Response to disc 6

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PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

  • The Nursing Legislation and Advocacy page on the FNA website identifies 4-different ways for you to get involved with advocacy.  Discuss which way(s) you would most likely get involved with and why?

One way I would get involved with is by participating in the FNA advocacy days. Each Advocacy Days, nurses from across the state gather in Tallahassee during legislative sessions to learn about current legislative issues and specific bills that may affect their practice or the overall healthcare environment in Florida. This allows nurses to meet with legislators face to face. Nurses are able to voice their concerns and take part in helping shape the life of nurses. 

  • Find and peruse the Barbara Lumpkin Toolkit (BLT).  What are your thoughts about the information provided in the toolkit and what did you learn that you didn’t know before?

The Barbara Lumpkin Toolkit is a resource that can be used by nurses to speak to legislators. The toolkit discusses ways for nurses to get in contact with legislators as well as offering tips on how to do so. The BLT also details the correct way to communicate nursing concerns to legislators. Something I didn’t know is that it would be more helpful to communicate with new legislators than legislators who have a lot of experience. As new legislators could be more sympathetic to our concerns then experienced ones would. 

  • The Florida Keys community experiences unique healthcare needs.  Identify 1-healthcare issues or trends you would consider advocating for that would have an impact on nursing in the Florida Keys.  Based on the BLT how would you go about advocating for the healthcare issue?

In the Florida Keys there is a critical nursing shortage. Leading to higher nurse-patient ratios that are unsafe. Per BLT to advocate for safe nurse-patient ratios I would make a list of the media in the Florida Keys. In the Keys news travels very quickly. An advantage we have is that Key West is a fairly small town and alot of people know each other. If we use the correct media tools we can recruit nurses while also providing benefits, higher pay, and different incentives to retain our staff. If this does not work, writing letters and using other ways of getting in contact with legislators to decrease the turnover and patient-nurse ratios can be also helpful. As well as joining the Advocacy Days to advocate for a safe work environment.

Florida Nurses Association. Barbara Lumpkin Institute. (n.d.). https://www.floridanurse.org/Links to an external site.  

Discussion

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  1. What was your biggest “take away” from any/all of the simulations?
  2. What did you find most challenging from the simulations? 
  3. How is what you learned from the assignments applicable to the medical field?
  4. Give examples of how such knowledge can affect your direct patient care. 

nurse discussion post

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What are the challenges associated with diagnosing and managing sexually transmitted urogenital infections, particularly in the context of asymptomatic infections or delayed presentation? How can nurse practitioners support timely and accurate diagnosis and treatment? 

WORKPLACE ENVIRONMENT ASSESSMENT

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Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review the Work Environment Assessment Template*.
  • Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
  • Select and review one or more of the following articles found in the Resources:
    • Clark, Olender, Cardoni, and Kenski (2011)
    • Clark (2018)
    • Clark (2015)
    • Griffin and Clark (2014)

*Template completed in the Week 7 discussion should not be submitted with this assignment.

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

  • Review the Work Environment Assessment Template you completed for this Module’s Discussion.
  • Describe the results of the Work Environment Assessment you completed on your workplace.
  • Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
  • Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

  • Briefly describe the theory or concept presented in the article(s) you selected.
  • Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
  • Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

  • Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
  • Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

FOCUSED SOAP NOTE AND PATIENT CASE PRESENTATION,

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Respond at least 2 times each . The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to 1 of the 3 discussion prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.

TTB peers response

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Please add reference and send it as soon as possible 

WRITTEN PHILOSOPHY OF NURSING PRACTICE

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  • Reflect on your philosophy of nursing practice that you have been developing.
  • Review the middle range nursing theories that you have applied to your philosophy of nursing practice and make any necessary refinements in your thinking and explanations.
  • Consider how the interdisciplinary theory you researched  can further inform your philosophy of nursing practice. 

Complete your written philosophy of nursing practice in a Essa y of 3–5 pages, plus cover page, introduction, summary and references page.

Discussion questions

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Discussion Questions:

1. Because the patient’s reported hallucinations are not persecutory, as a clinician, what medications would you start with?

2. What treatments (pharmacological and non-pharmacological) are most effective for patients with extensive trauma history?

3. What symptoms could be co-occurring in relation to PTSD vs schizophrenia for this patient?

4. Define Schizophrenia and the symptoms related to schizophrenia?

Must have 2-3 reference for each questions listed above

Discussion

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Preparing the Discussion

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient's chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you. 

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety. 

Case Study Responses: 

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based on the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members: 

· Medical assistant

· Nurse Practitioner

· Medical Director

· Practice

2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes? 

3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.

4. A scholarly resource must be used for EACH discussion question each week.