Category: Nursing

The
Essentials: Core Competencies for Professional Nursing Education,”
represents the core competencies of professional nursing education and provides
a framework that nursing programs use to prepare professional nurses. 
Which
of the 10 domains in the “The Essentials: Core Competencies for Professional Nursing
Education” are you interested in learning more about and why? IM
INTERESTED IN THEM ALL
what
are some characteristics of successful students and what strategies can you
implement to be a successful student? Identify a role model or mentor who
would be able to support your professional growth. ( MY MENTOR IS A COLLEAGUE WHO HAS
BEEN MY BIGGEST SUPPORTER. She is knowledgeable and not only a great worker and
a great instructor.

NU434-3: Explore holistic nursing practice within the Scope and Standards of Holistic Nursing.
Comprehensive Self-Assessment and Self-Reflection
The self-reflection/self-assessment assignment will provide you with the opportunity to meet the recommendation set forth in the Holistic Nursing Certification Examinations Handbook for Candidates and Application.
Directions
In this assignment, you will use self-reflection and self-assessment methods to describe how you have integrated holistic nursing principles into your professional practice.
Reflect on your personal and professional holistic nursing journey and discuss how it affects who you are today.
How have you integrated holistic nursing principles into your personal life? How have you integrated holistic nursing principles into your professional life?
Think of an example from your professional nursing practice in which you can apply the concepts you have learned about this week in your readings from the text. You may choose to focus on motivational interviewing, appreciative inquiry, or nurse coaching. How does this influence your practice with your patients, families, and the interprofessional healthcare team? How might this approach and the possible outcomes affect you?
Course Book: Dossey & Keegan’s Holistic Nursing: A Handbook for Practice 8th edition; please utilize and cite work from book if possible

All students should complete two (2) of the case study below (your choice).  Note: All case studies are provided as a learning tool for students who wish to have them. 
Case 1 
Review the pharyngitis scenarios and determine the most likely cause, including pathogen and mode of transmission. Discuss data that support your decision and treatment strategies. 
Scenario 1:  Susan is a 16-year-old with sudden onset of severe sore throat for the past day. She feels like she had a fever but did not check her temperature (i.e., subjective fever). She states it is very painful to swallow, and she thinks she sees white spots on her throat. She denies cough, rhinorrhea, nausea, otalgia, shortness of breath, or headache. She reports no exposure to sick individuals. 
Medications: none.
Allergies: none.
Social history: nonsmoker and drinks alcohol (two to three beers) one to two times a month.
Physical examination: vital signs – temperature 101.0°F; pulse 100 beats per minute; respirations 18 per minute; blood pressure 110/66 mmHg.
General: ill and tired appearance.
Head, Eyes, Ears, Nose, and Throat: unremarkable except for erythematous oropharynx with small petechiae and white tonsillar exudates.
Neck: anterior cervical lymphadenopathy; two on right, three on left; all small (< 0.5 cm) and tender. Cardiovascular, Lungs, and Abdomen: unremarkable.  Answer the following questions or provide responses based on this scenario.  What is the most likely diagnosis and pathogen causing this disorder and mode of transmission?  Discuss data that supports your decision.  What diagnostic test, if any, should be done?  Develop a treatment plan for this patient.  Scenario 2: Mr. Jones is a 54-year-old man with complaints of a scratchy, raw sore throat and painful swallowing, mild productive cough, and runny nose for the past 2 days. He says his sputum is whitish-yellow. His ears feel full, and he feels like he is getting achy. He reports taking throat lozenges and denies nausea, fever, shortness of breath, chest pain, or headache. He states he teaches in a high school and a lot of his students have had colds.  Medications: none. Allergies: none. Social history: nonsmoker and does not drink alcohol.  Physical examination: vital signs – temperature 99.0°F; pulse 84 beats per minute; respirations 18 per minute; blood pressure 120/70 mmHg.  General: cough during exam.  HEENT: unremarkable except for mild erythematous oropharynx with no exudates; nares with mild erythema and scant yellowish discharge.  Neck, CV, Lungs, Abdomen: unremarkable.  Answer the following questions or provide responses based on this scenario.  What is the most likely diagnosis and pathogen causing this disorder and mode of transmission?  Discuss data that support your decision.  What diagnostic test, if any, should be done?  Develop a treatment plan for this patient.  Compare the causes, clinical manifestations, diagnosis, and treatment of pharyngitis in these two cases.  Case 2 Review the pulmonary infection scenarios and discuss whether the diagnosis is infectious rhinitis, influenza, acute bronchitis, acute bronchiolitis, or pneumonia. Discuss the most common pathogen and mode of transmission Discuss data that support your decision and treatment strategies.  Scenarios 1: Jack is a 21-year-old complaining of a sudden onset of myalgia with his body aching all over and headache for the past day. He feels tired and has the chills, and his temperature was 100°F. He has a mild nonproductive cough. He denies rhinorrhea, sinus pain, nausea, otalgia, or shortness of breath. He reports exposure to sick contacts in his dorm, stating, “Everyone seems to be coughing and catching a cold or the flu.”  Medications: none.  Allergies: penicillin.  Past medical history: healthy.  Social history: college student, lives in a dormitory. Nonsmoker and drinks alcohol once a week, about two or three beers.  Physical examination: vital signs – temperature 100°F; pulse 98 beats per minute; respiratorations18 per minute; blood pressure 110/70 mmHg; pulse oximeter 98%.  General: ill and tired appearance.  Head, Eyes, Ears, Neck, Throat: unremarkable.  Neck: no lymphadenopathy; negative Kernig sign, negative Brudzinski sign.  Cardiovascular lungs, abdomen: unremarkable.  Answer the following questions or provide responses based on this scenario.  What is the most likely diagnosis and pathogen causing this disorder?   Discuss the mode of transmission and discuss the data that supports your decision.  What diagnostic test, if any, should be done?  Develop a treatment plan for this patient.  Scenarios 2: Mr. Menendez is a 65-year-old man presenting with 2–3 days of coughing up thick yellow sputum, shortness of , and fever (he did not check the actual temperature), and chills. He states his chest hurts when he breathes. He denies headache, rhinorrhea, sinus pain, and nausea. He reports no exposure to sick individuals.  Medications: lisinopril 10 mg a day by mouth.  Allergies: no known drug allergy.  Social history: smokes 1 pack of cigarettes per day (has done so for 30 years); denies alcohol use; works as a landscaper.  Physical examination: vital signs – temperature 101°F; pulse 98 beats per minute; respirations 22 per minute; blood pressure 140/86 mmHg; pulse oximeter 93%.  General: ill and tired appearance, coughing during visit with thick yellow sputum noted.  HEENT: unremarkable.  Neck: small anterior and posterior cervical nodes.  CV: unremarkable. Lungs: right basilar crackles with dullness to percussion in right lower lobe. Abdomen: unremarkable.  Answer the following questions or provide responses based on this scenario.  What is the most likely diagnosis and pathogen causing this disorder?   Discuss the mode of transmission. Discuss the data that support your decision.  What diagnostic test, if any, should be done?  Develop a treatment plan for this patient. 

Instructions:
Reflect back over the term. What one thing did you learn in the course that you were able to apply in your work during the term?  What one thing are you most looking forward to applying to your career in the future. What future trends may influence how nurses use evidence to improve the quality of patient care?  How will this course content help prepare you for certification in your chosen specialty?
A reminder of the course objectives may help you reflect on this term:
Explain the purpose of nursing research in an evidence-based practice environment.
Differentiate qualitative and quantitative research in terms of philosophy, methodology, and outcome.
Critically analyze various types of research methods, designs, and evidence-based practice for scientific merit.
Investigate the literature to gain knowledge related to a select problem in education, administration or practice.
Evaluate the reliability, validity, and typical outcomes of instruments commonly used for nursing research.
Explore ethical principles as they relate to research and evidence-based practice.
Design an evidence-based practice project that incorporates scholarly inquiry applicable to a select problem in nursing practice, administration, or education.
Please note that this week ends on a Tuesday! An initial post with your reflection is the only component that is required for this discussion board and must be completed by Tuesday at 11:59 AM CST. 

This assignment allows the
learner to apply knowledge gained about health promotion concepts and
strategies, enhance written communication skills, and demonstrate a beginning
understanding of cultural competency.
Course outcomes:  This assignment enables the student to meet the
following course outcomes:
1.      
Discuss
the professional nurse’s role in health promotion activities. (PO 1 and 2)
3.      
Discuss
health promotion, illness prevention, health maintenance, health restoration,
and rehabilitation in relation to the nurse’s role in working with various
populations. (PO 1, 2, and 8)
7.      
Identify
health promotion strategies throughout the life span. (PO 1, 2, and 4)

Activity 1
Critical Evaluation of Qualitative or Quantitative Research Study 
Read:  Stevens, K., (2013) The impact of evidence-based practice in nursing and the next big ideas. OJIN: The Online Journal of Issues in Nursing, 18,(2), Manuscript 4. doi: 10.3912/OJIN.Vol18No02Man04 
Critically evaluate either Study 3 or Study 4.  Evaluate the credibility of professional citation, research design, and procedures in a research article.  Include a discussion on how this study contributes to evidence-based practice. 
Study 3 – Patients’ and partners’ health-related quality of life before and 4 months after coronary artery bypass grafting surgery
Study 4 – Striving for independence: a qualitative study of women living with vertebral fracture
Suggested Reading
Schreiber, M. L. (2016). Evidence-Based Practice. Negative Pressure Wound Therapy. MEDSURG Nursing, 25(6), 425-428. 
Stevens, K., (2013) The impact of evidence-based practice in nursing and the next big ideas. OJIN: The Online Journal of Issues in Nursing, 18,(2), Manuscript 4. doi: 10.3912/OJIN.Vol18No02Man04 
Wakefield, A. (2014). Searching and critiquing the research literature. Nursing Standard, 28(39), 49-57. doi:10.7748/ns.28.39.49.e8867
LoBiondo-Wood, G., & Haber, J. (2018). Nursing research: Methods and critical appraisal for evidence-based practice.(9th ed) St. Louis, MO: Elsevier.
Qualitative Specific Resources
LoBiondo-Wood, G., & Haber, J. (2018). Nursing research: Methods and critical appraisal for evidence-based practice.(9th ed) St. Louis, MO: Elsevier.
Chapter1
Chapter 2
Chapter 3
Chapter 7 includes the checklist for qualitative research in Table 7.1 starting on page 115.
Additional Instructions:
All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Submission Options
Choose One:
Instructions:
Paper
3 to 5-page paper. Include title and reference pages.

Collaboration cafe info only added for background information. Only respond to the Peer below. 
Collaboration Café
During your practicum this week you were asked to focus on the role of the Clinical Nurse Leader in shared leadership.
When discussing this role with your practicum mentor, share what you learned about this style of leadership. If you were able to participate in a meeting, did you see advantages to this type of leadership? If you were not able to participate in an actual meeting, can you see the value in using shared leadership in the organization?
Share what these advantages might be. Take some time to also share with the class how your MSN project is going and any success or challenges experienced during your practicum. Make sure to include an analysis of what went well this week, what do not go well, and any unexpected occurrences.
___________________________________________________________
A substantive post will include the following.
Responds to classmates with an extended description instead of merely agreeing
·       Includes substantive content that addresses peer’s thoughts. 
·       Discusses new ideas or asks a question that prompts additional dialogue
·       Adds to the discussion topic in a meaningful and constructive manner
Peer response to
Collaboration Café:
I have been fortunate to experience how effective shared leadership can be and how empowering it can be for members of a team. My Clinical preceptor is a clinical nurse specialist assigned to the emergency department but is collaborating with other providers in different departments to work on some projects in the facility. I have gained a lot of experience in how to practice shared leadership in how she collaborates with other leaders; I have sat in on different types of meetings with deputies and unit managers where discussions and opinions were shared to make decisions.  There were other times when you could see leaders fighting for resources for their department, and due to constraints like budget, they had to compromise and collaborate with other departments for resources. I have attended morning rounds with my nurse manager, where I get to see how beds are allocated in the entire hospital, and everyone must brief the chief nursing officer, who then must brief the hospital commander on the status of our beds in the entire hospital. Each department must track the number of beds because it affects how patients move through the facility; for example, the surgery department cannot operate if there are no beds to put the surgical patients after their procedures.
As a nurse leader, it is essential to be able to participate in shared leadership because it can produce positive outcomes by encouraging a culture of inclusion and support by ensuring everyone’s voice is heard. It helps encourage members of the team to be more proactive, improves communication among the team, and makes the team more productive.
My MSN practicum project is moving along smoothly; so far, all the nursing staff in my department have taken the pre-assessment for my burnout intervention. They loved the 15-minute meditation class they received during the skills fair, and all of them downloaded the application to use during the week. I am collecting and calculating the data for the pre-assessments and look forward to obtaining the first group’s post-assessments next week.

A 56-year-old man comes into your office as a new patient. Seven years ago, at a work-related health screening, he was diagnosed with hypertension with a blood pressure of 140/90. He saw a physician who prescribed a “medication” and encouraged him to lose some weight, diet, and exercise. Since that time, the patient has not sought medical attention. 
What is the probable diagnosis?
What are other possible diagnoses?
At this stage of the case study, what diagnostic studies and basic treatments are most appropriate to order and why?
Please be specific and precise with answers. A table format or bullet points would be beneficial in presenting your information with clarity or organization.
Reference for management of the case study:
https://www.acc.org/~/media/Non-Clinical/Files-PDFs-Excel-MS-Word-etc/Guidelines/2017/Guidelines_Made_Simple_2017_HBP.pdf

provide( powerpoint) with basic patient information and is expected to complete the following case study. The procedure is : Cataract Extraction ( questions should be answer on the attached word and create a powerpoint presentation with 6-7 slides basic explanation of procedure from the questions that was answered on word document)

Students will submit a paper not to exceed three pages, excluding title page and reference list. The paper is to be formatted as per APA (7th ed.) guidelines. Students must include a minimum of 3 peer reviewed nursing journal articles in their submission.
The paper will include:
A definition of your personal philosophy of nursing based on:
o Identification and examination of your personal values, beliefs, and assumptions about nursing.
o A personal definition of the nursing metaparadigm concepts, based on your personal philosophy of nursing, and how these conceptualizations inform the way in which you understand and undertake your nursing practice.
o Identification of nursing practice example(s), to demonstrate the development of your personal philosophy of nursing.
Feel free to include an image depicting your personal philosophy in nursing (this is optional!) For those of you who are more visual and/or artistic in nature this may help you describe your own philosophy of nursing.
Some references in regards to self-care for nursing:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9007545/
https://www.painmanagementnursing.org/article/S1524-9042(22)00196-5/fulltext
https://nursejournal.org/resources/self-care-for-nurses/
https://journals.sagepub.com/doi/abs/10.1177/0969733020940371
https://www.mdpi.com/2077-1444/14/1/90