Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.

Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics..

Accountable care organizations

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

RUBRIC:

Clearly States How the Practice of Nursing and Patient Delivery Will Evolve, While Addressing Relevant Concepts That Include Continuity or Continuum of Care, Accountable Care Organizations, Medical Homes, and Nurse-Managed Health Clinics

Main concept is easily identified, and subconcepts branch appropriately from the main idea. Addresses all of the issues related to the evolving practice of nursing and patient care delivery.

Evidence of Feedback and Forecasting of Nursing Role From Colleagues

Evidence of feedback and forecasting of the nursing role from colleagues is described in detail, with relevant personal insight, reflection, or analysis.

Use of Vocabulary Regarding Evolving Practice of Nursing and Patient Care Delivery

All of the recommended terms have been included in the correct context.

Originality

Content shows significant evidence of originality and inventiveness. The majority of the content and many of the ideas are fresh, original, inventive, and based upon logical conclusions and sound research.

Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

The writer is clearly in command of standard, written academic English.

Paper Format (use of appropriate style for the major and assignment)

All format elements are correct.

Research Citations (in-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

In-text citations and a reference page are complete. The documentation of cited sources is free of error.

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Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.

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Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study

Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study.

contract

You are a family nurse practitioner (FNP) employed as a contract (1099 independent contractor) in a busy primary care practice for 2 years. The providers in the group include one physician, who is also the owner of the practice, and two other nurse practitioners, who are staff employees (W2 employees). The owner of the practice recently made comments about the need to produce more revenue. You relate with his concerns and feel that you have several strategies that could be helpful. Your contract is up for renewal in 3 months. You are highly satisfied with your job and want to stay with the group. You see 20 patients per day on average and take call every third weekend.

Discussion Question:

  1. What negotiation strategies should you use to propose a contract renewal?
  2. How does your role as a 1099 contractor benefit the practice over the W2 employees? What evidence will you present to the practice to reinforce your value in the practice both in terms of revenue and patient satisfaction?
  3. Consider any additional services you may be willing to provide under your contract.
  4. Use logical reasoning, and provide evidence based rationales for your decisions.Keep in mind that your negotiation terms and conditions must be within the legal scope of practice for an ANP.

Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study

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PICOT:The first step of the EBP process is to develop a question from the nursing practice problem of interest.

PICOT:The first step of the EBP process is to develop a question from the nursing practice problem of interest..

PICOT

The first step of the EBP process is to develop a question from the nursing practice problem of interest.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

Suggestions for locating qualitative and quantitative research articles from credible sources:

  1. Use a library database such as CINAHL Complete for your search.
  2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
  3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

PICOT:The first step of the EBP process is to develop a question from the nursing practice problem of interest.

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The State Of The Science In Practice:Translation of evidence into nursing and health care practice

The State Of The Science In Practice:Translation of evidence into nursing and health care practice.

Nursing

The phrase evidence-based practice may be most often thought of as a clinical reference; however, research evidence is applicable in every specialty area. What types of research evidence support your work environment? How does research evidence inform your practice?

Now, how current do you think the science is that underlies your practice? How current is the evidence that supports your specialty practice guidelines?

To prepare:

  • Bring to mind an issue related to your practice. You may use the      issue you are exploring for your EBP Project, or another current issue in      your specialty area.
  • If possible, examine practices and/or practice guidelines      established to address your selected issue and determine how current the      evidence is that supports them.
  • Using the Walden Library, locate recently published articles that      discuss research translated into evidence that applies to your selected      practice issue. If you are unable to locate current articles (within the      last five years), use the Internet to find evidence-based practice      articles on this topic.

Consider the following questions:

  • How current is the science that supported the       practice or practice guidelines?
  • What new evidence has emerged since the       practice guidelines were crafted and adopted?

By tomorrow 09/11/18 12 by 10 pm, write a minimum of 550 words in APA format with at least 3 scholarly references less than 5 years old. Include the level one header as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Discuss the state of the scientific underpinnings that relate to your selected issue. (see my PIICOT question at the bottom of this page).

2) How current is the science that supported the practice or practice guidelines?

3) What new evidence has emerged since the practice guidelines were crafted and adopted? Provide two examples that support your assessment.

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Chapter      1, “Evidence-Based Practice”
  • Chapter      2, “The Science of Translation and Major Frameworks”

Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

  • Pages      15-18, “The Process of Translating Evidence Into Clinical Practice”
  • Chapter      3, “Conducting a Literature Review”

Djulbergovic, B. (2014). A framework to bridge the gaps between evidence-based medicine, health outcomes, and improvement and implementation science. Journal of Oncology Practice, 10(3), 200-202.

Note: You will access this article from the Walden Library databases.

Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part 1. American Journal of Nursing, 110(7), 47-52.

Note: You will access this article from the Walden Library databases.

Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part II. American Journal of Nursing, 110(9), 41-48.

Note: You will access this article from the Walden Library databases.

Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part III. American Journal of Nursing, 110(11), 43-51

Note: You will access this article from the Walden Library databases.

Guyatt, G., Oxman, A. D., Akl, E. A., Kunz, R., Vist, G., Brozek, J., 

Schünemann, H. J. (2011). GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. Journal of Clinical Epidemiology, 64 (4), 383-394.

Note: You will access this article from the Walden Library databases.

Jeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: Insight from clinical nurses. Applied Nursing Research, 26, 105-109. 

Note: You will access this article from the Walden Library databases.

Leung, K., Trevena, L., & Waters, D. (2014). Systematic review of instruments for measuring nurses’ knowledge, skills and attitudes for evidence-based practice. Journal of Advanced Nursing, 70(10), 2181–2195.

Note: You will access this article from the Walden Library databases.

Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322.

Note: You will access this article from the Walden Library databases.

Additional Research

Conduct your own research on translational science and how it is utilized in your specialty area. Review your specialty area websites and search for articles on evidence-based practice that address the translation of research into practice. This information will inform the Discussion.

Optional Resources

Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter      14, “Reducing 30-Day Hospital Readmission of the Patient with Heart Failure:      An Evidence-Based Quality Improvement Project”
  • Chapter      15, “Reducing 30-Day Hospital Readmission of the Patient with Heart      Failure: An Evidence-Based Quality Improvement Project”
  • Chapter      16, “The Impact of Evidence-Based Design”
  • Chapter      17, “The Lived Experience of Chronic Pain in Nurse Educators”

As you develop sections of your Project Premise, you may wish to review these examples of completed EBP project.

PIICOT Statement

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

The State Of The Science In Practice:Translation of evidence into nursing and health care practice

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Historical Development of Advanced Practice Nursing and Evidence-Based Practice

Historical Development of Advanced Practice Nursing and Evidence-Based Practice.

Evidence-Based Practice

Jessica, a baccalaureate prepared registered nurse, has been practicing for 8 years. Throughout her nursing career, she has worked in pediatric, surgical, and emergency departments. She worked as a floor nurse, a charge nurse, and she was recently offered a position in Nursing Administration. A stipulation for becoming a nurse administrator is that Jessica must attain a Master of Science in Nursing degree within 2 years of accepting the position. The offer prompted Jessica to contemplate her career. She is interested in returning to college, and wants to have greater impact on patient care but isn’t sure she will find that in an Administrative role, nor is she sure is ready for the responsibility of becoming a Nurse Practitioner. Jessica has decided to explore the advance practice roles available in nursing in order to determine the best MSN track for her. Jessica must choose one role (CNP, CRNA, CNS, CNM) and apply to a program, but she is unsure about the different roles and their individual scopes of practice. One colleague states, “You know, Jessica, working as an NP is great because you can diagnose and write prescriptions, and the accountability will fall on the physician you are working with.”

Discussion questions:

  • Is Jessica’s colleague right? Why or why not?
  • Explore the four APN roles, and compare and contrast the pros and cons of each role against each other in order to determine the best choice for Jessica. Consider issues such as work environment, level of accountability, patient population, salary, and scope of practice. Include each role of the APN on the list, and be certain to provide appropriate rationales and citations.

reference not older than 5 years. 300 words minimum

Historical Development of Advanced Practice Nursing and Evidence-Based Practice

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International Trade Regulation and Practice

International Trade Regulation and Practice

Countries that have different production possibility functions can trade effectively for the goods that they produce. The fact that there exists a difference in technology, labor services, physical capital, labor skills, and land make it viable for trade to be beneficial between the two countries. Thus, the trade between Norway and Sweden which involves the export of fish and automobiles respectively is beneficial because any nation has a long coastal line that necessitates fish production. Thus, Norway has a comparative advantage in fish production compared to Sweden which has a short coastal line. In addition, a nation is endowed with capital that necessitates it produce automobile effectively. Therefore, trade between both country for fish and automobile is beneficial to both of them.

Industrial clusters break up on lines of poor pooling of resources to help in the promotion of external economies for instance in support of communities around the firms. Firms break up so quickly after making collaborations in support of the environment as well as in pursuit of common goals for the establishment of the industry. Accordance with the theory of external economies, the focus mainly surrounds the cost-sharing by firms in order to realize the common goals at hand. The challenge comes about when allocated funds by the joint committee from both sides of the divide are misappropriated by elements within committees. Another concern lies in the terms and conditions which enables the organization to ensure that the supplier is compelling enough and guarantees delivery of quality products which is a key performance measure. This provision also ensures that the organization does not have to wait until the supplier fails to deliver based on the performance measures in order to raise the alarm. Various approaches may be adopted by the organization in engaging with the stakeholders as part of enhancing the procurement process.

In the process of doing business on an international scale, there is a need for parties to respect terms and conditions for the contracts as set out by the parties in place.  Any business calls for proper management of resources internally and externally, and contracts are no exception. Contracts just like any business need to adhere to international rules as well as laid down the structure in order to be on the safer side of the law. If a business involved in any contract or deals in business that calls for contractual means fails, then it is the responsibility of the law to take its root. The law at the same time operates on the basis of the agreements set out by the parties as well as per the terms and conditions on the contract forms.

All forms of business both on the local and international scale calls for mutual responsibility and need to be guarded by the law for the full realization of the set goals. Cost trade-offs, also known as the project budget refers to the financial constraints of a project. Project managers need to plan and estimate all the future costs to figure out the financial resources necessary to complete the job.  They also need to be well-positioned to handle any changes affecting cost that may emerge during the project’s lifecycle in business.

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Prescriptive Practice Safety and Quality Assignment

Prescriptive Practice Safety and Quality Assignment

Background

In recent years, policy reforms in the APN’sboard have proceeded nationwide. Sixteen states have tabled new laws and changed existing laws influencing APN’s legitimate power to practice. One state has instituted positive corrections influencing the repayment of APN’s, and three other states have ordered alterations to current law, which will decidedly influence their prescriptive power. Connecticut passed a bill commissioning APNs to ask for, sign for, gain, and apportion physician-recommended pill tests. New Jersey’s state lawmaking body passed a bill that was marked into law giving APNs power to launch regulated substance prescriptions/orders (as per joint conventions) in all circumstances, with no confinements.

Introduction

Advanced practice nursing is a broad division in the health sector that deals with direct care and management of patients, health policy development, and implementation. In the state of New Jersey, APNsare certified health practitioners, under a statutory-mandated joint convention with medical doctors, obliged to perform diagnosis of diseases, patient management, and the prescription of recommended medicines. On the other hand, health experts of different foundations give medicinal services, health training, and sickness counteractive action. The cooperation of both APNs and Physicians results in efficiency and improved care within the sector. Leadership training and expansion of clinical education of APN’s in New Jersey, is a symbol of trust and progress in the health sector. Every year, APN’s excitedly foresee the progress work on nursing. Their input is significant, and New Jersey is working industriously to change laws permitting them to practice at their full potential.

Collaboration, oversight, and authority to prescribe controlled danger

In New Jersey, a joint convention is a state-authorized agreement that provides the necessary tools and gadgets for an APN member in a particular work-related setting. This agreement provision must have the consent of the APN member and medical practitioner. It must be audited, redesigned, and co-marked every twelvemonth. However, the terms of the agreement are subject to scrutiny and evaluation by the New Jersey State Board of Nursing regulations.

Recently in New Jersey State, a new bill was introduced in the legislature to allow advanced practice nurses to prescribe medication without the constraining condition of a joint protocol with a consulting physician. This bill recognizes advanced practice nurses’ significance and vital role in the health care system. Their role is also expected to grow with the introduction of the federal Affordable Care Act.

The entry of the Affordable Care Act (ACA) will encourage insurance coverage as it will reduce the cost of health coverage. Uncovered state citizens will be incentivized into health insurance coverage, raising their numbers. The Act will “push avoidance, wellness, and general social health” (Legislative Counsel, 2010). With the projected increase in demand of health care services, the need for authorized APN’s practices is wanting. The Association of American Medical Colleges assesses a deficiency of 46,000 essential forethought doctors by the year 2025 (Rouston, 2010).

Medical attendant practitioners can effectively venture with full-practice rights to help cover up the deficit gap. There is as of now 150,000 attendant professionals in the United States, and 5,500 specialists graduate consistently (Rouston, 2010). On the other hand, state lawmaking bodies control Advance Practice Registered Nurses (APRNs), and 16 statesat present have allowed for APRN prescriptive rights. For APRNs to completely watch over patients at the essential consideration level, state lawmaking bodies must uproot prescriptive limitations throughout the United States.

Implication

The necessity to measure quality is a profound concern to patients and qualified doctors. Primary care physicians have expressed their concerns over the quality of patient care if APN’s are left to work independently without collaborating doctors. They claim that the quality of Medicare is likely to be soiled if the two groups don’t work in a joint venture.

On the one hand, this could be seen as a cynical argument by the physicians who reap maximum benefits working in such a monopoly-like environment. If such prescriptive limitations are lifted, APN’s is likely to charge much affordable fees for their services as opposed to the physicians. On the contrary, there is need to additional primary health providers, the rising demand for health services by patients is likely to be met by additional health providers. This implies that the patient need for care is likely to be met. This allows more patients access to health care and removes barriers for other clinicians who treat the general public.

An increased number of licensed health practitioners guarantees the safety of clients. The limited number of health practitioners often put them in a strenuous position. Having a limited timeframe with a whole list of patients will likely result in work-related accidents, such as wrong dosage administration or a miscalculated prescription. Haste in treating as many patients as possible creates an unsafe practice area. If the APNs are permitted to perform similar functions as physicians, the number of patients to doctor ratio will reduce, creating an ample environment for accurately dealing with clients. Safety in this context is guaranteed not from the skills applied but from other work-related factors such as a peaceful environment for effective control over the subjects.

Advanced practice nurses are highly trained. They are graduates trained to diagnose and treat chronic diseases. Part of their training involves interpreting lab tastes and X-rays, immunization, physical examinations and counselling among other courses. With such skills, it is highly unfair to question the quality of their services. Their training covers the essential aspects of study, analysis and evaluation of the human body; very priceless skills in determining the quality of patient care. Not only is the quality of the care taken into consideration but also the client’s safety. Such knowledge is highly valuable in right prescription that would not turn out to be hazardous to the patient.

Regulating body of APN practice in jersey

The New Jersey State Board of Nursing is the sole state regulating body of APN practice in New Jersey. It participates in policy making, building the capabilities and confirmation necessities for APNs (NP, CNM, CRNA, and CNS). The body regulates the nursing curricula and professional practices. Any medical attendant who wishes to practice as a medical practitioner or clinical medical attendant expert, has to be permitted or authorized by the body.For instance, a member of the APN in New Jersey has prescriptive power and is obliged to have a joint convention with a medical practitioner who is authorized in New Jersey, before endorsing any pharmaceutical or therapeutic gadget.

References

David M. et al. (2004). Health Policy Report: Medical Malpractice, 350 NEW ENG. J. MED. 283, 284.

Legislative Counsel. (2010, May 1). Compilation of Patient Protection and Affordable Care Act. Retrieved February 13, 2014 from http://www.healthcare.gov/law/full/

Rouston, J. (2010, November 2). The Future of Primary Care: Nurse-managed Health Centers. HealtheCarreers.com. Retrieved February 13, 2014 from http://www.healthecareers.com/article/the future-of-primary-care-nurse-managed-health-centers/158450

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Describe how you would apply the evidence to improve nursing practice.

Discussion Questions

Application and implications for practice come from interpreting meaning from research findings. Communicating and using research evidence is an expectation of a BSN graduate.

· Select and describe one of the  Discussions or  Conclusions from the required article from the Week 6 assignment that you found interesting and applicable to practice. Describe how you would apply the evidence to improve nursing practice. Explain your answer.

· Discuss ways you would disseminate research-based evidence; how would you share it with your peers? Include your thoughts on why you need to be involved in communicating and applying nursing research evidence.

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The Use Of Spirituality In Nursing Practice

My task is only to give a positive opinion of these 2 discussions from my classmates. In total, I need 2 replies ( each of 200 words ) The 2 discussions are these: 

Discussion # 1 : 

 Spirituality is a major tenet in holistic nursing care and studies have shown that it is important for healthcare professionals to understand as well as assess some of the patients’ spiritual needs. One of the tools that can be used in evaluating spirituality in nursing is the Faith, Importance, Community, and Action (FICA) tool (Büssing, 2021). This tool is based on four domains that is the faith or the belief that a person has, the importance of the belief on the life of the individual and the subsequent influence of the belief on the decision made by the individual, the spiritual community of the individual, and the interventions to address the spirituality. This means that the tool can be used in identifying the spiritual needs of the patients and in the process address them.

The second tool that can be used is the HOPE Spiritual Assessment Tool. The tool is important to nurses in that it helps them understand how a patient derives hope and gets support when they are sick (Büssing, 2021). In addition, the nurse is able to understand the spiritual practices that are important to the patient in order for them to facilitate them. In addition, the tool also helps in understanding the role of spirituality in the decision-making processes of the patient. The third tool that can be used is Spiritual Needs Assessment for Patients (SNAP). This tool is beneficial in the identification of the spiritual needs of the patients and in helping the providers to come up with a framework that addresses the needs of the patient (Siler, Borneman, & Ferrell, 2019). This tool is based on answering questions related to the source of support that the patient gets, the beliefs of the patient, and the spiritual practices that are in line with the patient’s spirituality. These tools are ideal because they assist in the identification of the patients’ spiritual needs based on their beliefs and the impact that the needs have on the healthcare decisions made by the patients.

This discussion is important in helping me achieve the student learning outcomes. The first learning outcome is the ability to critique the nursing conceptual models and the impact that they have in nursing practice. For instance, the discussion helps in studying holistic care in nursing and its impact on nursing research and practice. This means that the theory is instrumental in examining the influence that nursing models have on research and in practice.

References

Büssing, A. (2021). The spiritual needs questionnaire in research and clinical application: A summary of findings. Journal of Religion and Health60(5), 3732-3748. https://doi.org/10.1007/s10943-021-01421-4

Siler, S., Borneman, T., & Ferrell, B. (2019). Pain and suffering. Seminars in Oncology Nursing35(3), 310-314. https://doi.org/10.1016/j.soncn.2019.04.013

Discussion # 2 :

 The integration of spirituality into nursing practice has a long history and is not a recent development. Spirituality is an important aspect of holistic nursing care and has been increasingly recognized as such in recent years. It is defined as the individual’s search for meaning and purpose in life, and includes personal beliefs, values, and experiences that give their lives significance. In nursing practice, spirituality is used to help patients cope with illness, stress, and other life challenges (Rachel et al., 2019). The integration of spirituality into nursing practice has a long history and is not a recent development. In fact, spirituality has been recognized as an important aspect of holistic patient care for centuries.

     Nurses have always recognized the importance of spiritual care in their practice, as spirituality can play a crucial role in the healing process of patients. Nurses have historically incorporated spiritual practices, such as prayer and meditation, into their care plans for patients and have recognized the role that a patient’s spiritual beliefs can play in their overall health and well-being. To effectively assess and address spirituality in nursing care, various tools have been developed and utilized. According to Reinert & Koenig (2018), some of these include:

     Spiritual Assessment Tools

     These are questionnaires or interviews designed to elicit information about a patient’s spiritual beliefs, practices, and needs. Examples include the FICA (Faith, Importance, Community, and Address) Spiritual History Tool, the Spiritual Needs Assessment Tool, and the HOPE (Holistic, Open, Personal, Experiential) Spiritual Assessment.

     Spirituality in Patient-Centered Care (SPIRIT) Model

     SPIRIT Model is a holistic approach to spiritual care that recognizes the importance of spirituality in health and healing. It includes six dimensions: meaning and purpose, connectedness, forgiveness, hope, comfort, and peace.

     The Chaplaincy Assessment Tool

     The Chaplaincy Assessment Tool assesses a patient’s spiritual needs and provides a structure for chaplain intervention in the hospital setting.

     The Sacred Space Assessment

     The Sacred Space Assessment tool evaluates a patient’s spiritual environment and helps to identify ways to enhance the spiritual atmosphere of the hospital.

     The Spiritual Well-being Scale

     The Spiritual Well-being Scale is a self-administered questionnaire that assesses an individual’s sense of spiritual well-being and satisfaction with life.

     These tools are significant and helps to evaluate a patient’s spirituality and guide healthcare providers in addressing their spiritual needs. It is important to recognize that spirituality is a personal and unique aspect of each individual, and therefore, assessment and care should be tailored to meet the specific needs of each patient. Incorporating spirituality into nursing practice can have a positive impact on patient outcomes, promoting healing and promoting overall well-being.

References

Reinert, K. G., & Koenig, H. G. (2018). Re‐examining definitions of spirituality in nursing research. Journal of advanced nursing, 69(12), 2622-2634. https://onlinelibrary.wiley.com/doi/abs/10.1111/jan.12152

Rachel, H., Chiara, C., Robert, K., & Francesco, S. (2019). Spiritual care in nursing: an overview of the measures used to assess spiritual care provision and related factors amongst nurses. Acta Bio Medica: Atenei Parmensis, 90(Suppl 4), 44. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625560/

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Activity: TQM Contributors Practice

  1. Activity: TQM Contributors Practice

In this week’s readings, you learned about the major contributors to total quality management (TQM) development. Some of the developed methods are more suited to one application than another. Select three contributors from the list shown here whose TQM methods could be readily applied to the daily business and medical operations of a medical centre or hospital.

Activity: TQM Contributors Practice

  1. Philip Crosby.
  2. Dr. W. Edwards Deming.
  3. Armand Feigenbaum.
  4. Dr. Joseph M. Juran.
  5. Prof. Kaoru Ishikawa.
  6. Genichi Taguchi.
  7. Musaaki Imai.

In a Word document:

  1. Describe two of the contributions to the development of TQM for each of the three individuals you selected.
  2. Apply each of the contributions to a specific situation in the operations of a medical center or hospital. Include examples from both the medical and business operations to illustrate the use of TQM.
  3. By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

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