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Nursing Practicum: Learning Objectives and Timeline
As a future primary care provider seeking NP board certification, one of my primary areas of focus will be how to enhance my patients' understanding of preventative medicine. This directly relates to DNP Essential VII: of "Clinical Prevention and Population Health for Improving the Nation's Health" (The Essentials, 20016, p.15). The United States has seen a dramatic rise in chronic illnesses rooted in poor lifestyle choices such as diabetes and heart disease. Through my practicum experience, my first learning objective is the ability to more effectively engage with patients and express the need to achieve health-related goals in layperson's terms. I also seek to work with patients to create a plan for healthy living that they view as reasonable and achievable, given that patients are often intimidated by the need for lifestyle changes.
This also related to my Evidence-Based Practice (EBP) Project which specifically focuses on the question: "Does patient education reduce the incidence of continued hypertension in hypertensive patients?" Given that hypertension is a lifestyle-related illness associated with poor dietary and exercise choices, there is a need for the patient to personally take action to rectify the condition through small,...
According to the CDC (2017), hypertension remains poorly controlled in 70% of hypertensive patients, which suggests a need for a new approach to patient education ("High Blood Pressure," 2015, par.1). I will seek to further explore different approaches as part of my project.
The need to review evidence-based medicine in my fields of specialty also relates to my proposed project, area of specialization, and my desire to obtain ambulatory care certification in the future. This is encompassed in DNP Essential III of "Clinical Scholarship and Analytical Methods for Evidence-Based Practice" (The Essentials, 2006, p.11). Working in a high-stress environment such as ambulatory care means that the nurse must be able to think clearly and apply methods that are based in evidence-based research, not instinct alone, when treating patients. This goal of exploring and better using evidence-based research, however, also relates to my focus on hypertension in patients, given the amount of conflicting literature on the subject in regards to the best combination of diet and exercise to use along with drug treatment to mitigate the seriousness of the disorder. In both an ambulatory and a primary care context, I must learn how to work with other healthcare providers…
References
The essentials of doctoral education for advanced nursing practice. (2006). AACN. Retrieved
from: http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf
High blood pressure educational materials for patients. (2015). CDC. Retrieved from:
https://www.cdc.gov/bloodpressure/materials_for_patients.htm
OJIN: The Online Journal of Issues in Nursing, 18 (2). Retrieved from: http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html
Nursing Research Utilization Project Proposal: Hospital Noise The level of noise in a hospital is a serious issue for the nurses and the patients. Surveys have been created in an effort to determine if the noise is bothersome, what kinds of problems it causes, and whether there is anything that can be done about the noise levels. It is important not only to identify the problem, but to determine what can
Nursing Research HIPAA Proposal Patient privacy protection is a cornerstone of any patient bill of rights and is a major goal of any nurse or medical professional. Without privacy, the basis of trust necessary to facilitate patient healing simply can not occur. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) increasingly dominates the nursing landscape. Safeguarding private patient information is not just important. It is the law. HIPAA provides
It is also quite possible that there is a significant "placebo effect" when dealing with GI (or other) treatments. The patients may be truly relaxing, but may also believe that they are managing their pain through breathing and imagery, meaning they are, in fact doing just that (Bresler; Menzies). Evidence-Based Practice Analysis -- Clearly, the use of GI techniques to supplement and help wean patients off pharmaceutical pain management solutions
(2008). The study measures public opinion concerning two scenarios: one in which the kidney donor is given a fixed financial compensation; and one in which the donor is provided with health insurance coverage for life. According to the findings of the study, "although almost half of the respondents (46%) were reluctant towards introducing a system with fixed compensation to increase the number of living kidney donors, still 25% of
Nursing The greatest challenges facing nursing leadership and the profession as a whole include, but are not limited to, "highly political environments, budget reductions, changing reimbursement patterns, staffing shortages, and rapidly evolving technological advances," (Schmidt, 2006, p. 34). In addition to these environmental and organizational challenges, nurses and nurse leaders contend with issues related to communications, public relations, and personal psychological barriers to greatness. Nurses are endowed with more formal and
1. Discuss the concept of cost-based analysis. Provide an example of a program where it could be used to show outcomes. The concept of cost-based analysis is delineated as the process for approximating all of the costs involved and the conceivable profits or benefits to be derived from a particular proposal. This analysis takes into account not only quantitative factors but also qualitative factors for examining the value for money for