e.g., name, location, bed size, ownership, etc.) ● Discuss the quality performance of the nursing home as evident by its most recent health care inspection (e.g., deficiencies, citations, financial penalties, etc.). This can be accomplished by thoroughly reading the nursing home’s statement of deficiencies and plan of action to correct quality deficiencies (CMS Form 2567). ● Discuss the safety performance of the nursing home as evident by its most recent life safety inspection (e.g., life safety citations, financial penalties, etc.). This can be accomplished by thoroughly reading the nursing home’s life safety code statement of deficiencies and plan of action. ● Discuss appropriate techniques that you would use to improve quality in the nursing home. ● Discuss appropriate techniques that you would use to improve safety in the nursing home. ● Be sure to include details about the deficiencies that you found. ● Report your findings by using one (1) of the methods below: ○ 3-4 page paper excluding front and back matter (APA standards apply). ○ Internal organizational memorandum. ○ Infographic Power Point presentation for a Board of Directors (10-12 slides; speaker notes as needed to support assertions). ○ 7-10 minute public service announcement (using a free online voice recorder such as vocaroo.com) ○ Video newscast (using a free online video recorder such as YouTube.com)(e.g., entertainment talk show, television commentary, interview-style, news reporting, etc.). ○ The use of first person is permitted for this assignment (excluding option 1). ● APA formatting (e.g., title page, conclusion, reference page, etc.) should not be used. *You can select any nursing home published on the Medicare Hospital Compare website. To narrow your selection, consider researching nursing homes in your community, previous places of residence, employers, competitors, or even a nursing home you would like to network with someday. References: https://www.medicare.gov/nursinghomecompare/search.htmlhttps://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/cms2567.pdfhttp://www.cdc.gov/nchs/nnhs.htm

 

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Tying it All Together

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Question description

Tying it All Together

Once a nursing researcher or nursing professional has conducted analyses on their collected data, what can they conclude about their research and research question?

The last and final phase of the research process involves drawing conclusions about research findings as well as tying them into meaningful solutions for clinical nursing practice. How might a nursing researcher or nursing professional relate their research findings to solutions for improved quality of care and patient safety? How might drawing certain conclusions from research findings impact your health care setting?

This week, you will examine two content areas.

PART I: Drawing Conclusions About Research Findings and Their Implications for Clinical Practice

PART I focuses on the last phase of the research process, namely drawing conclusions about the findings and discussing their implications for clinical practice. You will examine how the findings contribute to clinical practice and how the findings might add to new knowledge and the existing literature on a topic. You will consider how the characteristics of well-written conclusions and implications, including consideration of the study’s limitations, recommendations for future research, and variation in the quality of presenting these areas in published research may impact nursing practice.

PART II: The Value of Research in Evidence-Based Practice and Translational Science

PART II focuses on what has been explored about the value of quantitative and qualitative research in evidence-based practice and translational science in nursing.

Learning Objectives

Students will:

Evaluate how evidence-based practice will improve patient quality and safety

Evaluate the importance of the interpretation, conclusion, and clinical implications of clinical research articles in evidence-based practice

Evaluate effectiveness of interventions on decreasing medication errors in health care settings

Photo Credit: Dave and Les Jacobs/Blend Images/Getty Images

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Grove, S. K., Burns, N., & Gray, J. R. (2013). The practice of nursing research: Appraisal, synthesis, and generation of evidence (7th ed.). St. Louis, MS: Elsevier.

Chapter 26, “Interpreting Research Outcomes” (pp. 590–601)

Becker, P. T. (2009). Thoughts on the end of the article: The implications for nursing practice. Research in Nursing & Health, 32(3), 241–242.

Thoughts on the end of the article: The implications for nursing practice by Becker, P. T., in Research in Nursing & Health, 32(3), 241–242. Copyright by John Willey & Sons – Journals. Reprinted by permission of John Willey & Sons – Journals via the Copyright Clearance Center.

Titler, M. G. (2008). Chapter 7. The evidence for evidence-based practice implementation. In R.G. Hughes (Ed.), Patient safety and quality: An evidence-based handbook for nurses (Vol. 1, 113–116). Rockville, MD: Agency for Healthcare Research and Quality.

Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services. (2008, April). Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Volume 1. Retrieved from http://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/nurseshdbk.pdf

 
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Explain why it is difficult for the defendant in the chosen story to be found not guilty by insanity in a court of law.

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This Assignment will center on how psychotic disorders are very common in the criminal justice system. It is believed that almost half of the killers of law enforcement officers meet the criteria for antisocial personality disorder.
Andrea Yates: More to the Story
The case of Andrea Yates, who drowned her five young children in a bathtub on a beautiful June morning, captured the attention of society’s legal and psychological community. The defense she used was “not guilty by reason of insanity,” which subsequently failed. The Time magazine online article, “Andrea Yates: More to the Story” examines the role of the key prosecution witness, a forensic psychiatrist who was paid $500 an hour to dispute claims that Andrea Yates was insane under Texas Law.
As you learned in this week’s unit, the term “insanity” is a legal, rather than psychological, concept. Although the case was later overturned on a technicality, the original jury did not adhere to the defense’s claim of legal insanity.
For this Assignment, you are to discuss the insanity defense and ethical considerations. To help you prepare for this week’s Assignment, review the following sources:

  1. In your text, Chapter 14: “Mental Health Services: Legal and Ethical Issues”
  2. Roche, T. (2002, March 18). “Andrea Yates: More to the Story.” Retrieved from http://www.time.com/time/nation/article/0,8599,218445,00.html
  3. Duran, M. V. (2013). Juries and Insanity. Retrieved from http://www.cengage.com/custom/ems/psych/shared/video/player.html?video=jries_and_insnty_16555

Proceed with the Assignment locating one credible source from the Library or the internet about a criminal case where the defendant used the not guilty by insanity defense. You can use the Andrea Yates case. Address the following:

  1. Provide an overview of the case story.
  2. Explain why it is difficult for the defendant in the chosen story to be found not guilty by insanity in a court of law.
  3. Discuss any ethical concerns that pertain to the chosen case story.

The best answer will discuss how it can be determined whether a mental illness affected the individual’s ability from knowing right from wrong at the time the crime was committed.
Submitting Your Assignment
Referring to the textbook and one other credible source, complete the Unit Assignment Template. Complete the document in 1–2 pages, using APA writing style, and save it in a location with your first and last name in the title. When you are ready to submit it, go to the Dropbox.

 
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Mastering modern psychological testing: Theory & methods. Pearson Higher Ed. ISBN-10: 020548350X •

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Ethics is one of the most important parts of any field of study. There are several factors that need to be considered when doing research and creating and using psychological tests. Two factors that I would like to focus some attention on are reliability and validity and conflict of interest.
When it comes to reliability and validity it is very important that instruments used in assessments have been put to the test and proven to give reliable results. It can be difficult to find the right assessment tool that will help your research answer the appropriate questions. But it is necessary to find an assessment tool that has been tried before, hopefully with a similar population of participants, so that we can more accurately rely on its results. Reliability in terms of psychological assessment is looking for accurate results that found consistently when an assessment is used multiple times (Reynolds, 2013 p.110). Validity is more concerned with scores and results of an assessment being appropriate to the subject the assessment is focusing on (p.155). So in short you want to find a test that gives accurate and consistent results, whose results appropriately identify the subject you are studying. Without reliability and validity, an assessment can give a skewed and misleading view of whatever topic is being discussed.
Conflict of interest is a growing concern in assessment. With pharmaceutical companies funding studies and other similar relationships in most areas where research is necessary, it is important to be open about any links that may create conflicts of interest and hopefully keep them to a minimum. These types of relationship compromise the objectivity in the researcher (APA, 2002). When funding for your work and your paycheck lay in the balance, it is easy to see what results would most benefit the researcher moving forward in their career. However, research results should be free from any obligation, including the preferences of the researcher themselves. Therefore, it is best to eliminate any ties to the research, which can sometimes be nearly impossible to do. As conflicts are bound to happen, it is most important to disclose any and all conflicts of interest to the appropriate audiences.
American Psychological Association (2002). Ethical principles of psychologists and code of conduct. Retrieved from http://www.apa.org/ethics/code/index.aspxLinks to an external site.
Reynolds, C. R., & Livingston, R. B. (2013). Mastering modern psychological testing: Theory & methods. Pearson Higher Ed. ISBN-10: 020548350X • ISBN-13: 9780205483501
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death is a particularly traumatic and difficult experience for both family and caregivers

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Comment1

As our lecture describes, “death is a particularly traumatic and difficult experience for both family and caregivers” (Grand Canyon, 2015). A rather interesting distinction I observed while working on both of these units and witnessing death in different underlying situations/stages: death on the oncology unit usually came after a long, hard fight with cancer. As such, patient’s families were often understandably distraught and through their grief expressed feeling “robbed” of time with their loved one. When death occurred on the geriatric unit however, family members would sometimes express feelings of gratitude that their loved one lived to a ripe age and felt at peace that their time had come, as it was expected. In witnessing these experiences, it made me understand that death is easier to swallow/digest for some when it occurs from natural age process versus caused by disease.

The acceptance of death and the grieving process is experienced differently by everyone. Personally, I feel my bedside experience as a nurse has helped me understand this process a great deal and I empathize greatly with the patients/families I have encountered.

Comment2

I have only witnessed death a couple of times at work. I have worked with hospice patients that visit the doctor’s office and these have been about comfort. Since I am a float in the clinic setting, I do not come across much death. I did when I worked on the medical floor; there, acceptance of the death depended more on if it was expected or not. I think that when we know death is going to occur it is easier to accept and come to terms with. When death is not expected it can be harder because of the sudden loss. I do not think that the lack of experience at work has shaped my view on death because I have dealt with it personally.

I think that I handle death fairly well because I grew up with death being a natural part of life. As we grew up on the farm it was normal to lose animals. We also have a very large extended family and we went to funerals fairly regularly. While others have viewed that as wrong or depressing to have children go to funerals, it was never viewed that way by my family because it was a part of life and we celebrated that life. I have not shielded my children from death either. My sister-in-law and I have different views on this; I accept her decision, she does accept not mine. She was upset when we brought our children to the first funeral on my husband’s side of the family but it was very natural to me. Death is only one step in life and should not be feared.

 
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