Purpose 

The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared. 

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to:

• Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO 2 and 5) 
• Examine broad theoretical concepts as foundational to advanced nursing practice roles. (PO 1 and 2) 
• Analyze theories from nursing and relevant fields with respect to the components, relationship among the components, and application to advanced nursing practice. (PO 1) 

1. Integration of Evidence: The student post provides support from a minimum of one scholarly in-text citation with a matching reference andassigned readings or online lessons, per discussion topic per week.
   • What is a scholarly resource? A scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or CDC). 
     • Contains references for sources cited 
     • Written by a professional or scholar in the field and indicates credentials of the author(s) 
     • Is no more than 5 years old for clinical or research articles 
   • What is not considered a scholarly resource?  
     • Newspaper articles and layperson literature (e.g., Readers Digest, Healthy Life Magazine, Food, and Fitness) 
     • Information from Wikipedia  or any wiki 
     • Textbooks 
     • Website homepages 
     • The weekly lesson 
     • Articles in healthcare and nursing-oriented trade magazines, such as Nursing Made Incredibly Easy and RNMagazine (Source: What is a scholarly article.docx; Created 06/09 CK/CL  Revised: 02/17/11,  09/02/11  nlh/clm) 
   • Can the lesson for the week be used as a scholarly source? 
     • Information from the weekly lesson can be cited in a posting; however, it is not to be the sole source used in the post. 
   • Are resources provided from CU acceptable sources (e.g., the readings for the week)? 
     • Not as a sole source within the post. The textbook and/or assigned (required) articles for the week can be used, but another outside source must be cited for full credit. Textbooks are not considered scholarly sources for the purpose of discussions. 
   • Are websites acceptable as scholarly resources for discussions? 
     • Yes, if they are documents or data cited from credible websites. Credible websites usually end in .gov or .edu; however, some .org sites that belong to professional associations (e.g., American Heart Association, National League for Nursing, American Diabetes Association) are also considered credible websites. Websites ending with .com are not to be used as scholarly resources.
2. Professionalism in Communication: The post presents information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.

Preparing the Assignment

Nursing knowledge is classified in a variety of ways, one of which is Carper’s Patterns of Knowing (Carper, 1978). Carper’s framework offers a lens through which the nurse can reflect upon insights acquired through empirical, ethical, personal, and aesthetic knowledge (Carper, 1978). Through intentional reflection using Carper’s Patterns of Knowing, nurses can process experiential learning and knowledge acquired through practice. The purpose of this assignment is to reflect upon a specific practice situation and better understand the professional knowledge and insights obtained through that experience.

Criteria for Content

1. Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.
2. Select an important nursing issue/topic that was inherent to the identified situation.
3. Briefly explain the situation
4. Identify the nursing issue inherent in the identified situation
   1. As a method of refection, use Carper’s Patterns of Knowing to analyze the situation. In your discussion, address ONE of the following Patterns of Knowing:
      1. What do you think was the underlying reason for the situation? (Esthetics)
      2. What were your thoughts and feeling in the situation? (Personal)
      3. What was one personal belief that impacted your actions? (Ethics)
      4. What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)
5. What new insights did you gain through this reflective practice opportunity? How will this apply to your practice as a nurse practitioner? Be sure to use scholarly literature to support your position.

Must be 300-350 words 

Once you are down with the initial post complete a 1-2 paragraph reflection

Write 1-2 paragraphs reflecting on ways of knowing and the use of metaparadigm in the NP role. Then save the reflection as a Word Document for submission later in the course. In week 8, you will submit all reflections as a single document.
This reflection is worth 5 points and the final reflection document in week 8 is worth 15 points.

You will need to post your reflection here before you are able to see other students’ posts.

• Provide one specific example of how you achieved the weekly objectives.
• What do you value most about your learning this week?
• What else about the weekly topics do you need to explore to further grow as a future NP? 

Asselin, M. E. (2011). Reflective narrative: A tool for learning through practice. Journal for Nurses in Staff Development, 27(1), 2-6. https://doi.org/10.1097/NND.0b013e3181b1ba1a

Boden, C. J., Cook, D., Lasker-Scott, T., Moore, S., & Shelton, D. (2006). Five perspectives on reflective journaling. Adult Learning, 17(1-4), 11-15.  https://doi.org/10.1177/104515950601700105

Coleman, D., & Willis, D. S. (2015). Reflective writing: The student nurse’s perspective on reflective writing and poetry writing. Nurse Education Today, 35(7), 906-911. https://doi.org/10.1016/j.nedt.2015.02.018

Kennison, M. (2012). Developing reflective writing as effective pedagogy. Nursing Education Perspectives, 33(5), 306-311. https://doi.org/10.5480/1536-5026-33.5.306

McEwen, M., & Wills, E. (2014). Theoretical basis for nursing (4th ed.). Lippincott, Williams & Wilkins.  

Meleis, A. (2012) Theoretical nursing: Development and progress (5th ed.). Lippincott Williams & Wilkins  

Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing and healthcare: A guide to best practice (2nd ed.). Lippincott, Williams & Wilkins.  

Polifroni, E. C. (2015). Philosophy of science: An introduction. In J. B. Butts & K. L. Rich (Ed.), Philosophies and theories for advanced nursing practice(2nd ed.) (pp. 3-18). Jones & Bartlett Learning.  

Parker, M. E., & Smith, M. C. (2015). Nursing theories and nursing practice (4th ed.). F. A. Davis Company.  

Reed, P. G., & Crawford Shearer, N. B. (2012). Perspectives on nursing theory (6th ed.). Wolters Kluwer.  

Shearer, J. E. (2015). Critique of nursing as caring theory: Aesthetic knowing and caring in online learning. International Journal for Human Caring, 19(2), 45-49. https://doi.org/10.20467/1091-5710-19.2.45

Walker, L. O., & Avant, K. C. (2011). Strategies for theory construction in nursing (5th ed.). Pearson

  There are two questions.  Please post in separate attachments.

1. In Unit VI of this course, you will be tasked with writing about the dispute process when workers believe that they are treated unjustly. For this assignment, you will be creating an annotated bibliography of resources on the dispute process.

The resources you identify in this bibliography will be used in writing your assignment in Unit VI. By locating the necessary resources in this bibliography, you will be prepared to write your paper in Unit VI.

Generally, a workers’ compensation dispute is a disagreement between the system participants (e.g., the injured worker, the employer, the employer’s insurance company) that must be settled by the state-specific workers’ compensation board. Most (but not all) disputes generally involve three main areas:

an indemnity dispute involving compensability or liability,

a medical fee dispute for healthcare already provided where the payment has been reduced or denied, or

a medical necessity dispute, disputing if a medical procedure is actually medically necessary.

Using these common disputes as well as others, create an annotated bibliography, and show how those resources will support your paper by briefly describing the content of each article or referenced source.

When writing your bibliography, think about the different types of coverage available to employees and the fundamentals of claim management. Be sure to include information about these in your bibliography.

There is no minimum page count for this assignment, but you must include six-to-ten sources in your bibliography and your entry for each reference should be at least 250 words. 

2. You are the safety manager for a company that produces widgets in the state of Kentucky. Your business has a solid reputation and is growing and looking to expand to Texas and Georgia in the next few years. The Senior Leadership Team (SLT) wants a better understanding of what insurance coverage they need to have for workers’ compensation moving forward in these three states.

You have partnered with the workers’ compensation manager, and you want to give the SLT a feel for how much money they have spent the past few years and what they should consider for future workers’ compensation insurance coverage. Using information you have learned thus far in the course, make a proposal to the SLT on items they should consider, based on fairly hard facts. Do this by using the OSHA “Safety Pays” Program found here: https://www.osha.gov/dcsp/smallbusiness/safetypays/index.html

Last year, your company had 12 sprains, four cases of carpal tunnel syndrome, one crushing incident, and the loss of vision for three employees. Your company also has a 6.7% profit margin. Your company pays the first $100,000 aggregate for each category of injuries, and then the insurance company pays the rest.

Use the data displayed above, create slides that discuss the following:

Discuss how many compensable injuries happened last year. Explain how many incidents and how much and what could happen if the workforce doubled.

Estimate the total direct costs, indirect costs, and the amount of sales of widgets that are needed to cover the total cost of all the company accidents.

Provide guidance on which states should be considered 3A states and 3C states in the workers’ compensation insurance policy.

Identify if these projected three states would practice extraterritorial and reciprocity with the main state, and explain to the SLT the impact of these statutory guidelines.

Determine if the employer would need any other extra insurance (insurance that would cover a workplace accident not covered by workers’ compensation) or if they should they just pay out of pocket.

Your PowerPoint presentation must be a minimum of eight slides, not counting the title slide or references slides. You must use a minimum of two resources (including the OSHA Safety Pays website) for your presentation. You should include a combination of text and diagrams and pictures if they add value. All in-text citations and references should be displayed in appropriate APA style. 

please prepare the 2 responses for below discussion post in 50 to 75 words

Post#1

 

The response to incidents is a phase, not an isolated event. Teams should take a cohesive and structured approach to any incident in order for incident reaction to be successful. In order to effectively resolve the broad range of security incidents that an organization might encounter, there are five essential steps that any response program should cover – that includes preparation, detection and reporting, analysis, containment and neutralization and the post incident activity (Bandos, 2019).

Preparation:

The secret to efficient incident response is planning. Without predetermined protocols, even the best incident management team cannot handle an incident effectively. To help the staff, a strong strategy must be in place. These features should be included in an incident response plan in order to resolve security incidents successfully – Create and document IR policies, establish communicate protocols, incorporate threat intelligence feeds, conduct cyber hunting exercises and access the threat detection capabilities.

Create and Document IR policies: Define incident response management policies, procedures and agreements.

Establish Communication Protocols: Develop criteria and guidelines for communication to allow for smooth communication during and after an incident.

Incorporate Threat Intelligence Feeds: Execute the threat intelligence feeds constantly capture, evaluate, and synchronize.

Conduct cyber hunting exercises: To identify incidents occurring within your environment, execute operational threat hunting exercises. This encourages more constructive reaction to accidents.

Assess the threat Detection Capabilities: Assess your existing capability for threat detection and upgrade systems for risk evaluation and enhancement.

Detection and reporting:

In order to identify, warn and report possible security incidents, the aim of this process is to track security events.

Controlled monitoring: Use firewalls, intrusion prevention systems, and data loss prevention to monitor security incidents in your network.

Detect: Detect by correlating warnings inside a SIEM solution to possible security incidents.

Alert: Analysts build a ticket for an incident, record initial observations and allocate an initial classification for an incident.

Report: The reporting process should provide room for escalations in regulatory reporting.

Analysis:

During this point, the bulk of the effort is made to correctly scope and interpret the security incident. To collect data from instruments and systems for further study and to recognise signs of compromise, resources should be used. In-depth expertise and a comprehensive understanding of live device responses, digital forensics, memory analysis, and malware analysis should be accessible to individuals.

Containment and neutralization:

This is one of the most important incident response levels. The containment and neutralization strategy are based on the intelligence gathered during the review process and the compromise indicators. Normal operations will resume after the system is restored and security is checked.

Post Incident Activity:

After the incident is settled, there is more work to be done. Make sure that any details that can be used to avoid similar events from occurring again in the future is properly recorded.

A proper IR plan design is important for any organization to respond to the incidents. To make a rapid and thorough determination of who, what, how, where, and why the IR plan should be straightforward, easy and direct the incident response team (Kashalkar, 2016). The strategy should also provide detailed instructions so that the company can identify the under-attack structure and data and take steps to protect vital assets. The functions and duties of all the stakeholders are clearly set out. Businesses, and each individual employee in particular, must have a clear understanding of their tasks to be performed in the event of an incident, and adequate steps must be taken to minimize the effect and protect the loss of confidential data. The IR plan should not be limited only to the department of IT or defense. The IR plan is only successful if both the technical and non-technical teams are dedicated and engage in the implementation of the IR plan, such as Legal, Compliance, Human Resources, Public Relations, etc. Take the time to establish relationships with internal and external stakeholders that might be able to respond to a critical incident by supporting the organization. Establish a system for incident classification so that you can prioritize the tasks of incident response properly. For future remediation purposes, classification will also assist you to extract meaningful metrics such as form, intensity, attack vector, effects, and root cause. Finally, the IR approach should fit with the corporate objectives. Identify what matters most to your company and weave those goals into your IR operations.

Post#2

 

An incident is an unplanned interruption or reduction of quality in any network. Incident response management is the hero of software development and IT operations. A good incident response process works behind the scenes to ensure issues are resolved quickly so that communication, performance, and development can continue to operate the network. In a world where security and business risks are at a high point, companies must invest in an incident response management process. “The modern cloud architecture dictates the requirements for the forensic investigation and incident response model such as being scalable, elastic, easy to integrate – integration with data plane, and easy to manage – integration with control plane” (Adamov, & Carlsson, 2016). 

Incident response in the cloud brings its challenges and unique requirements as well. By using some cloud incident response best practices to make sure incidents don’t become crises. Some best practices of cloud computing are discussed below.

Put a process in place before an incident happens: We can’t be able to predict every type of incident or situation that needs to address. So, it’s important to be prepared. 

Incident response in the cloud helps in many factors like resolve incidents faster, improve internal and external communication, reduce revenue losses, and promote continuous learning and improvement. “Cloud is able to combine numerous heterogeneous resources (hardware platforms, storage back ends, file systems) that may be geographically distributed” (Urias, et. al., 2016).

Where the data and event occurs, we will have to implement a response immediately. When we work with stakeholders, legal counsel, and organizational leadership to determine only the goal of incident response. Some common goals include containing the issue, recovering the affected resources, preserving data for forensics, resolve the issue rapidly, and attribution.

In incident response, we can assess the impact and prioritize risks using key monitoring systems and escalation and diagnosis processes. But before that, make sure to clear channels of communication between team members, as well as outlined expectations for responsibility. Explain all the priority and severity levels before an incident occurs so incident managers can quickly assess and determine priorities in the heat of the moment. Address all future incidents response in order of the priority list of any organization. “A large number of research efforts have focused on intrusion detection in industrial networks, however, few of them discuss what to do after an intrusion has been detected” (Piedrahita, et. al., 2018). 

Cloud computing is large and complex as well, with many moving parts to track and monitor to any network. It’s important to invest in the right incident management tools to support cloud incident response processes. Visualize all the processes and map cloud architecture to keep everyone on the same page and prevent incidents from falling through the cracks or prevent networks from cyber attacks (Adamov, & Carlsson, 2016). 

When we come to incident response, there’s no such thing as too much communication. We take advantage of incident response playbooks, messaging scripts, and process flows to ensure every one of our team is on the same page.

 

Case Scenario

ABC Consulting Inc. is a software development company that develops custom software solutions for other companies. They need a database to maintain information about their customers, employees, and the projects that they are working on. The customer information would include the name of the company as well as the contact name, address information, and phone information.    A customer may have many projects going on at any point in time. The employee information would include the name of the employee and the skill(s) that the employee maintains. 

ABC employees have a variety of different skills such as Java, C++, SQL, PHP, etc.  An employee may be working on many projects at the same time. The project information would include a description of the project, the customer for whom the project is being done and the budget dollars that were estimated for the project. Each project is for one customer.

Some of the other goals that ABC wants to accomplish with their database include the following information:

• The employees who are currently working on a particular project.
• The projects that are under way for each customer.
• The skills that are maintained by each employee.

You are assigned to design a database for this project by creating the ER diagram and writing SQL script to generate a database for maintaining information about the company’s customers, employees, and the on-going projects.

Background: Read the article at the link below by Nicole Fallon “Destination Dream Job”. Pay close attention to the roadmap outlined in the article about career progression. Fallon outlines 4 steps that one needs to take to reach their career goal (see link below). Career experts have also shared their advice for mapping out a path to one’s ultimate dream job. Those steps include: (1) Know where you want to go, (2) Focus on the tools you need, (3) Find a guide, and (4) Be open to changing your route.

www.businessnewsdaily.com/6432-create-career-roadmap.html

Your assignment : 

Plot your career direction based on each step in this roadmap.  For step #1 you should look at where you are now (what industry, job, position, etc.).  Also answer where you want to go (industry, job, position, salary, etc.) from here. For step #2, I would like you to go online and explore various job announcements and position descriptions to see what you need (what experience, degree, certification, interest, passion, etc.). In this context, I also would like you to state how pursuing this degree, and this course specifically, is a tool for the career direction in which you are going. Then for step #3, do you know anyone who might be a mentor; are you pursuing opportunities to network with like-mined professionals, etc. Finally, for step #4, is there some short-term deviation from your goal that you would accept – what is it?

It should take just a short paragraph that address each of the four steps mentioned above.  The background and online research for this assignment can be done collectively in your group. However, the findings must be specific for you individually and so your post must be individual.  As I have always mentioned, do not cut and paste information from other sources – I want  your  view and in  your  words.    As your reader, I want to be able to follow whatever sources you use, so support your views (and findings) with  at least two in-text citations . This means you will also need a reference list. For this assignment (only), a url  reference is acceptable (not usually acceptable for APA).   This is an  individual assignment  which must be accomplished by you alone. Please post your paper to iLearn  NLT 6/11 – 8pm EST.

When you are ready to post, click the Res Wknd Practical Connection assignment link, then Either click the “Write Submission” link and directly paste your document into this assignment box OR Browse your Computer and add the entire Microsoft Word document as an attachment (Mac users, please remember to append the “.docx” extension to the filename).