NR 390 Week 2 Discussion Recent

NR 390 Week 2 Discussion Recent

NR 390 Week 2 Discussion Recent

Week 2 Practices from the Past

Catherine McAuley’s philosophy of careful nursing was applicable in pre-Nightingale times and is applicable today. Select one of the 10 key concepts of the philosophy of careful nursing and describe how it might have been applied in McAuley’s time and how it might be applied in your professional nursing practice today

After reading about Florence Nightingale, I have to admit that I did not know the extensive contributions she made to nursing, such as with being a researcher, statistician, teacher, opening a school, paving the way for women to be recognized in a profession, an advocate, initiating nursing practices, and professing the attributes that a nurse should possess.

One of Florence Nightingale’s areas of leadership that I did not expect to read about, is in being a statistician.  I read about her being from an upper-class family, and that she was good in math in writing, so maybe I should not be so surprised, as she did receive an education.  Being the first nurse to accomplish many firsts, Nightingale collected data and statistically analyzed it.  This way she could vindicate treatment and policy changes to improve the outcome of patients.  (Judd & Sitzman, 2014).  There were no nursing rules and procedures to follow before Florence Nightingale’s time, so with Nightingale’s statistical analysis expertise, she was paving the way for effective patient care.  Today, with the nursing process, we implement and evaluate treatment, in hopes of improving patient outcomes with evidence-based practices.  Although Florence Nightingale did not know it, she was using a form of evidence-based practices with her medical statistical analyses.   

Nightingale also used statistical analysis with the building of her hospital, modernization of nursing, sanitary improvements, surgical operations, and in advising governments on Army health reform.  (Aravind & Chung, 2010).  With the building of her hospital, illnesses, ages, and the set up of wards were analyzed, to name some.  Florence Nightingale was always concerned with cleanliness and sanitation, and her statistical analysis justified the importance.  In surgical operations, Nightingale was looking at outcomes and hospital expenditures.  These factors are still important today.  Today, in building a hospital, units are set up and even rooms are designed for ergonomics and efficiency.  Cleanliness and sanitation are still priorities that are provided in patient care.  Hospital expenditures are always under scrutiny.  And of course, positive surgical outcomes are always a goal.

I never knew of all the contributions that Florence Nightingale contributed to the nursing profession.  I have respect for all that she did in paving the way for nurses then and today.  Nightingale proved her dedication to nursing with being involved in all aspects of nursing.  I am glad she investigated patient data and used statistics to evaluate what improves patient’s outcomes (what we now call today, evidence-based practices).  Using statistical analyses proves that she was a forward thinker.    Florence Nightingale made sure that she covered everything involved with nursing, such as in providing nursing care, improving patient outcomes, and making nursing a respectable profession. 

References

Aravind, M., & Chung, K. C. (2010). Evidence-based medicine and hospital reform: tracing origins back to Florence Nightingale. Plastic and reconstructive surgery, 125(1), 403–409. https://doi.org/10.1097/PRS.0b013e3181c2bb89Links to an external site.

Judd, D., & Sitzman, K.  (2014).  A history of American nursing.  Trends and eras.  Second Edition. 

One big thing that is focused heavily on at my SNF’s is the prevention of bedsores, as well as prevention of constipation. As the nursing supervisor, one of the things that I have to get out to all my nurses is a list of residents who haven’t had a bowel movement in 2-3 days, and the nurses are responsible to turn into me, by the end of their shift, what they did or didn’t do, the rationale, and if the resident had a bowel movement during their shift. While I thought, why is this so critically important to my daily tasks, we have had residents pass away from preventable disease process from not having bowel movements! It is something that is easily missed, and residents can go 5-6, even more, days without having an adequate bowel movement. This is truly important as many residents are on g-tube feedings, and any back up in the intestines can lead to pressure on the stomach, regurgitation of formula or food, aspiration, and complications such as bowel obstruction and bowel rupture. We have seen huge improvements in general wellbeing, appetites, as well as ensuring our residents are having bowel movements since we started this process. Being able to evaluate the charts before and after starting this task for the nursing supervisor, we have seen huge improvements with many factors in our residents. Honestly, if I have to take a few moments in my first 30 minutes of being at work to get this paperwork to my nurses, but am seeing less illness, less hospital trips and stays, as well as overall wellbeing for my residents, it’s well worth my time! 

APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

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☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.

☐The title page is present. APA format is applied correctly. There are no errors.

☐ The introduction is present. APA format is applied correctly. There are no errors.

☐ Topic is well defined.

☐ Strong thesis statement is included in the introduction of the paper.

☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.

☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.

☐ All sources are cited. APA style and format are correctly applied and are free from error.

NR 390 Week 2 Discussion Recent

☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.

Scholarly Resources:Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

Examples of Scholarly Resources include:Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

Peer-Reviewed Journals:Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.

Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.

Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStormto check your writing.

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 1 is worth 100 points of this total.

Due Date

Submit your completed NR390 Milestone 1 to its Dropbox by Sunday at 11:59 p.m. MT at the end of Week 1.

Requirements and Guidelines

1. Nursing history is being made today by exemplary nurses throughout the world. Select one registered nurse who is creating nursing history to be the subject of this project. This RN must have at least 15 years of RN licensure. The nurse could be a family member, friend, colleague, acquaintance, manager, former instructor, or other nurse who is creating, delivering, or influencing the practice of nursing in your area. Do not select a former or current patient. Remember that a nurse does not have to create a nursing theory, write textbooks, or be the head of a nursing organization to make nursing history. The chief nurse executive who manages to deliver quality care in a small rural hospital with a tiny budget has a story worth telling. The nurse who served in the military has a story that is important to document as nursing history. The staff nurse who consistently provides high-quality care is making history. History is not merely the major accomplishments or events, but includes the activities nurses everywhere do in their nursing lives. Milestone 1 is due at the end of Week 1.
2. Clearly explain to the selected nurse that statements made in the interview will be recorded (audio, video, and/or written) and submitted to instructor. The interview is not intended for public access.
3. Obtain permission from the selected nurse to participate in an interview about his or her
   1. memories of nursing and nursing education;
   2. contributions to nursing; and
   3. persons or events that have influenced his or her nursing practice.
4. Carefully review the Milestone 1 Grading Criteria and Grading Rubric. Complete only Milestone 1 requirements at this time.
5. Download the Milestone 1 Template. Save it to your computer in Microsoft Word 2010 (or later) as a .docx file with the file name Your Last Name Milestone 1.docx. Type directly on your saved Milestone 1 Template. Submit your completed Milestone 1 as instructed by Sunday of Week 1.
6. NOTE: Do not complete the interview at this time.

Grading Criteria

Category	Points	%	Description
Name of Selected Nurse	15	15%	Provides first and last name of selected nurse with credentials.
Years Selected Nurse Has Been an RN	15	15%	States the number of years the selected nurse has been an RN. Nurse must have held an RN license for at least 15 years.
Your Relationship With Selected Nurse	25	25%	Describes details of your relationship with the selected nurse.
Why You Selected This Nurse	45	45%	Explains details of why the selected nurse is making nursing history and was chosen as the subject of this Course Project.
Total	100 points	100%

Grading Rubric

Assignment Criteria	A (100%)  Exceptional   Outstanding or highest level of performance	B (88%)  Exceeds   Very good or high level of performance	C (80%)  Meets   Competent or satisfactory level of performance	NI (38%)  Needs Improvement Poor or failing level of performance	F (0%)  Developing   Unsatisfactory level of performance
Name of Selected Nurse  15 points	States first and last name of the selected nurse and credentials (example, BSN, RN, FNP, etc.). Explains the meaning for each credential (example, RN is registered nurse).  15 points ☐	States first and last name of the selected nurse and credentials but with no explanation for the credentials.  13 points ☐	States first AND last name of the selected nurse.  12 points ☐	State first OR last name of the selected nurse.  6 points ☐	Does not state names or credentials of the selected nurse.  0 points ☐
Years Selected Nurse Has Been an RN  15 points	Selects a nurse who has been an RN for at least 15. States specific number of years the selected nurse has been an RN.  15 points ☐	Selects a nurse who has been employed for at least 15 years, but not necessarily as an RN. States specific number of years selected nurse has been employed.  13 points ☐	States incorrectly the number of years selected nurse has been an RN. 12 points ☐	Selects a nurse who has less than 15 years of experience as an RN.  6 points ☐	Does not state years the selected nurse has been an RN.  0 points ☐
Your Relationship With Selected Nurse  25 points	Clearly identifies the relationship of student to the selected nurse with details of length of relationship and circumstances.  25 points ☐	Mostly identifies the relationship of student to the selected nurse but generally describes the length of the relationship and/or the circumstances.  22 points ☐	Somewhat identifies relationship of student to the selected nurse but provides few details of the length of the relationship or the circumstances.  20 points ☐	Minimally identifies the relationship of student to the selected nurse and provides minimal details about the relationship.  10 points ☐	Does not clearly identify relationship of student to selected nurse and/or length of the relationship.  0 points ☐
Why You Selected This Nurse  45 points	Clearly explains details about why this nurse was selected.  45 points ☐	Mostly explains details about why this nurse was selected.  40 points ☐	Somewhat explains details about why this nurse was selected.  36 points ☐	Minimally explains details about why this nurse was selected.  17 points ☐	No information provided as to why this nurse was selected.  0 points ☐
Total Points Possible = 100 points