nursing role and scope - Science
1. There is a wide variety of perspectives and frameworks from which to practice nursing. After reading the various framework and theories presented, which most closely matches your beliefs? Please explain why?2. After reading the Nurse of the future: Nursing core competencies on page 84, please describe how you plan to apply these 10 core competencies into your daily Nursing practice. Please be sure to address all 10 competencies and give specific examples.These are the 10 nursing competencies:>> Patient-Centered Care>> Professionalism>> Leadership>> Systems-Based Practice>> Informatics and Technology>> Communication>> Teamwork and Collaboration>> Safety>> Quality Improvement>> Evidence-Based PracticeEach question must have at least 3 paragraphs and you must use at 3 least references included in your main post. Zero plagiarism please, they run it through turn it in. chapter_no._2.pdf Unformatted Attachment Preview Chapter 2 Frameworks for Professional Nursing Practice Definitions • Concept • Conceptual model • Propositions • Assumptions • Theory • Metaparadigm Central Concepts in Nursing • Person receiving the nursing • Environment within which the person exits • Health-illness continuum within which the person falls at the time of the interaction with the nurse • Nursing actions Nightingale’s Environmental Theory • Person: Recipient of nursing care • Environment: External (temperature, bedding, ventilation) and internal (food, water, and medications) • Health: Not only to be well, but to be able to use well every power we have to use • Nursing: Alter or manage the environment to implement the natural laws of health Nightingale’s 13 Canons • • • • • • • Ventilation and warmth Health of houses Petty management Noise Variety Food intake What food? • Bed and bedding • Light • Cleanliness of rooms and walls • Personal cleanliness • Chattering hopes and advises • Observation of the sick Virginia Henderson: Definition of Nursing and 14 Components of Care • Person: Recipient of nursing care who is composed of biological, psychological, sociological, and spiritual components • Environment: External environment • Health: Based upon the patient’s ability to function independently • Nursing: Assist the person, sick or well, in performance of activities The Nurse−Theorists Virginia Henderson Promo Video https://youtu.be/c3mnNPozt_w Henderson’s 14 Basic Care Needs (1 of 2) • Breathe normally • Eat and drink adequately • Eliminate bodily wastes • Move and maintain postures • Sleep and rest • Dress and undress • Maintain body temperature within normal range Henderson’s 14 Basic Care Needs (2 of 2) • Keep body clean and protect integument • Avoid dangers • Communicate with others • Worship according to one’s faith • Work (sense of accomplishment) • Recreation • Learn and discover, leading to normal development and health, and use health facilities Jean Watson: Philosophy and Science of Caring (1 of 2) • Goal is to help persons attain a higher level of harmony within the mind-body-spirit • Goal pursued through transpersonal caring guided by 10 caritas processes Jean Watson: Philosophy and Science of Caring (2 of 2) • Person (human): A unity of mind-body-spirit/nature; embodied spirit • Healing space and environment: A nonphysical energetic environment; a vibrational field integral with the person where the nurse is not only in the environment but “the nurse IS the environment” • Health (healing): Harmony, wholeness, and comfort • Nursing: Reciprocal transpersonal relationship in caring moments guided by caritas processes The Nurse Theorists−Jean Watson Promo Video https://youtu.be/qX1fxKfZifo Benner’s Clinical Wisdom in Nursing Practice: 9 Domains of Critical Care Nursing • Diagnosing and managing lifesustaining physiological functions in unstable patient • Using skilled know-how to manage a crisis • Providing comfort measures for the critically ill • Caring for patients’ families • Preventing hazards in a technological environment • Facing death: End-of-life care and decision making • Communicating and negotiating multiple perspectives • Monitoring quality and managing breakdown • Using the skilled know-how of clinical leadership and the coaching and mentoring of others Benner’s Clinical Wisdom in Nursing Practice: 6 Aspects of Clinical Judgment and Skilled Comportment (1 of 2) • Reasoning-in-transition: Practical reasoning in an ongoing clinical situation • Skilled know-how: Also known as embodied intelligent performance; knowing what to do, when to do it, and how to do it • Response-based practice: Adapting interventions to meet the changing needs and expectations of patients • Agency: One’s sense of and ability to act upon or influence a situation Benner’s Clinical Wisdom in Nursing Practice: 6 Aspects of Clinical Judgment and Skilled Comportment (2 of 2) • Perceptual acuity and the skill of involvement: The ability to tune into a situation and hone in on the salient issues by engaging with the problem and the person • Links between clinical and ethical reasoning: The understanding that good clinical practice cannot be separated from ethical notions of good outcomes for patients and families Benner’s Clinical Wisdom in Nursing Practice • Person: Embodied person living in the world who is a “self-interpreting being, that is, the person does not come into the world pre-defined but gets defined in the course of living a life” • Environment: A social environment with social definition and meaningfulness • Health: The human experience of health or wholeness • Nursing: A caring relationship that includes the care and study of the lived experience of health, illness, and disease The Nurse Theorists V2−Patricia Benner Promo Video https://youtu.be/ZM315_5Jqss Martha Rogers’ Science of Unitary Human Beings (1of 2) • Person (human being): An irreducible, irreversible, pandimensional, negentropic energy field identified by pattern • Environment: An irreducible, pandimensional, negentropic energy field, identified by pattern and manifesting characteristics different from those of the parts and encompassing all that is other than any given human field Martha Rogers’ Science of Unitary Human Beings (2 of 2) • Health: Health and illness are a part of a continuum • Nursing: Seeks to promote symphonic interaction between fields, to strengthen the integrity of the human field, and to direct patterning of the human and environmental fields for realization of maximum health potential Principle of Hemeodynamics • Helicy • Resonancy • Integrality Martha Rogers Interview Part I Video https://youtu.be/V1XN3rPKndE Martha Rogers Interview Part II Video https://youtu.be/f6qWm8sGut0 Dorothea Orem’s General Theory of Nursing • Composed of three related theories: – Theory of self-care – Theory of self-care deficit – Theory of nursing systems Types of Self-Care Requisites • Universal self-care requisites (found in all human beings and associated with life processes) • Developmental self-care requisites (related to different stages of human life cycle) • Health-deviation self-care requisites (related to deviations in structure or function) Dorothea Orem’s General Theory of Nursing (1of 2) • Person (patient): A person under the care of a nurse; a total being with universal, developmental needs and capable of self care • Environment: Physical, chemical, biologic, and social contexts within which human beings exits; environmental components include environmental factors, elements, and conditions, as well as the developmental environment Dorothea Orem’s General Theory of Nursing (2 of 2) • Health: A state characterized by soundness or wholeness of developed human structures and of bodily and mental functioning • Nursing: Therapeutic self-care designed to supplement self-care requisites. Nursing actions fall into one of three categories: Wholly compensatory, partly compensatory, or supportive educative system The Nurse Theorists; Excellence in Action−Dorothea Orem Promo Video https://youtu.be/O_ie_504B7U Callista Roy’s Adaptation Model • Person (human system): A whole with parts that function as a unity • Environment: Internal and external stimuli; the world within and around humans as adaptive systems • Health: A state and process of being and becoming an integrated and whole human being • Nursing: Manipulation of stimuli to foster successful adaptation Roy’s 6-Step Nursing Process • Assessing behaviors manifested from the 4 adaptive modes • Assessing and categorizing stimuli • Making a nursing diagnosis • Setting goals to promote adaptation • Implementing interventions aimed at managing stimuli to promote adaptation • Evaluating achievement of adaptive goals The Nurse Theorists−Callista Roy Promo Video https://youtu.be/fC2zMcTquaU Betty Neuman’s Systems Model (1 of 3) • Wellness model based on general systems theory • Focus of the model is on the client system in relationship to stressors • Client system is protected by a circular series of buffers known as lines of defense – Flexible line of defense – Normal line of defense – Lines of resistance Betty Neuman’s Systems Model (2 of 3) • Person (client system): A composite of physiological, psychological, sociocultural, developmental, and spiritual variables in interaction with the internal and external environment Betty Neuman’s Systems Model (3 of 3) • Environment: All internal and external factors of influences surrounding the client system; three relevant environments identified are the internal environment, the external environment, and the created environment • Health: A continuum of wellness to illness; equated with optimal system stability • Nursing: Prevention as intervention; concerned with all potential stressors The Nurse Theorists−Betty Neuman Promo Video https://youtu.be/UilhyIGg8jA King’s Interacting Systems Framework and Theory of Goal Attainment (1 of 3) • Conceptualizes 3 levels of dynamic interacting systems that include personal systems (individuals), interpersonal systems (groups), and social systems (society) • Concepts important to understanding the theory include communication, interaction, role, stress, and transaction King’s Interacting Systems Framework and Theory of Goal Attainment (2 of 3) • Person (human being): A personal system that interacts with interpersonal and social systems. • Environment: Can be both external and internal; the external environment is the context within which human beings grow, develop, and perform daily activities. The internal environment of human beings transforms energy to enable them to adjust to continuous external environmental changes. King’s Interacting Systems Framework and Theory of Goal Attainment (3 of 3) • Health: Dynamic life experiences of a human being, which implies continuous adjustment to stressors in the internal and external environment through optimum use of one’s resources to achieve maximum potential for daily living • Nursing: A process of human interaction; the goal of nursing is to help patients achieve their goals The Nurse Theorists−Imogene King Promo Video https://youtu.be/1sZPaj-RioE Johnson’s Behavioral System Model: 7 Subsystems of Behavior • Achievement • Sexual • Affiliative • Eliminative • Aggressive • Ingestive • Dependence Johnson’s Behavioral System Model (1 of 2) • Person (human being): A biopsychosocial being who is a behavioral system with 7 subsystems of behavior • Environment: Includes internal and external environment • Health: Efficient and effective functioning of system; behavioral system balance and stability Johnson’s Behavioral System Model (2 of 2) • Nursing: An external regulatory force that acts to preserve the organization and integrity of the patient’s behavior at an optimal level under those conditions in which the behavior constitutes a threat to physical or social health or in which illness is found The Nurse Theorists−Dorothy Johnson Promo Video https://youtu.be/3TJ8g232PL8 Parse’s Humanbecoming Theory: Themes and Processes • Three themes: • Three processes: – Meaning – Explicating – Rhythmicity – Dwelling – Transcendence – Moving beyond Parse’s Humanbecoming Theory • Person: An open being, more than and different than the sum of parts in mutual simultaneous interchange with the environment who chooses from options and bears responsibility for choices • Environment: Co-exists in mutual process with the person • Health: Continuously changing process of becoming • Nursing: A learned discipline; the nurse uses true presence to facilitate the becoming of the participant The Nurse Theorists−Rosemarie Parse Promo Video https://youtu.be/yezjnbA5ln0 Leininger’s 3 Modalities • Cultural care preservation and/or maintenance • Cultural care accommodation and/or negotiation • Cultural care repatterning or restructuring Madeleine Leininger’s Cultural Diversity and Universality Theory (1 of 2) • Person: Human being, family, group, community, or institution • Environment (environmental context): Totality of an event, situation, or experience that gives meaning to human expressions, interpretations, and social interactions in physical, ecological, sociopolitical, and/or cultural settings Madeleine Leininger’s Cultural Diversity and Universality Theory (2 of 2) • Health: A state of well-being that is culturally defined, valued, and practiced • Nursing: Activities directed toward assisting, supporting, or enabling with needs in ways that are congruent with the cultural values, beliefs, and lifeways of the recipient of care The Nurse Theorists−Madeleine Leininger Promo Video https://youtu.be/uyS-VIfxagk Peplau’s Theory of Interpersonal Relations (1 of 4) • Six nursing roles that emerge during the phases of relationship: – Teacher – Resource – Counselor – Leader – Technical expert – Surrogate Peplau’s Theory of Interpersonal Relations (2 of 4) • Three phases in the nurse–patient relationship: – Orientation – Working – Resolution Peplau’s Theory of Interpersonal Relations (3 of 4) • Person: Encompasses the patient (who has problems for which expert nursing services are needed or sought) and the nurse • Environment: Forces outside the organism within the context of culture Peplau’s Theory of Interpersonal Relations (4 of 4) • Health: Implies forward movement of personality and other ongoing human processes in the direction of creative, constructive, productive, personal, and community living • Nursing: The therapeutic, interpersonal process between the nurse and the patient The Nurse Theorists−Hildegard Peplau Promo Video https://youtu.be/96OsVRsebuA Pender’s Health Promotion Model: 3 Major Categories to Consider • Individual characteristics and experiences (biological factors, psychological factors, sociocultural factors) • Behavior-specific cognitions and affect (perceived benefits of action, perceived barriers to action, perceived self-efficacy, activityrelated affect) • Behavioral outcome Pender’s Health Promotion Model (1 of 2) • Person: The individual, who is the primary focus of the model • Environment: The physical, interpersonal, and economic circumstances in which persons live • Health: A positive high-level state Pender’s Health Promotion Model (2 of 2) • Nursing: The role of the nurse includes raising consciousness related to healthpromoting behaviors, promoting selfefficacy, enhancing the benefits of change, controlling the environment to support behavior change, and managing barriers to change The Nurse Theorists V2−Nola Pender Promo Video https://youtu.be/WYiE8-U0PCg Afaf Ibrahim Meleis: Transitions Theory (1 of 3) • Transition is a process triggered by a change that represents a passage from a fairly stable state to another fairly stable state • Transitions can be described in terms of types and patterns of transitions, properties of transition experiences, transition conditions, process indicators, outcome indicators, and nursing therapeutics Afaf Ibrahim Meleis: Transitions Theory (2 of 3) • Person: Persons are active beings who experience fundamental life patterns and who have perceptions of and attach meaning to transition experiences • Environment: Environmental conditions expose persons to potential damage, problematic recovery, or delayed or unhealthy coping contributing to vulnerability related to transitions Afaf Ibrahim Meleis: Transitions Theory (3 of 3) • Health: Health consists of complex and multidimensional transitions that are characterized by flow and movement over time; healthy outcomes are defined in terms of the transition process • Nursing: Nursing means being the primary caregiver for individuals and their families during the transition process and applying nursing therapeutics during transitions to promote healthy outcomes The Nurse Theorists V2−Afaf Meleis Promo Video https://youtu.be/xSn2qqmcwaA Swanson’s Theory of Caring (1 of 3) • Five basic processes of caring: – Maintaining belief – Knowing – Being with – Doing for – Enabling Swanson’s Theory of Caring (2 of 3) • Person: Unique beings who are in the midst of becoming and whose wholeness is made manifest in thoughts, feelings, and behaviors • Environment: Any context that influences or is influenced by the designated client Swanson’s Theory of Caring (3 of 3) • Health and well-being: To live the subjective, meaning-filled experience of wholeness; wholeness involves a sense of integration and becoming wherein all facets of being are free to be expressed • Nursing: Informed caring for the well-being of others Kolcaba’s Theory of Comfort (1 of 4) • Comfort care encompasses 3 components: – An appropriate and timely intervention to meet the comfort needs of patients – A mode of delivery that projects caring and empathy – The intent to comfort Kolcaba’s Theory of Comfort (2 of 4) • Comfort needs include patients’ or families’ desire for or deficit in relief, ease, or transcendence in the physical, psychospiritual, sociocultural, or environmental contexts of human experience • Comfort measures refer to interventions that are intentionally designed to enhance patients’ or families’ comfort Kolcaba’s Theory of Comfort (3 of 4) • Person: Recipients of care may be individuals, families, institutions, or communities in need of health care • Environment: Includes any aspect of the patient, family, or institutional setting that can be manipulated by the nurse, a loved one, or the institution to enhance comfort Kolcaba’s Theory of Comfort (4 of 4) • Health: Considered optimal functioning of the patient, the family, the healthcare provider, or the community • Nursing: The intentional assessment of comfort needs, design of comfort interventions to address those needs, and reassessment of comfort levels after implementation compared with baseline Reed’s Self-Transcendence Theory (1 of 3) • Three major concepts are central to the theory of self-transcendence: – Self-transcendence – Well-being – Vulnerability • Additional concepts include: – Moderating–mediating factors – Points of intervention Reed’s Self-Transcendence Theory (2 of 3) • Person: Human beings who develop over the life span through interactions with other persons and within an environment • Environment: Composed of family, social networks, physical surroundings, and community resources Reed’s Self-Transcendence Theory (3 of 3) • Health (well-being): A sense of feeling whole and healthy, according to one’s own criteria for wholeness and health • Nursing: The role of nursing activity is to assist persons through interpersonal processes and therapeutic management of their environment to promote health and well-being The Nurse Theorists V2−Pamela Reed Promo Video https://youtu.be/d0Kq9mckER4 Merle Mishel: Uncertainty in Illness Theory (1 of 4) • Uncertainty is defined as the “inability to determine the meaning of illness-related events inclusive of inability to assign definite value and/or to accurately predict outcomes” • Second central concept, cognitive schema, defined as a “person’s subjective interpretation of illness-related events” Merle Mishel: Uncertainty in Illness Theory (2 of 4) • The revised theory incorporates two new concepts: Self-organization and probabilistic thinking • Uncertainty in illness ... 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Indigenous Australian Entrepreneurs Exami Calculus (people influence of  others) processes that you perceived occurs in this specific Institution Select one of the forms of stratification highlighted (focus on inter the intersectionalities  of these three) to reflect and analyze the potential ways these ( American history Pharmacology Ancient history . Also Numerical analysis Environmental science Electrical Engineering Precalculus Physiology Civil Engineering Electronic Engineering ness Horizons Algebra Geology Physical chemistry nt When considering both O lassrooms Civil Probability ions Identify a specific consumer product that you or your family have used for quite some time. This might be a branded smartphone (if you have used several versions over the years) or the court to consider in its deliberations. Locard’s exchange principle argues that during the commission of a crime Chemical Engineering Ecology aragraphs (meaning 25 sentences or more). Your assignment may be more than 5 paragraphs but not less. INSTRUCTIONS:  To access the FNU Online Library for journals and articles you can go the FNU library link here:  https://www.fnu.edu/library/ In order to n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading ce to the vaccine. Your campaign must educate and inform the audience on the benefits but also create for safe and open dialogue. A key metric of your campaign will be the direct increase in numbers.  Key outcomes: The approach that you take must be clear Mechanical Engineering Organic chemistry Geometry nment Topic You will need to pick one topic for your project (5 pts) Literature search You will need to perform a literature search for your topic Geophysics you been involved with a company doing a redesign of business processes Communication on Customer Relations. Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages). Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in in body of the report Conclusions References (8 References Minimum) *** Words count = 2000 words. *** In-Text Citations and References using Harvard style. *** In Task section I’ve chose (Economic issues in overseas contracting)" Electromagnetism w or quality improvement; it was just all part of good nursing care.  The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management.  Include speaker notes... .....Describe three different models of case management. visual representations of information. They can include numbers SSAY ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3 pages): Provide a description of an existing intervention in Canada making the appropriate buying decisions in an ethical and professional manner. Topic: Purchasing and Technology You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.         https://youtu.be/fRym_jyuBc0 Next year the $2.8 trillion U.S. healthcare industry will   finally begin to look and feel more like the rest of the business wo evidence-based primary care curriculum. Throughout your nurse practitioner program Vignette Understanding Gender Fluidity Providing Inclusive Quality Care Affirming Clinical Encounters Conclusion References Nurse Practitioner Knowledge Mechanics and word limit is unit as a guide only. The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su Trigonometry Article writing Other 5. June 29 After the components sending to the manufacturing house 1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business No matter which type of health care organization With a direct sale During the pandemic Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record 3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015).  Making sure we do not disclose information without consent ev 4. Identify two examples of real world problems that you have observed in your personal Summary & Evaluation: Reference & 188. Academic Search Ultimate Ethics We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities *DDB is used for the first three years For example The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case 4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972) With covid coming into place In my opinion with Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be · By Day 1 of this week While you must form your answers to the questions below from our assigned reading material CliftonLarsonAllen LLP (2013) 5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda Urien The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. 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The team is currently using an I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych Identify the type of research used in a chosen study Compose a 1 Optics effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. 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After establishing where each member is in relation to the family A Health in All Policies approach Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum Chen Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change Read Reflections on Cultural Humility Read A Basic Guide to ABCD Community Organizing Use the bolded black section and sub-section titles below to organize your paper. For each section Losinski forwarded the article on a priority basis to Mary Scott Losinksi wanted details on use of the ED at CGH. He asked the administrative resident