Respond to two of your colleagues by providing an additional scholarly resource that supports or challenges their position, along with a brief explanation of the resource.
APA format
In APA format and at least three pages, answer the following questions:
What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
In your opinion, what part does intuition play in clinical judgment? How do you think you'll be able to develop nursing intuition?
Post an explanation of how you anticipate enacting personal and professional commitment for advocacy to positively impact your patients, communities, and the profession. Be specific. Then, explain how your role as a DNP-prepared nurse contributes to advocacy for positive social change.
1.
My personal and professional commitment to advocacy includes both short and long-term goals within the nursing profession. From a professional standpoint, I am afforded the opportunity to offer input on ways to continuously improve the patient care experience and care delivery. Providing feedback offered directly from patients as well as discussing barriers I experience as a prescriber, including but not limited to coordination with other members of the care team or barriers within technology, will be at the forefront. Openly discussing setbacks provides the opportunity to brainstorm improvements, ultimately improving patient care outcomes.
Personal commitments to the nursing profession and patient advocacy include the accountability to remaining current within my knowledge of medications and therapies available to treat the mental health population. The formal education provided within the Doctor of Nursing practice (DNP) program provides the structure and skills needed to employ within professional practice. These skills ensuring that the DNP is seeking out and utilizing quality, evidence-based measures to treat patients with interventions supported by adequate science and research (American Association of Colleges of Nursing, 2006). Networking with other mental health professionals both within the nursing field and in other capacities will also expand and enact my commitment to patient advocacy and social change. Learning from other professionals, hearing their perspectives on current events, and in exchange offering my perspective will offer a broad view of treatment approaches and current topics (Hann et al., 2020).
The Doctor of Nursing as a Social Change Agent
As a DNP, I would like to employ my skills as a social change agent by engaging in educational opportunities within the mental health community, driven by research opportunities. Engaging in the research that guides evidence-based practices improves outcomes for the millions of patients impacted by care delivery and would exercise the practice-based research skills formed in DNP education (Iwama et al., 2023). Utilizing the terminal DNP degree to its utmost while continuing to engage in patient care would combine the aspects I found most rewarding of my MSN-PMHNP career and the completion of the DNP program. Advocating for improved treatment measures within the mental health community, as well as for increased access to appropriate care and diagnostic assessments, are all ways in which I would like to engage in DNP research opportunities. Providing education, facts, and data related to how patients are impacted by lack of access to specialized psychiatric care due to barriers such as telehealth restrictions and lack of full practice authority for nurse practitioners will continue to increase awareness of these topics and lobby for change. The DNP offers specialized insight into these topics as a professional working not only for but within the field, and holds significant weight when discussing these topics with both other professionals as well as non-professionals.
References
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf
Hann, K., Heather Pearson, Campbell, D., Sesay, D., & Eaton, J. (2020). Factors for success in mental health advocacy. Global Health Action, 8(0), 1–9. https://doi.org/10.3402/gha.v8.28791
Iwama, K., Travis, A., Nowlin, S., Souffront, K., Finlayson, C., Gorbenko, K., & Cohen, B. (2023). Barriers, facilitators, and opportunities for Doctor of Nursing Practice engagement in translational research. Nursing Outlook, 71(5). https://doi.org/10.1016/j.outlook.2023.102031In the nursing profession, advocating for our patients is something that is deeply ingrained in us. One of the five key areas of the social determinants of health is access to healthcare (Centers for Disease Control and Prevention, 2021). Unfortunately, approximately one in ten patients do not have health insurance (Berchick et al., 2018). In the field of mental health, we often see patients who are too disorganized to navigate the health insurance system and experience lapses in insurance. In Massachusetts, we are required to abide by the Expedited Psychiatric Inpatient Admissions (EPIA) Policy, which mandates that “no individual boarding in an ED waiting placement in a psychiatric hospital will wait more than 96 hours before Department of Mental Health has been notified, regardless of whether the individual is uninsured or has coverage not regulated by Division of Insurance” (Executive Office of Health and Human Services, 2023). The pressure to decompress emergency rooms and move psychiatric patients out as quickly as possible means that we often receive patients who are uninsured. In order to help our patients get the services they need, nurses and social workers assist our patients in taking the necessary steps to obtain health insurance. This often means lengthy phone wait times on phone calls, but as advocates, we do what is necessary to ensure positive outcomes for our patients.
Advocacy in my Community
As an agent of positive change, I will advocate at the community level for residents who suffer from mental illness. In spite of the “growing recognition of the burden associated with mental illnesses and the availability of cost-effective treatments, they are not yet afforded the same policy or program priority as comparably disabling physical conditions” (Stuart, 2017). I aim to increase access to mental health services by expanding my organization’s service lines to include outpatient services for mental health and substance use disorders. In order to gain buy-in from the community, I plan to attend town meetings to advocate for increased services as well as partnering with local Emergency Departments to educate them about the mental health services that my organization offers. I plan to seek meetings with local politicians to advocate that resources be invested into increasing services for mental health and substance use disorder services.
Advocacy in my Profession
According to a recent survey conducted by the American Psychiatric Nurses Association (APNA), “only 4% of licensed registered nurses (RNs) work in psychiatric-mental health, If that percentage is still consistent, then there are approximately 154,000 RNs working in psychiatric-mental health, which is not nearly enough to meet the demand” (APNA, 2018). As a doctorally prepared nurse, it is critical that I take steps now to increase the number of nurses who specialize in mental health. I aim to do this on the local level by partnering with local nursing schools to invite them into my organization for their psychiatric clinical rotations. Additionally, I will attend local universities’ career fairs so that I can provide information to nursing students about the advantages of working in the field of mental health.
Advocacy and Social Change
As a doctorally prepared nurse, I aim to help close the gaps in the inequities of access in the field of mental health. To do so, I must first identify opportunities to advocate for my own patients by assisting them in obtaining health insurance so that they are able to have access to outpatient services. At the community level, I aim to increase access to mental health services by expanding my organization’s service lines to include more outpatient services for psychiatry and substance use disorders. With regard to the profession of nursing, specifically psychiatric nursing, it is imperative that I identify ways to increase interest for newly graduated RNs to join the field by promoting the field at local nursing schools. By acting as an advocate on all three levels, I will be able to effect positive social change in the field of psychiatric nursing.
References
American Psychiatric Nurses Association. (2018). Report on the APNA National Psychiatric Mental Health Advanced Practice Registered Nurse Survey. https://journals.sagepub.com/doi/abs/10.1177/1078390318777873?journalCode=japa
Berchick, E.R., Hood, E., & Barnett, J.C. (2018). Health Insurance Coverage in the United States: 2017. Retrieved from https://www.census.gov/content/dam/Census/library/publications/2018/demo/p60-264.pdfLinks to an external site. [PDF – 1.4 MB]
Centers for Disease Control and Prevention. (2021). Social determinants of health: Know what affects health. https://www.cdc.gov/socialdeterminants/index.htmLinks to an external site.
Executive Office of Health and Human Services. (2023). Expedited Psychiatric Inpatient Admissions (EPIA) Policy. https://www.mass.gov/info-details/expedited-psychiatric-inpatient-admissions-epia-policyLinks to an external site.
Stuart, H. (2017). Reducing the Stigma of Mental Illness. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5314742/
2.
My personal and professional commitment to advocacy includes both short and long-term goals within the nursing profession. From a professional standpoint, I am afforded the opportunity to offer input on ways to continuously improve the patient care experience and care delivery. Providing feedback offered directly from patients as well as discussing barriers I experience as a prescriber, including but not limited to coordination with other members of the care team or barriers within technology, will be at the forefront. Openly discussing setbacks provides the opportunity to brainstorm improvements, ultimately improving patient care outcomes.
Personal commitments to the nursing profession and patient advocacy include the accountability to remaining current within my knowledge of medications and therapies available to treat the mental health population. The formal education provided within the Doctor of Nursing practice (DNP) program provides the structure and skills needed to employ within professional practice. These skills ensuring that the DNP is seeking out and utilizing quality, evidence-based measures to treat patients with interventions supported by adequate science and research (American Association of Colleges of Nursing, 2006). Networking with other mental health professionals both within the nursing field and in other capacities will also expand and enact my commitment to patient advocacy and social change. Learning from other professionals, hearing their perspectives on current events, and in exchange offering my perspective will offer a broad view of treatment approaches and current topics (Hann et al., 2020).
The Doctor of Nursing as a Social Change Agent
As a DNP, I would like to employ my skills as a social change agent by engaging in educational opportunities within the mental health community, driven by research opportunities. Engaging in the research that guides evidence-based practices improves outcomes for the millions of patients impacted by care delivery and would exercise the practice-based research skills formed in DNP education (Iwama et al., 2023). Utilizing the terminal DNP degree to its utmost while continuing to engage in patient care would combine the aspects I found most rewarding of my MSN-PMHNP career and the completion of the DNP program. Advocating for improved treatment measures within the mental health community, as well as for increased access to appropriate care and diagnostic assessments, are all ways in which I would like to engage in DNP research opportunities. Providing education, facts, and data related to how patients are impacted by lack of access to specialized psychiatric care due to barriers such as telehealth restrictions and lack of full practice authority for nurse practitioners will continue to increase awareness of these topics and lobby for change. The DNP offers specialized insight into these topics as a professional working not only for but within the field, and holds significant weight when discussing these topics with both other professionals as well as non-professionals.
References
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf
Hann, K., Heather Pearson, Campbell, D., Sesay, D., & Eaton, J. (2020). Factors for success in mental health advocacy. Global Health Action, 8(0), 1–9. https://doi.org/10.3402/gha.v8.28791
Iwama, K., Travis, A., Nowlin, S., Souffront, K., Finlayson, C., Gorbenko, K., & Cohen, B. (2023). Barriers, facilitators, and opportunities for Doctor of Nursing Practice engagement in translational research. Nursing Outlook, 71(5). https://doi.org/10.1016/j.outlook.2023.102031
Anemia and clotting disorders are common features of alcoholic liver disease. What are the mechanisms that cause these hematologic disorders?
LEARNING ONLINE
Last week you provided an overview of each nurse theorist/and or nursing theory that you have chosen.
This week, please expand upon your initial post by describing a situation from your experiences in nursing in which you would apply your particular nursing theories.
To be clear, you will describe a situation in detail and then apply each of your nursing theory(ies) to that situation separately.
Be sure to pick and example that clearly illustrates the strength of each nursing theory in application to either nursing practice, nursing research, nursing education, or nursing administration.
Describe why the classification of each theory is appropriate for the situation you have described.
Compare and contrast the the usefulness of each of your theories to this particular situation.
Be sure to use appropriate APA citation and when responding to your peers, begin with addressing them personally and end your response posting with your name.
Guidelines for Weekly Discussion Postings/ Discussion Participation: The online discussions will provide opportunities to explore different topics, share what you are learning with your classmates, and gain clarity about the course content. Your discussion responses should demonstrate critical thinking skills and your responses should be thoughtful and promote respectful discourse with the other students in the class. The rules of common courtesy are to be followed (e.g., one voice speaks at a time, polite debate occurs, and all opinions are honored). In order for an online discussion assignment to be considered complete, the student must effectively and adequately cover the assigned topic, reference the course text and other sources with appropriate APA citations, meet the 400 word minimum, the responses to classmates must be developed in a manner that furthers the conversation and learning, the spelling, grammar, and writing must be appropriate, and the online discussion assignment must be submitted on time. Interactions should be thorough, thoughtful and facilitate the learning community’s growth. Discussions will be reviewed on a weekly basis. Contribution toward the course grade total will be based on the pattern of demonstrating these characteristics. Please remember, initial posts should be submitted by deadline.
Based on your clinical practice area and location. What are some of the greatest cultural issues and trends that are frequently encountered? How do we as professional nurses rise to these challenges? Provide examples of cultural recognition and potential health-related issues while implementing evidence-based standards of care.
Describe trends in telehealth and its impact on nursing practice and patient care.
Requires a minimum of two references:
1) one from a peer-reviewed NURSING journal (less than five years old) and
2) one from the course textbook.
Additional peer-reviewed journal articles and professional, governmental, or educational organizations websites (.org, .gov, or .edu) may be used as supplemental references.
The maximum number of references is three.
Jasmine Bevel
Friday Sep 15 at 8:25pm
week 3
Some benefits of disruptive behaviors are that it can bring awareness to social injustices and human rights violations. Disruptive behaviors can draw media attention, bring about awareness, and force people to engage in dialogue about important social movements. There are negative consequences to disruptive behaviors. Violence is never encouraged, but when gathering in large groups things can quickly get out of hand and result in serious injury and even death. Unfortunately, some of the protesters are not participating in the demonstrations to support the cause but may see the gathering as an opportunity to vandalize, loot and destroy property.
The first amendment states that “if a person’s comments disrupt a public meeting to a great degree, then the “rights of other members of the public” are affected and impede the legislative body from continuing its work on behalf of the public.” (St. Clair, 2022). Therefore, it is highly frowned upon and in the mist of these protest and other acts of disruptive behaviors can lead to lawful consequences.
The March on Washington for Jobs and Freedom is a great example of a benefit of disruptive behaviors. The March on Washington pressured the John F. Kennedy administration to initiate strong federal civil rights bill in Congress. Became of this massive demonstration the Civil Rights Act of 1964 and the Voting Rights Act of 1965 was implemented.
19, F., | by Nadra Nittle, Nittle, N., Feinberg, M., Willer, R., & Kovacheff, C. (2021, February 19).
The activist’s dilemma. Stanford Graduate School of Business.
https://www.gsb.stanford.edu/insights/activists-dilemma#:~:text=Vandalizing%20property.,that%20can%20act%20on%20them
Acedessays. (2023, September 11).
The benefits of disruptive behaviors in social movements. Medium.
https://medium.com/@theblaster2221/the-benefits-of-disruptive-behaviors-in-social-movements-c018c9100e13
Katy St. Clair, B. C. N. (2022, October 4).
California’s open meeting law treads fine line between free speech and disruptive behavior. Local News Matters.
https://localnewsmatters.org/2022/09/15/californias-open-meeting-law-treads-fine-line-between-free-speech-and-disruptive-behavior/#:~:text=The%20law%20acknowledges%20the%20First,on%20behalf%20of%20the%20public
Our homework help online service is a great solution not only for international students but also for those who value their money! Instead of handling everything on your own, you are to simply press “do my homework” button on the website and get professional help.
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