Moral Distress

Read the article,Moral Distress and Psychological Empowerment in Critical Care Nurses Caring for Adults at End of Life.Identify common causes of moral distress in critical care nurses who are caring for dying patients.Describe the concept of psychological empowerment and the 4 cognitions it encompasses.Discuss the study findings as related to the relationship between moral distress intensity and frequency, psychological empowerment, and participant demographics.Think about a situation where moral distress would be an issue in the last hours of life in your patient.  Then, describe why it would be an example of moral distress.

 
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more than 200 words in two answers to your peers , 2 references each

Peer 1introductionThe radical evolution in patient care and hospital industries has changed the approach of nursing education and classroom learning styles. The old-school learning approach involves teaching methodology and is still dominant in content delivery to learners. However, it is impossible to ignore the benefits of implementing active learning strategies in education. The last fifteen weeks of the course were loaded with several learning activities, including pre-class assignments, case study evaluations, role play, practice questions, what-if scenarios, critical thinking, and nursing simulations. Middle range, grand theories, and conceptual models are some courses covered during the session.The relevance and effectiveness of nursing theories largely depend on the philosophical underpinnings of nursing theory and the correct interpretation of the researcher’s stance and viewpoint. Nursing theories provide nurse practitioners with fundamental principles that guide their actions when handling their patients. Various nursing theories are grounded on the basis that human phenomena can only be fully explicated by people who experience them and applied by health practitioners to advance patient care (Garmy et al., 2021). The underlying philosophy of nursing theory creates room for consciousness that fosters a more profound understanding of self, others, and the global continent. These nursing theories promote uniformity and structured ideas projecting a tentative, purposeful, and systematic view of health phenomena (Younas & Quennell, 2019). I agree that nursing theories play an essential role in nursing, guiding nurses’ code of conduct and their dealings with patients. However, they keep advancing as technology and the health system revolve to include emerging trends.Nursing concepts and middle-range theories were also covered intensively during the past fifteen weeks. The conceptual models of nursing provide a framework for health care professionals to observe, reflect, and interpret phenomena relating to health care and wellbeing. The conceptual model is central to nursing practice, diagnosis, treatment, and general nursing theories. It comprises four elements: human beings, health, environment, and nursing (Younas & Quennell, 2019). These factors define every association between nurses and patients as they must be present in any treatment, diagnosis, or preventive care intervention. Therefore, clinicians should perceive all the components with equal weight to develop an unequivocal and reliable health care system that addresses patients’ needs from all perspectives.ConclusionNotably, every activity, relation, and research in nursing practice is anchored on theories and models. Stakeholders in the nursing collective pool efforts together to achieve the central objective of the nursing profession. Proper application of the nursing theories and conceptual framework facilitates care for nurses with chronic diseases, nurse-patient education, adequate discharge planning, health maintenance, and disease prevention.Peer 2Theoretics is one of the most fundamental topics that exist in medicine, illuminating the everlasting knowledge that exists from previous medical research, and implementing it towards experiments that develop human knowledge that can be applied through theoretical knowledge. Over the course of the past 15 weeks, professor Trigoura has professionally displayed respect and responsibility towards all students throughout every encounter. Being aware of our time, and our dedication, she has presented theoretics in nursing and the proper application of theories to real-world situations. This class has served not only as a learning experience but also as a formula for the proper nursing procedures. Throughout this discussion, I hope to share with you the things that I have found most interesting in terms of our semester curriculum and the incredible foundational knowledge that I have been able to gain.We began our course with what I believe was one of the most fundamental topics throughout our course. During our second week in the program, where we were asked to be able to determine the difference between Internal and external criticism in nursing. This was a great discussion because it served as a base for how we viewed nursing theories from that point on. With this, we were able to learn that using internal and external criticism was an advantage when studying nursing theories as it would allow for us to be able to how the theories were organized, it would help us determine the validity of the studies found within them, and provide us with better knowledge as to how the theories components fit into its description (Khoshnood et al, 2020). Not only did I learn and apply these concepts further on in the course, but these concepts have stuck with me in such a way that I feel like I now analyze various things nursing and non-nursing using a variety of internal and external criticism factors. However, criticism like this became incrementally important throughout our course, especially when it came to our middle ranged theories.The middle ranged theories of nursing are some of the most intensely educational theories that one can obtain knowledge on as they are some of the most helpful guides in nursing. One of my personal favorites was the theory of unpleasant symptoms, which was covered during the fourth week of this course. This theory was created with the sole purpose of attempting to improve past and current knowledge of symptoms that patients experience and the emotional connections that come along with them (Lenz, 2018). Not only does this theory focus on educational research and implementation of emotional awareness in nursing, but it also presents various ideologies that have the power to influence the prospective ideologies that come with it, including factors like psychological and situational influences that the nurse and the patient both present (Blakeman, 2020). This, however, was only one of many interesting theories that we were given the opportunity to analyze throughout this course. Middle ranged theories like the theory of pain, the theory of comfort, and even the theory of self-efficacy, were all incredibly amazing guides that have allowed me to become much more knowledgeable about theoretics in nursing.Throughout the course of the past fifteen weeks, our professor has been able to provide us with an unimaginable number of tools that give us varying amounts of perspectives in terms of a variety of ideals across nursing. I have been able to develop and sustain multiple skills throughout this course that I don’t believe would have been possible without the intense coursework that Professor Trigoura has given us. Skills like how to properly write a discussion post and skills that represent my knowledge and understanding of nursing concepts. This course has provided me with an outline that has made me a more responsible, more eager student that is ready to learn and explore the complex topics that come with immersive courses like Professor Trigoura’s Theoretics class.

 
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homework

Course Competency:Identify local, state, and national resources which facilitate safe and effective transitions of care for older adults.Your supervisor at Rasmussen Home Health Services is satisfied with the resources described in your annotated bibliography and is eager for you to continue your work. As a next step, your supervisor wants you to develop and share the following items with them.Write an introduction about your in-service presentation topic.Create an outline that identifies and describes the important content areas for your in-service presentation topic.Write a conclusion.Provide an APA formatted References list that contains at least 2 credible references that you intend to cite in your presentation.

 
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Assigment .Apa seven . All instructions attached.

My theme is  ADHD.Similarity less than 15 %

 
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Assignment: Personal Leadership Philosophies

Assignment: Personal Leadership PhilosophiesMany of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership.To Prepare:Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.Reflect on the leadership behaviors presented in the three resources that you selected for review.Reflect on your results of the Clifton Strengths Assessment*, and consider how the results relate to your leadership traits.*not required to submit Clifton Strengths AssessmentThe Assignment (2-3 pages):Personal Leadership PhilosophiesDevelop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:A description of your core values.A personal mission and vision statement.An analysis of your Clifton Strengths Assessment summarizing the results of your profileA description of two key behaviors that you wish to strengthen.A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.Be sure to incorporate your colleagues’ feedback on your Clifton Strengths Assessment from this Module’s Discussion 2.Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership.To Prepare:Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.Reflect on the leadership behaviors presented in the three resources that you selected for review.Reflect on your results of the Clifton Strengths Assessment*, and consider how the results relate to your leadership traits.*not required to submit Clifton Strengths AssessmentThe Assignment (2-3 pages):Personal Leadership PhilosophiesDevelop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:A description of your core values.A personal mission and vision statement.An analysis of your Clifton Strengths Assessment summarizing the results of your profileA description of two key behaviors that you wish to strengthen.A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.Be sure to incorporate your colleagues’ feedback on your Clifton Strengths Assessment from this Module’s Discussion 2.

 
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Final Project Submission

Submit your 20-25 page final capstone project that synthesizes the work you completed in the previous four assessments.IntroductionNote: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.Congratulations! The finish line is in sight for both the capstone project you have been working on all quarter and your Master’s of Science in Nursing program. Take a moment to appreciate all you have accomplished and give yourself a pat on the back; you have earned it!Your final submission for your capstone project will bring together all of the sections you have worked on throughout this course, as well as the relevant revisions you have made to those sections based on feedback from your instructor, as well as feedback you have received or observations you may have made during your practicum experience. True professionals can learn to strive for continuous improvement in their work and incorporate feedback from colleagues and leaders to help scaffold improvement efforts. As a master’s-level nurse you will be expected to create and implement plans and evaluate their outcomes. Being able to envision a pathway for a project to move from the idea phase all the way through the evaluation phase is a critical skill. By successfully synthesizing the various sections of this project together into one final artifact, you will have demonstrated your competence in this essential skill.PreparationsReadGuiding Questions: Final Project Submission [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.What is the most useful skill or concept you learned while pursuing your MSN degree?How will you leverage your degree to help you reach your ideal practice career path?How will you be able to apply the work you have done on your capstone project to improve your personal practice?InstructionsNote: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.For your final capstone project submission you will synthesize the work you completed in the previous four assessments. Please make sure that you have made relevant revisions as suggested by your instructor, as well as relevant additions that you uncovered during your practicum experience. The only brand-new content that you will need to create for this assessment is an Abstract and an Introduction.This final submission will be graded using the seven program outcomes (POs) for the Master’s of Science in Nursing program. As a reminder they are:Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.Evaluate the best available evidence for use in clinical and organizational decision making.Apply quality improvement methods to impact patient, population, and systems outcomes.Design patient- and population-centered care to improve health outcomes.Integrate interprofessional care to improve safety and quality and to decrease cost of care.Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost of care.Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.In addition, you will be assessed on how well you incorporated the feedback you received from your instructor on your previous work in this course via the following criterion:Integrate writing feedback to improve the clarity and quality of final product.You will also be assessed on the completion of hours toward your practicum experience.Demonstrate completion of hours toward the practicum experience.See the scoring guide for specific grading criteria related to these requirements.Please carefully review the outline below to see which parts of the final submission will align to which program outcomes. (Note: The bullet points in the outline correspond to the grading criteria from your previous assessments. It may be worth putting in some extra revisions on the material related to criteria on which you did not previously score as well as you would have liked. You may also wish to read the Guiding Questions: Final Project Submission document to better understand how each aspect of your submission will be assessed.) It is important to remember that if you do a quality job addressing the points below, you will meet all of the program outcomes. The alignment is provided for transparency, but do not become preoccupied with how each point will feed into the scoring guide.AbstractSummarize the purpose, approach, and any relevant findings of the final capstone project submission (PO #1).IntroductionSummarize your need, target population, and setting (PO #1).Provide a high-level overview of your intervention plan (PO #4).Justify the importance of your need and intervention plan (PO #1).Provide a high-level overview of your implementation plan (PO #4).Provide a high-level over view of your evaluation plan (PO #4).Reminder: these instructions are an outline. Your heading for this this section should be Problem Statement and not Part 1: Problem Statement.Part 1: Problem StatementNeed StatementAnalyze a health promotion, quality improvement, prevention, education or management need (PO #1).Population and SettingDescribe a target population and setting in which an identified need will be addressed (PO #4).Intervention OverviewExplain an overview of one or more interventions that would help address an identified need within a target population and setting (PO #3).Comparison of ApproachesAnalyze potential interprofessional alternatives to an initial intervention with regard to their possibilities to meet the needs of the project, population, and setting. (PO #5).Initial Outcome DraftDefine an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education or management need (PO #4).Time EstimatePropose a rough time frame for the development and implementation of an intervention to address and identified need (PO #1).Part 2: Literature ReviewAnalyze current evidence to validate an identified need and its appropriateness within the target population and setting (PO #2).Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need (PO #7).PART 3: INTERVENTION PLANIntervention Plan ComponentsDefine the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need (PO #4).Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components (PO #4).Theoretical FoundationsEvaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan (PO #6).Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices (PO #2).Stakeholders, Policy, and RegulationsAnalyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan (PO #7).Ethical and Legal ImplicationsAnalyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan (PO #1).Part 4: Implementation PlanManagement and LeadershipPropose strategies for leading, managing, and implementing professional nursing practices to ensure interprofessional collaboration during the implementation of an intervention plan (PO #5).Analyze the implications of change associated with proposed strategies for improving the quality and experience of care while controlling costs (PO #1).Delivery and TechnologyPropose appropriate delivery methods to implement an intervention which will improve the quality of the project (PO #3).Evaluate the current and emerging technological options related to the proposed delivery methods (PO #6).Stakeholders, Policy, and RegulationsAnalyze stakeholders, regulatory implications, and potential support that could impact the implementation of an intervention plan (PO #5).Propose existing or new policy considerations that would support the implementation of an intervention plan (PO #7).TimelinePropose a timeline to implement an intervention plan with reference to specific factors that influence the timing of implementation (PO #1).Part 5: Evaluation of PlanDefine the outcomes that are the goal of an intervention plan (PO #4).Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need (PO #3).Part 6: DiscussionAdvocacyAnalyze the nurse’s role in leading change and driving improvements in the quality and experience of care (PO #1).Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan (PO #5).Future StepsExplain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety (PO #6).Reflection on Leading Change and ImprovementReflect on how the project has impacted your ability to lead change in personal practice and future leadership positions (PO #1).Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts (PO #3).Address Generally ThroughoutIntegrate resources from diverse sources that illustrate support for all aspects of the project as appropriate throughout the final submission (PO #2).Clearly, concisely, and cohesively articulate a health care need, population, setting, stakeholders, supporting evidence, intervention, and evaluation (PO #6).Integrate writing feedback to improve the clarity and quality of final product.Additional RequirementsLength of submission: 20–25 pages (including references).Written communication: Written communication is free of errors that detract from the overall message.Number of resources: 12–18 resources.APA formatting: Resources and citations are formatted according to current APA style.Font and font size: Times New Roman, 12 point.Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:Competency 1: Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.Competency 2: Evaluate the best available evidence for use in clinical and organizational decision making.Competency 3: Apply quality improvement methods to impact patient, population, and systems outcomes.Competency 4: Design patient- and population-centered care to improve health outcomes.Competency 5: Integrate interprofessional care to improve safety and quality and to decrease cost of care.Competency 6: Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost of care.Competency 7: Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.Note: You will also be assessed on two additional criteria unaligned to a course competency:Integrate writing feedback to improve the clarity and quality of the final product.Demonstrate completion of hours toward the practicum experience.Grading Scale:1-  Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.Passing Grade:  Leads organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care; identifies knowledge gaps, unknowns, or missing information.2-  Evaluate the best available evidence for use in clinical and organizational decision making.Passing Grade:   Evaluates the best available evidence for use in clinical and organizational decision making, and impartially evaluates the strength of the evidence.3-  Apply quality improvement methods to impact patient, population, and systems outcomes.Passing Grade:  Applies quality improvement methods to impact patient, population, and systems outcomes; identifies areas of uncertainty, knowledge gaps, or additional information that would be needed in order to gain a more complete understanding.4-  Design patient- and population-centered care to improve health outcomes.Passing Grade:  Designs patient- and population-centered care to improve health outcomes, identifying assumptions underlying the intervention, implementation, and evaluation plans.5-  Integrate interprofessional care to improve safety and quality and to decrease cost of care.Passing Grade:  Integrates interprofessional care to improve safety and quality, and to decrease cost of care, impartially considering conflicting evidence or other perspectives.6-  Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost.Passing Grade:   Evaluates the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost of care, identifying the criteria used for evaluation.7-   Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.Passing Grade:   Defends and proposes relevant changes to health policy to further improve the experience of care, population health, and professional work life while decreasing cost of care.8-  Integrate writing feedback to improve the clarity and quality of final product.Passing Grade:   Integrates writing feedback to improve the clarity and quality of final product, and leverages the revision process to address areas of missing information.

 
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Contemporary Nursing Practice

Family-Centered Health Promotion

 
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Writing Assignment 2 – The Persuasive Letter

For this assignment, you will be writing a letter compelling a friend or family member to change either a behavior or a belief with which you disagree. Choose your own topic, but for example, this letter could petition an enthusiastic neighbor to scale down his blinding Christmas decorations, an immature cousin to take a gap year between high school and college, a grandparent to vote to pass the new school district budget, a friend to stop drinking, or a spouse to reconcile with an estranged sibling. Because the letter will be written to an individual of your choosing, you must tailor your language and logic to the person to whom you are writing.

 
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Care Plan

In the documents

 
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LeadsW11

To Prepare:Review the Resources and identify one change that you believe is called for in your organization/workplace.This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.Reflect on how you might implement this change and how you might communicate this change to organizational leadership.The work (5-6-minute narrated PowerPoint presentation):Change Implementation and Management PlanCreate a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.Your narrated presentation should be 5–6 minutes in length.Your Change Implementation and Management Plan should include the following:An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)A description of the change being proposedJustifications for the change, including why addressing it will have a positive impact on your organization/workplaceDetails about the type and scope of the proposed changeIdentification of the stakeholders impacted by the changeIdentification of a change management team (by title/role)A plan for communicating the change you proposeA description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

 
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