Category: Nursing

Hello, I’m looking to hire you for my writing assignment that is due on May 22nd. See the attachment for details. Thanks!

1.  A nurse on a surgical unit mentions that she would like to know more about various cultures and how to take care of patients with diverse cultural backgrounds.
a.   How could you use the Andrews/Boyle TIP Model to support her wish to provide culturally competent care?
b. Give an example of how the surgical nurse might use the Andrews/Boyle TIP Model in her everyday practice.
2.  Complete a self-cultural assessment, Box 2-2. (You will find this in your book).
a.   Discuss if you were surprised or enlightened by any of your findings.
b. How often in their practice do you think nurses should complete a self-assessment?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 
You should respond to at least one of your peers by extending, refuting/correcting, or adding additional nuance to their posts. 
All replies must be constructive and use literature where possible.

NSG 556: Health Perspectives of Culturally Diverse, Rural, and Underserved Populations
Social and Cultural Influences Paper
The focus of this paper is on the social and cultural influences in your life. The student will
submit a paper which describes the social and cultural influences having shaped his/her lifestyle
and career choices. Implications of those influences for the student’s role as an advanced practice
nurse should be identified. This paper should be appropriately cited and APA format is required.
This paper should be no longer than 6 typed pages (excluding title page and reference page).
Students should use the Grading Rubric for Graduate Written Assignments which is located in
the content section of the course as a guide.

Please see both attachments, read & follow directions thoroughly prior to submitting final documents

Texas
Texas Board of Nursing (TBON)
American Nurse Association (ANA)
Texas Nurse Association (TNA)
Assume that you have knowledge that a nurse working on your unit has been illegally using drugs. Discuss your professional and institutional obligations to disclose this information. Discuss the referral sources for impaired nurses in your state. Analyze this issue’s impact on your advanced practice role as a practitioner, administrator, and/or educator.

Write an evidence-based proposal to support the need for a new nurse informaticist who would focus on enhancing patient education through digital platforms.
I have included attachments which further detail the structure and necessary information for this assignment. Please advise through the chat function if there are any questions. The structure of this assignment is numbered 1-5 with specific headings and the breakdown of what each paragraph should include. The attachments should be viewed in the order as follow for better understanding: IMG 0916, 0918, 0917, 0919, 0920, 0921, 0922. Again, if any questions, please inquire within the chat. Thank you so much

Library Assigment Content
Library Assignment Content
Research Paper:
Write a three-page paper about a specific health belief system that is common to a population.
Include the origins of the health beliefs.
Discuss the health implications of the health beliefs (e.g., are they a potentially harmful?).
How will you integrate the health beliefs into your nursing care?
Submission Instructions:
The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The paper should be formatted per current APA and 3-5 pages in length, excluding the title, abstract and references page. Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
Complete and submit the assignment before 11:59 PM ET Sunday.

Follow up from previous topic: Cirrhosis of the liver
The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.
Explain how the patient, family, or population problem impacts the quality of care, patient safety, and costs to the system and individual.
Cite evidence that supports the stated impact.
Note whether the supporting evidence is consistent with what you see in your nursing practice.
Explain how state board nursing practice standards and/or organizational or governmental policies can affect the problem’s impact on the quality of care, patient safety, and costs to the system and individual.
Describe research that has tested the effectiveness of these standards and/or policies in addressing care quality, patient safety, and costs to the system and individual.
Explain how these standards and/or policies will guide your actions in addressing care quality, patient safety, and costs to the system and individual.
Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of care quality, patient safety, and cost to the system and individual.
Propose strategies to improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
Discuss research on the effectiveness of these strategies in addressing care quality, patient safety, and costs to the system and individual.
Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.
Use paraphrasing and summarization to represent ideas from external sources.
Apply APA style and formatting to scholarly writing.
please make sure you include a 2-3 paragraph summary of how each assessment applies to your patient/ group
Report on your experiences during your first 2 practicum hours, including how you presented your ideas about the health problem to the patient, family, or group.
Whom did you meet with?
What did you learn from them?
Comment on the evidence-based practice (EBP) documents or websites you reviewed.
What did you learn from that review?
Share the process and experience of exploring the influence of leadership, collaboration, communication, change management, and policy on the problem.
What barriers, if any, did you encounter when presenting the problem to the patient, family, or group?
Did the patient, family, or group agree with you about the presence of the problem and its significance and relevance?
What leadership, communication, collaboration, or change management skills did you employ during your interactions to overcome these barriers or change the patient’s, family’s, or group’s thinking about the problem (for example, creating a sense of urgency based on data or policy requirements)?
What changes, if any, did you make to your definition of the problem, based on your discussions?
What might you have done differently?

The use of spirituality in nursing practice is not new.  However, it is more studied and utilized in a more structured format in nursing.  Identify and discuss tools used to evaluate spirituality.
-Please include 400 words in your initial post with two scholarly articles.
-Also reply to the following 2 posts with 200 words each and 1 or 2 and references.
#1 .Idonis Espinosa  
Spirituality in Nursing Practice
Nursing practice recognizes spirituality as a vital aspect of evidence-based practice. It is no wonder that nursing bodies – like the International Council of Nurses and the American Nurses Association – incorporate spiritual care in their practice recommendations. Needless to say, the study of spirituality takes a more structured approach, guided by a number of evaluation tools. This essay identifies and provides a discussion of the tools used to evaluate spirituality in nursing practice.  
Main Body
There are three main spiritual assessment tools, namely: FICA, HOPE, and SPIRIT (all acronyms). Each of these tools is discussed in detail hereafter. 
The FICA Tool 
FICA is an abbreviation for Faith, Importance, Community and Action/Address in care (Puchalski, 2021). The tool seeks to understand the patient’s faith – whether or not the patient considers themselves spiritual, whether they have spiritual beliefs that foster their ability to cope with stress, etc. Second, FICA seeks to understand how important this faith is to them (the patient) – whether the patient’s faith influences their self-care approaches during sickness, or affects their healthcare-related choices. Third, FICA seeks to understand the community support available for patients – identify the people that are very important to the patient, whether or not the patient is part of a spiritual community, and whether this community supports the patient. The fourth aspect that FICA accentuates is the patient’s spiritual needs to be addressedwhen receiving nursing care, in a bid to understand how the patient would like the nurse to address these issues (Henry & Gilley, 2024). 
The HOPE Tool 
HOPE is an abbreviation for source of hope; organized religion; personal spirituality; and the effects on healthcare. The tool seeks to understand the patient’s source of hope, strength, peace and comfort, which could be religion, family, friends or other groups. Second, the HOPE spirituality tool evaluates whether the patient considers themselves part of an organized religion or spiritual group, and identifies the specific group if any. Third, this tool identifies the personal spiritual practices the patient finds most valuable – which could be prayer, meditation, attending religious services, etc. Fourth, HOPE helps identify the patient’s concerns on the effects of their spirituality on medical care and end-of-life decisions (Whitehead, Jagger & Hanratty, 2022). 
The SPIRIT Tool 
The SPIRIT tool guides nurses to understand the patient’s spiritual beliefs (S) – whether the patient has a spiritual/religious belief system, and if so, identify the belief system. Second, this tool helps to know the patient’s personal spiritual practices (P), which could include meditation, prayer, etc. Third, this tool helps nurses understand whether or not the patient is integrated (I) in a spiritual group, and if so, the support they get from this affiliation, which could not only be spiritual support but also emotional and practical support. Next, this spiritual evaluation tool identifies the rituals (R) – that is spiritual rituals and restrictions that come with their belief system and hence need to be respected in the delivery of healthcare services. For instance, they could cite dietary restrictions prayer and fasting schedules, etc. Finally, the SPIRIT tool guides nurses to understand the implications (I) of the patient’s spirituality on medical care and the plans they have for terminal illness (T). For instance, how their spirituality affects/influences their perception of end-of-life care.  
Conclusion
The incorporation of spirituality in nursing practice is a vital aspect of delivering holistic, patient-centered care. By using the tools discussed above – FICA, HOPE and SPIRIT – nurses can better comprehend and support their patients and also provide comfort to patients in the healing process. 
References
Henry, N. L., & Gilley, N. (2024). Spiritual Assessment. In StatPearls [Internet]. StatPearls Publishing.
Puchalski, C. (2021). Spiritual care in health care: Guideline, models, spiritual assessment and the use of the© FICA Spiritual History Tool. In Spiritual Needs in Research and Practice: The Spiritual Needs Questionnaire as a Global Resource for Health and Social Care (pp. 27-45). Cham: Springer International Publishing.
Whitehead, I. O., Jagger, C., & Hanratty, B. (2022). Discussing spiritual health in primary care and the HOPE tool—A mixed methods survey of GP views. PloS One, 17(11), e0276281.
#2 .  Xenia Prieto 
In nursing practice, the use of spirituality has been an integral aspect for quite some time. However, there has been a more structured approach to studying and implementing spirituality in nursing care in recent years. Various tools evaluate spirituality, including the FICA spiritual assessment tool, HOPE questions, and the SPIRITual History tool. These tools help nurses assess patients’ spiritual needs and incorporate them into their care plans. I will be discussing the FICA spiritual assessment tool in more detail. 
The FICA spiritual assessment tool is a widely used framework for healthcare professionals to assess a patient’s spiritual beliefs and needs in a clinical setting. It provides a structured approach to understanding the spiritual dimensions of a person’s life and how they may impact their overall well-being.
The FICA acronym stands for:
F—Faith or Beliefs: This dimension explores the patient’s religious or spiritual affiliation, faith traditions, and any specific beliefs they hold.
I—Importance or Influence: This dimension focuses on the patient’s importance to spirituality and how it influences their daily life, decision-making, and coping mechanisms.
C—Community: This dimension examines the patient’s involvement in religious or spiritual communities, such as places of worship or support groups, and the role of these communities in their lives.
A—Address in Care: This dimension involves discussing how the patient’s spiritual beliefs and needs can be integrated into their healthcare and treatment plans. It includes exploring potential resources, rituals, or practices that may be helpful for the patient’s overall well-being.
Dr. Christina Puchalski and colleagues at the George Washington Institute for Spirituality and Health developed the FICA spiritual assessment tool.  
It was first introduced in 2000 as a means to guide healthcare professionals in exploring and understanding the spiritual beliefs and needs of their patients. By using it, healthcare professionals aim to gain a holistic understanding of the patient’s spiritual perspective, which can contribute to more patient-centered care and support. It recognizes that spirituality plays an essential role in many individuals’ lives and can significantly impact their physical, emotional, and mental health.
Spirituality is crucial in nursing as it contributes to holistic care, aids in coping and resilience, offers emotional and psychological support, improves cultural sensitivity, fosters therapeutic relationships, and helps address ethical considerations. Nurses can positively impact their patients’ overall well-being and healing by incorporating spirituality into their practice. 
Reference:
Puchalski C, Romer AL. Taking a spiritual history allows clinicians to understand patients more fully. J Palliat Med. 2000;3(1):129-137. doi:10.1089/jpm.2000.3.129
Borneman T, Ferrell B, Puchalski CM. Evaluation of the FICA Tool for Spiritual Assessment. J Pain Symptom Manage. 2010 Aug;40(2):163-73. doi: 10.1016/j.jpainsymman.2009.12.019. Epub 2010 Jul 8. PMID: 20619602.

Scenario
As a nurse on a general medical floor, the RN has received a new admit. Review the client data provided.
Richard Henderson
58 years old
Male
Admit diagnosis: GI bleed
History: no surgical history
Medical history: Gastritis & GERD
Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily.
Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis. His pain is 4/10 at present. No pain medication is ordered at this time.
Lab assessments ordered: CBC and chemistry panel
CT of the abdomen shows no signs of free air (no perforation)
When he arrives to the floor, he is pale, nauseous, and his skin is cool and clammy. When he is transferred to the bed from the stretcher, he vomits a large amount of coffee-ground emesis and loses consciousness.
Instructions
In the discussion post, address the following:
While receiving report, what concerns do you have regarding the client report?
What type of shock is occurring?
What stage of shock is the client experiencing?
What is your next intervention and why?
What additional lab assessments would you anticipate?
Provide additional thoughts and insights.
In the initial posting provide one additional resource other than the required reading.