Category: Health Care and Life Sciences

Description of the Assignment

This assignment presents a modified method for conducting a concept analysis of ONE concept that is important and useful to the nurse practitioner role. The concept for this assignment must be supported by a published nursing theory. The selected concept is identified and then the elements of the analysis process are applied in order to synthesize knowledge for application as demonstrated through the creation of model, borderline, and contrary cases. Theoretical applications of the concept are also discussed. Non-nursing theories may NOT be used. The paper concludes with a synthesis of the students new knowledge about the concept. The scholarly literature is incorporated throughout the analysis. Only the elements identified in this assignment should be used for this concept analysis.

1. Introduction- The introduction substantively presents all the following elements:
        Identifies the role of concept analysis within theory development.
        Identifies the selectednursingconcept.
        Identifies thenursingtheory that addresses the selected concept.
        Names the sections of the paper.
        Scholarly support is required.
   
2. Definition/Explanation of the selected nursing concept
– Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required).
– A substantive discussion of this section with support from nursing literature is required.
 
3. Literature review
– A substantive discussion ofat least 6 (six)scholarly nursing literature sources on the selected concept.
– Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion.
– Support from nursing literature is required.
****Please Note: Primary research articles about the selected nursing concept are the most useful resource for the literature review.
 
4. Defining attributes,for this section: A minimum of THREE (3) attributes are required.
– A substantive discussion of this section with support from nursing literature is required. Explanation: An attribute identifies characteristics of a concept. For this situation, the characteristics of the selected nursing concept are identified and discussed.

5. Antecedent and Consequence
        1 antecedent of the selected nursing concept.
        1 consequence of the selected nursing concept.
– A substantive discussion of the element with support from nursing literature is required.Explanation:An antecedent is an identifiable occurrence that precedes an event. In this situation, an antecedent precedes a selected nursing concept. A consequence follows or is the result of an event. In this situation, a consequence follows or is the result of the selected nursing concept.
 
6. Empirical Referents
        Two (2)empirical referents of the selected nursing concept.
-A substantive discussion of the element with support from nursing literature is required. Explanation: An empirical referent is an objective ways to measure or determine the presence of the selected nursing concept.
 
7. Construct Cases
– Explanation:Hypothetical or real-life situations demonstrating the use or absence of the concept.This section requires the creation of a model case, borderline case, and contrary case. Construct cases should be from the viewpoint of an advanced practice NP.

– 1 Model Caseis created by the student and discussed substantively by demonstrating within the case each of the following areas:
Definition
All identified attributes. Explanation:A model case is an example of a hypothetical or real-life situation that demonstrates all of the attributes noted previously in this assignment.

– Borderline Case is created by the student in which one or two of the previously identified attributes are missing.

– 1 Contrary Caseis created by the student that demonstrates the opposite of the selected nursing concepts. All identified attributes of the concept are absent in thiscase. Explanation: Borderline case is a created case where one or two of the previously identified attributes are missing. Contrary case is a created case that demonstrate the complete opposite of the selected nursing concept all identified attributes are missing.
   
8. Theoretical Applications of the Concept
  – Discuss the purpose of a concept analysis in relationship to theory.
  –  Explain how the concept applies to the selected nursing theory.
  –  A substantive discussion of the element with support from nursing literature is required.
 
9.  Conclusion
        Summarization of key information regarding:
            Selected nursing concept.
            Selected nursing theory.
            Application of concept analysis findings to advanced practice nursing, specifically as an NP.
        The concluding statements include self-reflection on the new knowledge gained from conducting a concept analysis. (Self-reflection may be written in first-person.)

Criteria for Format and Special Instructions

1. The paper (excluding the title page and reference page) should be at least 6, but no more than 8 pages. Points will be lost for not meeting these length requirements.
2. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
3. The source of the concept for this assignment must be a published nursing theory. Non-nursing theories may NOT be used. 
4. A minimum of 6 (six) scholarly references must be used.
5. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them.
6. Ideas and information from scholarly, peer reviewed, nursing sources must be cited and referenced correctly. 

LIST OF CONCEPTS THAT MAY BE USED
***Each selected concept must be associated with a nursing theory; the use of non-nursing theories is NOT allowed.***

    Adaptation
    Burnout
    Caring
    Comfort
    Compassion
   
    Compassion fatigue 
    Competence
    Cultural humility 
    Empowerment
    Engagement
    Health
    Leadership

    Meaningfulness
    Modeling
    Noise
    Pain
    Palliative care

    Quality of life 
    Resilience
    Self-care
    Sensory overload
    Situational awareness

THIS IS A VERY IMPORTANT PAPER

I WANT YOU TO FOLLOW THE FOLLOWING AND DO EVERYTHING IN THE CHECK LIST

ADD THINGS TO Qualitative Analysis, CONCLUSION AND Limitations and improvements of Experimental Design:

CHECK GRAMMAR MISTAKES AND PLAGIARISM

FIX MISTAKES

THE DOCUMENT U WORK WITH IS BIO DATA

ask questions if u need help

Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the clients pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
    Decision #1
o    Which decision did you select?
o    Why did you select this decision? Support your response with evidence and references to the Learning Resources.
o    What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
o    Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
    Decision #2
o    Why did you select this decision? Support your response with evidence and references to the Learning Resources.
o    What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
o    Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
    Decision #3
o    Why did you select this decision? Support your response with evidence and references to the Learning Resources.
o    What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
o    Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

BACKGROUND
Mrs. Maria Perez is a 53 year old Puerto Rican female who presents to your office today due to a rather embarrassing problem.

SUBJECTIVE
Mrs. Perez admits that she has had problems with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20s and has been involved with Alcoholics Anonymous on and off for the past 25 years. She states that for the past two years, she has been having more and more difficulty maintaining her sobriety since they opened the new Rising Sun casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during their grand opening at which point she was hooked. She states that she gets such a high when she is gambling. While gambling, she enjoys a drink or two to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past two years and she is concerned about the negative effects of the cigarette smoking on her health.
She states that she attempts to abstain from drinking but that she gets such a high from the act of gambling that she needs a few drinks to even out. She also notices that when she drinks, she doesnt smoke as much but enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much- she currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight.
Mrs. Perez is quite concerned today because she has borrowed over $50,000 from her retirement account to pay off her gambling debts. She is very concerned because her husband does not know that she has spent this much money.

MENTAL STATUS EXAM
The client is a 53 year old Puerto Rican female who is alert, oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. As you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is sad. Affect is appropriate to content of conversation & self-reported mood. She visual or auditory hallucinations, no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact, however, impulse control is impaired. She is currently denying suicidal or homicidal ideation.
Diagnosis: Gambling disorder, alcohol use disorder

Which components of nursing practice are the most challenging for you:

1.Scientific competence?
2. Therapeutic use of self?
3. Moral/ethical comportment?
4. Transformative art/acts?
5. Praxis?

What kinds of experiences or knowledge do you need to more fully develop each of these components of practice?

500 Words

Based on last weeks reading, you now have an idea of the role of the APRN, and legal/professional issues in prescribing. As a future nurse practitioner, you have the authority, based on your state nurse practice act, to prescribe medications for the patients for whom you will provide care, and the responsibility of prescriptive authority is more than just simply writing a prescription correctly.

Important Links:
https://www.flsenate.gov/Committees/BillSummaries/2016/html/1424

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html

https://floridasnursing.gov/new-legislation-impacting-your-profession/

https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-prescriptive-privilege

Discuss the role of advanced practice nursing in safe prescribing and 3  prescribing barriers for APRNs.
1. A minimum of 2 paragraphs is required for all posts (initials and replies).
2. Support all posts with at least 2 cited peer review references within 5 years of publication (references cannot be older than 5 years).
3. All posts are to be written in APA 6th edition format as required by the university.

Citations need to be within 5 (Five)  years
Context: Nursing in the USA

    Length: A minimum of 250 words, not including references
    Citations: At least one high-level scholarly reference in APA from within the last 5 year

T5 W2 D1
Discussion Prompt
Conduct an internet search focusing on alternative methods of preventative care, i.e spiritual care, pet care, music therapy, etc. Compile a minimum of three (3) internet resources that address preventative health care and post to the DB.  Discuss the benefits and limitations to each resource, how these resources can be incorporated into patient care, and what population would benefit most from these.

Part 2: Understanding Pharmacokinetics and Pharmacodynamics is one of the most important aspects of prescribing and monitor medications for our patients.

Compare the different processes of pharmacokinetics to include absorption, bioavailability, distribution, metabolism and excretion, and the factors that influence each one.
Furthermore, explain pharmacodynamics and its importance in your prescribing practices.

As you deepen your analysis of your selected organization, consider how the information presented in this weeks Learning Resources relates to strategic priorities as well as to the uniquely collaborative and competitive dynamic that binds organizations in health care.

To prepare:
Think about the quality improvement issue that you are addressing and the associated plan that you are developing. Consider the following:
What is the overall purpose, or aim, of doing this work?
What would you hope to achieve for the organization by undertaking this project? What are the objectives of this initiative?
What value would this work add to the organization?
How would this work improve practice and create outcomes with impact?
Consider how addressing this quality improvement issue would align with the organizations mission, vision, values, and strategic goals and objectives. How does it relate to regulatory issues, and other matters that are significant for the organization? If you notice a misalignment, use this as an opportunity to refine your focus.

To complete:
Write a 3-page paper that includes:
An introduction to your quality improvement plan, including the overarching aim of this initiative and an explanation of how it aligns with the mission, vision, values, and strategic goals and objectives of the organization, as well as regulatory issues and other matters that are significant for the organization
An overview of the current situation with regard to this quality improvement issue in the organization
A description of measures and indicators
A presentation on data related to this issue, including:
Actual historical and current data and/or a description of the methods that you would use to collect and analyze the data
Methods for collecting and analyzing data in the future, including when you would do this
A description of realistic, evidence-based targets

3 APA style references