Externalizing Disorders ( modulo 4 clinical)

Externalizing Disorders
Reflect on your experience interviewing a toddler, school-aged child, or adolescent with attention deficit hyperactivity disorder

Describe the clinical situation in detail. (Who was it, when did it happen, what happened, what caused it to happen, where did it happen, how did it happen). What feelings, prejudices, and biases did you experience during your clinical experience?
How did you manage your anxieties, feelings, prejudices, and biases?
What assumptions did you make about people with mental illness?
What awareness did you develop during your clinical experience?
Describe how you changed because of your clinical experience?
Describe how this clinical situation will impact your advanced nursing practice?
should be more than 500 words

COMPETENCIES 738.6.1 : Integrate Organizational Ethics The learner integrates principles of organizational ethics to improve healthcare quality for individuals,

738.6.1 : Integrate Organizational Ethics
The learner integrates principles of organizational ethics to improve healthcare quality for individuals, families, and their communities.

738.6.2 : Data Use for Informed Decision Making in Healthcare Delivery
The learner identifies how financial data, business-related data, and information sources inform decisions that influence healthcare.

738.6.3 : Determining Factors of Value Based and Equitable Patient-Centered Care
The learner compares healthcare financial models to facilitate value-based care and fiscally responsible and equitable patient-centered care.

Nursing has a pivotal role in shaping policies and implementing practices to improve patient outcomes. Increasingly, healthcare is being reimbursed based on outcomes, including patient satisfaction and quality of care. Healthcare professionals are being held accountable for the care provided and the patient outcomes achieved. In this changing environment, nurses should have an awareness of financial implications, share in the decision-making process, and leverage data through participation in continuous improvement processes.

For this task, you will examine the payment model of a healthcare organization and compare it with the principles of value-based care.

You will consider the organizational ethics that are reflected in the financial structure of the organization and discuss data that informs this financial structure. You will compare this organization to another organization and consider which organization is most aligned with value-based care principles. You will discuss the role of nursing in the fiscal responsibility of the value-based care model.

Your goal for this task is to clearly and concisely present a recommendation that analyzes the alignment of the financial structure within a healthcare organization to value-based healthcare and analyzes the role of nursing in value-based healthcare, using convincing evidence to promote the necessity for change.

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).

A. Examine a healthcare organization that has significance to you, using the American Hospital Directory (AHD) website found in the Web Links section, and complete the following:
1. Identify the healthcare organization you selected from the AHD by name and location.
2. Explain why you chose the healthcare organization in part A1 and any significance the organization has to you, including specific examples.
3. Describe (suggested length 1–2 paragraphs) the healthcare organization from A1 and the “type of facility” it is, according to AHD website, and the types of services this kind of facility typically provides.
a. Explain what the “type of control”, according to AHD website, means for this healthcare organization identified in part A1 and how it informs the services typically provided at this healthcare organization.
4. Discuss the total performance score (TPS) Quality Score for the healthcare organization from part A1, and identify the four domains of the TPS.
a. Identify one credible additional source of quality data on healthcare organizations.
5. Discuss two organizational ethics that are reflected in the type of facility and the type of control listed for this organization, including specific examples.
6. Discuss the nurse’s role in fiscal responsibility for this type of organization related to value-based care, including specific examples.
7. Describe one healthcare organizational change that could improve the delivery of value-based healthcare for the healthcare organization from part A1.

B. Compare the financial structure of the healthcare organization you discussed in part A with another organization listed on the AHD website that is within the same or an adjacent state, including specific examples from each healthcare organization.
1. Discuss which healthcare organization from part B is more aligned with value-based healthcare, including one scholarly evidence source published within the last five years to support the discussion.
2. Discuss which healthcare organization from part B is more supportive of equitable patient-centered care, including one scholarly evidence source published within the last five years to support the discussion.
3. Discuss one financial and one quality data source that could inform organizational transformation in any healthcare organization.

C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

D. Demonstrate professional communication in the content and presentation of your submission.

Prepare a two to three page written assignment that includes the following: Introduction to the assignment (sections of the

Prepare a two to three page written assignment that includes the following:

Introduction to the assignment (sections of the assignment)
Describe the importance of the code of ethics in nursing
Identify the American Nurses Association Standards of Practice for the licensure you are obtaining (LPN or RN) MY PROGRAM IS LPN!!!
Conclusion (reflect on the criteria of the assignment)
Use at least two credible resources to support your findings. For example, one of the resources could be the ANA Standards of Practice, and another resource could be the ANA Code of Ethics. These resources must be integrated into the body of your paper using at least two in-text citations. Be sure to use proper APA format and style.

Activity 3 Collaboration for Improving Outcomes- Continuum of Care Explain how the continuum of care concept is used in

Activity 3
Collaboration for Improving Outcomes- Continuum of Care
Explain how the continuum of care concept is used in case management and within your organization. What new services/programs are your organization currently evaluating or performing that are assisting patients to reach their health goals? How do these services/programs impact the bottom line of the organization?

Quality indicators, such as accessibility, appropriateness, continuity, effectiveness, efficacy, efficiency, timeliness, patient perspective issues, and safety, can influence quality of care. Choose one indicator and discuss its influence on care. Discuss the practice of linking hospital reimbursement to performance outcomes.

Reading and Resources
Watch Video Case Management Rubric Tips for Assignments
Chapter 2 in Fundamentals of Case Management Practice.
De Regge, M., Pourcq, K. D., Meijboom, B., Trybou, J., Mortier, E.,


Review Boxes 22.2, 22.3, and 22.4. There are many components of credentialing. To begin learning about State of Texas requirements, please visit the Texas Board of Nursing via the following links:APRN Scope of Practice:
http://www.bon.state.tx.us/practice_scope_of_practice_aprn.aspLinks to an external site.
Links to an external site.
APRN Practice Information:
http://www.bon.state.tx.us/practice_nursing_practice_aprninfo.aspLinks to an external site.
As you will see, there is much to discover about your future practice. Please look especially at the section regarding scope of practice. Apply what you learn here to the following scenario and describe how you would respond.
As a new graduate, you apply for a position in an oncology practice. In the job interview you learn that a requirement of the position is to regularly perform lumbar punctures and bone marrow biopsies on the patients in the clinic. Knowing the Board of Nursing position on APRN scope of practice, how would you negotiate with the clinic physician regarding the NP position?

This is a nursing care plan assignment, based on your assessment of Brian Foster. You should identify a nutritional Essay

This is a nursing care plan assignment, based on your assessment of Brian Foster. You should identify a nutritional problem for your care plan based on your assessment. You will see I speak of “Cues” you should find cues in your transcriipts of your interview with Brian Foster. For example, if we had a diagnosis of risk for unstable glucose level…what evidence does Brian provide to you that this is a problem? For example during your interview you would identify I just have a lot going on in my life, and I only have space in my mind for so much, you know? It’s a lot easier to stay away from sweets than it is to remember to test my sugar and be pricking my finger all the time and all of that. Anyway, the numbers were always so all over the place, and I wasn’t sure what they meant.” And you would continue supportive evidence as the cause.


Please explore the SentinelU CITY to obtain more insight or gather data to help you answer the following prompt (visit the locations on the map/talk to citizens or key informants to gather information):
What evidence of pollution is in Sentinel City®? Make sure you take note of sewage, stray animals, garbage collection, industrial emissions, etc. What health risks are associated with the pollution in Sentinel City®? What strategies should city leaders adopt to minimize these health risks? Please write a 2-3 page APA paper answering the prompt. Feel free to use outside credible sources and/or statistics to beef up the paper as needed. Be sure to cite the sources appropriately in APA format.
Let me know if you have any questions. Thank you.

Nursing Careplan

Develop a nursing care plan on the health risk determined for the community you are representing: Miami Gardens. I attached the paper on the community as well as the presentation. Please create a nursing careplan on an associated health risk determined for this community. The nursing care plan at minimum should discuss a nursing diagnosis, goals and outcomes, interventions/rational behind intervention and evaluation.

Topic 13 DQ 1

What are windshield and walking assessments? Using the Community Tool Box reading, “Section 21. Windshield and Walking Surveys,” located in the topic resources, summarize the guidelines for windshield and walking assessments. List two unique factors that impact population health positively and negatively in the neighborhood in which you are completing your practicum. (Adults)





One way to get a sense of a community is to drive or walk around it, observing and taking note of its characteristics. These windshield and walking surveys can be an important part of a community assessment. In this section, we’ll describe them in more detail, and discuss how to conduct one successfully.
WHAT ARE WINDSHIELD AND WALKING SURVEYS?Windshield surveys are systematic observations made from a moving vehicle. Walking surveys are systematic observations made on foot. Either or both can help you better understand either the community in general or a specific condition or aspect of it.
Windshield surveys are particularly useful when the area you want to observe is large, and the aspects you’re interested in can be seen from the road. A walking survey might be a better choice when you’re seeking to understand things that are harder to see from a moving vehicle.
Windshield and walking surveys can be used to assess general community needs – to estimate the poverty level, for example – or to examine more specific facets of the community’s physical, social, or economic character. Some possibilities:
The age, nature, and condition of the community’s available housing
Infrastructure needs – roads, bridges, streetlights, etc.
The presence or absence of functioning businesses and industrial facilities
The location, condition, and use of public spaces
The amount of activity on the streets at various times of the day, week, or year
The noise level in various parts of the community
The amount and movement of traffic at various times of day
The location and condition of public buildings – the city or town hall, courthouse, etc.
WHY WOULD YOU CONDUCT WINDSHIELD AND WALKING SURVEYS?Windshield or walking surveys can be structured to provide an objective view of the community.
They can be adapted to community-based participatory research, inviting community participation.
They can be the easiest and quickest way to get an overview of the entire community.
They allow clear comparisons among different parts of the community, and can help to determine where to focus your efforts.
They can be very useful in understanding specific aspects of a community.If your concern is with the community’s relationship to the environment, the nature of street life, traffic, or with any other particular element of community life or functioning, a windshield or walking survey that concentrates on that element can provide you with an overview and help you decide where to go next for more information.

They give you a “feel” for the community.
WHEN SHOULD YOU CONDUCT WINDSHIELD AND WALKING SURVEYS?Often in the Community Tool Box, the answer to the “When…?” question is that there are times when performing an action is politically, socially, or logistically more appropriate than others. Here, that’s not the case: windshield or walking surveys can be conducted whenever they’re needed. However, if you want to understand how people use the community, you’ll need to conduct your survey at a time – perhaps a number of different times – when they’re likely to be engaged in activity you can see. To get the best picture of the community, you may have to do a number of surveys at different times of the day, week, and/or year.
WHO SHOULD CONDUCT WINDSHIELD AND WALKING SURVEYS?The answer to this question depends on a number of factors. How large is the area to be surveyed? How many times will surveys be conducted? Is this a participatory research project? Will you be conducting surveys in teams or as individuals?
A small neighborhood or rural village might be adequately surveyed in one day by a single person, whereas a large city might require several days with several teams of observers. If you’re engaged in participatory research, you might organize observers in teams, each of which has representatives of different ages, cultures, ethnicities, income levels, community sectors (business, government, health and community services), etc.
One important issue is safety. If there is hostility between races or ethnic groups, it may not be safe for some people to survey particular neighborhoods. Even if there is no real danger, but only a perception of danger, the resulting anxiety can affect the accuracy and completeness of a survey.Another difficulty with conducting a windshield or walking survey as a participatory research project is that community members might already have set ideas about many of the questions that need to be asked. On the other hand, a windshield or walking survey can also serve to open community members’ eyes to the realities of their environment.HOW DO YOU CONDUCT WINDSHIELD AND WALKING SURVEYS?Windshield and walking surveys are similar in many ways, but there are some important differences. Here, we’ll give some guidelines that relate to both, and then look at each in turn.
Determine who will conduct the survey
The reason this guideline is first is that you’re likely to get the best results if those who will be conducting the survey are involved in its planning. Their observations will be sharper if they understand what they’re looking for, which is most likely if they help to develop the survey.
The ideal, whether you’re driving or walking, is to use a team or teams if you have the resources to do so. The variety of perspectives will enrich the survey, and each team member can focus on a particular task – observation, recording, etc. – making for a more efficient survey.Decide on the questions you want your survey to answer
The questions you choose will determine the scope and structure of your survey. If your basic survey question is something like “What is the nature of the community?” then there will be a number of secondary questions to ask that will help you answer that first one. If your focus is much narrower, you may need only one question, such as, “Do most streets in the community have sidewalks?” or perhaps one question with more than one part: “How, by whom, and how much are public playgrounds used?”
Decide on the areas you’ll include in your survey
If your work is in a large city – New York, Tokyo, Cairo, etc. – you’re probably only concerned with a small section, or with a particular segment of the population. But you might want to survey other parts of the city as well, to get a sense of the city as a whole and fit that neighborhood or population in its context.
Your choices will help shape your understanding of the community, so you should make them thoughtfully.What areas will best reflect the aspects of the community you want to know about? Which locations best relate to the work you want to do?
Decide when you’ll conduct your survey
Consider how the time of day, week day versus weekend, and the season will affect your survey. You may want to repeat your survey more than once in order to capture the differences between community conditions or activities at different times.
Train the people who are going to conduct the survey
Training here is fairly simple, but there are some important points to be covered:
Get well acquainted with your questions, the purpose of the survey, and what you’re looking for.
Make and use a checklist to ensure that you address all of your questions, and observe all the areas you want to.
Try to be unobtrusive. Not only do people act differently when they know they’re being observed, but they may also become suspicious or hostile.
Carry identification.
Take notes as you go along. You may also want to shoot photos or videos with a camera or cell phone, in order to both remember and illustrate what you’ve seen. If you wait to take notes until after the survey is done, you may not remember everything clearly, or you may ignore important details.
If you’re working in teams, assign roles. A team should have at least one observer and at least one recorder.
Discuss your findings as you go.
Pay attention to safety. Be aware of the neighborhood and situation you’re in, especially if you’re walking. If you feel threatened, leave.
What to examine in a general community assessment survey
Housing. What is the age and condition of housing in the neighborhoods you’re surveying? Are houses and apartment buildings kept up, or are they run-down and in need of repair? Are yards neat or overgrown?
Other buildings. Are the buildings mostly or fully occupied? Do public and commercial buildings seem accessible to people with disabilities – ramped, street level entries, etc.?
Public spaces. Are there public spaces where people can gather? Are they well kept up? Do they have seating areas, trees and plants, attractive design, cafes or food vendors, or other features meant to encourage people to use the space? Who uses these spaces? Is there diversity?
Parks. Are parks used by a variety of people?? Are they well kept up? Are there sports facilities – basketball courts, soccer pitches, baseball fields, cricket pitches, etc.? Are they used at night?
Culture and entertainment. Are there museums, libraries, theaters, restaurants, clubs, sports stadiums, historic sites, etc.? Are they accessible to all parts of the community (centrally located, reachable by public transportation)? Do they reflect the cultures of community members?
Streetscape. The streetscape is the environment created by streets and the sidewalks, buildings, trees, etc. that line them. Are there trees and/or plants? Are there sidewalks? Are building facades and storefronts attractive and welcoming? Are the streets and sidewalks relatively clean? Are there trash cans? Is there outdoor seating?
Street use. Are there people on the streets at most times of day? In the evening? How late? Do they interact with one another? Are streets and sidewalks well lit at night?
Commercial activity. What kinds of businesses are there? Are there boarded-up or vacant storefronts? Is there a mix of large and small businesses? Are there grocery stores and supermarkets, pharmacies, and other stores that provide necessities in all parts of the community?
Signs. What languages are business signs in? Are traffic signs informative? Are there signs directing people to various parts of the community (downtown, museums, highways, etc.)?
Industry. What kinds of industry exist in the community? Does it seem to be causing pollution?
Land use. How much open space is there? How are residential, commercial, and industrial areas distributed? Do major roads or railroad tracks divide neighborhoods, or are they on the edges of the community?
Infrastructure. What is the condition of roads, bridges, sidewalks, etc.? Are there differences in these conditions from one area of the community to another? Do all parts of the community seem to be equally served by electricity, water, phone, fiber optic, wastewater treatment, waste disposal, and other infrastructure services?
Public transportation. Is there a functioning public transportation system? Is it well used? By whom? Does it allow relatively easy access to all parts of the community? How easy is it to navigate and use? How much does it cost? Are its vehicles energy-efficient?
Traffic. How heavy is traffic in the community? Is it mostly commercial and industrial – vans, trucks, etc. – or mostly private cars? Is there ever gridlock? Is there much bicycle traffic? Are there bike lanes? Are there bike racks in many places?
Environmental quality. How much usable green space is there, and is it scattered throughout the community? Is there smog or haze? Does the air smell of smoke, garbage, car exhaust, chemicals, industrial waste, etc.? Does the water in streams, ponds, lakes, etc. seem reasonably clear?
Race/ethnicity. Who lives in the community? Are there identifiable racial and ethnic groups? Do particular groups seem to live in particular areas?
Faith communities. What kinds of religious institutions are there? Do the institutions of one particular religion or sect dominate? Are there separate houses of worship for people of different ethnicities or races, even if they share the same faith?
Health services. How many hospitals and clinics are there in the community? Where are they located? How big are they? How easy are they to get to?
Community and public services. Are there identifiable community service providers and organizations in the community – mental health centers, food banks, homeless shelters, welfare offices, etc.? Are they concentrated in a particular area? Are they easy to reach by public transportation?
Community safety. Where are police and fire stations located? Are they in good repair? Is the community well-lit at night?
Public schools. Are schools in different neighborhoods in noticeably different states of repair? Are schools well maintained? Or in some developing countries, are there schools in the community at all?
Higher education. Are there two- and four-year colleges and/or universities in the community? Where are they located? Do they seem open to the community, or do they seem self-contained and isolated?
Political activity. Are there signs or other indications of political activity? Is it clear that political activity is allowed and/or encouraged? Are there protests or demonstrations?
Community organizations. What evidence is there of organizations in the community? Are there service clubs – Lions, Elks, Masons, etc.? Are there other organizations – centered around community issues, the environment, sports or leisure pursuits, socialization, etc.?
Media. Are there local media outlets – radio and TV stations, newspapers, Internet sites devoted to local issues? Are they independent, or are they sponsored or run by government or corporations? Where are their facilities?
Differences among neighborhoods or areas of the community. What are the differences among different parts of the community? Are schools, stores, public and other buildings, streets, etc. in different areas in different condition? Do some areas seem neglected, while others are clearly maintained?
The “feel” of the community. What is your overall impression of the community?
Use a map. Google Maps or similar services are an excellent resource
If you can, try to use a team of at least two. That way, one person can concentrate on driving while the other navigates and records observations. It’s difficult to observe closely and drive safely at the same time.
Drive at a moderate speed, and avoid unexpected actions
Drive both on major and minor streets, particularly in residential neighborhoods. You’ll want to get a sense of different parts of neighborhoods and different streets.
Pull over at regular intervals to make and compare notes
Try to be inconspicuous
Study a map beforehand, or do a drive-through so you’ll know where you’re going
Try to work in teams. Teams should probably not be larger than two or three, unless you’re splitting up. Two or three people walking together is a normal group, but five or six is a crowd, and stands out.
If you want to experience the community, take part in everyday activities. Take public transportation, eat in a local restaurant, buy something in a drugstore or supermarket or discount store. This will give you a chance to listen to people’s conversations and to get a sense of how they interact.
Go inside public buildings and cultural institutions
Sit down in a quiet place to take notes
IN SUMMARYSometimes, the best survey can be a combination of walking and driving. You might survey the whole city or area in a vehicle, then use a walking survey to look closely at the area you’re most interested in. Or you might send out walking and driving teams to survey different aspects of a community or neighborhood. You’ll see different things and more detail on foot; you’ll cover more ground and get a broader perspective from a vehicle.
But even once your survey is finished, your job isn’t done yet. You have to analyze what you’ve seen and decide how to use it.
Some general questions you might want to consider:
What are the community’s outstanding assets?
What seem to be the community’s biggest challenges?
What is the most striking thing about the community?
What is the most unexpected?
Are you struck by the aesthetic quality of the community, either positively or negatively – i.e., is it particularly beautiful or particularly ugly?
Whether you’re starting an all-encompassing campaign to eliminate poverty in your community, or simply looking for good places to paint murals to stimulate community pride, a windshield or walking survey can be a good way to begin your effort. It will give you a view of the community that you can use to help you decide how to take your next steps effectively in order to address real needs and improve the quality of community life.

Interprofessional Collaboration

Please explore the SentinelU CITY to obtain more insight or gather data to help you answer the following prompt (visit the locations on the map/talk to citizens or key informants to gather information):
A state of emergency has been declared for one section of Sentinel City® as the result of a natural disaster. Identify 10 community organizations that would come together to mitigate the effects of the disaster. Describe the role of each organization in supporting the health and safety of the citizens of Sentinel City®.
Please write a 2-3 page APA paper answering the prompt. Feel free to use outside credible sources and/or statistics to beef up the paper as needed. Be sure to cite the sources appropriately in APA format.
Let me know if you have any questions. Thank you.

Environmental Health

Please explore the SentinelU CITY to obtain more insight or gather data to help you answer the following prompt (visit the locations on the map/talk to citizens or key informants to gather information):
Identify two possible diseases that may occur after five children get rat bites while playing in an alley near uncollected trash. Describe how you as a community health nurse would investigate the bites and monitor the children’s health.
Please write a 2-3 page APA paper answering the prompt. Feel free to use outside credible sources and/or statistics to beef up the paper as needed. Be sure to cite the sources appropriately in APA format.
Let me know if you have any questions. Thank you.


Oct 30th, 2022

A Psychiatric Nurse practitioner with specialty in psychiatric and substance use disorders, who is pursuing a Doctorate of Nurse

A Psychiatric Nurse practitioner with specialty in psychiatric and substance use disorders, who is pursuing a Doctorate of Nurse Practice program.
Please use original thought content. The paper will be checked for plagiarism. Sources should be within 5 years and use the uploaded instructions to answer the paper

For this Discussion, reflect on the case studies/scenarios related to ethical challenges presented in this week’s Learning Resources. Think about how these ethical challenges may mirror your own experiences in nursing practice. Consider what other ethical challenges may arise in your own nursing practice or as you continue your program of study.

To prepare:
Review the case studies/scenarios related to ethical challenges presented in this week’s Learning Resources.
Reflect on ethical challenges related to the organization or at the point of care that you may have encountered in your nursing practice.
Consider what new ethical challenges you might face once you obtain your doctoral degree.

USE NURSE PRACTITIONER IN LONG TERM CARE / SKILLED NURSING SETTING You will need to complete an interview (estimated Essay


You will need to complete an interview (estimated time is 30 minutes). Use the interview prompts posted HERE to get started but you may also adjust your questions to the situation.


Submit a write up of the interview:
Use APA format for this paper.

Include a discussion of why you selected this health care focus.

Describe the activities and responsibilities reported by your colleague and reflect on your how this individual contributed to the health care team.

Identify any previous opinions you may have had in comparison with your understanding following the interview.

Discuss characteristics of effective collaboration you discussed (positive leadership and management attributes; communication strategies and structures; appropriate resources and procedures; appropriate skill mix; supportive team climate; individual characteristics that support interdisciplinary team work; clarity of vision; quality and outcomes of care; and respecting and understanding roles) and how they may/may not have impacted patient outcomes. Use your readings from this or previous modules to support your statements.

*Use a minimum of three references to support your writing.

Use your APA 7th ed. text.

Weekly Clinical Experience 3

Describe your clinical experience for this week. Please write from a student nurse practitioner perspective. You may choose your own diagnosis, assessment, etc. As indicated below:
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S

Dorothy Johnson Nursing Theory discussion – 400 words

Johnson viewed health as efficient and effective functioning of the system, and as behavioral system balance and stability. Behavioral system balance and stability are demonstrated by observed behavior that is purposeful, orderly, and predictable. Consider a clinical-practice situation that demonstrates Johnson’s model of health. How can the nurse support this theory to return the patient to balance and stability?

Discussion – 400 words

When looking at violence in healthcare, human trafficking is an essential topic to discuss as healthcare providers. However, many nurses come in contact with a victim yet are not knowledgeable on the signs to look for and actions to take. Discuss what your role is as a nurse in realizing the signs and what interventions are necessary.

learning act

Learning Activity ContentThis week’s learning activity will consist of the following:
Visit the PRIME nursing website and review the case study titled “Stress Management for Patients with Rheumatoid Arthritis”:
http://primeinc.org/casestudies/pa_np/study/897/Stress_Management_for_Patients_with_Rheumatoid_ArthritisSummarize the article and respond to the following questions in 200 to 300 words:1-What sampling technique was used in this study?2-What concerns might you have about reliability and validity in this study, and why? Explain.3-Were there any flaws or discrepancies in the study? Why or why not?

week 2 2/3

This week’s writing assignment will consist of the following:
In an essay compare and contrast quantitative and qualitative research. Include an explanation of the following questions in your response:
1. Which, in your opinion, is most valuable? Or are they equally valuable?
2. What are the best types of studies for each method?
3. In which instances would a mixed methods approach be recommended?
4. What issues you should keep in mind when applying these to an actual study? For example, what role does bias play?

As a coordinator of patient care, nurses occupy roles in leadership. Choose one patient from this week’s scenario and

As a coordinator of patient care, nurses occupy roles in leadership. Choose one patient from this week’s scenario and identify different health care team members across the care continuum that are either involved in or impacted by care coordination and discuss how you would establish relationships to collaborate to improve patient care outcomes in transitions of care. Include at least 2 current references.

MN569 FNP 1 CLINICAL Discussion Week 2-2

There are several components that are essential that a Nurse Practitioner (NP) should follow to provide safe and effective patient care. One component is that NPs must strive to provide patient care that is rooted in ethics. The ANA Code of Ethics provides a formal guideline of ethical principles that an NP should follow to direct clinical decisions (Dunphy et al., 2019).
In my future NP role, I plan to follow the ethical guidelines set forth by the American Nurses Association (ANA). The ANA’s code of ethics ensures that nursing care is focused on the best interests of the patient to promote optimal outcomes. The ANA’s ethical guidelines are based on basic moral principles such as autonomy, freedom, beneficence, non-malfeasance, veracity, confidentiality, fidelity, and justice (Dunphy et al., 2019). These basic moral principles center around providing care that is respectful to the patient (Dunphy et al., 2019).
When discussing ethical care of patients, moral distress is an issue that could arise. I need to have strategies in place to relieve or manage moral distress. The first action to take against moral distress is to establish the source or the issue causing the distress (Saver, 2020). Saver (2020) explains that it is important to identify where the distress originates, such as from conflicts among team members, or disagreements among a patient’s family members over end-of-life decisions. Self-evaluation is also an important step to cope with moral distress. Conducting a self-assessment is needed to determine the intensity of the distress and how quickly it needs to be resolved to minimize emotional damage (Saver, 2020). When developing strategies, evaluating resources is key to finding a resolution. The ANA’s code of ethics with interpretive statements can be a resource to aid in strategy development (Saver, 2020). Other resources can include organizational ethics services or employment assistance programs (Saver, 2020).
Learning how to instill moral resilience can also be an effective strategy to ease moral distress (Savor, 2020). Moral resilience building strategies can include being self-aware, learning to self-regulate, and developing the courage to take a stand when ethical issues occur (Savor, 2020).
Another concept, I think is important, to consider when discussing effectively providing care that is ethically based is emotional intelligence (EI). I think this is an important concept to understand and utilize in a professional setting. EI is a self-development concept that allows the individual to be more self-aware of their own emotions, beliefs, strengths, and weaknesses so that they can make more informed decisions (Butler, 2021). Butler (2021) described EI as an essential skill of nurse leaders to foster and stimulate behaviors among their team members.
Butler, J. (2021). Emotional Intelligence in Nursing Leadership. Australian Nursing