Advanced Practice Leadership Theory

During this assignment, the task asks for an overview of what Evidence Based Practice (EBP) is, and why is it so important and relevant to nursing as a generic term? The nursing and midwifery council (NMC) states that, all healthcare professionals are required to carry out care based on the best available evidence or best practice (NMC, 2008). A broad definition of Evidence Based Practice (EBP) came from David Sackett, (founder of the NHS Research and Development Centre and Colleagues); he expressed that EBP is: ‘The conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health [and social] care decisions’. (Sackett et al, 2000: 71-72).

Watson (2012, as cited in Pjnkihar, 2017) refers to nursing as a science, art, and moral ideal which essence is caring. In the ten caritas processes, Watson emphasized the promotion of a “supportive, protective, and/or corrective mental, physical, societal, and spiritual environment” (Watson 1999, as cited in Pjnkihar et al, 2017). She also highlighted the influence of internal and external environments on

It was designed to offer health protection to people by reviewing their multi-dimensional natures as they pursue various health care services or treatments (Sakraida, 2010).Therefore, it defines health not only as a mere lack of disease but also as an active dynamic of the human state. As a result, instead of referring to the physical health only, the theory refers to other factors within the patients ' environments to determine their health (Sakraida, 2010). In regards to evidence-based evaluation, this model uses current evidence provided in various nursing sources to make the decisions regarding the community and personal healthcare delivery (Fawcett &Desanto-Madeya, 2012). Some of the best current evidence used by the model includes the valid research about the health care effects, health problems relating to various pollutants, and the best and accurate diagnostic tests for different health issues (Sakraida, 2010). Consequently, the health promotion model provides good guidelines on how nursing may be upgraded regarding the standards and patients '

Introduction Nursing Practitioner Core Competencies create a structure that prepare nurse practitioners to be excellent providers in an ever-changing medical world (Thomas, Crabtree, Delaney, Dumas, Kleinpell, Logsdon, & et al., 2011). Through the context of nursing theory, the competencies give further insight in the role they play in structuring holistic patient care plans for individuals and communities. This paper will review different aspects of varying nursing theories to provide context to the core competencies. Scientific Foundation Scientific foundation competencies cover the need to analyze data and translate it into knowledge, to improve nursing practices and patient outcomes (Thomas et al., 2011).

The Theory of Self-Transcendence: History of the Theory The theory of self-transcendence is a middle-range nursing theory which was developed by Pamela Reed (Cramer, 2013; Smith & Liehr, 2008). Self-transcendence theory establishes a framework for healthcare providers through the promotion of well-being during life-altering events (Reed, 2008). In addition, this theory provides a holistic framework for nursing care focused on the relationship between persons and their environment (Reed, 2008). This can be achieved by creating self-transcendence activities that promote improved well-being through a broadening of personal boundaries (Reed, 2003).

Limitations of the paper Although the paper gives a brief view over the concept of Culturally Competent Nursing Care by defining the term of "Cultural Competence", highlighting its importance in nursing care, and introducing a few number of assessment models to assure the highest population-specific care, it avoids to bring into attention a simplified step-by-step approach for nurses on how to learn the necessary skills of cultural competent care, how to incorporate it into their daily practice, and how to evaluate their current skills for the weak areas necessitating modification. It seems the main purpose of the criticized paper was to emphasize the importance of the nursing care to underrepresented minorities in the US health care system. This was achieved by introduction of a series of assessment tool and their utility in different cultural settings.

Nursing sensitive measures are processes and outcomes. They aim to identify and measure the contribution that nursing care has on patient outcomes. Nursing sensitive outcomes are those that are relevant, based on nurses’ scope of practice and for which there is evidence linking nursing inputs and interventions to the outcomes. (Doran, 2003, p. viii) Quality healthcare has been an ever evolving process. Beginning with Florence Nightingale, who evaluated the quality of nursing care based on patient outcomes.

(2017). Retrieved from http://www.graduatenursingedu.org/family-nurse-practitioner/ Stevens, K., (May 31, 2013) " The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas" OJIN: The Online Journal of Issues in Nursing Vol. 18, No. 2, Manuscript 4.

State-mandated nurse-to-patient ratios remains a controversial topic in healthcare. Sufficient nurse staffing is key to ensure adequate patient care, while scarce staffing effects patients’ safety and puts nurses at risk for burnout. Determining nurse-to-patient ratios in nursing facilities remains a challenge for the nursing profession. There are many factors to consider when determining staffing methods, such as cost, nurses’ satisfaction, patient outcomes and safety. Mandating ratios is one attempt at ensuring nurses’ workloads do not exceed what is needed for adequate patient care and safety.

A recent event with my mother 's health compelled me to further my education in nursing as I cared for her after she was misdiagnosed and mistreated. I believe nursing is a rewarding profession and as nurses we must be united as a body. I have witnessed and experienced numerous dilemmas within our cohort . Thus, we must first address these issues before we can advance as quality health professionals. It is my hope that nurses will stand in accord to strengthen the profession so that we can be as " powerful" as other

1. What is your understanding of the Advance Directive for Healthcare and how does your facility (current or past) deal with the issue? There are two different types of Advance Directives, a Health Care Power of Attorney and a Living Will. An advance directive is a proactive legal document a patient fills out in advance making their wishes know in regards to complicated health care decisions in case they are unable to make the decisions for themselves for some reason. This document appoints a health care power of attorney to make the decision on the patient behalf if they are unable

(2012). Advanced practice nursing education: Challenges and strategies. Nursing Research and Practice, 2012, 854918-8. doi:10.1155/2012/854918 Fairman, J. A., Rowe, J. W., Hassmiller, S., & Shalala, D. E. (2011). Broadening the scope of nursing practice.

But when work environments are strained, safety and optimal care can be negatively impacted. Problems arise when work environments become strained due to situations where inadequate staff are available to provide patient care. For nurses to continue to maximize their contributions to society, their autonomy and dignity must be maintained in the work environment (ANA). The Nurses Bill of Rights states nurses have the right to practice in environments that allow them to act in accordance with professional standards and legally authorized scopes of practice (ANA).

In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her.