Nursing

To Prepare:

  • Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.
  • Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.
  • Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 3A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 3B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

impacts of foundational neuroscience on the prescription of pharmacotherapeutics.

 

Explore the potential impacts of foundational neuroscience on the prescription of pharmacotherapeutics.

1.Analyze the agonist-to-antagonist spectrum of action of psychopharmacologic agents

2.Compare the actions of g couple proteins to ion gated channels

3.Analyze the role of epigenetics in pharmacologic action

4.Analyze the impact of foundational neuroscience on the prescription of medications

References x 3 

week 3

 

Creating the Optimal Clinical Environment

Nurse educators are responsible for both didactic and clinical education. Much thought and planning goes into determining clinical content and clinical placements.  Before you can negotiate clinical partnerships, you must decide on the type of clinical experiences students need and where they can get them.  After completing this week’s reading, and reflecting on your experiences as a student, consider how an educator should go about making these kinds of decisions. 

Initial Post: Use these prompts to think about the topic and share your ideas.

  • How would things like active learning, action and reflection, and higher level thinking influence your decisions about student placement (i.e. where would you place new students vs. senior students and why)?
  • Scheduling students on the same floor for longer periods of time allows students to adjust and feel comfortable in the learning environment.  On the other hand, more frequent changes may provide a greater variety of clinical experiences.  As an educator, how do you choose?  Which do you prefer? Which do you think students prefer? Support your answers with information about best practices.
  • What balance of clinical observation vs. hands on care is optimal and why?
  • Who should have the greater role in guiding and supervising students on a clinical floor, the instructor or staff nurses/preceptors? How might this be negotiated/configured.

Nursing Theory Week 5

Using the criteria presented in week 2, critique the theory of Self-Efficacy using the internal and external criticism evaluation process, use three references

DISCUSSION ON PORTFOLIO

Please see the attached files and rubrics on the portfolio discussion response.

Capstone final draft

Please see the attachment for the instructions

ASSESSING MUSCULOSKELETAL PAIN

  

Case: A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved?

 How would you test for each of them? 

What other symptoms need to be explored? 

What are your differential diagnoses for acute low back pain?

 Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?

Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected  

Nursing

 Hello, this work is on Advanced Pathophysiology, it must have a minimum of 300 words and a bibliographic reference. The bibliography used on the topic is McCance, K. L. & Huether, S. E. (2019). Pathophysiology: the biological basis of diseases in adults and children. But you can use another one in addition to this one.  

 When highly acidic chyme enters the duodenum, which hormone stimulates the release of pancreatic secretions that contains very high bicarbonate ion content? Explain your answer.

a. Gastrin
b. Secretin
c. Cholecystokinin

d. Histamine

NURSING

Student Instructions for i-Human Virtual Simulation

NR325/NR330 Eva Smith


PURPOSE:

The following information is to be used in guiding your preparation and participation in the virtual simulation scenario for this course. This document will provide applicable course outcomes in preparation for your simulation.

SCENARIO OVERVIEW:

78-year-old female is being admitted to the neurology unit for observation and pain management.

LEARNER OBJECTIVES:

1. Define the components of a comprehensive nursing assessment. (CO1, 2)

2. Explain the approach for a comprehensive nursing assessment for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2)

3. Demonstrate an appropriate assessment for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2)

4. Distinguish between the treatment/interventions options for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2, 4, 6)

5. Recommend appropriate treatment/interventions for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2, 3, 4, )

6. Design an appropriate care plan for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2, 3, 4, 6)

STUDENT ROLES DURING SIMULATION:

You are the staff nurse at the hospital who will be conducting a comprehensive assessment. After completing your assessment, you are expected to document your findings as a nurses note in SBAR format.

KEY FEATURES OF i-HUMAN:

· As the nurse, you are expected to complete the case scenario using the following tabs: EHR, History, Physical, Nursing Notes, Summary

· There are required questions and/or additional information provided related to this case. The questions, information, and videos must be completed/reviewed prior to progressing to the next tab.

· Nursing Notes: At the end of the simulation, you will document your assessment findings using ISBAR.

CONFIDENTIALITY:

To preserve the educational value, integrity, and safety of the learning environment, you agree to maintain strict confidentiality about the proceedings of the simulation session, details of the training scenarios, and the performance of all participants. You acknowledge that this expectation aligns with the guidelines related to the Health Insurance Portability and Accountability Act (HIPAA) as well as laws governing Protected Health Information (PHI) in client care environments.  You will not view, discuss, share, record, or disclose any confidential information pertaining to the session. You understand that lapses in confidentiality are considered academic misconduct and could result in dismissal from the academic program. 

 

FICTION AGREEMENT:

You will suspend judgment of realism for any given simulation in exchange for the promise of learning new knowledge and skills, treating the simulated patients with the same care due an actual patient, act with a genuine desire to learn even when it may be difficult to do so.  

DUE DATE:

The virtual simulation must be completed during

Week 2
.

SIMULATION TIMING:

· Pre-simulation preparation: 30-60 minutes

· Pre-brief: 15 minutes

· Run Time: 2.75 hours

· Debriefing: 60 minutes

ASSESSMENT & EVALUATION

Faculty will utilize your participation measurements in the i-Human case, and debriefing discussions to identify areas of opportunity for enhancement of your clinical growth. Your experiences in i-Human will contribute to your overall completion of clinical requirements for the course as documented on the Clinical Learning Evaluation tool.

i-Human Evaluation – What does my total score mean?

A screenshot of a computer  Description automatically generated with medium confidence

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

To prepare for the simulation, you are
required to complete the pre-simulation questions below and submit this prework to the faculty via uploading your Word document in Canvas prior to the start of the virtual simulation. If you do not complete the pre-simulation questions and upload them, you will

not
be able to access or participate in the simulation.

1. Create a list of specific nursing interventions to perform when a patient is a fall risk.

2. Describe the components of a neurological assessment and the expected findings for a client with a subdural hematoma.

3. What clinical findings/cues would a nurse anticipate for a client with:

a. Worsening neurological cues

b. Improving neurological cues

**Immediately following the completion of the virtual simulation, you will complete the evaluation of the simulation using the link provided.

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