APA style

300 words

2 references minimum (within 5 years)

“Mrs. Walsh, a woman in her 70s, was in critical condition after repeat coronary artery bypass graft (CABG) surgery. Her family lived nearby when Mrs. Walsh had her first CABG surgery. They had moved out of town but returned to our institution, where the first surgery had been performed successfully. Mrs. Walsh remained critically ill and unstable for several weeks before her death. Her family was very anxious because of Mrs. Walsh’s unstable and deteriorating condition, and a family member was always with her 24 hours a day for the first few weeks.

 The nurse became involved with this family while Mrs. Walsh was still in surgery, because family members were very anxious that the procedure was taking longer than it had the first time and made repeated calls to the critical care unit to ask about the patient. The nurse met with the family and offered to go into the operating room to talk with the cardiac surgeon to better inform the family of their mother’s status.

 One of the helpful things the nurse did to assist this family was to establish a consistent group of nurses to work with Mrs. Walsh, so that family members could establish trust and feel more confident about the care their mother was receiving. This eventually enabled family members to leave the hospital for intervals to get some rest. The nurse related that this was a family whose members were affluent, educated, and well informed, and that they came in prepared with lists of questions. A consistent group of nurses who were familiar with Mrs. Walsh’s particular situation helped both family members and nurses to be more satisfied and less anxious. The family developed a close relationship with the three nurses who consistently cared for Mrs. Walsh and shared with them details about Mrs. Walsh and her life.

 The nurse related that there was a tradition in this particular critical care unit not to involve family members in care. She broke that tradition when she responded to the son’s and the daughter’s helpless feelings by teaching them some simple things that they could do for their mother. They learned to give some basic care, such as bathing her. The nurse acknowledged that involving family members in direct patient care with a critically ill patient is complex and requires knowledge and sensitivity. She believes that a developmental process is involved when nurses learn to work with families.

 She noted that after a nurse has lots of experience and feels very comfortable with highly technical skills, it becomes okay for family members to be in the room when care is provided. She pointed out that direct observation by anxious family members can be disconcerting to those who are insecure with their skills when family members ask things like, “Why are you doing this? Nurse ‘So and So’ does it differently.” She commented that nurses learn to be flexible and to reset priorities. They should be able to let some things wait that do not need to be done right away to give the family some time with the patient. One of the things that the nurse did to coordinate care was to meet with the family to see what times worked best for them; then she posted family time on the patient’s activity schedule outside her cubicle to communicate the plan to others involved in Mrs. Walsh’s care.

 When Mrs. Walsh died, the son and daughter wanted to participate in preparing her body. This had never been done in this unit, but after checking to see that there was no policy forbidding it, the nurse invited them to participate. They turned down the lights, closed the doors, and put music on; the nurse, the patient’s daughter, and the patient’s son all cried together while they prepared Mrs. Walsh to be taken to the morgue. The nurse took care of all intravenous lines and tubes while the children bathed her. The nurse provided evidence of how finely tuned her skill of involvement was with this family when she explained that she felt uncomfortable at first because she thought that the son and daughter should be sharing this time alone with their mother. Then she realized that they really wanted her to be there with them. This situation taught her that families of critically ill patients need care as well. The nurse explained that this was a paradigm case that motivated her to move into a CNS role, with expansion of her sphere of influence from her patients during her shift to other shifts, other patients and their families, and other disciplines”
Critical thinking activities
1. Discuss the clinical narrative provided here using the unfolding case study format to promote situated learning of clinical reasoning (Benner, Hooper-Kyriakidis, & Stannard, 2011).
2. Regarding the various aspects of the case as they unfold over time, consider questions that encourage thinking, increase understanding, and promote dialogue, such as: What are your concerns in this situation? What aspects stand out as salient? What would you say to the family at given points in time? How would you respond to your nursing colleagues who may question your inclusion of the family in care?
3. Using Benner’s approach, describe the five levels of competency and identify the characteristic intentions and meanings inherent at each level of practice.

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

• Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
• Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

Describe how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. 

Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. 

Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

Create a PowerPoint presentation with detailed notes for each slide that addresses each of the following points/questions. Be sure to completely answer all the points/questions noted below. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least SIX (6) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. 

Expectations

Length: 12 slides; answers must thoroughly address the questions in a clear, concise manner 

Structure:  

        Title slide: 1 slide

Reflect upon a patient care encounter from personal practice in which principles from Barbara Carper’s theory of “Ways of Knowing” were used: 2 slide
Illustrate how each fundamental pattern for nursing knowledge contributed to the care of this patient: 3 slides.

Select a particular area of nursing that is of interest to you: 1 slide.

Elaborate on the specifics of nursing research in relation to this area: 2 slide.

Discuss what can be accomplished by researching your proposed area of interest: 2 slide.

Discuss why you believe researching this area of interest will be valuable: 2 slide.

Include an explanation of the following questions in your response: 3 slides.

· Discuss the role nursing research plays in the development of applied medicine.

· Discuss the best methods for conducting such research.

· Discuss how you will determine whether a topic qualifies as being research worthy.

· Discuss criteria that will make a topic acceptable for conducting research.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least SIX (6) scholarly sources to support your claims. Reference must be verifiable, current and within 5 years.

this is assignment is due today in 11 hours….. must have done in 11 hours no late work……. 

Based on American history — In what ways did Americans’ opinions about mothers, work, and child care change and stay the same over the period 1950-2000, and what factors influenced those changes? 

• Put your answer in the form of a thesis statement—a sentence that makes an argument about the past. This is your claim. Make sure the claim fits the evidence.
• The body  should show how evidence from the primary sources proves the claim.

YOU CAN ONLY USE THE ATTACHMENTS AND THE LINK BELOW FOR THE SOURCES TO DO THIS ASSIGNMENT NOTHING ELSE!!!!

https://bookshelf.vitalsource.com/#/books/9781319106300/cfi/6/198!/4/2/2/2/[email protected]:4.65

_______________________________________________________________________________

  MUST FOLLOW THESE INSTRUCTIONS!!!!!

• Cite specific examples from the primary sources for each stage of the argument.
• Present examples almost entirely in your own words. If you quote at all, quote only from primary sources (words from the past), quote sparingly, and quote only when the original words help strengthen the meaning. Introduce a quotation by placing it in the context of your argument, and by pointing out who is speaking or writing.
• Do not quote directly from the background portions of the chapter, or from The American Yawp, lectures, or other secondary sources. If you use background information from these sources, be sure to paraphrase in your own words, and provide footnote citations to the page(s) where you found the information.
• Use only the primary documents found in the “Source” section, pages 336-354 (5th edition) THE LINK ABOVE, Morin and Rosenfeld article, and background information from the rest of the chapter, The American Yawp, and the lectures.
• DO NOT do additional research for this paper, and DO NOT use any internet sources in the text of the paper. Failure to observe this requirement will result in a lower grade, possibly a failing grade.

 Every paragraph in the body of the paper should be explicitly tied to the thesis, and support it with examples and logic. Every paragraph should start with a clear topic sentence that lays out the subject of that paragraph, and connects it to the overall thesis of the paper  

_________________________________________________________________________________