The Future of Nursing: Leading Change, Advancing Health.

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Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.”  750‐1,000 words, discussing the influence of the IOM report on nursing practice. Include the following:

  1. Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
  2. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN‐prepared nurses.
  3. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
  4. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health‐illness continuum.
  5. Discuss how nurses can assist in effectively managing patient care within an evolving health care system.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.

Leadership Strategy As a nurse

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Leadership Strategy As a nurse, you serve an important role in identifying strategies to effectively manage health care resources and in leading health care quality improvement. You must be able to de

Leadership Strategy

As a nurse, you serve an important role in identifying strategies to effectively manage health care resources. And in leading health care quality improvement. You must be able to decide what leadership style or strategy to apply in a given situation to achieve an effective resolution of the issue. Read the following two scenarios and select one to focus on in this Discussion. Consider the leadership style or strategy that might be most effective in the scenario you selected.

the organizational characteristics of a facility

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Describe the organizational characteristics of a facility in which you currently work. Include the following: the type of organization, its organizational culture, its structure, and its formal and informal goals and processes.

Define three different kinds of power, and describe how power affects the relationships between people of different disciplines (e.g., between staff in nursing, medicine, physical therapy, housekeeping, administration, finance, social work) in a health-care organization.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length.

the significance of applying evidence‐based practice to nursing care

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the significance of applying evidence‐based practice to nursing care

The field of nursing has changed over time. In a 750‐1,000 word, discuss nursing practice today by addressing the following:

  1. Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
  2. Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
  3. Identify a patient care situation and describe how nursing care, or approaches to decision‐making, differ between the BSN‐prepared nurse and the ADN nurse.
  4. Discuss the significance of applying evidence‐based practice to nursing care and explain how the academic preparation of the RN‐BSN nurse supports its application.
  5. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.

Management Of Patients With Hypertension

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1. Joan Smith, 55 years of age. Is a female patient who presents to the intensive care unit with the diagnosis of intracranial hemorrhage. The patient stopped taking her antihypertensives suddenly because of the cost of the medications and she recently lost her job to outsourcing. The patient is slightly drowsy and complains of a headache and blurred vision. The patient’s blood pressure is 220/130 mm Hg upon presentation.

(Learning Objective 6)

  1. According to the definitions set by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC 7), which type of hypertensive crisis is the patient currently experiencing?
  2. Describe the treatment goals for handling the hypertensive crisis and apply the goals to the case study. Determine the current mean arterial pressure (MAP) and the goals for treatment.

The physician orders nicardipine hydrochloride (Cardene) 25 mg/250 mL, NS for peripheral IV starting at 2.5 mg/hr, and titrate by 2.5 mg/hr every 15 minutes to reach the goal for the first hour, which is to achieve 25% reduction of the initial MAP.

dosing range

  • Call the physician if the dosing range of 15 mg/hr has been reached and the MAP is still not at target goal for the first hour of treatment, or up to four dose increases.
  • Lower the BP within 6 hours to 160/100 mm Hg.
  • Adjust the IV rate so that the IV fluids plus the nicardipine IV drip are equal to 100 mL/hr, in total. Call the physician if the IV fluids must go above 100 mL/hr to provide the nicardipine.

c. Explain what rate to set initially for both the nicardipine drip and the NS maintenance fluids.

d. Explain the process of titrating the nicardipine drip for the first hour to achieve the final MAP goal of 25% reduction of the original MAP.

2. The community health nurse is preparing a program about hypertension for a local community center. The focus of the program is on the reduction of risk factors and compliance for those who have been diagnosed with high blood pressure. The target population includes older adults. (Learning Objectives 1 to 4)

primary hypertension

  1. The nurse focuses on primary hypertension because it accounts for 90% to 95% of hypertension in the United States. What risk factors does the nurse include for this population?
  2. The nurse prepares to discuss the changes in how the JNC 7 defines hypertension. What ranges and descriptions should the nurse include?
  3. Because this is a gerontologic audience, the nurse needs to review why blood pressure increases with age. Explain how the structural and functional changes of aging contribute to higher blood pressure in the older adult.
  4. What information does the nurse include about lifestyle modifications that may decrease risk of hypertension (or complications associated with diagnosed hypertension)?

What is a Leadership Statement?

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Unit 5, Modules 17-20 focus on various qualities of leadership, including how to listen, how to work in groups, how to conduct meetings, and how to present orally.

For this final blog of the course, you will create a Professional Leadership Statement based on your experience as well as your reading of these modules in your book.

What is a Leadership Statement?

A Leadership Statement is a self-reflective exercise that asks you to think about your purpose in leading, your values, and your beliefs about who you are as a leader and how you lead others.

We will begin by identifying the core experiences and role models that have influenced their leadership. Many find this to be a chance to include a personal experience of leadership (think “Class President” in high school or Shift Manager at Starbucks). Others may describe someone who has led them in the past (think Pastor Rick from church, Sargent Rios from the Army, Mrs. Smith from middle school, or Coach Thompson from pee-wee football).

Leaders understand the ‘we’ vision – something that inspires an organization, investors, or a department. No smart leader would consider leadership without thinking about others first.

Yet few leaders can clearly identify their own personal beliefs on leadership. So, if leaders consider the ‘we’ vision vital to organizational success, why don’t they think it’s equally vital to have one for themselves, given that they are leading?

What You Need to Include

As you reflect on your Personal Leadership Statement should address some these questions:

  • What is your core purpose as a leader? Why are you here, doing what you do? Why would anyone want to be led by you?
  • What type of leader are you? What models of leadership speak to your experience and/or how you want to be perceived when you are in a position of leadership?
  • How do you demonstrate leadership through written communication? How do you use written communication to lead meetings and presentations?
  • Who are your leadership role models and what did you learn from them? Who is your inspiration? What three or four critical events in your life shaped your beliefs about leadership?
  • What do you believe about leading and motivating people? What values and principles are reflected in your plans, decisions, and actions when leading others?
  • What can people expect from you? What are your intentions and commitments? How do you set an example?
  • What do you expect from your people?
How to Create Your Leadership Statement

You may approach this assignment in several ways. You could, of course, write it out in several paragraphs (250-500 words). If you choose the paragraph format, include a graphic, photo, or other visual element to your blogs to earn full credit on the rubric.

You could re-think this statement, though by representing it through visuals or collaging it. You could create an infographic as you did for the Week 2 Blog.

Be sure to reference the ideas in your book. You do not need to quote and cite directly, but you should make it clear that you have carefully reviewed Unit 5.

blood pressure medication

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Directions:

Consider the scenario below, then follow the instructions underneath it to complete the discussion. If appropriate, support your position with credible resources/examples/evidence and provide APA references.

Mr. B

Mr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred vision and headaches over the last two months. On several visits, Mr. B’s blood pressure was found to be elevated, so the physician started him on hydrochlorothiazide 25 mg by mouth daily. One month later, Mr. B began to have chest pains and shortness of breath, so his primary care provider referred Mr. B to a cardiologist for further evaluation.

The cardiologist ordered an echocardiogram and stress test, which revealed heart enlargement and a reduced ejection fraction (volume of blood pumped out of the heart per minute). As a result, the cardiologist started Mr. B on a beta-blocker (metoprolol 25 mg by mouth daily).

A few days after taking the new medication (in addition to the hydrochlorothiazide ordered by the primary physician), Mr. B suffered a fall at home. Upon arrival at the emergency room, Mr. B’s blood pressure was 80/50. The emergency room physician suspected the cause of Mr. B’s fall was hypotension secondary to the medications he was taking. The ER physician recommended that Mr. B follow up with his primary care physician and cardiologist but hold the medication until seen by them.

As recommended, Mr. B visits his primary care physician for a follow-up. During the visit, Mr. B’s blood pressure is found to be elevated (160/90), so his physician tells Mr. B to restart taking his blood pressure medication.

Imagine that you are the nurse attending to Mr. B and that he indicates that he’s afraid to restart the medication because of his recent fall.

  1. What considerations/actions should the nurse make regarding the client’s refusal to restart his blood pressure medication?
  2. What considerations/actions would have helped the healthcare team to prevent the client’s fall?

Infrastructure and Technology Upgrade Plan

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Infrastructure and Technology Upgrade Plan

You are the Director at a public health facility in a remote town and have been awarded a S1.5 million-dollar grant to update the infrastructure at your facility. This will include upgrades to the technology to be able to provide services to a higher percentage of the population.

Address the following requirements:

Discuss in a strategic plan of action the steps and measures you will take to achieve this outcome.

Further, discuss in detail, the technology and tools that you would integrate into the planning infrastructure and the intended uses and benefits of these tools and technology.

Be sure to discuss the individuals responsible for implementing and overseeing each step of the process.

should meet the following requirements:

Four-to-five pages in length, not including the title or reference pages.

Formatted per APA 7th edition and Saudi Electronic University standards.

Provide support for your work with in-text citations from a minimum of six scholarly articles.

Provide full APA references for the sources used on a reference page, along with appropriate in-text citations.

Utilize headings to organize the content in your work.

Preventing IV Infiltration

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CAP Draft Instructions

Students submit two drafts of their CAP paper during the term. The student’s clinical instructor reviews the drafts and provides feedback. Each draft earns a maximum of 5 points. Consult the “CAP Instructions and Rubric” document for guidance on content.

 

1st draft contains:

· Introduction

· Literature review of the topic/issue

The first draft includes proper APA-styled citations for the articles referenced. It does NOT need to include an APA-styled title page; however, this is a requirement for the final paper.

 

2nd draft contains:

· Literature review of the solution/interventions

· Implementation/intervention

The second draft includes proper APA-styled citations for the articles referenced.

 

Instructor Feedback

· These drafts are an opportunity for the instructor to tell the student if they are on the right track for content, writing, and formatting.

· The drafts are not an opportunity to receive detailed corrections on content and APA style.

Students are encouraged to seek writing/APA assistance from the APA Publication Manual, ResU’s lib guides, the Online Writing Lab (OWL) at Purdue, or through the TutorMe resource found on the landing page of Brightspace.

 

Grading criteria

CAP drafts will be assessed using the following criteria. Late submissions will lose up to 10% for every day submitted past the due date.

 

4-5 points: very good/good

Draft follows all instructions; includes the required content contained in the CAP rubric. Writing is cohesive. Draft may have one or two deficiencies in completeness, content, writing mechanics, or APA format.

3 points: average

Draft follows most instructions; includes most of the required content contained in the CAP rubric. Writing may need improvement. Draft has three or four deficiencies in content, writing mechanics, or APA format.

1-2 points: deficient

Assignment is submitted but does not follow directions, lacks content, and/or is incomplete.

0 points: Nothing submitted

growth and development during your practicum experience in a clinical setting

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Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you to identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.

Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum

To Prepare

  • Refer to;
  • the “Advanced Nursing Practice Competencies and Guidelines” found in the Week 1 Learning Resources, and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
  • to your “Clinical Skills Self-Assessment Form” you submitted in Week 1, and consider your strengths and opportunities for improvement.
  •  to your Patient Log in Meditrek, and consider the patient activities you have experienced in your practicum experience. Reflect on your observations and experiences.

In 450–500 words, address the following:

Learning From Experiences

  •  Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
  • Reflect on the three (3) most challenging patients you encountered during the practicum experience.
  • What;
  • was most challenging about each?
  • did you learn from this experience?
  • resources did you have available?
  • evidence-based practice did you use for the patients?
  •  new skills are you learning?
  • would you do differently?
  • How are you managing patient flow and volume?

Communicating and Feedback

  • Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
  • Answer the questions: How am I doing? What is missing?
  • Reflect on the formal and informal feedback you received from your Preceptor.
  • this is the preceptor feedback

Works independently, yet humble and asks questions and shares recommendations for treatment options, such as medication management and titration and wrap around community service to minimize risk of re-admission.

Major strengths of student:
Clinical Skills and Knowledge, Empathy, Dedication. Integral member of our multidisciplinary team. Develops strong therapeutic relationship with her patients.