Week 2 Discussion: Providing Genetic Nursing Care to Patients With Chronic Illnesses

Week 2 Discussion: Providing Genetic Nursing Care to Patients With Chronic Illnesses

Week 2 Discussion: Providing Genetic Nursing Care to Patients With Chronic Illnesses

There are several chronic health problems with genetic/genomic components that plague the population. NURS 4006 Topics in Clinical Nursing Essay Assignment Discussion papers. These health problems are very difficult and challenging diseases to manage.Evidenced-based nursing practice must include genetic and genomic information when planning patient care. Nurses, through their knowledge and support, play an important role in positive patient outcomes when managing the challenges of these genetically linked diseases.  Week 2 Discussion: Providing Genetic Nursing Care to Patients With Chronic Illnesses

For this Discussion, you will consider applications of various topics to genetics and genomics. Review the Resources focusing on the application of genetics and genomics to nursing.

Choose one of the following subtopics:

Pharmacogenomics and chronic illnesses

Genomics in patient assessment

Genetically competent care for those with chronic illnesses

Note: A different subtopic relating to genetics and genomics may be chosen with Instructor approval.

Locate at least one scholarly journal article that discusses your subtopic. NURS 4006 Topics in Clinical Nursing Essay Assignment Discussion papers.

By Day 3 of Week 2 Discussion: Providing Genetic Nursing Care to Patients With Chronic Illnesses

Respond to the following:

Identify your subtopic and provide a brief summary of your journal article on how this topic relates to nursing practice.

What is the nurse’s role in providing care in relation to your subtopic and the overarching theme of advocacy?

What ethical implications should be considered with regard to genetics and genomics for nursing practice? Why?

Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ? 5 years old). NURS 4006 Topics in Clinical Nursing Essay Assignment Discussion papers.

By Day 7 of Week 2 Discussion: Providing Genetic Nursing Care to Patients With Chronic Illnesses

Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).

Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues’ postings.

Post a Discussion entry on three different days of the week. Refer to the Discussion Rubric found in the Course Information and Grading Criteria area.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. Week 2 Discussion: Providing Genetic Nursing Care to Patients With Chronic Illnesses

Week 3 Discussion: Psychological Complications Resulting From Illnesses and Injuries

The nurse’s role goes far beyond that which is expected. Nurses are the main communicators between patients, doctors, and family, and they care for more than just physical ailments.Often, nurses are presented with difficult situations where being an advocate becomes paramount to the healing of the patient. One of the issues that patients with acute and chronic illnesses or extended hospitalization face is a tendency to become depressed. The nurse’s role in this situation requires more than just attention to the physical problem. Another situation where a nurse may need to shift his or her care is when a patient presents with a suspicious injury or illness. In addition to considering the legal and ethical responsibilities of the nurse, he or she must consider the psychological undertones that may be present. NURS 4006 Topics in Clinical Nursing Essay Assignment Discussion papers.

For this Discussion, you will consider delicate situations that nurses often face and analyze the implications of these situations. Reflect on a patient care situation in which you have encountered one of the following:

A suspicious illness or injury

Depression resulting from illness or injury

Then, locate at least one scholarly journal article related to your patient care situation that offers strategies for managing the circumstances.

By Day 3

Respond to the following:

Explain your patient encounter, highlighting the challenges the situation presented, and briefly summarize the contents of your journal article.

What strategies did you employ to help handle the situation? What other strategies could you have used?

How did you advocate for the patient in the situation?

What are some of the legal and ethical implications that need to be considered when providing care for patients with illnesses or injuries resulting from depression or suspicious illnesses or injuries?

Note: Avoid using personal information (e.g., names, facility name, etc.) in your post.

Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ? 5 years old).

By Day 7

Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).

Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues’ postings.

Post a Discussion entry on three different days of the week. Refer to the Discussion Rubric found in the Course Information and Grading Criteria area.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. Week 2 Discussion: Providing Genetic Nursing Care to Patients With Chronic Illnesses

Week 4 Discussion: Nurse/Patient Empowerment

As a nurse, you are the individual who has the ability to empower patients in the decision-making process pertaining to their health care. In addition, you are in a unique position to empower your nursing colleagues to improve job satisfaction and use performance indicator data from dashboards to effect social change.

In this week’s Resources, you examined both the National Database of Nursing Quality Indicators (NDNQI) and the key role nurses play as advocates for patient rights. To assist nurses in being better prepared for this role, programs such as Patient Care Partnership provide guidance.

For this Discussion, you will analyze the use of quality improvement data and discuss how this data can help empower both patients and nurses. Review the Patient Care Partnership information presented in this week’s Learning Resources. In addition, reflect on the media presentation and the information shared by Ms. Manna on patients’ rights.

By Day 3

Respond to the following:

What are the best strategies the nurse can employ to empower patients and support patients’ rights to improve quality of care? (Some considerations to keep in mind may include: providing information on effectiveness, risks, and benefits of alternative treatments.)

In what ways can NDNQI data from dashboards or quality improvement data be used to support nurse empowerment in practice?

How has your institution empowered the nursing staff through the use of quality improvement data?

Provide an example of how you have personally empowered either a patient or a fellow nurse.

Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ? 5 years old).

By Day 7

Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).

Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues’ postings.

Post a Discussion entry on three different days of the week. Refer to the Discussion Rubric found in the Course Information and Grading Criteria area.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

NURS4006 Topics in Clin Nursing

Week 5 Discussion: Holistic Care and Treatments

The use of complementary and alternative therapies in the treatment of cancer patients, terminal patients, and many other types of patients is steadily increasing. The Resources also contain much information about the various alternative therapies currently being used.

For this Discussion, you will consider alternative therapies and discuss the challenges associated with them.

To prepare for this Discussion:

Review the Resources pertaining to alternative therapies.

Select one of the following areas where alternative therapies are being used:

Cancer treatment

Cancer symptom management

End-of-life care

Palliative care

Find at least one scholarly journal article discussing alternative therapies in your chosen subtopic.

By Day 3

Respond to the following:

Identify at least one challenge associated with the nurse’s role in providing alternative therapies for patient care.

Explain how the nurse might integrate the use of Complementary and Alternative Medicine (CAM) approaches in your chosen subtopic and discuss the ethical issues nurses may face.

What are the main elements you would include in a teaching plan for nurses on the use of CAM in your chosen subtopic?

What is the shared role of the nurse and patient in developing care plans?

Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ? 5 years old).

By Day 7

Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).

Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues’ postings.

Post a Discussion entry on three different days of the week. Refer to the Discussion Rubric found in the Course Information and Grading Criteria area.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

Week 6 Discussion: Promoting Safety and Quality

In the article “Managing to Improve Quality: The Relationship Between Accreditation Standards, Safety Practices, and Patient Outcomes,” the authors discuss the growing trend by medical insurance companies to eliminate reimbursement for Never Events. As these types of mistakes should be easily preventable, hospitals have developed protocols to lessen or extinguish the occurrence of these events. In addition, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) have developed core measures to guide health care providers’ efforts in improving patient safety and the quality of care delivered.

Health care organizations have developed strategic agendas to help meet these standards and reduce the incidence of Never Events. Nurses significantly influence the overall quality of health care provided and play a pivotal role in improving patient outcomes.

For this Discussion, you will consider the standards that are in place for nurses and how they can be used to improve quality of care.

To prepare for this Discussion:

Review the information at the Joint Commission and Centers for Medicare & Medicaid Services websites on the core measures and standards presented in this week’s Resources.

Consider the nurse’s role in supporting the organization’s strategic agenda as it relates to improving clinical outcomes.

Conduct an Internet search for either a Never Event or a core measure, and select one to address in your post.

By Day 3

Respond to the following:

How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from TJC and/or CMS? Cite your selected core measure or Never Event in your response.Nurs 4006 Week 3 Assignment Paper

What is the impact of the nurse’s role in clinical outcomes for the organization?

Discuss nurse-specific challenges in influencing change in quality improvement.

How does this influence the ability of the organization to achieve its strategic agenda?

Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ? 5 years old)

Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).

By Day 7

Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues’ postings.

Post a Discussion entry on three different days of the week. Refer to the Discussion Rubric found in the Course Information and Grading Criteria area.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

Currently Reading NURS 4005/NURS 4006:Topics in Clinical Nursing| Week 4

Week 4: Nurse/Patient Empowerment in Practice

Introduction

As a registered nurse you have the power to influence change in patient outcomes. An important aspect of influencing change is identifying areas that need improvement. This is done primarily through measurement of data. There are several different measures to gather data within organizations as well as on a national scale. Some of these measurements include core measures standards best practices evidence-based practices and the National Database of Nursing Quality Indicators (NDNQI). These support mechanisms have also been discussed as a means for helping nurses to deliver quality care and improve patient safety. Each measurement essentially focuses on providing care that is safe effective patient-centered timely efficient and equitable.

Although there are several different measurements NDNQI data is used in the process of attaining Magnet Recognition. Magnet Recognition is the highest honor a health care organization can receive for nursing excellence and high-quality patient care. The nurse-specific measures presented in the NDNQI help inform nursing staffs and their organizations of areas where nursing practices can be improved and where nursing practice efforts are producing positive clinical outcomes. Nurses must be directly involved in developing and implementing action plans based on the data presented by the NDNQI.

This week you will explore the importance of nurse empowerment in effecting change and how action plans are created based on the results of the NDNQI as presented on a dashboard. You will also consider how nurses advocate for patients rights even when that means supporting a patient whose personal choices may have negative health outcomes.

Learning Objectives

Students will:

Note:The Assignment related to these Learning Objectives is introduced this week and submitted in Week 5.
Photo Credit: [Eva Katalin Kondoros]/[iStock / Getty Images Plus]/Getty Images
Learning Resources

Note: To access this weeks required library resources please click on the link to the Course Readings List found in the Course Materials section of your Syllabus. Week 2 Discussion: Providing Genetic Nursing Care to Patients With Chronic Illnesses

Required Readings

Brown D. S. Aydin C. E. & Donaldson N. (2008). Quartile dashboards: Translating large data sets into performance improvement priorities. Journal of Healthcare Quality 30(6) 1830. doi: 10.1111/j.1945-1474.2008.tb01166.x
Note: You will access this article from the Walden Library databases.
Typically references should be within five to seven years of publication. However this publication is considered a classical research reference pertaining to quality improvement and the use of data sets.
Cole C. Wellard S. & Mummery J. (2014). Problematising autonomy and advocacy in nursing. Nursing Ethics 21(5) 576582. doi: 10.1177/0969733013511362

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

Garrard L. Boyle D. K. Simon M. Dunton N. & Gajewski B. (2016). Reliability and validity of the NDNQI injury falls measure. Western Journal of Nursing Research 38(1) 111128. doi: 10.1177/019394591454281
Note: You will access this article from the Walden Library databases.
Giancarlo C. Comparcini D. & Simonetti V. (2014). Workplace empowerment and nurses job satisfaction: A systematic literature review. Journal of Nursing Management 22(7) 855871. doi: 10.1111/jonm.12028
Note: You will access this article from the Walden Library databases.
Guglielmi C. L. Stratton M. Healy G. B. Shapiro D. Duffy W. J. Dean B. L. & Groah L. K. (2014). The growing role of patient engagement: Relationship-based care in a changing health care system. AORN 99(4) 517528. doi: 10.1016/j.aorn.2014.02.007

Note: You will access this article from the Walden Library databases.Nurs 4006 Week 3 Assignment Paper

Rock M. J. & Hoebeke R. (2014). Informed consent: Whose duty to inform? MEDSURG Nursing 23(3) 189194. Retrieved from

http://web.b.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=9&sid=273f009b-d8f5-4cd8-8f01-0973c944bcf7%40sessionmgr104&hid=107

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

American Hospital Association. (2003). The patient care partnership: Understanding expectations rights and responsibilities. Retrieved from http://www.aha.org/content/00-10/pcp_english_030730.pdf
Read through this document created by the American Hospital Association. This document was created for inpatient hospital stays. However it is applicable to other practice settings as well.
Montalvo I. (2007). The national database of nursing quality indicators. The Online Journal of Issues in Nursing 12(3). Retrieved from

http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No3Sept07/NursingQualityIndicators.html
Institute for Healthcare Improvement. (2016). Retrieved from http://www.ihi.org/Pages/default.aspx
The IHI offers numerous resources for improving nursing practice and patient care. Explore a variety of topics and examine some of the resources available.

National Quality Forum. (2016b). Retrieved from http://www.qualityforum.org/Home.aspx
The National Quality Forum (NQF) strives to improve patient safety and reduce medical errors. Explore the NQFs endorsed standards and consider how they apply to nursing practice.
Document: Dashboard Directions (Word document)
Document: Sample Dashboard (Excel spreadsheet)

Required Media

Laureate Education. (Producer). (2009a). Topics in clinical nursing: Accountability and nursing practice [Video file]. Baltimore MD: Author.
Note: The approximate length of this media piece is 15 minutes.

Discussion: Nurse/Patient Empowerment

As a nurse you are the individual who has the ability to empower patients in the decision-making process pertaining to their health care. In addition you are in a unique position to empower your nursing colleagues to improve job satisfaction and use performance indicator data from dashboards to effect social change.

In this weeks Learning Resources you examined both the National Database of Nursing Quality Indicators (NDNQI) and the key role nurses play as advocates for patient rights. To assist nurses in being better prepared for this role programs such as Patient Care Partnership provide guidance.
For this Discussion you will analyze the use of quality improvement data and discuss how this data can help empower both patients and nurses. Review the Patient Care Partnership information presented in this weeks Learning Resources. In addition reflect on the media presentation and the information shared by Ms. Manna on patients rights

By Day 3

Respond to the following:

Support your response with references from the professional nursing literature.
Note Initial Post:A 3-paragraph (at least 250350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills including the use of transitional material and organizational frames. Avoid quotes;paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence(usually 5 years old).