Utica College Authority Gradient in Medical Teaching Discussion Questions
Instructions:“Authority gradient” exists within many organizations and groups. An article from the website of the Medical and Dental Defense Union of Scotland discusses this concept. The existence of an authority gradient within the healthcare setting can pose serious safety risks to patients. Please read the article “Axing the totem pole” and then answer the following questions:
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Stratford University Pospartum Depression Presentation
I’m working on a nursing question and need an explanation to help me learn.
· Evaluate The Topic 1: Postpartum Depression.
1. Describe how it is a disparity
2. Describe the population it affects most
3. Describe what the usual outcomes are.
Four slide maximum with reference.
Topic 2: Crohn’s Disease.
1. List at least 3 methods you can apply to nursing practice. Four slide maximum.
Florida National University Effective Leadership Discussion Question
I’m working on a nursing discussion question and need an explanation to help me learn.
Your post must have 3 references for full credit. Also, please ensure to have read the assigned chapters for the current week.
Chapter 3, Developing Effective Leaders to Meet 21st-Century Health Care Challenges
Textbook:Title: Professional issues in nursing: Challenges and opportunities. . Philadelphia: Wolters Kluwer.
ISBN: ISBN-13: 978-1-4963-9818-5
Author: Houston, C. (2020).
5th Edition
Please abide by APA 7th edition format in your writing. Answers should be 2-3 Paragraphs made up of 3-4 sentences each, at least 250 words (more or less) in length.
Florida National University Evidence Based Practices Discussion Questions
Chapter 5
St Thomas University Primary Care NP Role vs APN Roles Discussion
Primary Care NP Role vs. APN Roles
Compare the primary care NP role with other APN roles. What are the similarities among the roles, what are the differences, and how would you communicate the role to a healthcare provider and a consumer?
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M2 Discussion – Primary Care NP and other APN roles
There are approximately 290,000 nurse practitioners licensed in the United States (U.S.) (AANP, 2020). In the early 1900s, there was an accelerated growth of hospital nursing schools in the U.S. Some important dates in the history of nursing include 1931, 1955, 1965, and 1985 when the American Association of Nurse Anesthetists (AANA), the American College of Nurse-Midwife, the Pediatric Nurse Practitioner (PNP) certification program, and the American Association of Nurse Practitioners (AANP) were respectively created (Cockerham & Keeling, 2013). The four most common advanced practice registered nurse (APRN) or advanced practice nursing (APN) roles are – nurse practitioner (NP), certified registered nurse anesthetist (CRNA), clinical nurse specialist (CNS), and certified nurse-midwife (CNM).
An APN is a registered nurse who has obtained a graduated degree from an accredited school (master’s or doctorate) and, upon completion of the program, passed a national certification exam to achieved certification in a specific specialty (NP, CRNA, CNS, or CNM). All APN programs should have practices focused on the patient and families and offer standard courses such as advanced health assessment, advanced pathophysiology, and advanced pharmacology before specifically advance the education in one of the four roles. For example, an NP program should include pediatric clinical practice rotation, while a CNS program may not require this rotation. Also, all APN programs require a minimum of clinical hours in order for a student to graduate.
The similarity between all APN roles includes direct clinical practice, evidence-based practice, leadership, collaboration, consultation, education, and ethical decision making (Hamric, 2013). Also, the scope of practice for all APN includes assessment, diagnosing, and autonomy to practice. However, the autonomy of practice may vary from states, where some states allow APN to practice without a physician overseeing.
Some difference between APN roles includes the population specialization that an APN focus such as neonatal, women’s health, adult health, community health or psychiatric health. It can also have a more specific practice, like diabetes, oncology, wound care, and transplant.
The primary care NP role was created in the 1960s as a primary care specialty and differs from the other APN roles due to emphasis on primary care. A primary care NP is an APN trained to promote health, assess, diagnose, interpret diagnostic tests and treat disease based on a holistic approach to direct patient care (Pohl & Kao, 2013) (Taylor et al., 2021).
An example of effective communication between APN, healthcare provider, and consumer is when a patient is first diagnosed with diabetes by his primary care provider (PCP). The patient has many questions about diabetes self-management, diet exercises, and medication; for this reason, the PCP asks a diabetes CNS for a consult. Then, the diabetes CNS in collaboration with the PCP, develops a specific care of plan for this patient resulting in a patient-focus care where the patient can actively participate on the planning and be more engaged and responsible for his or her health.
In conclusion, a primary care NP is the largest number of APN roles (AANP, 2021). All APN share similarities in competencies and core values and show some differences regarding the scope of practice. Although all NP and other healthcare workers have differentiation and strengthening of their own specialty, all providers should have a patient-centered care approach.
References
American Association of Nurse Practitioners (AANP). (2020, March 3). More Than 290,000 Nurse Practitioners Licensed in the United States. https://www.aanp.org/news-feed/290-000-nps-licensed-in-us.
American Association of Nurse Practitioners (AANP). (2021, May). NP fact sheet. https://www.aanp.org/about/all-about-nps/np-fact-s… (Links to an external site.)
Cockerham, A. Z., & Keeling, A. W. (2013). A Brief History of Advanced Practice Nursing in the United States. In A. B Hamric, C. M. Hanson, M. F. Tracy, & E. T. O’Grady (Eds.), Advanced Practice Nursing: An integrative approach (5th ed., pp. 01-26). Elsevier. ISBN: 978-1-4557-3980-6.
Hamric, A. B. (2013). A definition of Advanced Practice Nursing. In A. B Hamric, C. M. Hanson, M. F. Tracy, & E. T. O’Grady (Eds.), Advanced Practice Nursing: An integrative approach (5th ed., pp. 67-85). Elsevier. ISBN: 978-1-4557-3980-6.
Pohl, J. M., & Kao, T. S. A. (2013). The Primary Care Nurse Practitioner. In A. B Hamric, C. M. Hanson, M. F. Tracy, & E. T. O’Grady (Eds.), Advanced Practice Nursing: An integrative approach (5th ed., pp. 396-428). Elsevier. ISBN: 978-1-4557
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Nurse Practitioners (NPs) and Advanced Practice Nurse (APNs) are registered nurses with a vast knowledge base and skill set. They apply clinical competencies for practice based on the guidelines indicated in their jurisdiction. Changes in healthcare today have diversified the roles NPs and APNs play. The discussion explores the similarities and differences in the NPs and APNs’ roles and determining how to communicate those roles to healthcare practitioners and consumers.
Starting with the similarities, NPs and APNs offer their services in diverse settings such as clinics, hospitals, long-term care settings, and outpatient centers. According to Schober et al. (2020), these professionals can perform the role of doctors, thus sometimes referred to as physician extenders. NPs and APNs perform functions such as diagnosing and prescribing treatment and medication, depending on state laws. They can also admit patients. Hence, based on the educational requirements, the two nursing professionals should have a master’s degree as an entry-level practice as required by law. In the process, they should engage in continuing education programs for relicensing, widening their clinical competencies to practice as physician extenders.
However, there are significant differences between NPs and APNs. For instance, APNs can specialize in executing their roles as nurse anesthetists, midwives, or clinical nurse specialists (CNS). Staff Writers (2021) inform that to achieve this, the nurse anesthetists need certification of practice from the National Board of Certification & Recertification for Nurse Anesthetists (NBCRNA). Further, nurse-midwives receive accreditation from the American Midwifery Certification Board (AMCB) (Staff Writers, 2021). On the other hand, the NPs perform their roles as primary care providers in clinics and private practice since they can offer their services independently. Since they serve diverse populations in primary care, they do not have to seek certification to practice in a specific field like the APNs.
When communicating to healthcare providers and consumers about the NPs and APNs roles, it would be essential to inform the area of practice of the two nurses. In this case, it would be crucial for the healthcare providers and consumers to know that the APNs specialize in different areas such as women’s healthcare like the midwives. Also, Schober et al. (2020) inform that they can execute their roles in surgical settings as nurse anesthetists. On the other hand, it would be necessary to inform the target audience that NPs offer a wide range of healthcare services since they are primary healthcare professionals. Generally, mentioning the scope of practice for these two nurse professionals would enable the healthcare providers and consumers to understand how their roles slightly differ.
Overall, the NPs and APNs’ roles in the healthcare setting are crucial since they help meet the unique patients’ needs. As much as the APNs engage in specialty practice to foster evidence-based nursing and influence holistic care in the defined field of practice, they support hospitals in quality care. Similar to NPs, their expertise in various healthcare fields helps them provide comprehensive care to diverse patients. Therefore, contributions in the healthcare settings have a fundamental role in transforming the quality of care.
References
Schober, M., Lehwaldt, D., Rogers, M., Steinke, M., Turale, S., Pulcini, J., … & Stewart, D. (2020). International Council of Nurses Guidelines on advanced Practice Nursing2020. International Council of Nurses. https://www.icn.ch/system/files/documents/2020- 04/ICN_APN%20Report_EN_WEB.pdf
University of Central Florida Unit 4 SBAR Report Discussion
I don’t know how to handle this Nursing question and need guidance.
We are going to switch things up a bit! Read the instructions carefully!!! Every student will have submitted an SBAR for the following cases listed below.
George Mason University Critical Thinking & Pharmacogenomics Questions
Can you help me understand this Health & Medical question?
1. Imagine that you are a data analyst who works for a large. health care system You’ve received the assignment to find all COVID-19 patients in your medical database. The problem is, the CDC has published ICD-10 codes for the disease which will go into effect the following month (meaning that they are not in active use yet). In the absence of these ICD-10 codes, what would your strategy be to identify COVID-19 patients?
This is a critical thinking questions. Use the skills you’ve developed in critical thinking discussions to help you formulate your answer. Please be brief and direct in your explanation.
Briefly explain what pharmacogenomics is.
Dorothea Orem Theory Case Study
This case study documents an ongoing interaction between a wife and her husband who live in a spacious home in a gated community.
When Dan (now 80) and Jane (now 65) began dating more than 15 years ago, both were emotionally charged to begin their lives anew. Well-educated and financially secure, they had a lot in common. Dan was a protestant minister, and Jane’s deceased husband had been a protestant minister. Both had lost their spouses. Jane’s first husband had suffered a catastrophic cerebral aneurysm 2 years earlier. Dan had conducted the funeral service for Jane’s husband. Dan’s wife had died of terminal cancer a little over a year earlier. Dan’s first wife had been a school counselor; Jane was a school teacher. Both had children in college. They shared a love for travel. Dan was retired but continued part-time employment, and Jane planned to continue teaching to qualify for retirement. Both were in great health and had more than adequate health benefits. Within the year they were married. Summer vacations were spent snorkeling in Hawaii, mountain climbing in national parks, and boating with family. After 7 years, Dan experienced major health problems: a quadruple cardiac bypass surgery, followed by surgery for pancreatic cancer. Jane’s plans to continue working were dropped so she could assist Dan to recover and then continue to travel with him and enjoy their remaining time together. Dan did recover—only to begin to exhibit the early signs and symptoms of Alzheimer’s disease. One of the early signs appeared the previous Christmas as they were hanging outdoor lights. To Jane’s dismay, she noted that Dan could not follow the sequential directions she gave him. As time passed, other signs appeared, such as some memory loss and confusion, frequent repeating of favorite phrases, sudden outbursts of anger, and decreased social involvement. Assessments resulted in the diagnosis of early Alzheimer’s disease. Dan was prescribed Aricept, and Jane began to prepare herself to face this new stage of their married life. She read literature about Alzheimer’s disease avidly and organized their home for physical and psychological safety. A kitchen blackboard displayed phone numbers and the daily schedule. Car keys were appropriately stowed. It was noted that she began to savor her time with Dan. Just sitting together with him on the sofa brought gentle expressions to her face. They continued to attend church services and functions but stopped their regular swims at their exercise facility when Dan left the dressing room naked one day. Within the year, Jane’s retired sister and brother-in-law relocated to a home a short walk from Jane’s. Their intent was to be on call to assist Jane in caring for Dan. Dan and Jane’s children did not live nearby so could only assist occasionally. As Dan’s symptoms intensified, a neighbor friend, Helen, began to relieve Jane for a few hours each week. At this time, Jane is still the primary dependent-care agent. She prides herself in mastering a dual shower; she showers Dan in his shower chair first, and then, while she showers, he sits on the nearby toilet seat drying himself. Her girlfriends suggested that this was material for an entertaining home video! Although Jane is cautious in her care for Dan, she often drives a short distance to her neighborhood tennis court for brief games with friends or spends time tending the lovely gardens she and Dan planted. During these times, she locks the house doors and leaves Dan seated in front of the television with a glass of juice. She watches the time and returns home midway through the hour to check on Dan. On one occasion when she forgot to lock the door while she was gardening, Dan made his way to the street, lost his balance, reclined face-first in the flower bed, and was discovered by a neighbor. Jane has given up evenings out and increased her favorite pastime of reading. Her days are filled with assisting Dan in all of his activities of daily living. And, often, her sleep is interrupted by Dan’s wandering throughout their home. At times, when the phone rings, Dan answers and tells callers Jane is not there. Jane, only in the next room, informs him “Dan, I am Jane.” Friends are saddened by Dan’s decline and concerned with the burdens and limitations Jane has assumed as a result of Dan’s dependency.
1. Examine this case study through the dependency cycle model (Fig. 14.3). The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle?
2. Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.
3. Design a nursing system that addresses Jane’s self-care system as she increases her role as dependent-care agent for Dan.
GCU Clinical Prevention Intervention to Promote Health and Wellness Discussion
Identify a clinical prevention intervention to promote health and wellness for a population with which you are familiar. Have these clinical prevention interventions been successful? Why or why not?
