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Gallup Response 1

Paper details Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives. Some references in the Learning Resources are outdated. Therefore, when selecting articles for course assignments, you are advised (unless you are referencing seminal information) to focus on work published within the past five years.Per the APA manual 7th edition, do not include “Retrieved from.” in the Reference list. The words “Retrieved from” or “Accessed from” or “Available from” are no longer necessary before a URL
TWO DIFFERENT SOURCES EACH.

Gallup Response 1

Paper details Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives. Some references in the Learning Resources are outdated. Therefore, when selecting articles for course assignments, you are advised (unless you are referencing seminal information) to focus on work published within the past five years.Per the APA manual 7th edition, do not include “Retrieved from.” in the Reference list. The words “Retrieved from” or “Accessed from” or “Available from” are no longer necessary before a URL
TWO DIFFERENT SOURCES EACH.

Regulatory issues that affect patient privacy

Paper details You are working in a health care setting that is adopting an electronic health record system to replace paper medical records. The nurse manager has asked a group of the nurses to train all staff on the regulatory issues that affect patient privacy and confidentiality related to the new system. You have used computers to complete medical records at another facility, so you are going to be conducting this training and preparing a summary paper on the topic for your colleagues.

Write a 2-page paper on the following:

Identify 1 regulation that affects the use of health care information.
Write a paper discussing all of the following:
The history of the regulation (why or how it came into being)
The effect of the regulation on the behaviors and actions of nurses
The effect of the regulation on the delivery of health care
Include at least 2 references no less than 5 years old (x1 Scholarly resource)
Format the paper in APA style.

Discussion 8

Paper details Respond to the following 3 discussions individually.

1. The unique purpose of nursing is to safeguard public health through holistic patient care and patient advocacy. As a discipline, nursing is comprised of both an art and science. Nurses generally have a reputation for compassion and artfully express loving care when working with patients. Additionally, the nursing profession continually evolves as science regarding health and human beings advance. Nurses must adapt to a changing environment and, as a result, they receive a breadth of scientific knowledge in several medical disciplines in order to effectively lead the public towards better health (American Nurses Association, 2021).

A patient’s health care journey across the lifespan can be a complicated path to navigate. There are medical diagnoses, surgical procedures, outpatient therapies and palliative/hospice care services to consider; all of which can be overwhelming and burdensome. This is when the unique purpose of a nurse is highlighted and the art and science of nursing comes into play. As Watson states, “using caring philosophy and science as a lens for reflective caring practice brings wholeness to disharmony and makes sense of the broader landscape (as it relates to one’s healthcare journey)” (Alligood, 2014, p. 108). Nurses implement nursing theories according to the metaparadigm concepts of nursing (human being, health, nursing, and environment) and by viewing the patient holistically wherein the body, mind, and soul are interrelated (Alligood, 2014, p. 103). Care plans are created based on holistic care which ensures nurses are keeping the patient at the center of their care; and evidence based research provides best practices to alleviate risk of harm to the patient. Furthermore, nurses become patient advocates by acting as a liaison between the patient and other members of the multidisciplinary team. The unique role of nursing is the stitch that binds together the fabric of our healthcare system. Nurses provide scientific based care by viewing the patient holistically and implementing an intentional caring practice centered around connectedness and self-healing (Alligood, 2014, p. 109).

2. The profession of nursing is one that has never been duplicated. The roles of the nurse have expanded and become more complex. The purpose of nursing is one that is unique because it is the synthesis of many other other disciplines. Alligood (2014) explains that nursing is a culmination of art and science and that organized thoughts and actions in practice are vital to the nature of the profession. Nurses are required to have general knowledge about first aid, dietary, occupational, physical and speech therapies, psychology as well as demonstrate a level of emotional support to all their patients and families. In addition, nurses must also be able to apply specific knowledge in the area of nursing in which they practice. According to Alligood (2014), one standard that has been sustained is one that specifies that nursing practice be guided by a body of specialized knowledge. Every other profession has a specialty that they focus on. Nursing, however, requires an extensive amount knowledge from many different disciplines as well as specialized knowledge in the areas they work in. Not only is the required knowledge unique, but the fact that these best practices have been influenced and guided by unique nursing theories. Nursing does not rely purely on theories from other disciplines but from theories that are specific to nurses.

Many theoretical frameworks support this unique purpose of nursing. Roy’s Adapatation Model is one such framework. According to Roy’s Adaptation Model, the problems that are studied include those coming from the attempts made by individuals to meet their needs for physiological, psychological, spiritual, social, and maintaining relational ethics, as explained by Fawcett (2009). This changing focus on addressing the needs of the individual, require the nurse to not only have a specialized focus on their area of practice, but also the area in which arising needs may be a concern. A great example of this is a nurse working in long term care. A nurse needs to have specific knowledge on the geriatric population but as a patient declines and dysphagia becomes an issue, an understanding of speech therapy and first hand interventions is crucial. Speech therapy may be utilized to determine specific needs for the patient, but the nurse recognizing the need for an altered diet and/or thickened liquids is a perfect example of what makes the purpose of nursing so unique.

3. Nurses are the only profession that develop and plan their work according to care plans. This alone makes the nursing profession incredibly unique. The nursing care plan communicates and organizes the tasks or actions that a nurse will perform on individual patients. Care plans give direction as to what type of treatment an individual patient will need and receive. Care plans are used to document a patient’s treatment as well as providing guidance to treatment and reimbursement regulation. A plan of care helps nurses collect patient data to ensure that critical thinking is being applied to the patient’s treatment. Nurses develop higher skills in information processing and nursing in general over time through the initiation and implementation of care plans. Care plans are usually focused on four main categories. These categories are diagnoses and problem lists, care goals and outcomes, nursing orders, and evaluation. The writing and implementation of care plans is often linked to value-expectancy theories that state that certain beliefs and values effect subsequent behaviors. Short term future goals and long-term future goals are determined by the nurse. These goals are the guidance a nurse will follow to meet the goals that have been individualized for the patient. Most goals are set to assist the patient with self-efficiency. Goals are the motivators for the care or treatment the nurse provides (Vera, 2020).

Orem’s self-care deficit concepts can be linked to the care plans in which nurses write, implement and complete according to the goals of the care plan. Nurses play an important role when it comes to addressing self-care deficits through assessment and intervention. Nurses through assessments become aware of the patient’s strengths, weaknesses, environment, and situational needs. Interventions can include, but is not limited to, helping patients create short-term goals, encouraging motivation, creating independence, and offering help with daily activities. Orem’s self-care deficit theory suggests patients are better able to recover when they maintain some independence over their own self-care (Dorothea Orem: Pioneer of the Self-care Nursing Theory, 2020).

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