Discussion: Nursing History NR 390

Discussion: Nursing History NR 390

Discussion: Nursing History NR 390

Week 6 Course Project Milestone 3

Course Project Milestone 3 (graded)

Oh man do I have a great example of how my nursing education affected a patient’s healthcare decisions! At one of my SNF’s, there was an older gentleman who came to us with second-degree renal failure, moderate liver failure, COPD, and risk for diabetes. One day, while doing rounds, there was a very strong smell of marijuana down one of the hallways, and it was brought to my attention by multiple staff and patients. At this point, I had a good relationship with the suspected patients, as there were 2 people staying in the room where the odor was coming from. I went into the room, and point-blank asked – “who’s is it? I don’t care that you have it, that you smoke it, or whatever excuse you are going to give me to cover this up.” Of course, the suspected patient owned up flushed it in front of me, and it was never an issue again (at the facility). I started to notice that this patient would go out nearly every day, and come back just a little too happy, if you know what I mean.

As this was a little more than I felt comfortable to handle, I brought it up to my superiors and it was decided that every time this patient went out, he would be immediately tested for any drugs of abuse and alcohol – or they were at risk of losing their residency within our facility. This patient pulled me aside and asked me, “why y’all being so harsh. It’s just some beer and weed with friends”. I told him that after my shift was over, I would spend some time talking with him about why these behaviors are so risky, and unacceptable at our, or any, SNF. What he chose to do in his own home was on him, but these behaviors were strictly forbidden during his stay with us. After the shift change, I kept my promise. I explained to the patient all the current health issues were worsening with the use of drugs and alcohol, and how it was negatively affecting their health. We went to the patio, where no one could hear us but I was still in sight of another nurse. I spent probably an hour with this patient, dumbing medical terms down to everyday English so that this patient could understand why we were so strict.

The patient complied, actually reversed a lot of liver and kidney damage, and was able to come off oxygen once he was discharged some weeks later. They came back to the facility a few weeks after discharge and asked for me. The patient explained that no one had ever taken the time to explain why behaviors such as drinking a few beers with the crew and taking a few hits of pot could be so dangerous to the body. The patient had returned to tell me that they had just had the best checkup in years. Liver, and kidneys continuing to recover – and that since the day I took the time to sit down with them – they hadn’t even touched a cigarette. While it may be a time-consuming process, sometimes a little bit of humanity to our patients can truly make a huge difference. I know beyond any doubt that my time that day probably gave this patient years on their life – and so did they. 

Purpose

To apply lessons in nursing history to living nurses contributing to nursing history through an interview and recording of historical information.

Course Outcomes

The Course Project enables the student to meet the following Course Outcomes.

CO 1. Incorporate appropriate historical perspectives into current professional nursing practice. (PO #2)

CO 4. Compare current professional nursing practice roles with historical roles of the nurse. (PO #7)

Points

The entire project is worth 600 points. Milestone 3 is worth 300 points of this total.

Due Date

Submit your completed NR390 Milestone 3 by the end of Week 6 at 11:59 p.m. MT.

Requirements and Guidelines

If submission method is written (typed in the template), do the following.

Download the Milestone 3 Template (Links to an external site.) Links to an external site..
The interview must take place in a face-to-face or phone conversation only. E-mail interview or asking the nurse to complete a written or typed interview is not permitted.
Download the Milestone 3 Template. Save it to your computer in Microsoft Word 2010 (or later) as a .docx file with the file name: Your Last Name Milestone 3.docx.
Carefully review the assigned areas for Milestone 3and type directly on your saved Milestone 3 Template.
Use your instructor’s feedback from Milestone 2 to revise your questions prior to the interview.
Submit your completed Milestone 3 Template by Sunday at the end of Week 6.
If submission method is audio or audio-video:

The recording should be approximately 8 to12 minutes.

The interview must take place in a face-to-face or phone conversation only. E-mail interview or asking the nurse to complete a written or typed interview is not permitted.

Edit the recording as needed prior to submission.

The audio or AV file must be able to be submitted to the course, and subsequently downloaded by the instructor for scoring. If it cannot be attached or downloaded, you will need to submit your Milestone 3 by typing on the Milestone 3 Template (Links to an external site.)Links to an external site..

Instructors are not able to provide advice or technical support regarding recordings. Submission of a recording is NOT required.

Use your instructor’s feedback from Milestone 2 to revise your questions prior to the interview.

Submit your completed Milestone 3 to the Dropbox by Sunday at end of Week 6.

NOTE: Only one Milestone 3 file is accepted. If you choose to use audio or AV, all parts of Milestone 3 must be on that recording. Do not submit additional files.

Course Project Milestone 3 Template

Prior to completing this template, carefully review Course Project Milestone 3 Guidelines paying particular attention to how to name the document and all rubric requirements. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 6 by 11:59 p.m.MT.

StudentName:_____

Assignment Criteria
Introduction:
Student Introduction and Statement of Purpose (30 points)
Nurse Introduction (30 points)
Nurse States Verbal Permission for Interview and Submission (30 points)
Questions and Answers:
Primary Question #1:
Follow-up a.
Follow-up b.
Primary Question #2:
Follow-up a.
Follow-up b.
Primary Question #3:
Follow-up a.
Follow-up b.
Primary Question #4:
Follow-up a.
Follow-up b.
Primary Question #5:
Follow-up a.
Follow-up b.
Conclusion:
Gratitude (20 points)
Learning (20 points)
Total Points Possible=300

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6^th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me:
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.