Category: Nursing

Instructions:
Answers the following questions:
What is a Change Agent?
How do you envision yourself as an Agent of Change?
Before you answer the question above, consider the various roles we have already studied, the population that you served, your area of expertise in your practice, and your own unique talents.
Answers must:
Be 100 words or more
Use the standard English grammar and spelling
References are cited (if necessary)
change agent: A change agent is a coach who utilizes behaviors such as role modeling, guidance, and facilitation to inspire peers and nurse leaders to adopt change. 

Preparing the Discussion
Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.
General instruction:
Locate a news story or other resource from the last six months regarding an issue in healthcare and answer all questions/criteria with explanations and detail.
Include the following sections:
Application of Course Knowledge
Summarize the issue.
Discuss how the issue may impact nursing practice at the micro-, meso-, and macro-levels of the healthcare system.
Analyze how healthcare policy impacts the issue.
Include a link to the news story or resource.
Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations:
Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.

Position Paper Written Assignment
A position paper is a document you could present to a legislator to seek support for an issue you endorse. Present your position on a current health-care issue in a one-page paper, following the assignment guidelines below. You can select your issue topic from newspapers, national news magazine articles, professional journals, or professional association literature. 
Your position paper should:
Be quickly and easily understood.
Be succinct and clear.
Appear very professional with the legislator’s name (state of Florida) and title on   top and your name and your credentials at the bottom.
Condense essential information in one, single-spaced page, excluding the title and reference list pages.
Be written using correct grammar, spelling, punctuation, syntax, and APA format.
Clearly describe the issue that you are addressing in the opening paragraph.
Include 3–4 bullet points regarding why you are seeking the legislator’s vote, support, or opposition. Bullet points should be clear and concise but not repetitive and should reflect current literature that substantiates your position.
Summarize the implications for the nursing profession and/or patients.
Conclude with two recommendations that you wish to see happen related to your issue, such as a vote for or against, a change in policy, or the introduction of new legislation.
Use current APA Style, correct grammar, and references as appropriate.
The literature you cite must be from peer-reviewed journals and primary source information. 
Due Sunday, 11:59 p.m. (Pacific time)
Rubric
Position Paper
Position Paper
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIssue
30 to >24.6 pts
Accomplished
Opening paragraph clearly and concisely describes the issue you are addressing. Issue is current and related to health care. The position you are seeking from the legislator (support or opposition) is clearly and concisely articulated.
24.6 to >22.5 pts
Emerging
Opening paragraph describes the issue being addressed, but is lacking in detail. Issue may not be current and related to health care. The position you are seeking from the legislator (support or opposition) may not be clearly articulated.
22.5 to >0 pts
Unsatisfactory
Opening paragraph describing issue being addressed is absent or severely lacking in detail. Issue may not be current and related to health care. The position you are seeking from the legislator (support or opposition) is not clearly articulated.
30 pts
This criterion is linked to a Learning OutcomeBullet Points
37.5 to >30.75 pts
Accomplished
3–4 bullet points clearly explain why you are seeking legislator’s vote, support, or opposition for your issue. The position is substantiated with current literature. Implications for nursing profession and/or patients are summarized.
30.75 to >28.13 pts
Emerging
2–4 bullet points regarding why you are seeking the legislator’s vote, support, or opposition for your issue are included but lack clarity. The position may not be substantiated with current literature. Implications for nursing profession and/or patients may not be fully summarized.
28.13 to >0 pts
Unsatisfactory
0–4 bullet points regarding why you are seeking the legislator’s vote, support, or opposition for your issue are included but are severely lacking in details and clarity. The position may not be substantiated with current literature. Implications for nursing profession and/or patients are lacking.
37.5 pts
This criterion is linked to a Learning OutcomeConclusion
37.5 to >30.75 pts
Accomplished
Conclusion clearly restates the position you are seeking from the legislator and recommendations related to your issue that you want to see happen.
30.75 to >28.13 pts
Emerging
Conclusion may not fully restate the position you are seeking from the legislator and recommendations related to the issue you want to see happen.
28.13 to >0 pts
Unsatisfactory
Conclusion may not restate the position you are seeking form the legislator. Recommendations are absent, or included recommendations are severely lacking and do not clearly identify what you want to see happen.
37.5 pts
This criterion is linked to a Learning OutcomeLiterature
30 to >24.6 pts
Accomplished
Literature cited is peer reviewed and a primary source of information.
24.6 to >22.5 pts
Emerging
Literature is cited, but may not be peer reviewed and/or is not a primary source of information.
22.5 to >0 pts
Unsatisfactory
Literature is not cited and/or is not a primary source of information.
30 pts
This criterion is linked to a Learning OutcomeOrganization, Writing & APA
15 to >12.3 pts
Accomplished
Paper is approximately one page and single-spaced. APA format is followed and written in APA formal letter format. Written in a clear, concise, formal, and organized manner. Information from sources is paraphrased appropriately and accurately cited.
12.3 to >11.25 pts
Emerging
Paper is approximately one page and single-spaced. APA formal letter format is mostly followed. Writing is generally clear and organized but is not concise or formal in language. Multiple errors exist in spelling and grammar with minor interference with readability or comprehension. Most information from sources is paraphrased and cited correctly.
11.25 to >0 pts
Unsatisfactory
Paper may be significantly more or less than one page single-spaced in length. APA formal letter format may not be followed. Writing is generally unclear and unorganized. Errors in spelling and grammar detract from readability and comprehension. Sources are missing or improperly cited.
15 pts
Total 
Points: 
150

Which learning theories and principles do you think are most useful to the advanced practice nurse (APN) in providing high quality health care to clients, and why?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.

Mrs. Nguyen is an 80 year old female who was brought to the emergency department by ambulance after suffering a myocardial infraction in the community. Mrs. Nguyen was resuscitated in the field by the paramedics. She has advanced dementia and has been deemed not capable of making her own treatment decisions by her physician. 
Mrs. Nguyen has three children two sons and a daughter who are joint substitute decision-makers. When the two sons arrive at the hospital they advise the healthcare team that Mrs. Nguyen has an advance care directive for do not resuscitate DNR and no life sustaining treatment. 
As Mrs. Nguyen’s condition continues to deteriorate the two sons decide that she should be made palliative and comfort care only. The healthcare team is in agreement with this plan of care. However, the daughter demands that Mrs. Nguyen should be admitted to the intensive care unit and that that all life-sustaining treatments and every effort should be used to keep her alive.
This is an academic paper that should be written in essay format. Your paper needs to have an introduction, discussion, and conclusion section in a professionally composed paper of your creation. The use of subheadings is acceptable. Proper citations (APA) need to be throughout the paper and match the reference list as per APA and academic integrity guidelines. Please see the Rubric and required elements attached after the case studies in this document.
1. What is the main ethical issue that is presented in the scenario? Is it a dilemma and why?
2. What are the two ethical principles that might be involved and why? What ethical theory best applies to the situation and why?
3. Explain which two CNO values (s) and commitments is/are involved in this case study and why? (Refer to CNO standards and guidelines documents)
4. Explain which two CNA value(s) is/are involved in this case study and why?
5. Is there any legislation (law) that exists related to the chosen scenario that can aid in the decision-making regarding this case? If so, outline the legislation and how it is applied. The law may have limitations or exemptions to discuss. You will need to research this element independently. 
6. Using either the Nursing Process as a framework (as outlined in the CNO Ethics Practice Standard) or the Decision-Making Process (listed on p. 93, Potter, Perry (2017) Box 7-4 examine the ethical situation described. Other relevant steps identified in the literature may supplement your analysis of the ethical issue.
7. Decide on the best course of action based on your analysis and research and describe it. How would you carry out the implementation of the plan? How would the success of the plan be evaluated?
8. Provide an individual reflective summary (LEARN), including how you felt throughout the process. Was your value system questioned or tested as you worked through the process? Did you feel comfortable with the proposed solution to the case study? How would you approach this situation in the future, identify two evidence-based strategies. (When answering this question ONLY, you may do so using the first-person ex. I felt…).

Answers must:
Be 100 words or more
Use the standard English grammar and spelling
References are cited (if necessary)
Textbook: Title: Community and Public Health Nursing: Promoting the Public’s Health
Author: Cherie Rector & Mary Jo Stanley
Edition: 10th (2022)
Publisher: Wolters Kluwer
ISBN: 978-1-975123-04-8

Teaching plan for “Bathing, Diapering, and Clothing of baby”. – FOLLOW THE BLANK TEACHING OUTLINE THAT IS ATTACHED
Parent Education Teaching Project
Overview: This project is designed to assess your knowledge (gained by research of topic based on evidenced based practice) and presentation of a selected maternal/newborn teaching topic to a patient/family (role-play by peers/faculty) and will include the following:
Objectives:
Gain knowledge about a chosen topic based on evidenced based practice (EBP) within the maternal-newborn specialty area in preparation for patient teaching.
Create an organized teaching outline regarding the chosen maternal-newborn topic to include specific teaching points and information to be taught to patients and their families.
Apply principles of Knowles’ theory of adult learning into the teaching outline to ensure the patient is being taught at an appropriate level for age.
Demonstrate full knowledge of topic and be able to teach that topic to patient/family.
Effectively communicate with patient/family in a manner that is understood by patient/family.
Demonstrate a professional manner at all times in the role of “nurse” when teaching patient/family.
Develop 3 measurable goals/objectives relevant to chosen maternal-topic and be able to show those goals were met/unmet during presentation.
Gain confidence in presenting in front of a group of peers and faculty
Part A: Teaching Outline (see rubric)
Integrate at least three references (within past 5 years), to include 1 journal article, 1 textbook, and 1 scholarly and reputable website in the planning, implementation, and evaluation of the teaching outline. No nursing care plan books allowed as the 1 textbook reference but may be used as an additional reference. The student must utilize APA format for title page, outline citations and references. Final outline can be any style or format but MUST be organized and easy to follow.
Include a minimum of three, clearly stated and measurable outcomes or learning objectives at the beginning of the outline. Outcomes/learning objectives must be specific and measurable and be able to be completed by patient/family during your presentation.
Pre-select principles from Knowles Adult Learning Theory (teaching methods and evaluation methods) that will be used in your teaching practicum and include these principals at the end of your teaching outline. Include a brief statement of how the adult learning theory applies to your patient and the teaching style you will use.
Teaching outline: This is an outline of what will be taught to the patient/family and the order in which you will present the topic points. It should flow in an organized and methodical manner including topic points and information that will cover the teaching topic you chose. The teaching outline should NO MORE than 3 or 4 pages in length. You will have up to 20 minutes to complete your teaching in a role-play scenario on presentation day. Make sure your teaching is complete and comprehensive. Questions will be asked by your “patient/family” during your presentation and after your presentation by your faculty and peers.
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TEACHING AID EXAMPLE: (also attached under)
https://nationalu.brightspace.com/content/enforced…
https://nationalu.brightspace.com/content/enforced…
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* FOLLOW THE BLANK TEACHING OUTLINE THAT IS ATTACHED FOR MY TOPIC – “Bathing, Diapering, and Clothing of baby” **

address the following:
1.       Definition
2.       Etiology
3.       Clinical manifestation
4.       Symptoms
5.       Diagnostics 
6.       Appropriate outpatient or inpatient management 
7.       Potential complications
8.       Nursing Interventions and Care
9.       Expected medical management
10.   Patient Teaching

You are to write a paragraph about an enzyme deficiency disease (e.g. PKU). The paragraph should be at least 250 words and in APA format. You are to cite at least three references for full credit and you are to ensure that your paragraph is grammatically correct and free of errors. Please include information about the inherited defects that result from the absence of the associated enzyme. Also, include information about the underlying cause that leads to the disease. Are there any associated treatments associated with the enzyme deficiency disease? Please contact your instructor if you have any questions about the assignment.

response to these posts needed. one paragraph for each with 1 sourse
Elba
An important concern about APRN certification and licensure is the inconsistency in state rules and the absence of complete practice authority (FPA) for APRNs throughout the United States. Full Practice Authority refers to the unrestricted authority of Advanced Practice Registered Nurses to independently practice according to their level of education and training, without requiring supervision or assistance from physicians. This problem impedes Advanced Practice Registered Nurses’ capacity to fulfill the increasing need for primary care services, especially in impoverished regions, and limits patients’ ability to obtain prompt and effective healthcare. Obstacles and difficulties that have impeded the advancement of APRN practice encompass resistance from medical associations, apprehensions about patient safety and care quality, and the impact of antiquated regulatory structures. Physician groups frequently contend that Advanced Practice Registered Nurses possess insufficient training and skill compared to physicians, resulting in opposition to providing them complete independence in their practice. Nevertheless, studies have demonstrated that Advanced Practice Registered Nurses deliver secure and efficient healthcare that is on par with physicians, particularly in primary care environments. To overcome these obstacles, it is required to make legislative and regulatory amendments to update the licensure of Advanced Practice Registered Nurses and eliminate unjustified limitations on their professional responsibilities. The APRN Compact is a legislative policy that currently affects APRN practice. The APRN Compact is a reciprocal recognition framework that enables APRNs to work in many states without the requirement of acquiring extra licenses in each state. The objective is to enhance the availability of healthcare services by enabling the movement of Advanced Practice Registered Nurses while upholding regulatory supervision and ensuring patient safety requirements. According to my latest information, a number of states have proposed or implemented laws to become part of the APRN Compact, indicating an increasing acknowledgement of the necessity to simplify the licensing procedures for APRNs. Ortiz et al. (2018) propose that enhancing the independence of nurse practitioners can enhance patient outcomes. Competent and accomplished Advanced Registered Nurse Practitioners have the ability to improve the availability and usage of primary healthcare services in rural regions. Increasing the level of independence for nurse practitioners could have positive effects in communities with limited access to healthcare.
Hermes
The most critical issue regarding Advanced Practice Registered Nurse (APRN) credentialing and licensure is the lack of uniformity across states (Kleinpell et al., 2021). This inconsistency complicates the practice mobility of APRNs and affects healthcare delivery, particularly in underserved areas. Despite the push for the Consensus Model for APRN Regulation, which aims to standardize licensure, accreditation, certification, and education (LACE), progress has been slow (Davis et al., 2024). Variations in state regulations mean that APRNs face differing requirements for independent practice, prescriptive authority, and scope of practice, creating barriers to effective and efficient care delivery.
One of the primary barriers to the progress of APRNs is restrictive state laws. In many states, APRNs are required to have a collaborative agreement with a physician to practice or prescribe medications, which can limit their ability to provide care, especially in rural or underserved areas where physicians may be scarce (Schorn et al., 2021). Additionally, there are often financial and bureaucratic hurdles associated with obtaining these agreements. The influence of medical boards and physician groups, who may view APRNs as competition, also contributes to maintaining these restrictive practices.
A current legislative policy that will significantly influence APRN practice is the “Improving Care and Access to Nurses (ICAN) Act” at the national level. This proposed legislation seeks to remove barriers to practice by allowing APRNs to practice to the full extent of their education and training, independent of physician oversight (ANA, 2024). If passed, the ICAN Act would standardize APRN practice regulations across all states, enhancing access to care and reducing healthcare disparities. This policy is supported by numerous national nursing organizations and has the potential to impact healthcare delivery in the United States significantly.
An example from personal experience that illustrates these points is the challenge faced in the surgical ICU where I work. Despite being fully qualified, APRNs often have to defer to physicians for tasks they are trained and capable of performing independently due to state regulations. This not only delays patient care but also adds unnecessary steps to the treatment process.