Category: Nursing

  • Week 5 Discussion

    REQUIRED READINGS

    Buppert, C. (2021). Nurse practitioners business practice and legal guide (8th Ed.). Jones & Bartlett Learning LLC.: Burlington MA.

    • Ch. 5 Prescribing
    • Ch. 6 Hospital Privileges

    Please also read the following.

    • AARP Public Policy Institute. (n.d.). Removing Barriers to Advanced Practice Registered Nurse Care: Hospital Privileges. Retrieved from
    • OConnor, A. W., Helfrich, C. D., Nelson, K. M., Sears, J. M., Jensen, P. K., Engstrom, C., & Wong, E. S. (2023). Full practice authority and burnout among primary care nurse practitioners. Nursing Outlook, 71(6), 102056.

    After educating yourself on this weeks topics through the required readings, respond to each of the following:

    • What is the purpose and process for obtaining prescription privileges in the state in which you live (clearly identify) of practice as Nurse Practitioner?
    • What do you see as the advantages and disadvantages of having a DEA license as a Nurse Practitioner?

    Refer to the following required readings for the following.

    Consider the following scenario and reply to the questions. The hospital near where you live has an aging population of attending physicians who are nearing retirement. Historically, only the attending physicians have had hospital privileges including in the Emergency Room where NPs have not practiced. The NPs have cared for patients in the outpatient clinics. There are a growing number of FNPs who travel to other areas to work.

    • What would you do as an FNP to assist with the process of promoting the hospital administration to allow NPs hospital privileges? Consider attendance at meetings, what research you would bring, who the key players are, and how it impacts the community in which you reside.

    AARP Public Policy Institute. (n.d.). Removing Barriers to Advanced Practice Registered Nurse Care: Hospital Privileges. Retrieved from

    Holmes O, Kinsey-Weathers S. The case for full practice authority. Nursing. 2016 Mar;46(3):51-4. doi: 10.1097/01.NURSE.0000480602.37640.a1. PMID: 26910092.

    Notes:

    • Be sure to address all elements of the Discussion Prompt in order to receive full credit.
    • Initial post is due by Wednesday 11:59PM EST & at least two replies to peers by Sunday 11:59PM EST.
    • Responses must include a minimum of 250 words in the initial post which does not include quoted material and required references.
    • The minimum two required responses to peers and faculty must include a minimum of 75 words which does not include quoted material or references.
    • Minimum of two scholarly sources are required: a) one in-class source that must be referenced and cited and b) one outside scholarly sourcereferenced and cited.
  • Integrating Theory and Research for Evidence-Based Practice(…

    Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 250-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:

    • What did you learn from your classmate’s posting?
    • What additional questions do you have after reading the posting?
    • What clarification do you need regarding the posting?
    • What differences or similarities do you see between your posting and other classmates’ postings?

    All sources should be cited using APA format. Grammar, spelling, punctuation, and format should be correct and professional.

    READ AND RESPOND THE POST

    Methods of Knowing in Nursing Practice

    Knowledge acquisition in nursing is a complicated process that goes beyond textbooks and classroom lectures. As a nurse in the emergency department and interventional radiology, I’ve learned that knowing includes formal education, clinical experience, and critical examination of information sources. Understanding how we know what we know is critical to providing safe, evidence-based patient care.

    Assessing Information Validity and Accuracy

    Evaluating information accuracy necessitates a methodical approach rather than taking sources at face value. Patterson et al. (2025) discovered that nurses frequently evaluate information based on factors such as accuracy, relevance, authority, purpose, and currency. However, their research found a troubling finding: most nurses depend on surface-level evaluation criteria rather than doing in-depth critical examination. For example, nurses frequently accept material merely because it appears in a peer-reviewed journal, without critically scrutinizing the methodology or applicability to their patient population. Patterson et al. (2025) stressed that the inclusion of citations does not ensure authenticity because information might be distorted or taken out of context. In my emergency department practice, I verify material by cross-referencing several sources, reviewing the author’s credentials, and determining whether the research population is representative of my patient demographics, when time is appropriate.

    Evidence-Seeking Hierarchy

    The evidence hierarchy ranks systematic reviews and meta-analyses at the top, with randomized controlled trials, cohort studies, case-control studies, and expert opinion at the bottom. When making patient care decisions, I mostly rely on clinical practice guidelines and systematic reviews, which provide synthesis evidence that has been rigorously evaluated. Atalla et al. (2025) found that nurses with higher levels of knowledge and good attitudes toward evidence-based practice are more competent in applying research findings to clinical scenarios. Their findings revealed significant positive associations between EBP knowledge, abilities, and use, implying that comprehending the evidence hierarchy improves clinical decision-making.

    In my personal life, I frequently make decisions based on firsthand experience and reliable sources. However, my nursing education has influenced how I approach personal health information, leading me to seek out respected medical websites rather than social media posts. This dual approach illustrates what Atalla et al. (2025) refer to as the combination of research evidence, clinical competence, and individual valuesthe three pillars of evidence-based practice.

    Personal Experience and Knowledge Acquisition.

    My nursing education career exemplifies the combination between formal and experiential learning. Working in interventional radiology, I learned procedural protocols through didactic training, but genuine competency came through repeated practice and coaching from more experienced colleagues. Patterson et al. (2025) observed that nurses commonly utilize their previous clinical knowledge to assess the credibility of new material, asking themselves whether the new evidence is consistent with their professional experience. This is consistent with my experience; when confronting unexpected clinical settings in the emergency department, I combine textbook knowledge with trends I’ve seen in comparable patient presentations.

    Best Practices for Increasing Nursing Knowledge

    Effective knowledge acquisition in nursing necessitates deliberate tactics. Atalla et al. (2025) discovered that self-efficacy is an important mediator between EBP facilitators and nursing competences, implying that nurses who trust in their abilities to collect and utilize evidence have better practice competency. Their findings indicated that facilitator elements, such as training opportunities and supportive leadership, have a strong favorable impact on EBP competency. As a result, excellent practices include attending continuing education classes, joining journal clubs, and developing mentorship relationships. Patterson et al. (2025) suggested that nurses shift away from basic evaluation checklists and toward more advanced critical appraisal procedures, such as lateral reading and methodical analysis. As I go into nursing education, understanding these best practices will help me teach future nurses to be discriminating consumers of healthcare information, ultimately improving patient outcomes through evidence-based treatment.

    References

    Atalla, A. D. G., El-Ashry, A. M., & Mohamed, S. M. S. (2025). The relationship between evidence-based practices facilitators and barriers among nurses and their competencies: self-efficacy as a mediator. BMC Nursing, 24(1), 114.

    Patterson, B., Diekema, A. R., Hopkins, E. (Betsy) S., Wilson, D., & Schvaneveldt, N. (2025). Is this professionally correct?: understanding the criteria nurses use to evaluate information. Journal of the Medical Library Association, 113(4), 298309.

    Requirements: 270

  • Transition of care and patient safety using Modified Early W…

    Conduct a literature search to identify the most effective interventions or changes for addressing your chosen problem. You can use three articles from your critical appraisal for part of the literature review( link is in the attachments to the critical appraisal paper). In addition, you will need to find two more articles related to your topic. Therefore, your literature review should include a total of five articles. Develop a clearly stated desired outcome for practice change. Use evidence from the reviewed literature to answer the clinical question and support the proposed outcome(s). Key Guidelines for the Literature Review: Selection of Literature: Carefully choose resources that provide the best available evidence related to the issue. Consider the hierarchy of evidence (strongest information first) and ensure the findings are relevant to your clinical question. Sources: Include at least five resources, such as professional journals, peer-reviewed articles, clinical guidelines, and other contemporary sources related to nursing within the last 5 years Critical Appraisal: Evaluate the five selected resources using the appropriate criteria outlined in your text. Summary of Findings: Summarize the findings of the five appraised resources. Discuss the pros and cons of each and their relevance to the clinical question.This paper should be a maximum of 5-8 pages. (usually, each article should be summarized within two to three paragraphs.) Refer to the provided document, Outline for EBP for detailed expectations regarding the structure

    Attached Files (PDF/DOCX): criticalappraisalfinal.docx, Outline for EBP Paper-Presentation 2025.docx

    Note: Content extraction from these files is restricted, please review them manually.

  • simple question answer -youtube link given- No citations or…

    So often we want answers right now, but God works according to His perfect timing. This video reminds us that delays are not denials God is in control, and His timing is always better than ours. As you watch, think about the areas in your life where youre struggling to wait on Him

    After watching ” Trust God’s Timing- on Above Inspiration Series” please answer the following questions: ( You may use God or your Spiritual view) I will be the only one to see your responses. Please type or copy and paste your answers or attach a file it ok.

    1. Whats one area of your life where youre waiting on Gods timing? (school, career, health, relationships, finances)

    2. How does waiting make you feel frustrated, anxious, hopeful, or all of the above?

    3. Where in your life are you trying to force your own timing instead of trusting God?

    4. What would it look like to release control in that area?

    link: https://www.youtube.com/watch?v=TNIYnbj5edw

  • NU470 Regenerative and Restorative Care PP

    Please see attached case scenario

    Review the five, predetermined case scenarios provided in the Course Documents section of this course. Using one of the predetermined case studies, please complete the following assignment.

    Instructions:

    Introduction (1 slide):

    • Provide a brief overview of the importance of patient-centered care and shared decision-making in healthcare.
    • Explain the relevance of these concepts specifically for patients who have been discharged from an acute care facility.
    • Provide three objectives of the presentation.

    Patient-Centered Care (34 slides):

    • Define patient-centered care and its key principles.
    • Discuss the benefits of patient-centered care for patients, healthcare providers, and the healthcare system.
    • Provide five examples of how patient-centered care can be implemented in the context of post-acute care.

    Shared Decision-Making (34 slides):

    • Define shared decision-making and its significance in healthcare.
    • Explain the role of shared decision-making in empowering patients to actively participate in their care.
    • Describe the benefits of shared decision-making for patients and healthcare providers.
    • Provide five examples of how shared decision-making can be facilitated during the post-acute care period.

    Strategies for Implementing Patient-Centered Care and Shared Decision-Making (45 slides):

    • Present a minimum of three evidence-based strategies for implementing patient-centered care and shared decision-making in the post-acute care setting.
    • Highlight the importance of effective communication and collaboration among healthcare professionals, patients, and their families.
    • Discuss the use of educational materials, decision aids, and technology in supporting patient-centered care and shared decision-making.

    Case Study Scenario (23 slides):

    • Choose one scenario from the five scenarios provided for the class.
    • Present the chosen scenario that involves a patient who has been discharged from an acute care facility.
    • Describe the challenges and opportunities for applying patient-centered care and shared decision-making in this specific case.
    • Discuss how the concepts of patient-centered care and shared decision-making could positively impact the patient’s post-acute care experience and outcomes.

    Conclusion (1 slide):

    • Summarize the key points discussed in the presentation.
    • Emphasize the significance of patient-centered care and shared decision-making in improving patient outcomes after discharge.
    • Encourage the audience to apply these concepts in their future healthcare practice.

    Presentation Requirements:

    • The presentation should be approximately 1215 slides long, including the introduction, content slides, conclusion, and references.
    • The suggested number of slides for each section is flexible. You can adjust the slide count as per your content requirements.
    • Speaker Notes are required.
    • Use appropriate visuals, bullet points, and concise text on each slide to enhance readability and engagement.
    • Follow consistent APA citation style; include a list of credible references used in the presentation.

    Assignment Requirements

    Before finalizing your work, you should:

    • read the assignment description carefully (as displayed above);
    • include a minimum of five references (although all assertions require scholarly support);
    • consult the Grading Rubric to evaluate your work; and
    • utilize spelling and grammar checks to minimize errors.

    Your presentation assignment should:

    • be a Microsoft PowerPoint;
    • be well ordered, logical, unified, and original;
    • utilize consistent slide design themes and fonts;
    • include appropriate slide headings;
    • include visual enhancements on slides as appropriate;
    • utilize Speaker Notes to deliver the majority of detailed information;
    • utilize concise bullet points on slides instead of sentences or paragraphs;
    • include a title slide and APA-formatted reference slide;
    • use current APA format for crediting sources; and
    • follow the conventions of Standard English (spelling on slides; correct grammar, mechanics, and spelling in Speaker Notes).

    Attached Files (PDF/DOCX): NU470CaseStudy4.docx

    Note: Content extraction from these files is restricted, please review them manually.

  • NU470 Regenerative and Restorative Care PP

    Please see attached case scenario

    Review the five, predetermined case scenarios provided in the Course Documents section of this course. Using one of the predetermined case studies, please complete the following assignment.

    Instructions:

    Introduction (1 slide):

    • Provide a brief overview of the importance of patient-centered care and shared decision-making in healthcare.
    • Explain the relevance of these concepts specifically for patients who have been discharged from an acute care facility.
    • Provide three objectives of the presentation.

    Patient-Centered Care (34 slides):

    • Define patient-centered care and its key principles.
    • Discuss the benefits of patient-centered care for patients, healthcare providers, and the healthcare system.
    • Provide five examples of how patient-centered care can be implemented in the context of post-acute care.

    Shared Decision-Making (34 slides):

    • Define shared decision-making and its significance in healthcare.
    • Explain the role of shared decision-making in empowering patients to actively participate in their care.
    • Describe the benefits of shared decision-making for patients and healthcare providers.
    • Provide five examples of how shared decision-making can be facilitated during the post-acute care period.

    Strategies for Implementing Patient-Centered Care and Shared Decision-Making (45 slides):

    • Present a minimum of three evidence-based strategies for implementing patient-centered care and shared decision-making in the post-acute care setting.
    • Highlight the importance of effective communication and collaboration among healthcare professionals, patients, and their families.
    • Discuss the use of educational materials, decision aids, and technology in supporting patient-centered care and shared decision-making.

    Case Study Scenario (23 slides):

    • Choose one scenario from the five scenarios provided for the class.
    • Present the chosen scenario that involves a patient who has been discharged from an acute care facility.
    • Describe the challenges and opportunities for applying patient-centered care and shared decision-making in this specific case.
    • Discuss how the concepts of patient-centered care and shared decision-making could positively impact the patient’s post-acute care experience and outcomes.

    Conclusion (1 slide):

    • Summarize the key points discussed in the presentation.
    • Emphasize the significance of patient-centered care and shared decision-making in improving patient outcomes after discharge.
    • Encourage the audience to apply these concepts in their future healthcare practice.

    Presentation Requirements:

    • The presentation should be approximately 1215 slides long, including the introduction, content slides, conclusion, and references.
    • The suggested number of slides for each section is flexible. You can adjust the slide count as per your content requirements.
    • Speaker Notes are required.
    • Use appropriate visuals, bullet points, and concise text on each slide to enhance readability and engagement.
    • Follow consistent APA citation style; include a list of credible references used in the presentation.

    Assignment Requirements

    Before finalizing your work, you should:

    • read the assignment description carefully (as displayed above);
    • include a minimum of five references (although all assertions require scholarly support);
    • consult the Grading Rubric to evaluate your work; and
    • utilize spelling and grammar checks to minimize errors.

    Your presentation assignment should:

    • be a Microsoft PowerPoint;
    • be well ordered, logical, unified, and original;
    • utilize consistent slide design themes and fonts;
    • include appropriate slide headings;
    • include visual enhancements on slides as appropriate;
    • utilize Speaker Notes to deliver the majority of detailed information;
    • utilize concise bullet points on slides instead of sentences or paragraphs;
    • include a title slide and APA-formatted reference slide;
    • use current APA format for crediting sources; and
    • follow the conventions of Standard English (spelling on slides; correct grammar, mechanics, and spelling in Speaker Notes).

    Attached Files (PDF/DOCX): NU470CaseStudy4.docx

    Note: Content extraction from these files is restricted, please review them manually.

  • canva presentation/infographic

    Overview

    This assignment allows you to demonstrate your understanding of leading change in complex healthcare environments by applying the 8 Steps Model of Change Process (Complexity Science) to a real or observed change. OR you can pick a process to apply the change to for the assignment (for example decrease falls, prevention of pressure injuries, decrease nurse turnover, etc) You will design a creative visual product and a reflective component, similar in style and clarity to the Canva example provided.

    Assignment Components

    Part 1: Change Process Visual (Creative Representation)

    • Create a visual infographic, concept map, or professional-style presentation that shows:
    • The change initiative you selected.
    • Which of the 8 steps were followed ( or should be followed)
    • The impact of outcome ( or desired outcome)
    • Connections to leadership principles in Chapter 5.

    Format Options:

    • Canva infographic or poster
    • PowerPoint/Google Slides deck
    • Concept map tool (Lucidchart, Miro, MindMeister)

    Submission Requirements

    • Submit a document or the link to the infographic
    • Integrate concepts from Chapter 5 of (DeNisco, S., 2024) and at least one scholarly source (within 5 years).
    • APA 7th edition is required for written or slide submissions.

    Attached Files (PDF/DOCX): California Baptist University_ Advanced Practice Nursing_ Essential Knowledge for the Profession.pdf, Infographic – Change Process Steps.pdf

    Note: Content extraction from these files is restricted, please review them manually.

  • Nursing Question

    please read this and respond

    Responses to Other Students: Respond to at least 1 of your fellow classmates with at least a 250-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:

    • What did you learn from your classmate’s posting?
    • What additional questions do you have after reading the posting?
    • What clarification do you need regarding the posting?
    • What differences or similarities do you see between your posting and other classmates’ postings?

    All sources should be cited using APA format. Grammar, spelling, punctuation, and format should be correct and professional.


    POST

    Knowledge acquisition is fundamental to nursing practice, where evidence-based decision-making can directly impact patient outcomes. As both an individual and a healthcare professional, I use multiple approaches to learning and knowing to gather, validate, and apply information. Understanding how we know what we know and critically evaluating the reliability of that knowledge is essential for safe, effective nursing practice.

    Validating information requires a systematic approach that considers the source, methodology, and corroboration of data. In my professional practice, I employ several strategies to determine accuracy. First, I evaluate the credentials and expertise of the source, prioritizing peer-reviewed literature and established clinical guidelines from organizations such as the American Nurses Association or the Centers for Disease Control and Prevention. Second, I examine the methodology used to generate the information, looking for rigorous research designs, appropriate sample sizes, and transparent reporting of limitations. Third, I seek corroboration across multiple reliable sources rather than relying on a single reference (Melnyk & Fineout-Overholt, 2023).

    In my personal life, I apply similar principles but may accept lower levels of evidence depending on the stakes involved. For instance, when researching a new recipe, a TikTok or Instagram post from trusted food bloggers are appropriate. However, when making health-related decisions for my family, I consult medical literature and healthcare providers, applying the same critical thinking skills I use professionally.

    The hierarchy of evidence model ranks information sources based on their methodological rigor and reliability, with systematic reviews and meta-analyses at the apex, followed by randomized controlled trials, cohort studies, case-control studies, case reports, and expert opinion at the base (Flanagan & Beck, 2024). This framework guides my information-seeking behavior in distinct ways across different contexts.

    In clinical settings, I primarily seek information from the upper levels of the hierarchy. When developing care plans or implementing new interventions, I consult systematic reviews, clinical practice guidelines based on meta-analyses, and high-quality randomized controlled trials. For example, when administering new chemotherapy medications to oncology patients, I reference the Oncology Nursing Societys evidence-based guidelines, which integrate findings from numerous rigorous studies. This approach ensures that my nursing practice reflects the best available evidence and minimizes potential harm to patients.

    My personal information-seeking tends to draw from lower levels of the hierarchy, though this varies by context. For everyday decisions, like choosing household products or planning recreational activities, I often rely on consumer reviews, expert opinions, or advice from friends and family. However, for significant decisions affecting health or financial well-being, I elevate my standards and seek higher-quality evidence, demonstrating that the stakes of a decision should influence our evidential requirements.

    My nursing knowledge has developed through multiple pathways. Formal education provided foundational theoretical knowledge through textbooks, lectures, and laboratory simulations. Clinical rotations and preceptorships offered experiential learning, where I applied theoretical concepts in real-world settings under supervision. Continuing education, professional conferences, and journal clubs have facilitated ongoing knowledge development throughout my career. Additionally, tacit knowledge gained through repeated clinical experiences has refined my clinical judgment and pattern recognition abilities (Benner, 2001).

    Determining accuracy in nursing knowledge requires ongoing verification. I cross-reference new information with established evidence, consult with experienced colleagues, and observe patient outcomes when implementing interventions. For instance, when learning a new wound care technique, I not only study evidence supporting it but also monitor healing progression in my patients and discuss observations with wound care specialists. This triangulation of evidence, expert consultation, and outcome evaluation enhances confidence in knowledge accuracy.

    Evidence-based practice represents the gold standard for knowledge acquisition in nursing. This approach integrates the best research evidence with clinical expertise and patient values (Melnyk & Fineout-Overholt, 2023). Best practices include regularly reviewing current literature, participating in professional development activities, engaging in reflective practice, collaborating with interdisciplinary teams, and maintaining healthy skepticism that prompts ongoing questioning and learning.

    Understanding how we acquire and validate knowledge is crucial for professional nursing practice. By applying hierarchical evidence frameworks, employing critical evaluation skills, and integrating multiple ways of knowing, nurses can provide safe, effective, evidence-based care while continuing to grow professionally.

    References

    Benner, P. (2001). From novice to expert: Excellence and power in clinical nursing practice (Commemorative ed.). Prentice Hall.

    Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

    Flanagan, J., & Beck, C. T. (2024). Polit & Beck’s Nursing Research (12th ed.). Wolters Kluwer Health.

    Requirements: 260

  • Bucket list

    Need to be done as instructed without any AI detection when put to test.
  • Human growth and Development

    APA term papers adhere to the American Psychological Association’s (APA) guidelines, promoting clear and consistent formatting that includes specific rules for titles, abstracts, headings, in-text citations, and the reference list. Examples for the PowerPoint presentation see attachment. The students PowerPoint presentation (1015 slides) must include in-depth and comprehensive content to earn an adequate grade. The presentation should address selected lifespan stages, analyze two to three key developmental areas, examine three to four influencing factors, and apply two relevant theorists related to the topic being discussed. Lifespan Stages: Prenatal development Key Developments: Mental health development Cognitive development Physical development Emotional development Influencing Factors: Behaviors Social Support Stressors Substance (drugs, alcohol, etc.) The theorists addressed within the study of lifespan development: Erik Erikson Jean Piaget Guidelines for formatting the PowerPoint Presentation Term Paper are as follows: 1. Formal front cover ( Title, Your name, Course name, Professor’s name, Due Date) 2. Double- spaced 3. Font text size: 12; Font color text: black or dark colors (no bright color text). 4. Introduction 5. Discussion of the chosen topic 6. Conclusion/Summary 7. Implement 3 to 4 in-text citations to avoid plagiarism 8. 3 to 4 References included in your final page of the paperwork