Discuss the difference between a nursing conceptual model and a  nursing theory.Select a nursing theory and provide a concise summary of it. Provide  an example in nursing practice where the nursing theory you selected  would be effective in managing patient care.

  Need a scholarly paper completed by 1/28/2020 with as below:

The paper should follow a format that includes:

The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.

 
 

Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.

 
 

List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

 
 

Consider the following questions as you complete your various tasks related to this assignment.

1.

How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?

2.

What are the major concepts I employ that are unique to my professional practice?

3.

What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?

4.

How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into  my philosophy and practice?

5.

What research supports these theories and concepts?

6.

How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. 

 
 

Sources should focus on references from nursing theory. 

References MUST be no more than 5 years old.

APA formatted

The paper, excluding references or appendices, is to be limited to 6-10 pages. 

Writing should be succinct and well organized.

PAPER IS DUE NO LATER THAN MONDAY 1/28/2020 AT 5PM EASTERN TIME

 

Combatting Moral Distress

You have been given some tools to develop critical thinking skills, use ethical decision making models to strengthen and clarify your values. You will need to be on an intentional journey to use and leverage these skills to keep your nursing practice resilient and meaningful.

QUESTION

1. How do you see yourself cultivating moral resilience within yourself,  with your colleagues and the organizations where you will work?  

2. What specific interventions can you envision for yourself as you continue your journey in the socialization of becoming a nurse? 

3. What contributions do you intend to create to make meaningful and sustainable change in your role as a nurse?

For this assessment, you will implement the preliminary care coordination plan you developed in Assessment 1. Present the plan to the patient in a face-to-face clinical learning session and collaborate with the patient in evaluating session outcomes and addressing possible revisions to the plan.

NOTE: You are required to complete this assessment after Assessment 1 is successfully completed.

Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.

This assessment provides an opportunity for you to apply communication, teaching, and learning best practices to the presentation of a care coordination plan to the patient.

You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Adapt care based on patient-centered and person-focused factors. 
  • Design patient-centered health interventions and timelines for care delivered through direct clinical interaction that is logged in the CORE ELMS system.
• Competency 2: Collaborate with patients and family to achieve desired outcomes. 
  • Evaluate learning session outcomes and the attainment of mutually agreed-upon health goals, in collaboration with a patient.
• Competency 3: Create a satisfying patient experience. 
  • Evaluate patient satisfaction with the care coordination plan and progress made toward Healthy People 2020 goals and leading health indicators.
• Competency 4: Defend decisions based on the code of ethics for nursing. 
  • Make ethical decisions in designing patient-centered health interventions.
• Competency 5: Explain how health care policies affect patient-centered care. 
  • Identify relevant health policy implications for the coordination and continuum of care.

Preparation

In this assessment, you will implement the preliminary care coordination plan you developed in Assessment 1 and communicate the plan to the patient in a professional, culturally sensitive, and ethical manner.

To prepare for the assessment, consider the patient experience and how you will present the plan. Make sure you schedule time accordingly.

Instructions

Note: You are required to complete Assessment 1 before this assessment.

For this assessment:

• Complete the preliminary care coordination plan you developed in Assessment 1.
• Present the plan to the patient in a face-to-face clinical learning session. Communicate in a professional, culturally sensitive, and ethical manner.
• Collaborate with the patient in evaluating session outcomes and addressing possible revisions to the plan.

Reminder: The time you spend presenting your final care coordination plan must be logged in the CORE ELMS system. The total time spent in securing individual participation in this activity in Assessment 1 and presenting your plan in this assessment must be at least three hours. The CORE ELMS link is located in the courseroom navigation menu.

Please be advised that the Volunteer Experience form requires that you provide the name and contact information for at least one individual with whom you worked as part of your direct clinical activity. Your faculty may reach out to this individual to verify that you have accurately documented and completed your clinical hours.

Document Format and Length

Build on the preliminary plan document you created in Assessment 1. Your final plan should be 57 pages in length.

Supporting Evidence

Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2020 resources. Cite at least three credible sources.

Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

• Design patient-centered health interventions and timelines for care delivered through direct clinical interaction that is logged in the CORE ELMS system. 
  • Address three patient health issues.
  • Design an intervention for each health issue.
  • Identify three community resources for each health intervention, so the patient may make an informed decision about what resources to use.
• Make ethical decisions in designing patient-centered health interventions. 
  • Consider the practical effects of specific decisions.
  • Include the ethical questions that generate uncertainty about the decisions you have made.
• Identify relevant health policy implications for the coordination and continuum of care. 
  • Cite specific health policy provisions.
• Evaluate learning session outcomes and the attainment of mutually agreed-upon health goals, in collaboration with the patient. 
  • What aspects of the session would you change?
  • How might revisions to the plan improve future outcomes?
• Evaluate patient satisfaction with the care coordination plan and progress made toward Healthy People 2020 goals and leading health indicators. 
  • What changes would you recommend to improve patient satisfaction and better align the session with Healthy People 2020 goals and leading health indicators?

Develop a 20-minute presentation for nursing colleagues highlighting the fundamental principles of care coordination. Create a detailed narrative script for your presentation, approximately 45 pages in length, and record a video of your presentation.

Nurses have a powerful role in the coordination and continuum of care. All nurses must be cognizant of the care coordination process and how safety, ethics, policy, physiological, and cultural needs affect care and patient outcomes. As a nurse, care coordination is something that should always be considered. Nurses must be aware of factors that impact care coordination and of a continuum of care that utilizes community resources effectively and is part of an ethical framework that represents the professionalism of nurses. Understanding policy elements helps nurses coordinate care effectively.

This assessment provides an opportunity for you to educate your peers on the care coordination process. The assessment also requires you to address change management issues. You are encouraged to complete the Managing Change activity.

Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 2: Collaborate with patients and family to achieve desired outcomes. 
  • Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
• Competency 3: Create a satisfying patient experience. 
  • Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
• Competency 4: Defend decisions based on the code of ethics for nursing. 
  • Explain the rationale for coordinated care plans based on ethical decision making.
• Competency 5: Explain how health care policies affect patient-centered care. 
  • Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.
• Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care. 
  • Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation. Script and reference list are not submitted.

Preparation

Your nurse manager has been observing your effectiveness as a care coordinator and recognizes the importance of educating other staff nurses in care coordination. Consequently, she has asked you to develop a presentation for your colleagues on care coordination basics. By providing them with basic information about the care coordination process, you will assist them in taking on an expanded role in helping to manage the care coordination process and improve patient outcomes in your community care center.

To prepare for this assessment, identify key factors nurses must consider to effectively participate in the care coordination process.

You may also wish to:

• Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
• Allow plenty of time to rehearse your presentation.

Note: Remember that you can submit all, or a portion of, your draft presentation to for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 2448 hours for receiving feedback.

Instructions

Complete the following:

• Develop a presentation for nursing colleagues highlighting the fundamental principles of care coordination. Include community resources, ethical issues, and policy issues that affect the coordination of care. To prepare, develop a detailed narrative script. The script will be submitted along with the video.
• Record a video of your presentation.

Note: For this assessment, develop your audio script, then record your presentation. You are not required to deliver your presentation to an actual audience but you certainly could.

Presentation Format and Length

Create a detailed narrative script for your presentation, approximately 45 pages in length. Include a reference list at the end of the script.

Supporting Evidence

Cite 35 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script. Watch the example video in your course room to hear how citations are referenced.

Grading Requirements

The requirements outlined below correspond to the grading criteria in the Care Coordination Presentation to Colleagues Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

• Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes. 
  • Provide, for example, drug-specific educational interventions, cultural competence strategies.
  • Include evidence that you have to support your selected strategies.
• Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
• Explain the rationale for coordinated care plans based on ethical decision making. 
  • Consider the reasonable implications and consequences of an ethical approach to care and any underlying assumptions that may influence decision making.
• Identify the potential impact of specific health care policy provisions on outcomes and patient experiences. 
  • What are the logical implications and consequences of relevant policy provisions?
  • What evidence do you have to support your conclusions?
• Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation. Script and reference list are not submitted. 
  • Fine tune the presentation to your audience.
  • Stay focused on key issues of import with respect to the effects of resources, ethics, and policy on the provision of high-quality, patient-centered care.
  • Adhere to presentation best practices.

1.

Discuss a formal role where a nurse is in a position of leadership. Outline the essential responsibilities of that role and the educational preparation required. Explain what leadership traits, styles, or qualities are required to be successful in this role and why.

2.

The influence of leadership can be far-reaching in practice and improving patient outcomes even when not in a formal role. Describe advocacy strategies that you can use as a leader to create positive change in your current workplace. In response to peers, describe a time when you provided leadership and the outcome. Was there anything that you would do differently?

The purpose of this assignment is to assess leadership styles, traits, and practices as a nursing professional, establish the importance of effective interprofessional communication as a leader in nursing, and to explore the role of servant leadership in nursing practice. Read the study materials on leadership and complete the topic quiz activities to better understand your leadership qualities. Upon completion, summarize and share with your group what you learned about your specific leadership qualities, so you can become familiar with how you are similar and different from your peers when it comes to being a leader. As a group, review the study materials related to servant leadership. Using what you have learned about the tenets of servant leadership and traits and practices of successful leaders, create a 10-12 slide PowerPoint presentation with speaker notes. Add an additional slide for references at the end of your presentation.  Include the following in your presentation: Each group member: Create a slide that summarizes your leadership style, traits, and practices. Compare the personal leadership styles of your group members, including commonalities between group members’ strengths and weaknesses. Explain why it is important for nursing professionals to be aware of their personal leadership style, traits, and practices. Discuss what leadership traits and styles are necessary to be an effective communicator. Explain the importance of leaders adapting communication approaches when working interprofessionally (across ancillary departments, vendors, community members).Discuss how nursing professionals can benefit from integrating the tenets of servant leadership to empower and influence others as they lead. Discuss how leaders who practice servant leadership and have a strong understanding of their personal leadership traits can successfully lead others and navigate the unique challenges that are part of nursing and health care. Provide two examples that illustrate your main ideas. You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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 Turnitin.

TOPIC – Physician Assisted-Suicide 

Prompt: In this activity, you’ll create an annotated bibliography by following the steps below and answering the questions as thoroughly as possible. The questions will prompt you to engage in a conversation with your sources. You will need to follow the steps below three times (for your three different sources).

Before you begin, make sure you have:

• Selected sources from the or the database.
• Applied the C.R.A.A.P test to the sources to determine if they are credible and reliable. (You can download a copy of . Remember, credible sources should score 35 points or more on the test.)

Specifically, the following critical elements must be addressed:

1. Identify your sources, including author, title, and the database information or website.
2. Summarize your source. (Use the template below.)
   • It seems this source is arguing ____________________. This source is using this evidence to support the argument: ____________________.
   • A counterargument for one of the provided sources could be: __________________________________.
3. Credibility and Relevance
   • Explain the rationale for the credibility of the source by providing supporting evidence. (Use the template below.)
     • Personally, I believe the source is doing a (good job/bad job) of supporting its arguments because ____________________.
   • Explain the relevance of the source to your argument. (Use the template below.)
     • I think this source will be very helpful in supporting my argument because ________________________.

Guidelines for Submission: Your annotations must include at least three sources. Save your work in a Microsoft Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Then, check your writing for errors.

Persuasive Esay Topic: Physician Assisted-Suicide

After you find a credible source that can be used for your persuasive essay, identify it. Then, explain how the source fared with the C.R.A.A.P test by answering the following questions in one fully developed paragraph:

1. What were the total points the source earned on the test?
2. Where did it earn the most points? How did it earn these points?
3. Where did it earn the least points? Why did it lose points here?
4. How will this source help support the main argument (or counterargument) of your essay?

Case Study: Mrs. J. 

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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.