Tag: Clinical-Nursing

  • NURS-6630 Week 1 discussion – Ion Channels and G Proteins

    NURS-6630 Week 1 discussion – Ion Channels and G Proteins

    Ion Channels and G Proteins

    This Discussion will allow you the opportunity to engage with your peers to explore the difference between ion channels and G proteins. You will be able to apply this understanding to a specific patient question. Additionally, please reply to your peers with additional information and sources to either support or challenge responses.

    Resources

     

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources.

    WEEKLY RESOURCES

    To prepare:

    Review the Required Learning Resources.

    Consider the difference between ion channels and G proteins.

    By Day 3 of Week 1

    Post
     a response answering the following:

    Explain the difference between ion channels and G proteins as they relate to signal transduction and targets of medications.

    How would you answer the following patient question:

    My grandmother has a mental illness. I have the same genes as her. Will I also get the same mental illness?

    Note: 
    Your response needs to be supported and validated by three (3) scholarly peer-reviewed resources located 
    outside
     of your course Learning Resources.

    Upload a copy of your discussion writing to the draft Turnitin for plagiarism check.  Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed.

    Read 
    a selection of your colleagues’ posts.

    By Day 6 of Week 1

    You are required to participate in the Discussion on at least 3 different days (a different day for main post and each response). It is important to adhere to the weekly time frame to allow others ample time to respond to your posting.

    Read 
    a selection of your colleagues’ posts
    .  Respond
     to 
    at least two
     of your colleagues on 
    2 different days
     by supporting or expanding on their explanation, as well as how they have described their response to the patient.

    Peer responses should include at least two (2) supporting scholarly, peer-reviewed references 
    outside
     of the provided Learning Resources. Your responses should also include additional resources to either support or refute the responses and should demonstrate critical thinking.

    Note:
     Be sure you work to share additional perspectives on the details described by your colleague. Responses of “I agree” or “good point” will result in lower score grading.

    NURS-6630 Week 1 discussion – Ion Channels and G Proteins

    Main post
     

     
    Cellular communication and function depend heavily on signal transduction, the process by which a cell reacts to outside stimuli. Ion channels and G proteins are two important participants in this process and important candidates for pharmaceutical treatments. These molecules differ greatly in their structure, function, and how drugs target them, even though they play similar functions in signal transduction.
     

    Ion Channels: Overview and Purpose
     

    Ion channels, which permit certain ions like sodium (Na⁺), potassium (K⁺), calcium (Ca²⁺), or chloride (Cl⁻) to flow through, are pore-forming proteins embedded in the cell membrane. These channels respond to various stimuli and can be voltage-gated, ligand-gated, or mechanically gated. Ion channels are essential for preserving the membrane potential at rest, producing action potentials, and controlling ion concentrations inside cells. For instance, potential action initiation and propagation in neurons depend on voltage-gated sodium channels. Ion channel-targeting medications frequently work by varying the opening or closure of the channels. One such would be local anesthetics such as lidocaine, which block voltage-gated sodium channels to stop nerve impulses from propagating and relieve pain (Hille, 2001).
     

    G Proteins: Composition and Role
     

    G proteins, sometimes referred to as guanine nucleotide-binding proteins, are molecular switches that transmit signals from intracellular signaling pathways to cell surface receptors called G protein-coupled receptors (GPCRs). When a ligand attaches itself to a GPCR, the receptor encourages the G protein’s alpha subunit to swap GDP for GTP, activating the corresponding G protein. G protein can affect several intracellular effectors like phospholipase C or adenylate cyclase, which can result in the production of second messengers like IP₃ or cAMP. G proteins are important targets for drug development because they are involved in many physiological processes. For example, beta-blockers, which are frequently used to treat hypertension, lower blood pressure and heart rate by blocking the function of G proteins connected to beta-adrenergic receptors (Rang, Dale, Ritter, & Flower, 2016).
     

    BUY A PLAGIARISM-FREE PAPER HERE

    G Proteins vs. Ion Channels for Drug Targeting
     

    Ion channels and G proteins are equally essential for signal transduction, but the way that drugs target them is different. Drugs can directly target ion channels to either block or increase ion flow, which can modulate electrical activity or reactions within cells. Drugs that target G proteins, on the other hand, usually work on the receptors (GPCRs) that either activate these proteins or have an impact on the signaling cascades that they regulate downstream. The possibility to create medications that selectively target G protein signaling pathways while having no effect on other pathways mediated by the same receptor is one area of study in pharmacology. As evidenced by the creation of biased agonists, which specifically activate particular G protein pathways, this specificity may result in more potent therapies with fewer adverse effects (Wootten, Christopoulos, & Sexton, 2013).
     

    G proteins and ion channels are both essential elements of signal transduction, although they function differently and are targeted differently by medications. Comprehending these variations is crucial for the advancement of more accurate and efficacious pharmaceutical interventions.
     

     
    How would you answer the following patient question:
     

    My grandmother has a mental illness. I have the same genes as her. Will I also get the same mental illness?
     

    I would advise the patient that genetic predisposition can increase the risk of developing certain mental illnesses, but it does not guarantee that this patient will get the same mental illness. 
     

    References
     

    Hille, B. (2001). 
    Ion channels of excitable membranes
     (3rd ed.). Sinauer Associates.
     

     
    Rang, H. P., Dale, M. M., Ritter, J. M., & Flower, R. J. (2016). 
    Rang and Dale’s Pharmacology
     (8th ed.). Elsevier.
     

     
    Wootten, D., Christopoulos, A., & Sexton, P. M. (2013). Emerging paradigms in GPCR allostery: implications for drug discovery. 
    Nature Reviews Drug Discovery, 12
    (8), 630-644. 
    https://doi.org/10.1038/nrd4052
    Links to an external site.
     

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    Destin Mcneill

    Aug 30, 2024 12:36am
    | 
    Last reply Sep 1, 2024 9:53pm

    Reply from Destin Mcneill

    MAIN POST

    Ion channels are proteins located in the cell membranes of all living organisms. Their job is to create pathways to allow specific ions like sodium, potassium, calcium, and chloride to pass through so physiological processes can take place in the living organisms it’s residing in. The ion channels open and close creating an immediate responses like cell excitability, muscle contractions, and neurotransmitter release. According to Cen et al., (2024) Lysosomes are highly dynamic organelles that maintain cellular homeostasis and regulate fundamental cellular processes by integrating multiple metabolic pathways. Lysosomal ion channels such as TRPML1-3, TPC1/2, ClC6/7, CLN7, and TMEM175 mediate the flux of Ca2+, Cl−, Na+ , H+ , and K+ across lysosomal membranes in response to osmotic stimulus, nutrient-dependent signals, and cellular stresses. These ion channels serve as the crucial transducers of cell signals and are essential for the regulation of lysosomal biogenesis, motility, membrane contact site formation, and lysosomal homeostasis. In terms of pathophysiology, genetic variations in these channel genes have been associated with the development of lysosomal storage diseases, neurodegenerative diseases, inflammation, and cancer. This review aims to discuss the current understanding of the role of these ion channels in the central nervous system and to assess their potential as drug targets. Some target medications of ion channels are calcium channel blockers, sodium channel blockers, and potassium channel openers.

    G Proteins, or guanine nucleotide-binding proteins are molecular switches located intracellular that transmit signals outside the cell to inside the cell. They play a very essential role in intracellular signaling pathways, and are involved in many cellular processes like gene expression, cell growth, and metabolism changes. One of their main functions is their activation and inactivation cycle. Torres-Rodriguez (2024) Heterotrimeric G-proteins are universal signaling conduits in all eukaryotic groups, ranging from yeast and humans to algae and vascular plants. They regulate a variety of cellular processes involving millisecond-level responses, such as perception of light or neurotransmission in humans, to slower lifetime-level developmental aspects, such as body plan and architecture in plants. In all organisms, the core G-protein complex consists of one subunit each of the α, β, and γ proteins and exists in bimodal active 
    versus
     inactive states. The transition between the active and inactive states is driven by the nucleotide-bound form of the Gα subunit. In the resting state, Gα is GDP-bound and associated with the Gβγ dimer. Signaling is initiated when the bound GDP is exchanged for GTP on Gα, which results in conformational changes that dissociate the heterotrimeric complex into Gα·GTP and Gβγ. Both entities can interact with downstream effectors to transduce the signal. Ion channels involve direct regulation signal transduction across the cell membrane. While G Proteins involve indirect signal transduction activation of signal pathways.

    How I’d respond to the question would there is a possibility. But, not a definite yes or no. Because it depends on what the mental illness is, and what specific genes are involved, and/or inherited. Having the same genes as the grandma may increase the risk of developing a similar mental illness. But, it’s not a definite certainty. Mental illnesses are caused by multiple gene interactions. A Single gene that has no other genes to interact with will definitely not cause mental illnesses because it needs other genes to communicate with to even develop a mental illness.  Being the genes are not from the person’s immediate family, the parents, and from I guess a third party relative. Complex gene interactions, along with environmental and lifestyle factors influence mental illnesses. According to Hoy et al., (2023) In recent years, molecular genetic research has shifted its focus from candidate gene studies to genome-wide approaches in aiming to identify the genetic architecture underlying complex traits and disorders. For example, genome-wide association studies (GWASs) compare the frequencies of a large number (typically 500k-1 M) of common variants across the genome (e.g., single-nucleotide polymorphisms or SNPs) between cases of a given phenotype (e.g., depressed patients) and controls. Summary statistics from these studies can then be used to calculate polygenic scores (PGSs) in independent samples, providing a single quantitative metric of genetic risk for a particular trait or disorder based on the aggregate effects of genetic variants found to be associated with that phenotype through the relevant GWAS. These approaches capture polygenetic influences on psychiatric phenotypes (i.e., the contribution of multiple genetic variants to a given disorder) and have consistently demonstrated evidence of widespread pleiotropy across different forms of mental illness. That is, genetic variants influencing the expression of psychopathology are largely shared across putatively distinct diagnostic categories

    Cen, J., Hu, N., Shen, J., Gao, Y., & Lu, H. (2024). Pathological Functions of Lysosomal Ion Channels in the Central Nervous System. 
    International Journal of Molecular Sciences
    , 
    25
    (12), 6565. https://doi.org/10.3390/ijms25126565

    Hoy, N., Lynch, S. J., Waszczuk, M. A., Reppermund, S., & Mewton, L. (2023). Transdiagnostic biomarkers of mental illness across the lifespan: A systematic review examining the genetic and neural correlates of latent transdiagnostic dimensions of psychopathology in the general population. 
    Neuroscience and Biobehavioral Reviews
    , 
    155
    . https://doi.org/10.1016/j.neubiorev.2023.105431

    Torres-Rodriguez, M. D., Lee, S. G., Roy Choudhury, S., Paul, R., Selvam, B., Shukla, D., Jez, J. M., & Pandey, S. (2024). Structure-function analysis of plant G-protein regulatory mechanisms identifies key Gα-RGS protein interactions. 
    Journal of Biological Chemistry
    , 
    300
    (5). https://doi.org/10.1016/j.jbc.2024.107252

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    Cheryl Athurine Spence

    Aug 29, 2024 10:21pm
    | 
    Last reply Aug 31, 2024 8:16pm

    Reply from Cheryl Athurine Spence

    Response to post discussion 2

    The Difference Between Ion Channels and G Proteins

    Hello, Sharon. I liked your post on Ion channels and G protein. They are both essential aspects of cellular transduction, and although they react to different mechanisms, medications can target ions differently.  Ion channels are protein structures that form pores into cell membranes, enabling specific ions to go in or out. According to Raines et al. (2022), ion channels are relatively long macromolecules and made up of subunits extending the cell membrane. Ion channels are classified based on the ion that they allow to pass, such as sodium (Na
    +
    ), potassium (K
    +
    ), calcium (Ca
    2+
    ), or chloride (Cl
    −
    ) (Raines et al., 2022). Whenever they are active, they directly alter the cell’s electrical potential. Voltage changes, ligands, or mechanical forces trigger the channels. Medications that target ion channels tend to operate either through blocking or modulating their activity. According to Hutchings et al. (2019), ion channel proteins transport ions across cell membranes and play critical roles in various physiological and pathophysiological processes. Examples of medications targeting ion channels include local anesthetics, which block sodium channels, and benzodiazepines, which trigger the activity of GABA receptor chloride channels.

    On the other hand, G proteins are intracellular signaling molecules that serve as molecular switches. These proteins are active when bound to GTP and inactive when the GTP becomes hydrolyzed to GDP. G proteins tend to be coupled with cell surface receptors called G protein-coupled receptors (GPCRs). In their study, Maggio et al. (2021) noted that G proteins are more characterized partners of GPCRs, are trimeric proteins that become activated when nucleotide GTP made up of α, β, and γ subunits with the α on one side and the β/γ subunits. When activated, G proteins activate cascades of intracellular events—the medications targeting the G protein work by activating or inhibiting GPCRs. An example of drugs targeting the G proteins are the beta-blockers that inhibit beta-adrenergic GPCRs and opioids that activate the opioid GPCRs.

    The notable differences between ion channels and G proteins are based on their mechanisms and impacts. Ion channels directly impact cell excitability, with typically faster and shorter-term effects. On the other hand, G proteins initiate more complex signaling cascades that tend to have extensive and longer-lasting impacts. This simplifies the fact that medications targeting ion channels are likely to produce immediate effects. In contrast, those targeting proteins tend to have a more comprehensive, prolonged impact on cellular function.

    Genetics and Mental Illness

    To the patient having concerns about her mental health, given the family history, it is essential to understand the concerns as being genuine. With the grandmother having a mental illness, it increases the risk of mental health issues. Still, it is not a guarantee that the same mental condition will affect another family member. Mental health issues are complex and may be influenced by both genetic and environmental factors. According to Fabbri (2022), psychiatric disorders are complex diseases with genetic-environmental pathogenesis, where people are born with some level of genetic risk factors contributing to disease susceptibility while the environmental risk factors accumulate the susceptibility. When some threshold value has been reached, a person manifests an active episode of illness. While a family history of mental illness predisposes one to high susceptibility, whether the genes are expressed is also influenced by other factors such as life experiences, stress levels, and other environmental influences.

     

    References

    Fabbri, C. (2022). Genetics in psychiatry: Methods, clinical applications, and future perspectives. 
    Psychiatry and Clinical Neurosciences Reports
    , 
    1
    (2), e6. https://doi.org/10.1002/pcn5.6

    Hutchings, C. J., Colussi, P., & Clark, T. G. (2019). Ion channels as therapeutic antibody targets. In 
    MAbs
     (Vol. 11, No. 2, pp. 265-296). Taylor & Francis. https://doi.org/10.1080/19420862.2018.1548232

    Maggio, R., Fasciani, I., Carli, M., Petragnano, F., Marampon, F., Rossi, M., & Scarselli, M. (2021). Integration and spatial organization of signaling by G protein-coupled receptor homo-and heterodimers. 
    Biomolecules
    , 
    11
    (12), 1828. https://doi.org/10.3390/biom11121828

    Raines, R., McKnight, I., White, H., Legg, K., Lee, C., Li, W., … & Shim, J. W. (2022). Drug-targeted genomes: Mutability of ion channels and GPCRs. 
    Biomedicines
    , 
    10
    (3), 594. https://doi.org/10.3390/biomedicines10030594

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    Maria Kasmir Magbuo

    Aug 29, 2024 7:31pm
    | 
    Last reply Sep 1, 2024 9:55pm

    Reply from Maria Kasmir Magbuo

    Hi Class

    Functional and structural characteristics are two distinct areas in which ion channels and G proteins are significantly different from one another. Ion channels are proteins that produces gaps in cell membranes (Dai, 2023). These tiny openings allow certain ions such as potassium, sodium, chloride or calcium to move inside or out of the cell. Electrical signals are produced as a result of the movement of ions, and these electrical signals are essential for a variety of physiological activities, including the transmission of nerve impulses, the contraction of muscles (Dai, 2023), and the rhythm of the heart. When it comes to G proteins, this type of protein is found inside of cells that functions as molecular switches. They are related to receptors that are found on the surface of cells, which are known as G protein-coupled receptors or GPCRs (Fasciani et al., 2022). A ligand, which can be a hormone or a neurotransmitter, acts as the trigger for activating a receptor, which in response activates the G protein. The G protein eventually comes into contact with various different intracellular signaling molecules or pathways (Mafi et al., 2022).

    Ion channels and G proteins individually have their own unique function in the process of signal transduction. It is possible for ion channels to be opened or closed directly in response to signals, such as neurotransmitters or medicines, which results in a rapid change in the membrane potential and activity of the cell (Dai, 2023). For instance, in response to neurotransmitters, neurotransmitter-gated ion channels open, allowing ions to travel through the membrane rapidly and influence cellular activity. In contrast, G proteins initiate more complex and slower signaling cascades. Rather than directly affecting the membrane potential, G proteins have the ability to either activate or inhibit a variety of enzymes and second messenger systems, such as calcium release or cAMP, which in turn leads to an extensive variety of cellular responses (Rehman et al., 2023). Compared to the quick and immediate effects of ion channels, this variation enables G protein channels to provide amplification and modulation of the initial signal, rendering them more adaptable and highly developed.

    Drugs can selectively affect ion channels and G proteins based on their distinct mechanisms of therapeutic action. Drugs that target ion channels are developed with the intention of rapidly changing the flow of ions across cell membranes. For instance, pain signals can be blocked by local anesthetics by blocking sodium channels, while seizure activity can be reduced by anti-epileptic medications by stabilizing ion channels (Hernandez & Richards, 2023). G protein-coupled receptor (GPCR) or G protein targeted medications, on the other hand, influence cellular signaling pathways that are more complex. The action of GPCRs can be influenced by several medications, including beta-blockers, antihistamines, beta-blockers, and some psychiatric medications, which results in various therapeutic effects (Fasciani et al., 2022).  The differentiation demonstrates how drugs may selectively target ion channels to produce rapid effects or activate G protein pathways to achieve more complex regulatory effects.

    When it comes to answering the patient’s question, my answer would be “There is some evidence suggesting mental disorders may have a hereditary component. Having a family history of mental illness is a risk factor, but it does not mean the individual will also have the disorder. There can be an intricate correlation of genetic, environmental, and lifestyle variables in the development of mental illness (National Institutes of Health, 2024). Even while you and your grandmother share similar biological traits, this does not necessarily guarantee that you will acquire the same disorder as her. Other aspects, such as the environment around you, the experiences you’ve had in life, and the amount of stress you’re under, all play a vital impact (National Institutes of Health, 2024). Establishing a discussion with a healthcare provider who can provide you with more individualized guidance and assistance is a great option if you have concerns regarding your mental health.

    References

    Dai, G. (2023). Signaling by Ion Channels: Pathways, Dynamics and Channelopathies. 
    Missouri Medicine
    . https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569386/

    Fasciani, I., Carli, M., Petragnano, F., Colaianni, F., Aloisi, G., Maggio, R., Scarselli, M., & Rossi, M. (2022). GPCRs in intracellular compartments: New targets for drug discovery. 
    Biomolecules
    , 
    12
    (10), 1343. https://doi.org/10.3390/biom12101343

    Hernandez, C. M., & Richards, J. R. (2023). Physiology, Sodium Channels. 
    StatPearls [Internet]
    . https://www.ncbi.nlm.nih.gov/books/NBK545257/

    Mafi, A., Kim, S., & Goddard, W. A. (2022). The mechanism for ligand activation of the GPCR–G protein complex. 
    Proceedings of the National Academy of Sciences
    , 
    119
    (18). https://doi.org/10.1073/pnas.2110085119

    National Institutes of Health (NIH). (2024). 
    Looking at my genes: What can they tell me about my mental health?
     National Institute of Mental Health (NIMH). https://www.nimh.nih.gov/health/publications/looking-at-my-genes

    Rehman, S., Rahimi, N., & Dimri, M. (2023). Biochemistry, G Protein Coupled Receptors. 
    StatPearls [Internet]
    . https://www.ncbi.nlm.nih.gov/books/NBK518966/

     

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    Kim White

    Aug 28, 2024 10:39pm
    | 
    Last reply Sep 1, 2024 9:58pm

    Reply from Kim White

    Ion channels and G proteins play crucial roles in signal transduction, but they function differently and are targeted differently by medications. Ion channels are proteins that form pores in cell membranes, allowing specific ions (like sodium, potassium, or calcium) to pass through. This ion movement generates electrical signals, which are vital for processes like muscle contraction, neurotransmission, and heartbeat regulation. Medications that target ion channels often aim to modify these electrical signals. For instance, some antiepileptic drugs work by stabilizing ion channels to prevent abnormal electrical activity in the brain.

    G proteins, on the other hand, are involved in a more complex signaling pathway. They act as molecular switches inside cells, transmitting signals from various receptors on the cell surface to internal cellular mechanisms. When a signaling molecule (like a hormone or neurotransmitter) binds to a receptor on the cell surface, it activates a G protein. This G protein then triggers various downstream effects, such as enzyme activity or gene expression changes. Many medications, including certain antipsychotics and antihypertensives, target G protein-coupled receptors (GPCRs) to modulate these pathways.

     

    Regarding the patient asking the question about mental illness and genetics, it’s important to clarify that while genetics play a role in the risk for mental illness, having the same genes as a family member with a mental illness does not guarantee that you will develop the same condition. A combination of genetic, environmental, and lifestyle factors influences mental illnesses. For example, someone might inherit a genetic predisposition for a mental illness but never develop it because they do not encounter the same environmental triggers or stresses. It is also possible to take preventive steps, such as maintaining a healthy lifestyle and seeking early intervention if symptoms arise, to reduce the risk of developing mental illness. This can be a complicated but important thing to discuss with individuals as they worry about moving forward and having their own children.

     

    References

     

    American Psychiatric Association. (2020). 
    The role of genetics in mental illness
    . Retrieved from 
    https://www.psychiatry.org
    Links to an external site.

     

    Kandel, E. R., Schwartz, J. H., & Jessell, T. M. (2021). 
    Principles of neural science
     (6th ed.). McGraw-Hill Education.

     

    Swanson, L. W. (2018). 
    Brain architecture: Understanding the basic plan
     (2nd ed.). Oxford University Press.

    G proteins and ion channels are both crucial components of signal transduction pathways, but they serve different roles and mechanisms in cellular communication and pharmacological targeting.

    G Proteins

    G proteins, or guanine nucleotide-binding proteins, act as molecular switches in signal transduction. They are typically associated with G protein-coupled receptors (GPCRs), which are membrane proteins that detect extracellular signals such as hormones and neurotransmitters (Ahmad & Dalziel, 2020). Upon ligand binding, GPCRs undergo a conformational change that activates the associated G protein, leading to the exchange of GDP for GTP on the alpha subunit of the G protein. This activation causes the G protein to dissociate into its active components: the alpha subunit (now bound to GTP) and the beta-gamma dimer. These components can then interact with various downstream effectors, such as enzymes that produce second messengers (e.g., cyclic AMP) or ion channels, thereby propagating the signal within the cell.

    G proteins are significant targets for medications, as they regulate numerous physiological processes. Approximately 34% of all FDA-approved drugs target GPCRs, highlighting their importance in pharmacology (Liu et al., 2021). Drugs can either activate or inhibit GPCRs, leading to therapeutic effects in conditions such as hypertension, depression, and cancer.

    Ion Channels

    Ion channels, on the other hand, are integral membrane proteins that allow specific ions to flow across the cell membrane, thereby altering the membrane potential and facilitating rapid cellular responses. They can be ligand-gated or voltage-gated, with ligand-gated ion channels opening in response to the binding of a neurotransmitter or other signaling molecule (Alexander et al., 2023). This quick change in ion permeability is crucial for processes like neurotransmission and muscle contraction.

    While ion channels can be directly targeted by drugs (e.g., calcium channel blockers for hypertension), they can also be indirectly influenced by G proteins. For instance, activated G proteins can modulate the activity of certain ion channels, enhancing or inhibiting their function as part of a broader signaling cascade. This interplay between G proteins and ion channels exemplifies the complexity of signal transduction pathways and highlights potential therapeutic targets for drug development.

    How would you answer the following patient question:

    My grandmother has a mental illness. I have the same genes as her. Will I also get the same mental illness?

    While you and your grandmother may share the same genes, this does not mean you will necessarily develop the same mental illness. Mental health conditions are complex and result from a mix of genetic and environmental influences. Your unique experiences, lifestyle choices, and overall environment can greatly impact your mental health. It’s important to prioritize your well-being and consider factors beyond genetics that contribute to mental health. If you have concerns, discussing them with a healthcare professional can provide valuable insights and support.

    References

    Ahmad, R., & Dalziel, J. E. (2020). G protein-coupled receptors in taste physiology and pharmacology. 
    Frontiers in pharmacology
    , 
    11
    , 587664.

    Alexander, S. P., Mathie, A. A., Peters, J. A., Veale, E. L., Striessnig, J., Kelly, E., … & Zhu, M. (2023). The concise guide to PHARMACOLOGY 2023/24: Ion channels. 
    British Journal of Pharmacology
    , 
    180
    , S145-S222.

    Liu, N., Wang, Y., Li, T., & Feng, X. (2021). G-protein coupled receptors (GPCRs): signaling pathways, characterization, and functions in insect physiology and toxicology. 
    International Journal of Molecular Sciences
    , 
    22
    (10), 5260.

     

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    Alexis Carson

    Aug 28, 2024 10:04pm
    | 
    Last reply Sep 1, 2024 11:56am

    Reply from Alexis Carson

    Week One Discussion Post Two

    2) My grandmother has a mental illness. I have the same genes as her. Will I also get the same mental illness?

    Genetics and mental illness are an interesting but complex topic. Although having a close family member with a mental illness could increase the chances of developing the same illness, it’s not likely that you will develop the same condition.

    There are some factors to consider.

    Genetic Factors

    Heritability:
     Scientists have discovered evidence that many of the same genes have underlying distinct disorders, such as schizophrenia and autism, and changes in brain decision-making capacity could be involved in many of these illnesses. Genetic involvement in mental illness is seen through increased rates of disorders in first-degree family members who are diagnosed with disorders. Parents who are diagnosed with schizophrenia, bipolar disorders, and major depressive disorders, who have children, may have an increased risk of developing these illnesses but they may also develop other mental health disorders. Many factors contribute to the risk, but science has suggested that genetics carry the highest risk (Baselmans, et al, 2021).

    Polygenic Nature: 
    Mental illness is often influenced by many genes rather than just one gene, hence polygenic. There are
     
    polygenic links seen in mental illnesses causing social behavior changes seen in adolescent development up to adulthood. Mental illness is polygenic but it’s unclear if mental illness is caused by genetics (Schlag, et al, 2022).

    Gene-Environment Interaction and Life Experiences: 
    Gene-by-environment interactions have shown that mental illness can be caused by environmental factors such as stress, trauma, lifestyle, and many other environmental factors. Combined with genetics and environmental factors, the interaction with genetic vulnerability is a risk of developing a psychiatric disorder even among individuals without a genetic predisposition. These can include drugs, and childhood trauma like being placed in a bad foster home, which can cause major polygenic depression, and even schizophrenia (Assary, et al, 2020).

    Summary

    Many risk factors can cause mental illness. You may have a higher risk of
    developing a mental illness being
    that your grandmother was diagnosed with a mental illness, it’s not guaranteed you will develop a disorder. As mentioned, environmental factors and genetics play a major part in the development of a psychiatric disorder. If you are worried about developing a mental illness, it is important to speak with your medical provider so they can help you maintain a healthy lifestyle and help you identify early signs and symptoms of mental illness, so you can manage any possible risks effectively.

     

    Resources

    Assary, E., Vincent, J., Machlitt-Northen, S., Keers, R., & Pluess, M. (2020). The role of gene-environment interaction in mental health and susceptibility to the development of psychiatric disorders. 
    Beyond Our Genes: Pathophysiology of Gene and Environment Interaction and Epigenetic Inheritance
    , 117-138.

    Baselmans, B. M., Yengo, L., van Rheenen, W., & Wray, N. R. (2021). Risk in relatives, heritability, SNP-based heritability, and genetic correlations in psychiatric disorders: a review. 
    Biological Psychiatry
    , 
    89
    (1), 11-19.

    Schlag, F., Allegrini, A. G., Buitelaar, J., Verhoef, E., van Donkelaar, M., Plomin, R., … & St Pourcain, B. (2022). Polygenic risk for mental disorder reveals distinct association profiles across social behaviour in the general population. 
    Molecular psychiatry
    , 
    27
    (3), 1588-1598.

    Week One Discussion Post One

    Explain the difference between ion channels and G proteins as they relate to signal transduction and targets of medications.

    Ion channels and G proteins are two distinctive types of proteins that play an essential role in cellular signal transduction.

    Ion channels produce fast signaling conduction proteins that assist the movement of ions like sodium, potassium, calcium, and chloride across the cell membrane. They can open and close in response to a signaling molecule like growth hormones, binding to it, which can change the flow across the membrane (Hille, 2022).

    They are essential for generating electrical signals within cells and are involved in various physiological processes, including muscle contraction, nerve communication, and hormone production. Ion channels can be activated or respond rapidly to specific molecules such as neurotransmitters or hormones (Sakmann, 2022).

    As drug targets, ion channels are frequently targeted by certain medications. For instance, drugs that block specific ion channels can be used as an anesthetic or antiepileptics, by interrupting or stopping the communication of electrical signals in the nervous system. Also, medications that modify ion channel movement can be used to regulate blood pressure and treat cardiac arrhythmias (Giffin, Khan, Basu, & Smith, 2020)

    G proteins, like the ion channel, are also drug targets. G proteins are intracellular signaling proteins that connect cell surface receptors to target molecules within the cell. When a signaling molecule, such as a hormone or neurotransmitter, which are messengers that bring signals from outside the cells, binds to a cell surface receptor, it activates a specific G protein, G protein-coupled receptors (GPCR) (Yang et al., 2021).

    Most body tissues contain G protein-coupled receptors. GPCRs are seen in many conditions such as diabetes, certain cancers, and cardiovascular diseases. By modifying signaling pathways, drugs can activate or stop specific G protein-coupled receptors (GPCRs). For example, Beta-Blockers work by preventing GPCRs from moving into cardiac cells, which causes the heart rate to decrease allowing the blood pressure to decrease (Davies & Tomas, 2023).

     

    Resources

    1) Davies, A., & Tomas, A. (2023). Appreciating the potential for GPCR crosstalk with ion channels. 
    Progress in Molecular Biology and Translational Science
    , 
    195
    , 101-120.

    2) Griffin, M., Khan, R., Basu, S., & Smith, S. (2020). Ion channels as therapeutic targets in high grade gliomas. 
    Cancers, 12
    (10), 3068.

    3) Hille, B. (2022). Ionic channels in nerve membranes, 50 years on. 
    Progress in biophysics and molecular biology
    , 
    169
    , 12-20.

    4) Sakmann, B. (2022). Sparks in the Brain: The Story of Ion Channels and Nerve Cells. 
    Front. Young Minds
    , 
    10
    , 858193.

    5) Yang, D., Zhou, Q., Labroska, V., Qin, S., Darbalaei, S., Wu, Y., Yuliantie, E., Xie, L., Tao, H., Cheng, J. and Liu, Q., … & Wang, M. W. (2021). G protein-coupled receptors: structure-and function-based       drug discovery. 
    Signal transduction and targeted therapy, 6(1), 7.

     

     

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    Negatu Engdaw Ahmed

    Aug 28, 2024 10:02pm
    | 
    Last reply Sep 1, 2024 10:06pm

    Reply from Negatu Engdaw Ahmed

    NURS 6630 week I discussion.

    The objective of this week’s discussion assignment is to discern the distinction between ion channels and G proteins in terms of their involvement in signal transduction and as targets of pharmaceuticals. As discussed below, ion channels and G proteins are essential elements in biological signaling networks, despite their distinct functions and drug targets.

    Ion Channels

    Ion channels are specialized membrane proteins that are responsible for creating holes or channels across the cell membrane. These channels enable certain ions to enter or leave the cell.

    They are necessary for many physiological functions and serve an important role in maintaining cellular homeostasis and communication. In 2018, New Media gathered this data. There are approximately 400 ion channel genes in the human genome, which fall into three superfamilies: voltage-gated, ligand-gated, and mechano-sensitive.

    Their function in signal transduction
    :

    Ion channels are important for almost all physiological processes, such as heartbeat control, muscle contraction, and neuronal transmission. Based on New Media 2018 information. Ion channels have a crucial role in nearly all physiological processes, including the regulation of heartbeat, muscular contraction, and neuronal transmission. Ion channels are protein structures that form pores in the cell membrane, facilitating the specific transport of particular ions (such as Na+, K+, Ca2+, or Cl-) across the cell membrane. When these channels become activated or deactivated, they modify the distribution of ions within the cell. This can quickly modify the cell’s membrane potential and have an impact on many physiological reactions, such as muscle contraction, release of neurotransmitters, and electrical communication in neurons. For example, the opening of sodium channels can lead to neuron depolarization, triggering an action potential. When these channels become activated or deactivated, they modify the distribution of ions within the cell, leading to a quick shift in the cell’s membrane potential (Martinac 2012).

    The targets of medication

    Medications frequently aim to modify the activity of ion channels. For example, the information from Cleveland Clinic (2022) explains the following medication targets.

    i) Calcium channel blockers, such as verapamil and amlodipine, inhibit calcium entry into cardiac and smooth muscle cells to treat hypertension.

    ii) Sodium channel blockers, like lidocaine, serve as both local anesthetics and antiarrhythmic medications.

    iii) By delaying the repolarization process, potassium channel blockers like sotalol treat arrhythmias. (Cleveland Clinic, 2022)

    B) 
    G-proteins

    A) Their function in signal transduction: 

    The following information about G protein comes from Alberts, B. (1970).

    G proteins are intracellular signaling molecules that transmit signals from receptors on the cell surface to different intracellular effectors. The binding of ligands to G proteins triggers the activation of related G proteins through the substitution of GTP for GDP. Upon activation, the alpha and beta subunits of the G protein separate and participate in signal transduction within the cell.

    It directly influences ion channels or modulates enzymes such as adenylate cyclase and phospholipase C, which in turn govern several cellular functions (Alberts, B. (1970).

    Targets of medications:

    Medications that affect G protein-coupled receptors (GPCRs) have an indirect impact on G proteins, Sriram &  Insel (2018). For example:

    i) Beta-blockers, such as propranolol, target beta-adrenergic receptors, which are G protein-coupled receptors (GPCRs). Doctors prescribe them to treat hypertension and heart problems.

    ii) Opioids, such as morphine, exert their effects by binding to opioid receptors, which are a type of G protein-coupled receptors (GPCRs). This interaction influences the experience of pain and mood.

    iii) Antihistamines, such as diphenhydramine, specifically act on histamine receptors, which are G protein-coupled receptors (GPCRs) that have a role in allergic reactions.

    In conclusion, while both ion channels and G proteins are crucial for signal transduction, different classes of drugs target them and have unique mechanisms of action.

    Regarding the lady’s inquiry, it should be noted that genetics plays a role in the likelihood of developing mental diseases; however, sharing the same genes as her grandmother does not guarantee that she will develop the same mental illness. However, mental health issues are not solely hereditary; lifestyle, environmental circumstances, and other variables can significantly influence the onset and progression of mental health issues (Würmann, 2021). It is also crucial to highlight that mental diseases are complicated and often caused by the interplay of numerous genes rather than a single gene. Because of this intricacy, even close relatives may have diverse mental health experiences. Supportive relationships, a healthy lifestyle, and stress management may all help to reduce the risk, even if there is a genetic propensity for differing mental health outcomes (Imbrici et al. (2016).

    References:

    Alberts, B. (1970, January 1). 
    Signaling through G-protein-linked cell-surface receptors
    . Molecular Biology of the Cell. 4th edition. https://www.ncbi.nlm.nih.gov/books/NBK26912/

    Cleveland Clinic. (2022, January 7). 
    Calcium Channel Blockers: Types, Uses and Side Effects
    . Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/22316-calcium-channel-blockers

    ‌Imbrici, P., Liantonio, A., Camerino, G. M., De Bellis, M., Camerino, C., Mele, A., Giustino, A., Pierno, S., De Luca, A., Tricarico, D., Desaphy, J., & Conte, D. (2016). Therapeutic approaches to genetic ion channelopathies and perspectives in drug discovery. 
    Frontiers in Pharmacology
    , 
    7
    . 
    https://doi.org/10.3389/fphar.2016.00121
    Links to an external site.
        )

    Martinac, B. (2012). Mechanosensitive ion channels. 
    Channels
    , 
    6
    (4), 211–213. https://doi.org/10.4161/chan.22047

     

    News-Medical. “Importance of Ion Channels in the Body.” News-Medical.net, 26 Oct. 2018, www.news-medical.net/health/Importance-of-Ion-Channels-in-the-Body.aspx.

    Sriram, Krishna, and Paul A. Insel. “G Protein-Coupled Receptors as Targets for Approved Drugs: How Many Targets and How Many Drugs?” 
    Molecular Pharmacology
    , vol. 93, no. 4, 3 Jan. 2018, pp. 251–258, https://doi.org/10.1124/mol.117.111062.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4590096/

    Würmann, Isaac. “My Mother and I Have the Same Mental Health Disorders. But Is It Genetic? | Broadview Magazine.” Broadview Magazine, 5 Oct. 2021, broadview.org/mental-illness-family-genetics/. Accessed 29 Aug. 2024

    NURSE 6630 week 1 discussion-2.docx

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    Cheryl Athurine Spence

    Aug 28, 2024 9:40pm
    | 
    Last reply Sep 1, 2024 10:08pm

    Reply from Cheryl Athurine Spence

    The Difference between Ion Channels and G Proteins in Signal Transduction and Medication Targets

    Ion channels and G proteins are cellular signaling pathways involved in various forms of cellular transduction. For instance, an ion channel is any inherent protein part of the cell membrane that enables the selective transport of ions essential in generating electrical signals in cells. Ion channels are selective for Na
    +
    , K
    +
    , Ca
    2+
    , or Cl
    –
     (Duncan et al., 2020). These channels transport ions and play significant roles in physiological activities such as nerve impulse conduction, muscle contraction, and osmoregulation at the cellular level. Ion channels are categorized as voltage-dependent channels, which can open depending on the voltage variation of the cell membrane, and the ligand-dependent channel, which opens when in contact with certain substances (Langenhan, 2020).

    For example, in neurons, when a neurotransmitter engages with its receptor, it can potentiate the ion channels to open, leading to the flow of sodium ions into the neuron, creating an action potential. This process is faster because of the direct nature of the ion channel current. It suits them when one requires a quick signal, such as muscle contraction and nerve impulses. Thus, the drugs that act on these channels can regulate cellular excitability, such as anti-arrhythmic medicines, which can interfere with ion channels and restore the regular heartbeat.

    G proteins interact with several types of cell surface receptors collectively known as G protein-coupled receptors (GPCRs). After binding the ligand to a GPCR, the receptor causes the activation of the G protein through the replacement of GDP by GTP. Subsequently, the G proteins get activated, and they, in turn, get involved with other effectors like enzymes or ion channels to relay the signal (Langenhan, 2020). This mechanism makes the response longer and more diverse than the effect that occurs with the participation of ion channels. G proteins can regulate so many body activities and thereby affect several functions of the body (Duncan et al., 2020). Medications targeting G proteins or GPCRs can treat a variety of conditions, such as antipsychotic medications, to control the symptoms of patients dealing with mental disorders.

    It is important to note that some mental disorders are inherited. Similar genes are associated with the family tree, such as the grandmother, which can imply the existence of a genetic tendency toward mental health conditions. However, the problem provides a narrow concept of thinking. For instance, there can be other causes of mental conditions, such as environmental factors and coping styles of an individual (Zhang et al., 2023).

    With the genetic makeup and cultural differences, family members are prone to have the same similarities in developing the same disorders. However, there can be a thought that one may get a hint of what kind of disorder they are prone to by family history; this does not always mean one will develop the disorder. A person’s genes may make them more likely to have mental illness. Still, the environment and the individual’s psychological conditions will dictate whether the person gets the disease. It is essential to explain the necessity of people turning to more of healthier coping strategies, asking for help whenever desired from specialists, and learning how to identify symptoms of mental health before becoming diagnosed with a mental illness.

     

    References

    Duncan, A. L., Song, W., & Sansom, M. S. (2020). Lipid-dependent regulation of ion channels and G protein-coupled receptors: insights from structures and simulations. 
    Annual review of pharmacology and toxicology
    , 
    60
    (1), 31–50.

    Langenhan, T. (2020). Adhesion G protein-coupled receptors—Candidate metabotropic mechanosensory and novel drug targets. 
    Basic & clinical pharmacology & toxicology
    , 
    126
    , 5–16.

    Zhang, M., Ma, Y., Ye, X., Zhang, N., Pan, L., & Wang, B. (2023). TRP (transient receptor potential) ion channel family: Structures, biological functions and therapeutic interventions for diseases. 
    Signal Transduction and Targeted Therapy
    , 
    8
    (1), 261.

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    Sarah Rachael Tabor

    Aug 28, 2024 9:18pm
    | 
    Last reply Sep 1, 2024 10:11pm

    Reply from Sarah Rachael Tabor

    Good afternoon class.  I’m so grateful to be here and look forward to learning alongside you all.  This first week was interesting for me because it’s been a while since I reviewed the specificity of the cell and the very minute and detailed things that have to occur for signals to be sent through neurons.  It was humbling to review this information and to remember all of the intricate processes that have to happen for our brains to function the way they do.

    Signal transduction includes all molecular events that take place between the arrival of a signaling molecule of the target cell and the response.  Two pathways for this conduction to occur include the G-protein pathway and ion channel pathway.  (Chandler, 2022).  It’s all about signal transduction.  That’s where the magic happens.  Everything that we are able to do is through the adequate conduction of these signals.

    The brain is approximated to have about 85 billion neurons!  Incredible.  Neurons are nerve cells which are the units that make up the nervous system.  Neurons are made up of structures that receive messages, process these messages, transport messages and then ultimately pass on the messages.  Dendrites are the portion of the neuron that receives signals from other neurons called neurotransmitters.  Chemical changes that occur secondary to the reception of the neurotransmitters are processed in the Soma or the cell body.  The Soma contains the nucleus and genetic material of the cell.  The interpreted message is then sent to the Axon Hillock of the neuron, then it is sent to the Axon where it is now called the action potential.  This portion of the neuron is enclosed in Myelin which is a protective characteristic which prevents the action potential from degrading.  When the signal reaches the axon terminals there is potential for the signal to be sent to the next neuron if it was strong enough. (Nei psychopharm, 2022).  That is, for the message to continue to pass through the cells of the nervous system.

    G-proteins and ion channels are structures within the cell that are pathways or neurotransmitter receptors for ions to be passed through.  (Alberts, Johnson, Lewis, et al., 2002).  The messages that are sent through these potential pathways may be potentiated by things such as medications and hormones.  (Neuroscientifically Challenged, July 2014).

    For Ion channels, the neurotransmitters attach to the binding site causing it to open and then ions are able to send the action signal through the neuron.  The neurotransmitter that attaches to the binding site is called the Ligand.  After the Ligand is attached to the binding site the channel immediately opens.  (Neuroscientifically Challenged, September 2014).

    G-proteins have an activation neurotransmitter that must be received to activate the G protein to influence opening the channel for pathways.  This G protein has the capability of opening more than it’s single pathway.  This pathway also impacts other activity in the cell.  These receptors act slower but may have a more widespread impact because of the potential influence on other activities in the cell.  Both of these pathways are located at the site of the receptor neuron or the dendrite where signals are received.

    There are some mental illnesses that have been thought of as “running in families” but little evidence has been found to ascertain whether there are definitive genetic determinants.  Autism as an example is associated with signs such as early and rapid brain growth in infancy and childhood associated with atypical connectivity between different regions of the brain.  Research suggests a strong genetic influence but environmental factors also have significant influence on this condition as well.  (Neuroscientifically Challenged, 2021).  When discussing genetics and the concern for being diagnosed with a mental illness based off of what happened with a person’s grandma one would have to look at the specific condition and take environmental factors into consideration as well.

    So ultimately my response to this woman would be not to worry too much about developing her grandmother’s condition.  I would discuss with her things to look for if she is deeply concerned but as long as she was not dealing with any of the particular symptoms of the particular condition, just encourage her to focus on the positive things in her life.

    Sources

    Alberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Ion Channels and the Electrical Properties of Membranes. Available from: https://www.ncbi.nlm.nih.gov/books/NBK26910/

    Chandler, R., PhD. (2022). Signal transduction. 
    Salem Press Encyclopedia of Health
    .

    NEI Psychopharm. (2022, March 14).
    Classic synaptic neurotransmission
    Links to an external site.

    Links to an external site.
    Links to an external site.

    [Video]. YouTube.

    Links to an external site.

    Neuroscientifically Challenged. (2014, July 22).
    2-Minute neuroscience: Synaptic transmission
    Links to an external site.

    Links to an external site.
    Links to an external site.

    [Video]. YouTube. 

    Links to an external site.

    Neuroscientifically Challenged. (2014, Sept 26).
    2-Minute neuroscience: Receptors & ligands 
    Links to an external site.
    Links to an external site.
    [Video]. YouTube. https://www.youtube.com/watch?v=NXOXZ-kaSVI

     

    Neuroscientifically Challenged.  (2021, Dec. 20).  
    2-Minute Neuroscience: Autism
    . 
    2-Minute Neuroscience: Autism (youtube.com)
    Links to an external site.
      Accessed Aug. 28, 2024.

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    Abosede Fakorede

    Aug 28, 2024 8:07pm
    | 
    Last reply Sep 1, 2024 10:13pm

    Reply from Abosede Fakorede

    The difference between ion channels and G proteins as they relate to signal transduction and targets of medications

    Ion channels and G proteins are proteins involved in signal transduction in cells thus associated with the mode of action and therapeutic effect of many drugs. The two proteins are involved in the transmission of signals across cell membranes and response to the signals. Although ion channels and G proteins are transmembrane proteins involved in signal transduction, the two work in different manners to cause a certain response. Ion channels are transmembrane proteins that ensure signal transduction by forming pores through which ions pass in and out of cells (Alexander et al., 2023). Ion channels allow specific ions across the cell membrane through the formation of specific pores for the specific ions. Ion channels directly transmit specific ions through the direct opening and closing of gated ion channels. For example, sodium ions use sodium ion channels to cause action potential. The pores directly open or close when certain molecules bind to receptors in the cell membrane, when electoral potential across the cell membrane changes, or when physical stress causes the pores or channels to mechanically open. Signal transduction involving ion channels is direct unlike signal transduction involving G proteins which is complex. Some medications such as calcium blockers work by targeting ion channels by causing direct opening or closing of ion channels (Alexander et al., 2023). Calcium channel blockers prevent calcium ions from entering into cells thus reducing muscle relaxation and contraction.

    The major difference between G proteins and ion channels is that G proteins involve a complex signal transduction system while ion channels involve a simple or direct signal transduction process. G proteins indirectly cause signal transduction (Jiang et al., 2022). Two steps are involved in signal transduction when G proteins are involved. Signals must first bind to G-protein-coupled receptors (GPCRs) to activate the G protein. The G protein then interacts, activates, or inhibits various proteins or targets including enzymes and ion channels to cause cellular response (Ahmad & Dalziel, 2020). Cellular response involving G proteins includes changes in the activities of enzymes and expression of genes. Some medications work by targeting or influencing GPCRs and G proteins in cell membranes to cause the intended therapeutic effects. Beta-blockers and most antipsychotics for depression target the G proteins and GPCRs. G proteins mainly involve ligands where signals bind to receptors to cause signal transduction (Ahmad & Dalziel, 2020). Specific indirect neurotransmitters such as adrenaline that act on specific receptors are influenced to cause cellular response.

    My grandmother has a mental illness. I have the same genes as her. Will I also get the same mental illness?

    Since my grandmother is my relative, we share the same gene. However, having the same genes does not mean I will get the same mental diseases as my grandmother. Genetic predisposition or family history increases the risk of developing genetic conditions but does not guarantee the direct development of the conditions. An interplay or interaction of genetic factors, environmental factors such as temperature, and lifestyle factors are required for the development of mental health illnesses. One may have a family history of mental disorders but may not develop the mental disorders.

    References

    Ahmad, R., & Dalziel, J. E. (2020). G protein-coupled receptors in taste physiology and pharmacology. 
    Frontiers in pharmacology
    , 
    11
    , 587664.

    Alexander, S. P., Mathie, A. A., Peters, J. A., Veale, E. L., Striessnig, J., Kelly, E., … & Zhu, M. (2023). The concise guide to PHARMACOLOGY 2023/24: Ion channels. 
    British Journal of Pharmacology
    , 
    180
    , S145-S222.

    Duncan, A. L., Song, W., & Sansom, M. S. (2020). Lipid-dependent regulation of ion channels and G protein–coupled receptors: insights from structures and simulations. 
    Annual review of pharmacology and toxicology
    , 
    60
    (1), 31-50.

    Jiang, H., Galtes, D., Wang, J., & Rockman, H. A. (2022). G protein-coupled receptor signaling: transducers and effectors. 
    American Journal of Physiology-Cell Physiology
    , 
    323
    (3), C731-C748.

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    Ashli Cyriaano

    Aug 28, 2024 6:34pm
    | 
    Last reply Sep 1, 2024 10:15pm

    Reply from Ashli Cyriaano

    Ion Channels and G Proteins

    Ion channels and G proteins transmit signals in cells in different ways, determining how cells will respond to stimuli. Ion channels represent a class of proteins embedded in the cell membrane and create channels for certain ions. It is important for the shifting of the membrane potential in a very short time, which makes cellular responses to stimuli very fast (Bionet, 2021). For instance, voltage-gated sodium channels are integral components of neurons in transmitting action potentials. Ion channel-linked drugs, ranging from antiarrhythmic drugs to drugs used in the treatment of epilepsy, seek to block or modulate these channels to correct an electrochemical imbalance within the heart or nervous system.

    On the other hand, G proteins are signal transducers that act as signaling molecules inside the cell that connect the GPCR at the cell membrane to intracellular effectors such as enzymes or ion channels. When a GPCR binds to its ligand, it promotes the exchange of GDP with GTP for the G protein to become activated. This activation then leads to the activation of other pathways or downstream signaling pathways (Rehman et al., 2023). Ion channels signal faster and transient responses, while G-proteins signal slower and sustained cellular responses. The G protein-directed drugs normally interact with the GPCR to alter physiological processes such as mood or blood pressure. For example, some of the drugs used in the treatment of depression work by interacting with GPCRs to alter concentrations of neurotransmitters and, thus, the feelings and moods of the patient.

    Patient Question Response

    In terms of family inheritance of mental disorders, yes, having a grandmother with such a disorder does put one at higher risk for similar disorders due to the general inheritance of certain genes. However, genetics alone cannot predict risks and is only one factor in various possibilities. Other causes of mental health disorders are framed within aspects of the environment, real-life decisions people make, and their life experiences as well. However, this does not mean that if one has inherited genes for a certain mental illness, then one is bound to develop that disorder (Andreassen et al., 2023). Research shows that even though certain genes make one vulnerable to developing certain mental health disorders, the overall vulnerability is a function of the genes and environment interface (Boyce et al., 2020). As a result, even though one has to be conscious of certain congenital abnormalities, one must also pay much attention to other factors of wellness and living with proper precautions to prevent possible mental health problems.

    References

    Andreassen, O. A., Hindley, G. F., Frei, O., & Smeland, O. B. (2023). New insights from the last decade of research in psychiatric genetics: discoveries, challenges and clinical implications. 
    World Psychiatry
    , 
    22
    (1), 4-24.

    Bionet. (2021, March 8). 
    Ion channels
     [Video]. YouTube.
    https://www.youtube.com/watch?v=0p08-139
    Links to an external site.

    Boyce, W. T., Sokolowski, M. B., & Robinson, G. E. (2020). Genes and environments, development and time. 
    Proceedings of the National Academy of Sciences of the United States of America
    , 
    117
    (38), 23235–23241. 
    https://doi.org/10.1073/pnas.2016710117
    Links to an external site.

    Rehman, S., Rahimi, N., & Dimri, M. (2023, July 30). 
    Biochemistry, G protein coupled receptors
    . StatPearls – NCBI Bookshelf. 
    https://www.ncbi.nlm.nih.gov/books/NBK518966/
    Links to an external site.

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    Tenikqua Fullwood-Maple

    Aug 28, 2024 4:30pm
    | 
    Last reply Sep 1, 2024 10:19pm

    Reply from Tenikqua Fullwood-Maple

     Initial Post

    Signal transduction

    There are four very important transduction cascades that are in the brain, out of the four I will be discussing two of them. (Stahl, 2021) indicated that there are four most important signal transduction cascades in the brain, g-protein-linked systems, ion-channel-linked systems, hormone-linked systems and neurotrophins-linked systems. The two that will be discussed in this discussion are G-protein-linked systems and ion-channel-linked system. Each of these transduction cascades are initiated by a first messenger, such as g-protein and ion-channel. There are chemical messengers that are attached to each of the signal transduction cascades and are triggered by neurotransmitters. Once there is an activation of the first messenger there is a trickle-down effect, that then activates second, third, and fourth messenger. The signal transduction cascades ultimately pass its message from an extracellular first messenger to intracellular second messenger. In reference to the g-protein, its second messenger is a chemical as cAMP. In reference to ion-channel, its second messenger can be an ion and that ion can be a calcium ion. In reference to the g-protein, the third messenger protein kinase is activated from Camp. In reference to the ion-channel, the third messenger phosphatase is activated through the messenger calcium.

    G-Protein

    Psychotropic medication has an array of actions, by which they target specific molecular areas that potentially have an extensive effect on neurotransmitters. Psychotropic drugs can target five molecular sites. Out of the five one is g-protein, thirty percent of psychotropic medications target the g-protein. Twenty percent of psychotropic medications target the ion channels. The superfamily of seven transmembrane receptors is characterized by having seven highly conserved transmembrane alpha helices (Seyedabadi, Ghahremani, Albert, 2019). With g-protein being one of the larger membrane protein family, which contains seven transmembrane, allowing the nervous system to respond appropriately to external and internal stimuli. The unique ligand binding pockets formed by the seven transmembrane receptors regions allow the receptor to engage with various stimuli, including neurotransmitters, nucleotides, amines, peptides, cytokines, and hormones in the extracellular environment (Wong, 
    et al, 
    2023). Psychotropic medications interact at the neurotransmitter binding site that is located on the receptor. When this interaction occurs, it leads to modification of the receptors actions, resulting in mimicking, blocking, partially or fully, the function of the neurotransmitter. When psychotropic medication interacts at the g-protein, it alters molecular events further downstream of the g-protein. At the level of the g-protein-linked receptor, the g-protein have a sufficient action on psychiatric symptoms. Most psychotropic medications that are used in the clinical setting have an action on the g-protein, which results in a therapeutic manner or causes some side effects.

    Ion Channels

    Ion channels regulate calcium, sodium, chloride, and potassium, in reference to psychotropic medications. There are a number of psychotropic medications that act at the site of ion channels, resulting in modifications of the ion channel. The modifications that occur can alter the flow of ions throughout the channel but can also alter the downstream events. These downstream events can result in activation or inactivation of ion channels. Psychotropic medications that modify signal transduction from ionotropic receptors can have a major impact on a person that is displaying psychiatric symptoms. Several psychotropic medications that are used in clinical settings such as benzodiazepines, are known to act as the ionotropic receptor sites. The flow of ions is immediately changed at the ionotropic receptor, medications tend to have an immediate effect action, by which the drugs that are used for anxiety and sleep may have a rapid onset.

    My grandmother has a mental illness. I have the same genes as her. Will I also get the same mental illness?

    Mental illness is a serious illness and sometimes can be scary for family members of those who suffer with mental illness. Your question of concern is a good question. Many things are passed on from one generation to the next, by our genetic, but fortunately not all illness or diseases are passed through genetics. Although mental illness has a genetic component, which in saying it can run throughout families, but having a family as your grandmother that suffers with mental illness doesn’t automatically guarantee that you will suffer with the same mental illness. Most genetic variants don’t directly cause mental disorders (National Institute of Mental Health, 2024). There are some genetic components that can increase the risk of mental illness but doesn’t directly cause one to develop the mental illness. When taking care of a family member or surrounding yourself with a family member with mental illness, it is important you also take care of your mental health, because it can be a stressful and mentally draining situation when dealing with someone who suffers with a mental illness. However, if the sick person received care that was professional, adequate and of a high standard, the relatives’ stress and burden decreased (Kallquist & Salzmann-Erikson, 2022). There are ways to increase a healthier mental health, by decreasing or alleviating stress factors, healthy habits, and having a great support system. It is also important that you seek help or assistance if you feel that you may be suffering with signs or symptoms related to mental help, the best way to address mental illness is addressing and treating signs and symptoms early on.

    Reference

    Goldin, D. S. (2023). 
    Fast facts for psychopharmacology for nurse practitioners
    . Springer

    Publishing. Chapter 3, “The Brain and Nervous System” (pp. 28)

    Kallquist, A. & Salzmann-Erikson, M. 2022. Journal of Child and Family studies. Springer

    Publishing. 
    Experiences of Having a Parent with Serious Mental Illness: An Interpretive Meta-Synthesis of Qualitative Literature | Journal of Child and Family Studies (springer.com)
    Links to an external site.

    Seyedabadi, M., Ghahremani, M., & Albert, P. Biased signaling of G protein coupled receptors

    (GPCRs): Molecular determinants of GPCR/transducer selectivity and therapeutic potential, Pharmacology & Therapeutics, Volume 200 ,2019, Pages 148-178, ISSN 0163-7258, 
    https://doi.org/10.1016/j.pharmthera.2019.05.006
    Links to an external site.
    .

    Wong, TS. 
    et al.
     G protein-coupled receptors in neurodegenerative diseases and psychiatric

    disorders. 
    Sig Transduct Target Ther
     
    8
    , 177 (2023). 
    https://doi.org/10.1038/s41392-023-
    Links to an external site.
    01427-2

     

     

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    SH

    Sharon Harrison

    Aug 28, 2024 3:01pm
    | 
    Last reply Sep 1, 2024 10:20pm

    Reply from Sharon Harrison

    Week 1 Discussion

    Ion channels and G proteins both play different roles in signal transduction within cells. Ion channels are membrane proteins that allow ions to move across cell membranes (Cen et al., 2024). Sodium, potassium, calcium, and chloride are some examples of ions that can pass through ion channels. In addition to being involved in various psychological processes such as muscle contraction, nerve impulse transmission, and hormone release, they are required to generate electrical signals within cells. Ion channels are typically activated by voltage changes or the binding of specific molecules, such as neurotransmitters or hormones. Because medications commonly target ion channels, they are considered drug targets. For example, medications that block specific ion channels can be used as anesthetics or antiepileptics to prevent electrical signals from transmitting throughout the nervous system. Similarly, medications that modulate ion channel activity can be used to treat cardiac arrhythmias and regulate blood pressure.

    G proteins are intracellular signaling proteins that send signals from receptors on the cell’s surface to target molecules inside the cell. When a signaling molecule, such as a hormone or neurotransmitter, binds to a cell surface receptor, it activates a specific G protein, triggering a cascade of events within the cell. These occurrences frequently involve activating or inhibiting enzymes or second messenger systems, which results in changes in cell function. Just like some medications target ion channels, medications can also target G proteins (Yang et al., 2021). They can either activate or inhibit certain G protein-coupled receptors (GPCRs) by modifying their signaling pathways. Beta-blockers, for example, work by blocking GPCRs in cardiac cells, lowering heart rate and blood pressure. Antihistamines, antidepressants, and antipsychotics are all examples of medications that target GPCRs to alter neurotransmitter signaling.

    While ion channels primarily regulate ion movement across cell membranes, G proteins act as signal transducers for a wide range of cellular responses initiated by GPCRs. Both ion channels and G proteins are essential components of cellular signaling pathways and are targeted by medications for therapeutic interventions.

     

    Patient Question Response

    Genetic, environmental, and lifestyle factors all play a role in mental illness. Although genetics does influence the likelihood of mental health disorders, sharing your grandmother’s genes does not necessarily mean that you will experience the same illness. Stress, trauma, and lifestyle decisions are examples of environmental factors that have a substantial impact on the development and course of mental health disorders (Elliott & Ragsdale, 2023). Even in cases where there is a genetic predisposition, risk can be reduced by positive relationships, leading a healthy lifestyle, and managing stress. If you are worried about your mental health, it may be beneficial to speak with a mental health provider who can assist you in determining your specific risk factors and developing methods to preserve excellent mental health. Regular appointments with a mental health expert can also help you monitor and manage your mental health.

    References

    Cen, J., Hu, N., Shen, J., Gao, Y., & Lu, H. (2024). Pathological functions of lysosomal ion channels in the central nervous system. 
    International Journal of Molecular Sciences
    , 
    25
    (12), 6565. 
    https://doi.org/10.3390/ijms25126565
    Links to an external site.

    Elliott, M., & Ragsdale, J. M. (2023). Nature and/or nurture: Causal attributions of mental illness and stigma. 
    Social Psychology Quarterly
    , 
    87
    (2), 175–196. 
    https://doi.org/10.1177/01902725231175279
    Links to an external site.

    Yang, D., Zhou, Q., Labroska, V., Qin, S., Darbalaei, S., Wu, Y., Yuliantie, E., Xie, L., Tao, H., Cheng, J., Liu, Q., Zhao, S., Shui, W., Jiang, Y., & Wang, M.-W. (2021). G protein-coupled receptors: Structure- and function-based drug discovery. 
    Signal Transduction and Targeted Therapy
    , 
    6
    (1). 
    https://doi.org/10.1038/s41392-020-00435-w
    Links to an external site.

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    Taryn Rae Skiles

    Aug 28, 2024 2:30pm

    Reply from Taryn Rae Skiles

    ​
    Signal transduction and the targets of medications consist of several processes. The process of signal transduction is intent on getting the message across the cell membrane to the targets for medications, which are receptors. These receptors are where medications produce their beneficial effects on various disease processes (
    Yakubovich, 2024
    ). Ion channels and g-protein coupled receptors (GPCR) are two important parts of signal transduction. The ion channel is the end target in numerous regulatory pathways. These pathways are initiated by g-protein coupled neurotransmitters and hormones (
    Sriram & Insel, 2019
    ). The g-protein is a metabotropic receptor. It is an intermediate protein that is activated by a neurotransmitter and in return influences the opening of the ion channels and signals a cascade within the cell (
    Yakubovich, 2024
    ). In many cases, GPCR can be inhibitory to successful medication therapy. In particular in antidepressant therapy, many medications are known to indirectly impact the function of these proteins and impact antidepressant efficacy (
    Senese et al., 2018
    ).

    If a patient approached me with concern over her family health history of mental illness and her susceptibility, I would first commend the patient for their self awareness of the situation. Additionally, it is important to explain to the patient that there are several factors that impact having a mental illness. While genetics are a factor in some mental illness diagnoses, I would explain that physical health, environment, socioeconomic status, substance abuse and past trauma can all contribute to the onset of mental illness. Lastly, I would explore what particular mental illness their grandparent has because there are direct genetic correlation for certain mental health disorders such as schizophrenia (
    Kendall et al., 2024
    ).

    ​References

    Kendall, K., Duffin, D., Doherty, J., Irving, R., Procter, A., & Walters, J. (2024). The translation of psychiatric genetic findings to the clinic. 
    Schizophrenia Research
    , 
    267
    , 470–472. https://doi.org/10.1016/j.schres.2023.10.024

    Senese, N. B., Rasenick, M. M., & Traynor, J. R. (2018). The role of g-proteins and g-protein regulating proteins in depressive disorders. 
    Frontiers in Pharmacology
    , 
    9
    . https://doi.org/10.3389/fphar.2018.01289

    Sriram, K., & Insel, P. A. (2019). G protein-coupled receptors as targets for approved drugs: How many targets and how many drugs? 
    Molecular Pharmacology
    , 
    93
    (4), 251–258. https://doi.org/10.1124/mol.117.111062

    Yakubovich, D. (2024). Editorial: Direct modulation of ion channels by g-proteins. 
    Frontiers in Physiology
    , 
    15
    . https://doi.org/10.3389/fphys.2024.1465766

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    Emilia Uche

    Aug 28, 2024 1:15pm

    Reply from Emilia Uche

                                                      
     Difference between Ion Channels and G-proteins

    Ion Channels
    :

    Definition
    : Ion channels are membrane proteins that produce pores in the cellular membrane that permit ions to flow through.

    Function: When ion channels are activated, a selective transmembrane pore opens, enabling ions to diffuse into or out of cells according to their electrochemical gradient. Exogenous drug molecules can modify ion channels, subject to several signaling pathways’ control.

    Illustrations: Certain ligand molecules attach to receptor proteins to cause ligand-gated ion channels, such as glutamate, GABAA, and acetylcholine receptors, to open. Changes in membrane potential cause voltage-gated ion channels to open and close.

    Clinical Relevance: To affect cellular reactions, several medications target ion channels. More than 170 ion channel medications are available; some are WHO Essential Medicines.

    G Proteins
    :

    Definition
    : Membrane proteins known as G proteins are essential for signal transduction because of their interactions with cell-surface receptors.

    Activation: The corresponding G protein is activated when a ligand attaches to a G-protein-coupled receptor (GPCR).

    Function: The activated G protein may contact an ion channel or an enzyme in the membrane. G proteins can recognize a variety of ligands, including photons, tiny molecules, and proteins.

    Clinical Relevance: A variety of drugs target GPCRs. Because of their ability to either amplify or attenuate impulses, they are crucial for preserving physiological homeostasis.
     Mental Illness and Genetics

    While genetic predisposition does not ensure that you will suffer from the same mental disease as your grandmother, genetics does play a major influence on the likelihood of having some mental illnesses.

    Genetic Impact: With your grandma, you share about half of your DNA with each of your biological parents. If your grandmother had a genetic mental disorder, you might have inherited some of her genes.

    Complex Interplay: A mix of genetic, environmental, and lifestyle variables contribute to the development of mental diseases, which are multifactorial. Genetic predisposition interacts with other factors to generate mental disease; it is not a sufficient cause on its own.

    Other Factors: Environment: Your upbringing, experiences in life, surroundings, and pressures all have a significant impact on your mental health. An atmosphere that is caring and helpful can lessen the danger, even if you are genetically predisposed.

    Epigenetic: Variations in gene expression that take place without changing the DNA sequence are known as epigenetic alterations, and they can affect gene expression. Stress, nutrition, and way of life can all affect these changes.

    Unique Deviation:

    Non-deterministic: Mental diseases are widely variable, while genetics provides a foundation. While some people without genetic risk factors have mental illness, others who do have risk factors do not.

    Resilience: Coping strategies, protective variables, and resilience factors all come into play. Some people have a certain resilience that allows them to handle challenges better than others.

    Seek Expert Advice: Speak with a Healthcare Provider: Consult a mental health professional for advice if you are worried about your mental health. They can evaluate your risk factors, talk to you about safeguards, and offer advice.

    Early Intervention: It’s important to raise awareness and act early. Frequent evaluations for mental health can aid in spotting any new problems.

    Conclusion

    In conclusion, G proteins identify a variety of ligands and use intracellular signaling pathways to modify ion channels or other cellular activities. Ion channels, on the other hand, immediately let ions pass through their pores upon ligand binding. Comprehending these distinctions is crucial in creating pharmaceutical substances that could enhance or reduce signaling in diverse physiological settings. Recall that awareness and knowledge are liberating. It can be very different to know your family history and take proactive measures for your mental health. Even though your grandmother and you have similar DNA, your journey is different, and you may take some actions to support mental health.

    References

    Stevens, E. B., & Stephens, G. J. (2024). Ion Channels as Targets in Drug

    Discovery: Outlook and Perspectives. 
    Springer EBooks
    , 1–34.

    https://doi.org/10.1007/978-3-031-52197-3_1
    Links to an external site.

    Rehman, S., & Dimri, M. (2020). 
    Biochemistry, G Protein Coupled

                 Receptors
    . PubMed; StatPearls Publishing.

    https://www.ncbi.nlm.nih.gov/books/NBK518966/
    Links to an external site.

    DASCAL, N. (2001). Ion-channel regulation by G proteins. 
    Trends in

                Endocrinology and Metabolism
    , 
    12
    (9), 391–398.

    https://doi.org/10.1016/s1043-2760(01)00475-1
    Links to an external site.

    Andreassen, O. A., Hindley, G. F. L., Frei, O., & Smeland, O. B. (2023). New

    insights from the last decade of research in psychiatric genetics:

    discoveries, challenges and clinical implications. 
    World Psychiatry
    ,

    22
    (1), 4–24. https://doi.org/10.1002/wps.21034

    ‌

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    Ysamar F Lozano

    Aug 28, 2024 12:40pm
    | 
    Last reply Sep 1, 2024 1:54pm

    Reply from Ysamar F Lozano

    Difference Between Ion Channels & G Proteins

    Ion channels and G proteins are both signal transductions located in the brain
    and play significant roles in activating different chemical messengers (Stahl, 2021). Ion channels are proteins that penetrate a cell membrane, which can help generate the cell’s electrical activity and allow other ions to enter the membrane (Dai, 2023). Ion channels are a part of the signal transduction process through electrical activity that can aid in a trigger response, such as sodium channels opening that leads to depolarization and begins the process of action potential (Dai, 2023). Ion channels are responsible for the functions of the endocrine, cardiovascular, nerve, and immune systems that can later help to target such areas for treatment (Ohya, 2023). Some medications target ion channels to help treat certain diseases. For example, calcium channel blockers help to treat patients with hypertension by preventing calcium from entering the membrane and relaxing the vascular smooth muscle (McGivern & Ding, 2020).

    On the other hand, G proteins act through the signal transduction process by inhibiting or activating proteins in the cell when a ligand links to G protein-coupled receptors (GPCRs) outside of the cell surface (Stahl, 2021). GPCRs have been closely linked to antipsychotic medications such as Abilify, Seroquel, and Zyprexa (Komatsu et al., 2019). The two main receptors that antipsychotic medications target is dopamine receptors, which are types of GPCRs (Komatsu et al., 2019). The dopamine receptors have two main classes, D2, D1, and D4. Different antipsychotic medications target D2 receptors through the process of an antagonist, which blocks D2 receptors (Komatsu et al., 2019). This inhibits symptoms of delusions and hallucinations.

     
    Patient Question

                
    When answering the patient’s question of having the same mental illness gene from her grandmother, I would explain to the patient that they have a likelihood of being predisposed to such a gene due to being a close relative. For example, suppose a family member has a history of having a mental illness of either bipolar or schizophrenia. In that case, that family relative is six to eight times more likely to develop either illness compared to someone who does not have a family relative who has one of the mental illnesses (Andreassen et al., 2023). However, being genetically predisposed is not always guaranteed, and other external factors may contribute to such mental illness. A mental illness can oftentimes be developed not only genetically but environmentally as well. This theory has been derived from diathesis-stress model, which is when a mental illness is developed from genetic predisposition but also with stressful conditions as well (APA, 2018). Environmental factors can include stress from life events, trauma/PTSD, or even abusing substances. If this patient is worried about having the same mental illness gene like her grandmother, I would advise the individual to seek out professional help early on rather than waiting a prolong amount of time.

     

    Reference

    American Psychological Association [APA]. (2018, April 19). APA Dictionary of Psychology. Retrieved on August 28, 2024, from https://dictionary.apa.org/diathesis-stress-model

    Andreassen, O. A., Hindley, G. F. L., Frei, O., & Smeland, O. B. (2023). New insights from the last decade of research in psychiatric genetics: discoveries, challenges and clinical implications. 
    World psychiatry : official journal of the World Psychiatric Association (WPA)
    , 
    22
    (1), 4–24. https://doi.org/10.1002/wps.21034

    Dai, G. (2023). Signaling by Ion Channels: Pathways, Dynamics and Channelopathies. 
    Missouri Medicine
    , 
    120
    (5), 367–373.

    Komatsu, H., Fukuchi, M., & Habata, Y. (2019). Potential Utility of Biased GPCR Signaling for Treatment of Psychiatric Disorders. 
    International journal of molecular sciences
    , 
    20
    (13), 3207. https://doi.org/10.3390/ijms20133207

    McGivern, J. G., & Ding, M. (2020). Ion Channels and Relevant Drug Screening Approaches. 
    SLAS Discovery : Advancing Life Sciences R & D
    , 
    25
    (5), 413–419.     https://doi.org/10.1177/2472555220921108

    Ohya, S. (2023). Recent Developments in Ion Channel and Ion-Related Signaling. 
    International journal of molecular sciences
    , 
    24
    (19), 14419. https://doi.org/10.3390/ijms241914419

    Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th ed.). Cambridge University Press

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  • California, Arizona Virginia APRN board of nursing state licensure comparison

    California, Arizona Virginia APRN board of nursing state licensure comparison

    There are four distinct Advanced Practice Registered Nurse (APRN) roles: nurse practitioner (NP), certified nurse midwife (CNM), clinical nurse specialist (CNS), and certified nurse anesthetist (CRNA). Each type of APRN plays a unique and vital role in healthcare, with specialized training and expertise that enhances patient care across various settings (Bosse, J. et al. (2017). APRNs are often primary care providers and are at the forefront of providing preventive care services to the public. They treat and diagnose illnesses, advise the public on health issues, manage chronic disease, and engage in continuous education to remain ahead or other developments in the field according to nursingoutlook.org. (n.d.). 
     

    This discussion topic is between California and Arizona NPs scope of practice. According to California Association for Nurse Practitioners, nurse practitioner in California is an advanced practice registered nurse who has completed graduate level education like master’s or a doctoral degree. To get a license to practice in California, NPs must complete an accredited NP program and be certified by the Board of Registered Nursing (BRN). NPs specialized in many areas including Family/individual across lifespan; Adult-gerontology, primary care, or acute care; Neonatal; Pediatrics, primary care, or acute care; Women’s health/gender related; and Psychiatric-Mental Health across the lifespan as per California Board of Nursing, (n.d.).
     

    In California, NPs categories are under Restricted Practice Authority State. In restricted practice states, nurse practitioners must work under the supervision of a physician for all their scope of practice, nursejournal.org. (n.d.). While they may have extensive autonomy in some nurse practitioner functions, they are not acting as independent practitioners, nursejournal.org, (n.d.). However, in California, restrictions may loosen as the NP gains experience, nursejournal.org. (n.d.). 
     

    In September 2020, as presented in California Board of Nursing, Governor Gavin Newsom signed Assembly Bill (AB) 890 (Wood, Chapter 265, statutes 2020) into law which created two new categories of Nurse Practitioners (NP) that can function within a defined scope of practice without standardized procedures. These new categories of NPs are 103NP and 104NP. 103 NP works under the provisions outlined in Business and Profession code 2837.103, California Board of Nursing, (n.d.). This NP works in a group setting with at least one physician and surgeon within the population focus of their national certification. 104 NP works under the provisions outlined in Business and Profession code section 2837.104, California Board of Nursing, (n.d.). This NP may work independently within the population focus of their national certification. The law was in effect last January 2023 and according to the Board of California Nursing, 103NP application is now live in BreEZe. 
     

    The law requires a licensee to first work as a 103NP in good standing for at least 3 years prior to becoming a 104NP. The Board is only able to certify 103NPs currently and will not be able to certify 104NPs until 2026. According to rn.ca.gov., (n.d.), progress to 
    103NP or 104NP is not required; it is just an option. The traditional role of the NP in California remains. NPs can continue to work under physician supervision with standardized procedures in their existing settings, California Board of Nursing, (n.d.).
     

    An example scenario where California NP must have a collaborative agreement or standardize procedure that defines their scope of practice, including which conditions or treatments require physician input: A patient presents with feeling of dizziness, irregular heartbeat, and sudden shortness of breath, with history of Congestive Heart Failure. The NP evaluates the patient and suspects a possible pulmonary embolism. According to the collaborative agreement, the NP consults with the physician for further assessment and for hospital admission to acute care. This practice ensures comprehensive care and safety of the patient. 
     

    PLACE YOUR ORDER HERE

    On the other hand, Arizona Registered Nurse Practitioners (RNPs) have Full Practice Authority. According to nursejournal.org. (n.d.), in full practice states, nurse practitioners can perform the full scope of practice without supervising or collaborating with physicians. They can diagnose a patient, order tests, prescribe medication, and operate their own independent practices, azbn.gov. (n.d.). As per azbn.gov. (n.d.), RNPs means registered nurse who is certified by the board, completed nurse practitioner education program approved or recognized by the board, has an expanded scope of practice within a specialized area of education the RNP has prepared for. 
     

    In addition, the Nurse Practice Act defines the scope of practice that an RNPs shall refer a patient to a physician or another health care provider if the referral will protect the health and welfare of the patient and consult with a physician and other health care providers if a situation or condition occurs in a patient that is beyond the RNPs knowledge and experience. 
     

    An example scenario of an RNP in Arizona: A 66-year-old male arrives in the clinic for a routine checkup. He has a history of hypertension and type 2 diabetes with uncontrolled A1C, he complains of always feeling tired and he gained weight. The RNP did a thorough assessment, vital signs, checking laboratory results and talking to him about his lifestyle. The RNP adjusted the patient’s meds and upon talking to him patient expressed feeling low and depressed, the RNP did a referral to a mental health counselor. During this visit, the RNP took time in discussing his findings with the patient and how to manage his condition at home. A follow up visit has been scheduled. Based on this scenario, the RNP took an integrated approach in taking care of the patient. This shows the Arizona RNP can manage independently chronic stable conditions in their state of practice.
     

    According to Capitol beat blog of American Nurses Association, the ANA supported by a growing body of evidence of the safe and cost-effective provision of care by APRNS, that there is a NATIONAL CALL to remove all barriers to Full Practice Authority from organizations such as the Institute of Medicine (IOM), the Federal Trade Commission (FTC), the National Governors Association (NGA), the Bipartisan Policy Center, and the Veterans Health Administration (VHA), among others. 
     

    “FULL PRACTICE AUTHORITY” is defined as an APRNs ability to utilize knowledge, skills, and judgment to practice to the full extent of their education and training, nursingworld.org, (n.d.). Since the requirements such as mandated collaborative practice agreements (CPAs) and physician-supervised transition-to-practice periods still exist, APRNs cannot fully fill the gaps in the needs of our healthcare system and deter them to work in their full capacity, nursingoutlook.org. (n.d.). As APRNs continue to show their competence and compassion to our community, slowly we earn the trust and confidence of the patients we see, and it can transcend to our decision makers that approve the laws and regulations of Advanced Practice Registered Nurse. We are getting there but we must act now by showing them our comprehensive and holistic approach in treating patients in whatever specialty we choose.
     

    References
     

    AZBN. (2020). 
    Arizona Board of Nursing Scope of Practice APRN Questions & Answers SCOPE OF PRACTICE Nurse Practitioners
    . 
    https://www.azbn.gov/sites/default/files/2020-11/FAQs%20Final%20Questions-%20NP%207.24.20%20%281%29.pdf
    Links to an external site.
     
     

    Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). 
    Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary careLinks to an external site.
    Links to an external site.
    . 
    Nursing Outlook, 65
    (6), 761–765. 
     

    California Association
     for Nu
    rse Practitioners. (n.d.).
     What is an NP? 
    Canpweb.org. 
    https://canpweb.org/About/What-is-an-NP
    Links to an external site.
     

    California Board of Registered Nursing. (2022). 
    Assembly Bill 890
    . California Board of Registered Nursing. 
    https://www.rn.ca.gov/practice/ab890.shtml
    Links to an external site.
     
     

    Capitol Beat – From the American Nurses Association. (n.d.). 
    https://anacapitolbeat.org/
    Links to an external site.
     

    Feeney, A. (n.d.). 
    Nurse practitioner practice authority: A State-by-state guide
    . Nurse Journal. 
    https://nursejournal.org/nurse-practitioner/np-practice-authority-by-state/
    Links to an external site.
     
     

    Nursingworld.org. (2017). 
    Advanced Practice Registered Nurses (APRN). American Nurses Association. 
    https://www.nursingworld.org/practice-policy/workforce/what-isnursing/aprn/#:~:text=Advanced%20Practice%20Registered%20Nurse%20(APRN)
    Links to an external site.
      
     

     

    California, Arizona Virginia APRN board of nursing state licensure comparison

    Professional Nursing and State-Level Regulations

    Advanced practice registered nurses (APRNs) include the broader categories of clinical nurse specialists, certified nurse midwives, and nurse anesthetists. Each state has a board of nursing regulations that define nursing practitioners’ roles. The regulations also define the scope of practice and professional activities that each nurse offers based state’s board of nursing regulations. This discussion gives a detailed analysis of the APRN regulations in Virginia and California.

    Virginia regulations

    Licensing and education
    : The Virginia Board of Nursing allows the licensing of nurse practitioners with five years of experience (VBON, n.d). They should have completed a bachelor of nursing degree, hold an active registered nurse license and pass the national certification exam.

    Practice authority
    : In Virginia, nurse practitioners have restricted practice authority, meaning they are supervised of physicians in all areas of practice (Clarke, 2023). They have some autonomy as nurse practitioner after five years of experience but APRNs cannot be allowed to act independently.

    California regulations

    Licensing and education
    : The California Board of Nursing requires APRNs to have satisfactorily completed a bachelor’s degree in nursing in specific roles, such as midwives or nurse practitioners, and should have passed the National certification exam.

    Practice authority
    : In California, nurses have full practice authority, thus they can perform their scope of practice as nurse practitioners with zero supervision or collaboration with physicians (Clarke, 2023). Nurse practitioners can independently diagnose patients, prescribe medication and order tests.

    Differences

    Collaboration aspects
    :

    In Virginia, APRNs must practice under the supervision of a physician, but after five years of experience, they become flexible and can work independently. However, in California, the standardized procedure for ARPNs is to collaborate with other healthcare professionals throughout their careers, even after extensive experience California, Arizona Virginia APRN board of nursing state licensure comparison.

    Independence 

    In Virginia, APRNs only become independent to make their own decisions and carry out full-time clinical practice after five years of experience, but California nurse practitioners get additional training to carry out clinical practice independently without a time limit.

    Application

    The difference in regulations between the two States shows that nurses will carry out their clinical roles differently. In Virginia, APRNs have restricted practice authority; hence, there must be a close working relationship with doctors, as they are required to approve any decisions nurses make (Smith, 2024). The nurses do not have the autonomy to make their own decisions. For example, when treating patients with asthmatic conditions, they must consult with a pulmonologist on the best treatment to use. In California, the ARPNs have full practice authority and hence work independently, depending on their experience and training. When treating patients with asthmatic conditions, they can administer the nebulizer treatment process to patients without consultation with physicians (Clarke, 2023). They have the autonomy to carry out patient examinations, conduct diagnoses, and make drug prescriptions. The nurses can manage all patients’ health challenges without consulting the physician for assistance. Thus, the two states depict how boards of nursing regulations can affect the clinical practice of APRNs.

    Conclusion

    The board of nursing issue regulations on how APRNs works and their practice in clinical activities. Each state has different regulations on how they use their knowledge and experience and how they collaborate with other healthcare professionals. In Virginia, APRNs have restricted practice, meaning they must collaborate with physicians until they become flexible after five years of practice. In California, APRNs have full practice authority, meaning they can perform nurse practitioner roles in full scope without supervision or collaboration with physicians. The difference shows the impacts of each state’s board of nursing regulations on clinical practice California, Arizona Virginia APRN board of nursing state licensure comparison.

     
    References

    Clarke, E. (2023, November 10). 
    Nurse practitioner practice authority: A State-by-state guide
    . NurseJournal. https://nursejournal.org/nurse-practitioner/np-practice-authority-by-state/

    Smith, K. (2024). 
    A state-by-state breakdown of nurse practitioner practice authority laws
    . Www.tebra.com. 
    https://www.tebra.com/theintake/checklists-and-guides/legal-and-compliance/nurse-practitioner-laws-by-state
    Links to an external site.

    Virginia Board of Nursing – Advanced Practice Registered Nurse
    . (n.d.). Virginia Board of Nursing. https://www.dhp.virginia.gov/Boards/Nursing/PractitionerResources/AdvancedPracticeRegisteredNurse/ California, Arizona Virginia APRN board of nursing state licensure comparison

  • ion channels and g proteins discussion post

    Ion Channels vs. G Proteins in Signal Transduction and Medication Targets

    Ion Channels:

    Ion channels are proteins that are in the cell membrane which facilitates the passage of ions in and out of the cell. They enable important physiologic processes such as signal transduction, they also react to particular  stimuli such as voltage changes or ligand binding. When these channels are activated, they open to allow ions such as sodium (Na+), potassium (K+), calcium (Ca2+), or chloride (Cl-) to pass through, altering the cell’s electrical state and initiating various cellular responses. Ion channels are also important targets for medications. For instance, calcium channel blockers, which are often used to treat high blood pressure, work by preventing calcium from entering heart and blood vessel muscle cells, leading to decreased heart contractility and blood vessel dilation (Benarroch, 2019).

    G Proteins:

    G proteins are proteins inside cells that act like switches, turning signals on or off. They help transmit messages from outside the cell, like hormones or neurotransmitters, to the inside. This process starts when these signals bind to special receptors on the cell surface, known as G protein-coupled receptors (GPCRs). When a signal binds to a GPCR, it activates the G protein by swapping a molecule called GDP for another called GTP on a part of the G protein called the α-subunit. When G proteins are activated, they interact with other proteins inside the cell, such as adenylate cyclase or phospholipase C. These proteins then produce molecules called secondary messengers, like cAMP or IP3, which carry the signal further inside the cell. This leads to various responses within the cell. Because GPCRs and G proteins are involved in many important body processes, they are key targets for many drugs. For example, medications like beta-blockers and angiotensin receptor blockers (ARBs) work by affecting these pathways to treat conditions like high blood pressure and heart disease (Skolnick & Volkow, 2020).

    Differences in Medication Targeting

    Target Mechanism:

    Ion Channels: Medications targeting ion channels directly modulate the flow of ions across the membrane. For example, anesthetics such as lidocaine block sodium channels to prevent pain signals (Hille, 2018).

    G Proteins: Drugs targeting G protein pathways typically act on the receptors that activate these proteins or on the signaling pathways they regulate. For example, antihistamines block histamine receptors, which are GPCRs, to reduce allergy symptoms (Skolnick & Volkow, 2020).

    Speed of Action:

    Ion Channels: The effects of ion channel-targeting drugs are often immediate, as they directly alter ion flow and membrane potential, which can quickly change cell activity (Benarroch, 2019).

    G Proteins: The effects of drugs targeting G protein pathways can be slower because they often involve multiple steps, including the production of second messengers and the activation of downstream signaling pathways (Thal et al., 2018).

    Specificity:

    Ion Channels: Drugs targeting ion channels can be highly specific, affecting only one type of ion channel (e.g., calcium channel blockers), but there is a risk of off-target effects on similar ion channels in different tissues (Hille, 2018).

    G Proteins: Since G protein pathways are involved in numerous physiological processes, drugs targeting these pathways can have widespread effects, sometimes leading to more side effects (Skolnick & Volkow, 2020).

    Understanding Genetic Risk and Mental Illness:
     Having a relative with a mental illness, such as a grandmother, does increase your risk of developing a similar condition, but it does not guarantee that you will. Mental illnesses are complex and result from a combination of genetic, environmental, and lifestyle factors (Choi et al., 2020)

    Genetic Factors:
     You share about 25% of your genes with your grandmother, which means you have inherited some genetic material from her. However, mental illnesses like depression, anxiety, bipolar disorder, and schizophrenia are influenced by multiple genes, each contributing a small amount to the overall risk (Levey et al., 2021). In addition to genetics, other factors such as your environment, life experiences, and personal behaviors play a significant role in whether you develop a mental illness (Gandal et al., 2018).

    Environmental and Lifestyle Influences:
     Environmental factors, such as stress, trauma, and lifestyle choices (like diet, exercise, and substance use), interact with your genetic predisposition. Even if you have a higher genetic risk, maintaining a healthy lifestyle, seeking support when needed, and managing stress can reduce the likelihood of developing a mental illness (Gandal et al., 2018).

    Protective Measures:
     Awareness of your family history allows you to take proactive steps in managing your mental health. Regular check-ins with a mental health professional, staying connected with a supportive community, and practicing self-care are all important strategies.

    References

    Alexander, S. P., Christopoulos, A., Davenport, A. P., Kelly, E., Mathie, A., Peters, J. A., … & CGTP Collaborators. (2021). The concise guide to pharmacology 2021/22: G protein-coupled receptors. British Journal of Pharmacology, 178(Supplement 1), S27-S156. https://doi.org/10.1111/bph.15434

    Benarroch, E. E. (2019). Ion channels in neurological diseases: An update. Neurology, 92(6), 541-549. https://doi.org/10.1212/WNL.0000000000006910

    Choi, K. W., Zheutlin, A. B., Karlson, R. A., Wang, M. J., Dunn, E. C., Stein, M. B., … & Smoller, J. W. (2020). Mapping the genetic architecture of major depression in the context of environmental risk: Leveraging both linkage-disequilibrium-dependent and -independent SNP heritability. 
    American Journal of Psychiatry
    , 
    177
    (10), 917-927. https://doi.org/10.1176/appi.ajp.2020.19030310

    Gandal, M. J., Haney, J. R., Parikshak, N. N., Leppa, V., Ramaswami, G., Hartl, C & Geschwind, D. H. (2018). Shared molecular neuropathology across major psychiatric disorders parallels polygenic overlap. 
    Science
    , 
    359
    (6376), 693-697. https://doi.org/10.1126/science.aad6469

    Hille, B. (2018). Ion channels of excitable membranes (3rd ed.). Sinauer Associates.

    Levey, D. F., Polimanti, R., Cheng, Z., Zhou, H., Nunez, Y. Z., Jain, S & Gelernter, J. (2021). Genetic associations with suicide attempt severity and genetic overlap with major depression. 
    American Journal of Psychiatry
    , 
    178
    (9), 853-862. https://doi.org/10.1176/appi.ajp.2021.21030228

    Skolnick, P., & Volkow, N. D. (2020). G protein-coupled receptors as targets for drug discovery in neuropsychiatric disorders. Neuropsychopharmacology, 45(1), 27-37. https://doi.org/10.1038/s41386-019-0464-6

    Thal, D. M., Glukhova, A., Sexton, P. M., & Christopoulos, A. (2018). Structural insights into G-protein-coupled receptor allostery. Nature, 559(7712), 45-51. https://doi.org/10.1038/s41586-018-0245-2

    Wray, N. R., Ripke, S., Mattheisen, M., Trzaskowski, M., Byrne, E. M., Abdellaoui, A & Sullivan, P. F. (2018). Genome-wide association analyses identify 44 risk variants and refine the genetic architecture of major depression. 
    Nature Genetics
    , 
    50
    (5), 668-681. https://doi.org/10.1038/s41588-018-0090-3

    Ion Channels and G Proteins 

    This Discussion will allow you the opportunity to engage with your peers to explore the difference between ion channels and G proteins. You will be able to apply this understanding to a specific patient question. Additionally, please reply to your peers with additional information and sources to either support or challenge responses. 

    Resources

     

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources. 

    WEEKLY RESOURCES

    To prepare:

    Review the Required Learning Resources.

    Consider the difference between ion channels and G proteins.

    By Day 3 of Week 1

    Post
     a response answering the following:

    Explain the difference between ion channels and G proteins as they relate to signal transduction and targets of medications.

    How would you answer the following patient question:

    My grandmother has a mental illness. I have the same genes as her. Will I also get the same mental illness?

    Note: 
    Your response needs to be supported and validated by three (3) scholarly peer-reviewed resources located 
    outside
     of your course Learning Resources.

    Upload a copy of your discussion writing to the draft Turnitin for plagiarism check.  Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed.

    Read 
    a selection of your colleagues’ posts.

    By Day 6 of Week 1

    You are required to participate in the Discussion on at least 3 different days (a different day for main post and each response). It is important to adhere to the weekly time frame to allow others ample time to respond to your posting.

    Read 
    a selection of your colleagues’ posts
    .  Respond
     to 
    at least two
     of your colleagues on 
    2 different days
     by supporting or expanding on their explanation, as well as how they have described their response to the patient.

    Peer responses should include at least two (2) supporting scholarly, peer-reviewed references 
    outside
     of the provided Learning Resources. Your responses should also include additional resources to either support or refute the responses and should demonstrate critical thinking.

    Note:
     Be sure you work to share additional perspectives on the details described by your colleague. Responses of “I agree” or “good point” will result in lower score grading.

    Difference Between Ion Channels and G Proteins

    Ion channels and G proteins both play critical roles in signal transduction but function differently. Ion channels are proteins embedded in the cell membrane that allow specific ions (like sodium, potassium, or calcium) to pass through the membrane in response to a signal, such as a neurotransmitter. This movement of ions changes the electrical charge of the cell, leading to rapid cellular responses. Ion channels are often targets for medications that require fast-acting effects, such as anesthetics or anti-seizure drugs (Hille, 2018).

    G proteins, on the other hand, are involved in more complex signal transduction pathways. When a signaling molecule, such as a hormone, binds to a G protein-coupled receptor (GPCR) on the cell surface, it activates the G protein inside the cell. This activation triggers a cascade of intracellular events, affecting processes like metabolism, gene expression, and cell growth. G protein pathways are targets for drugs that modulate longer-term processes, such as beta-blockers for heart conditions or antipsychotics (Rosenbaum et al., 2020).

    Targets of Medications

    Both ion channels and G proteins are targets of various medications. For example, calcium channel blockers target ion channels to treat hypertension and heart disease (Smoller, 2019). In contrast, beta-blockers target GPCRs, which activate G proteins, to treat anxiety and hypertension.

    Regarding your question, having the same genes as your grandmother does not guarantee you will develop the same mental illness. While genetics play a role in mental health, environmental factors, epigenetics, and gene expression also influence disease susceptibility (National Institute of Mental Health, 2020). A study published in the Journal of Psychiatric Research found that genetic factors contribute to the risk of developing mental illnesses, but environmental factors also play a crucial role (Smoller, 2019). Another study published in Nature Genetics highlighted the importance of gene-environment interactions in mental health (Sullivan et al., 2020). A review published in the Journal of Clinical Psychology emphasized the need to consider both genetic and environmental factors when assessing mental health risk.

    In conclusion, Ion channels and G proteins differ in their roles within cellular communication, impacting how medications target these pathways. Ion channels work quickly by allowing ion flow, while G proteins initiate complex, longer-lasting responses. Regarding mental illness, while genetics contribute to risk, they are not the sole cause, and environmental factors play a significant role in determining whether one develops a condition. Understanding these differences can lead to better health outcomes through targeted treatment and informed healthcare choices.

     

     

    References

    Hille, B. (2018). 
    Ion Channels of Excitable Membranes
     (3rd ed.). Sinauer Associates.

    National Institute of Mental Health. (2020). 
    Genetics and Mental Health.
     https://www.nimh.nih.gov/health/topics/genetics-and-mental-health/index.shtml

    Rosenbaum, D. M., Rasmussen, S. G., & Kobilka, B. K. (2020). The structure and function of G-protein-coupled receptors. 
    Nature
    , 459(7245), 356-363.

    Smoller, J. W. (2019). The Genetics of Stress-Related Disorders: PTSD, Depression, and anxiety disorders. 
    Neuropsychopharmacology
    , 44(1), 130-146.

    Sullivan, P. F., Daly, M. J., & O’Donovan, M. (2020). Genetic architectures of psychiatric disorders: The emerging picture and its implications. 
    Nature Reviews Genetics
    , 13(8), 537-551.

     

    Reply from 

    To understand how signals are transduced and how they target medications, we must understand what ion channels and G proteins are and how they function.

    Ion channel receptors are receptors that open sodium or calcium channels through transducing electrical impulses into chemical signals allowing for some inorganic ions to pass and not others. Ion channels respond to a variety of stimuli that causes the channels to open including voltage across the membrane (voltage-gated channels), mechanical stress (mechanically gated channels, or binding of ligand (ligand-gated channels) (Alberts et al, 2008).

    G protein or Guanosine triphosphate binding proteins are regulatory proteins that control a wide range of biological responses through biochemical reactions that cascades and modifies the function of target protein. The two general classes of G protein include heterotrimeric and monomeric G proteins. Heterotrimeric G proteins are composed of three subunits labeled A, B, and Y which creates a different reactive when each subunit is bonded downstream creating a variety of responses in the target cell. Monomeric G protein also known as small G Protein relay signals from activated cell surface receptors to intracellular targets. There are five subfamilies of monomeric G proteins that carry out different functions (Purves et al, 2001).

    Ion channel receptors and g protein have been studied extensively and trialed in targets for creating medications for a desired outcome. Amlodipine besylate which is a calcium channel blocker was patented in 1982 and is one of the most widely used anti-hypertensive medications prescribed in the United States is an example of how ion channels may be manipulated for a desired effect. By stimulating the environment, cells are able to communicate with one another to create a desired effect in g proteins which is how clinic drugs are effective in such cases as quetiapine (Seroquel) or olanzapine (Zyprexa) (Raines et al, 2022).

    To answer the question of whether a person would have the same mental illness as their grandmother, the answer is not necessarily. While a person may be predisposed to mental illness through genetics, epigenetics modifications during life experiences including chronic stress has been linked to modifications in genes that may lead to anxiety and/or depression. Aside from our genetics, biological pathways may become “activated or silenced” based upon our experiences and therefore will shape our mental health (Grezenko et al, 2023).

     

    Alberts, B., Johnson, A., Lewis, J., Raff, M., Roberts, K., and Walter, P. (2008). 
    Molecular Biology of the Cell.
     Garland Science Taylor & Francis Group. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK26910/

    Grezenko, H., Ekhator, C., Nwabugwu, N., Ganga, H., Affaf, M., Abdelaziz, A., Rehman, A., Shehryar, A., Abbasai, F., Bellegarde, S., & Khaliq, A. (2023). 
    Epigenetics in Neurological and Psychiatric Disorders: A Comprehensive Review of Current Understanding and Future Perspectives. 
    Cureus, 15(8). DOI: 10.7759/cureus.43960

    Purves, D., Augustine, G., Fitzpatrick, D., Hall, W., LaMantia, A., & White, L. (2001). 
    Neuroscience, 2nd Edition. 
    Sinauer Associates. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK10832/

    Raines, R., McKnight, I., White, H., Legg, K., Lee, C., Li, W., Lee, P., & Shim, J. (2022). 
    Drug-Targeted Genomes: Mutability of Ion Channels  and GPCRs. 
    Biomedicines, 10(3), 594. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8945769/

    Expand discussion thread from Tim Nguyen

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    Chineze Christiana Chianakwana

    Aug 27, 2024 8:46pm

    Reply from Chineze Christiana Chianakwana

    Main discussion post:

    Ion Channels and G proteins

    Ion channels and G proteins are essential constituents of cellular signal transduction, acting in separate capacities and being the focus of different pharmaceutical interventions. Ion channels are membrane proteins that generate pores and facilitate the passage of certain ions (e.g., Na+, K+, Ca2+, and Cl-) across the cell membrane in reaction to stimuli, for example, a voltage change or ligand binding. Such ion transport can quickly modify the cell’s membrane potential and trigger biological reactions. Pharmacological agents such as anticonvulsants inhibit sodium channels to decrease neuronal excitability in epilepsy, and calcium channel blockers in the management of hypertension by vascular relaxation, primarily aim at ion channels (Hille, 2022).

    G Proteins, also known as Guanine nucleotide-binding proteins, are intracellular proteins that function as molecular switches in routes of signal transmission. They transmit signals from active cell surface receptors, such as G-protein-coupled receptors (GPCRs), to different effectors within the cells, like enzymes and ion channels. Consequently, second messengers such as cAMP or IP3 can be generated, facilitating the transmission of the signal within the cell (Odoemelam et al., 2020). G protein pathway-targeting drugs like beta-blockers impede GPCR signaling for cardiovascular disease management, and antipsychotics, which regulate dopamine receptor activity for the management of mental illness.

    Ion channels and G proteins are of great importance. They are essential constituents of biological signaling, although they operate through distinct mechanisms. For example, ion channels undergo opening or closing in reaction to specific external signals, such as variations in electrical potential or the interaction with a ligand. When in an open state, these membranes permit the passage of specified ions (such as Na+, K+, Ca2+, or Cl-) along their electrochemical gradient (McGivern & Ding, 2020). Conversely, G proteins are stimulated by G protein coupled receptors (GPCRs) upon binding of a ligand to the receptor. Upon activation, the G proteins engage with other intracellular proteins initiating a series of events that ultimately result in a biological response 
    (
    Odoemelam et al., 2020).

    Questions regarding the potential influence of family history on one’s health are reasonable. Although hereditary factors can predispose to some mental disorders, a positive family history of mental illness is not a guarantee that one will ultimately develop the same disorder.  Inheritance of certain genes does not guarantee the inheritance of all the same risk factors, as genetic expression might significantly differ among individuals (Sullivan & Geschwind, 2019).

    Genetics is merely one parameter among several predisposing factors to mental disorders. Furthermore, environmental conditions, life events, lifestyle, and unique characteristics also exert substantial influence. Several mental health disorders are intricate and might arise from a confluence of genetic, environmental, and multifactorial influences (Goldin, 2023).

    References

    Goldin, D.S. (2023). Fast facts for psychopharmacology for nurse practitioners. Springer Publishing

    Hille, B. (2022). Ionic channels in nerve membranes, 50 years on. 
    Progress in Biophysics and Molecular Biology
    , 
    169–170
    , 12–20. 
    https://doi.org/10.1016/j.pbiomolbio.2021.11.003
    Links to an external site.

    McGivern, J. G., & Ding, M. (2020). Ion channels and relevant drug screening approaches. 
    SLAS Discovery
    , 
    25
    (5), 413–419. https://doi.org/10.1177/2472555220921108

    Odoemelam, C. S., Percival, B., Wallis, H., Chang, M.-W., Ahmad, Z., Scholey, D., Burton, E., Williams, I. H., Kamerlin, C. L., & Wilson, P. B. (2020). G-protein coupled receptors: Structure and function in Drug Discovery. 
    RSC Advances
    , 
    10
    (60), 36337–36348. https://doi.org/10.1039/d0ra08003a

    Rockman, H. A., & Lefkowitz, R. J. (2024). G protein–coupled receptors: From radioligand binding to cellular signaling. 
    Journal of Clinical Investigation
    , 
    134
    (5). https://doi.org/10.1172/jci178109

    Sullivan, P. F., & Geschwind, D. H. (2019). Defining the genetic, genomic, cellular, and diagnostic architectures of psychiatric disorders. 
    Cell
    , 
    177
    (1), 162–183. 
    https://doi.org/10.1016/j.cell.2019.01.015
    Links to an external site.

     

    Reply from Sabrina Quarmyne

    According to the National Cancer Institute (2024), signal transduction is “the process by which a cell responds to substance outside the cell through signaling molecules found on the surface of and inside the cell. Most molecules bind to a specific protein receptor (signaling molecule) on or in a cell. Signal transduction is important for cells to grow and work normally.”

     

    Ion channels and G proteins play a role in signal transductions but in different ways. Ion channels are gated permeable pathways that open for a limited time; an activator is needed to open the pathway. It allows specific ion (s) (sodium, potassium, calcium, and chloride) to flow across the membrane. The flow of ions changes the membrane potential, triggering cellular responses. One type of ion channel is the ligand-gated ion channel; the ionotropic receptors have a site where a neurotransmitter can bind, called the binding site. When the neurotransmitter binds (called the ligand), it causes the channel to open the receptor, and ions flow into the neuron (Alberts et al. 2019). “Ion channel signaling is a dynamic process that is essential for various physiological functions, including pain sensation, motor control, and fight or flight responses” (Dai, 2023). Some drugs/disorders that involve ion channels for treatment include cardiac arrhythmias, neuropathic pain, and muscle disorders (Dai, 2023).

     

    G protein-coupled receptors (GPCRs) are proteins on the cell surface that conduct signals across the cell membrane. When a neurotransmitter binds to the receptor, it activates a G-protein, which can affect the opening of ion channels and activate signaling molecules, also known as second messengers, which initiate signaling cascades within the cell. The activation of the G protein exchanging GDP to GTP. G proteins regulate cellular responses through second messenger systems like cyclic AMP and phosphoinositide signaling pathways. G protein-coupled receptors (GPCRs) are slower-acting than the ion channels. GPCR activity changes lead to signaling pathway abnormalities affecting cardiovascular diseases, mental disorders, hormonal imbalances, and cancer. Drugs that target CPCRs include histamine receptor blockers, opioid agonists, beta-blockers, and angiotensin receptor blockers (Odoemelam et al., 2020)

     

    Suppose a person were to ask if they will get the same mental illness as their grandmother because they have the same genes as her. It is reasonable for someone to have concerns if they will develop the same illness from a family member. Environmental variables (stress or trauma), family dynamics, and lifestyles can also play a factor in mental health illnesses as well as genetics. Although mental illness plays a role in predisposing others to mental health conditions, it is not entirely guaranteed that they may get the exact mental conditions as their grandmother (Whittle et al.2024).

     

    References:

    Alberts, B., Johnson, A., Lewis, J. (2019). Ion channels and the Electrical Properties of Membranes. 
    Molecular
     
    Biology of the Cell, 4
    th
     edition.
     
    https://www.ncbi.nlm.nih.gov/books/NBK26910/
    Links to an external site.

    Dai G. (2023). Signaling by Ion Channels: Pathways, Dynamics and Channelopathies. 
    Missouri Medicine
    , 
    120
    (5), 367–373.

    National Cancer Institute (2024). 
    Signal Transduction Definition
    . 
    https://www.cancer.gov/publications/dictionaries/cancer-terms/def/signal-transduction
    Links to an external site.

    Odoemelam, C., Percival, B., Wallis, H., Chang, M., Ahmad, Z., Scholey, D., Burton, E., Williams. (2020).  G protein-coupled receptors: structure and function in drug recovery. 
    Royal Society of Chemistry, 10
    (4), 337-348

    Whittle, S., Zhang, L., Rakesh,D. (2024). Environmental and neurodevelopmental contributors to youth mental illness. 
    American College of Neuropsychopharmacology.  
    https://doi.org/10.1038/s41386-024-01926-y
    Links to an external site.

     

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    Odessa Fry

    Aug 27, 2024 4:14pm
    | 
    Last reply Aug 28, 2024 8:48pm

    Reply from Odessa Fry

    Discussion Post

    Explain the Difference Ion Channel and G Protein Signal Transduction

    There are different signal transduction cascades including G-protein-linked systems and ion-channel-linked systems.  Each starts with a diverse first messenger joining a unique receptor conducting activation of different downstream second, third, and so on chemical messengers (Stahl, 2021).  This allows a diverse biological collection of chemical messaging systems. G-protein-linked system and ion-channel-linked system are started by neurotransmitters. These systems prompt genes in the cell nucleus via phosphorylating a protein called CAMP response element binding protein CREB (Bondar, et al., 2020).  The G-protein-linked system works through a flow encompassing protein kinase A (Kostenis, et al., 2024). The ion-channel works across calcium with its capacity to stimulate and ability to activate a different kinase called calcium/calmodulin kinase (Maiorov, et al., 2024).

    Regarding Mental Illness Transmission

    Genetic evidence suggests that a sizable portion of genetic impacts exceed clinical diagnostic limitations of psychiatric disorders (Ashitha, 2023).  Neurotransmission triggers gene expression by a fast signal transduction that has a coded message that is passed along until the message is delivered to phosphoprotein or DNA.  Neurons alter their function by changing genes that are being turned on and off.  Molecular processes use neurotransmission to manage gene expression.  Genes only occupy a few percent of DNA, but these are essential for structure and regulation of whether a gene is conveyed or not.  The neuronal function deems gene expression is not only defined by numbers but by other circumstances as well.  These gene factors are also thought to underlie actions of psychopharmacological drugs and disorders in the central nervous system. Overall, it is possible for the gene to be transmitted to the granddaughter.

    References

    Ashitha, S., Ganesh, S., Purushottam, M., Viswanath, B., & Jain, S. (2023). T105. Genetic Influences of Neurodevelopmental Genes on Severe Mental Illnesses. 
    European Neuropsychopharmacology
    , 75(Supplement 1), S219. https://doi.org/10.1016/j.euroneuro.2023.08.504

    Bondar, A., Jang, W., Sviridova, E., & Lambert, N. A. (2020). Components of the Gs signaling cascade exhibit distinct changes in mobility and membrane domain localization upon β2‐adrenergic receptor activation.
     Traffic
    , 21(4), 324–332. https://doi.org/10.1111/tra.12724

    Evi Kostenis, Lars Jürgenliemke, & Judith Alenfelder. (2024). G protein-mediated signal transduction: a molecular choreography of G protein activation after GTP binding. 
    Signal Transduction and Targeted Therapy
    , 9(1), 1–3. 
    https://doi.org/10.1038/s41392-024-01903-3
    Links to an external site.

    Maiorov, S. A., Laryushkin, D. P., Kritskaya, K. A., Zinchenko, V. P., Gaidin, S. G., & Kosenkov, A. M. (2024). The Role of Ion Channels and Intracellular Signaling Cascades in the Inhibitory Action of WIN 55,212-2 upon Hyperexcitation. 
    Brain Sciences
     (2076-3425), 14(7), 668. 
    https://doi.org/10.3390/brainsci14070668
    Links to an external site.

    Stahl, S. M. (2021). 
    Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (
    5th ed.). Cambridge University Press
    .
     Chapter 1, “Chemical Neurotransmission” (pp. 1–28)

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    Akunna Onwuka

    Aug 26, 2024 6:44pm
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    Last reply Aug 28, 2024 9:54pm

    Reply from Akunna Onwuka

    Ion channels
     are proteins in cell membranes that open channels for ions—charged particles such as sodium, potassium, calcium, and chloride—to flow through. These channels are critical in nerve and muscle cells for various biological functions.

    Numerous physiological processes, such as controlling heart rate, contracting muscles, sending messages through nerves, and preserving homeostasis across cell membranes, depend on ion channels. Channelopathies, which include epilepsy, arrhythmias, and cystic fibrosis, are disorders caused by ion channel dysfunction. (Alexander et al., 2019).

    Guanine nucleotide-binding proteins, or G proteins
    , are a family of proteins that play a pivotal role in cellular communication. They act as molecular switches in various signaling pathways, including hormones, neurotransmitters, and light and smell, effectively moving information from the cell’s exterior to its interior. ( Duncan et al., 2020).

    The difference between ion channels and G proteins relates to signal transduction and medication targets.

    Understanding the distinct functions that G proteins and ion channels play in signal transduction is crucial, especially in pharmacology.

    Ion Channels
    : Membrane proteins called ion channels permit specific ions, such as Na, K, Ca, and Cl, to flow across the cell membrane. They aid in controlling cell electrical activity, especially in excitable tissues like neurons and muscle cells.  An ion channel can be immediately opened or closed to allow ions to enter or exit a cell when a signal, such as a neurotransmitter, attaches. This ion migration modifies the cell’s membrane potential, triggering other cellular reactions or resulting in an action potential (in neurons, for example).  Drugs targeting ion channels usually work by increasing or decreasing ion flow. For instance, sodium channels are blocked by local anesthetics such as lidocaine, which stops nerve impulses from spreading and lessens pain perception. Example: Calcium channel blockers, such as amlodipine, work by lowering the amount of calcium that enters the vascular smooth muscle, which causes vasodilation and the treatment of hypertension.  Ion channels mediate fast reactions because ions flow upon channel opening, and membrane potential changes nearly quickly.( Insel et al., 2019).

    On the other hand, in G Proteins,
     G protein-coupled receptors (GPCRs) are surface-located intracellular signaling molecules that interact with G proteins. Various ligands, including neurotransmitters, hormones, and sensory signals, can trigger these receptors.  A GPCR is activated when a ligand attaches to it. This activation of the G protein sets off several downstream signaling pathways. This may result in changes in second messenger levels (cAMP, IP₃, etc.) or indirect ion channel activation. The exact G protein subtype (e.g., Gs, Gi, Gq) determines which pathways G proteins can activate or inhibit.  Many medications operate as agonists or antagonists, depending on the GPCR, to increase or decrease the receptor’s ability to interact with G proteins. For Example, Beta-blockers (such as propranolol) function as antagonists at beta-adrenergic GPCRs to lower blood pressure and heart rate. As an illustration, antipsychotic medications (such as risperidone) frequently modify neurotransmission by acting on dopamine receptors, which are GPCRs.  G protein signaling often takes longer than ion channel-mediated responses due to its many stages and secondary messenger synthesis.

    Unlike the immediate, localized reactions observed with ion channels, the consequences can be more extensive and long-lasting.

    Ion channels and G proteins are essential targets in pharmacology, and knowing their unique functions aids in forecasting how different drugs will affect the body.( Seyedabadi et al., 2019).

    How I would answer the patient’s query regarding whether they will get the same mental illness because her grandmother has a mental illness and she has the same genes as her:

    I will start by discussing with her/him that “Having a grandmother or other family member with a mental illness may somewhat raise her risk, but it does not ensure that she will experience the same illness. Combinations of hereditary and non-genetic variables, such as experiences, stress levels, lifestyle, and surroundings, can affect mental health. It does not follow that she will always have the same disease just because she has similar genes. She must prioritize her mental health by engaging in self-care, leading a healthy lifestyle, and, if necessary, obtaining professional assistance. I will also  discuss  the strategies on how she will   support her  mental health and watch for warning signals if  she is  worried.” This method encourages proactive mental health treatment while also offering comfort. (Duncan et al., 2020).

     

     

    References

    Alexander, S. P. H., Christopoulos, A., Davenport, A. P., Kelly, E., Mathie, A., Peters,

    J. A.Veale, E. L., Armstrong, J. F., Faccenda, E., Harding, S. D., Pawson, A. J.

    Sharman, J. L., Southan, C., Davies, J. A., Abbracchio, M. P., Alexander, W., Al-

    hosaini, K., Bäck, M., Beaulieu, J., & Bernstein, K. E. (2019). THE CONCISE

    GUIDE TO PHARMACOLOGY 2019/20: G protein‐coupled receptors.

                 British Journal of Pharmacology
    , 
    176
    (S1).

    https://doi.org/10.1111/bph.14748
    Links to an external site.

    Duncan, A. L., Song, W., & Sansom, M. S. P. (2020). Lipid-Dependent Regulation of

    Ion Channels and G Protein–Coupled Receptors: Insights from Structures

    and  Simulations. 
    Annual Review of Pharmacology and Toxicology
    ,

                   60
    (1), 31– 50.

    https://doi.org/10.1146/annurev-pharmtox-010919-023411
    Links to an external site.
    .

     

    Insel, P. A., Sriram, K., Gorr, M. W., Wiley, S. Z., Michkov, A., Salmerón, C., & Chinn,

    A. M.  (2019). GPCRomics: An Approach to Discover GPCR Drug Targets.

                   Trends in 
      Pharmacological Sciences
    , 
    40
    (6), 378–387.

    https://doi.org/10.1016/j.tips.2019.04.001
    Links to an external site.

     

    Seyedabadi, M., Ghahremani, M. H., & Albert, P. R. (2019). Biased signaling of G

    protein-coupled receptors (GPCRs): Molecular determinants of

    GPCR/transducer selectivity and therapeutic potential. 
    Pharmacology &

                 Therapeutics
    , 
    200
    , 148–178.

    https://doi.org/10.1016/j.pharmthera.2019.05.006

     

    Professor and class,

    Ion channels and G proteins are both important in signal transduction. The former, are pore-forming proteins embedded in cell membranes that allow the selective passage of ions, such as sodium or chloride, across the membrane (Zheng & Trudeau, 2023, p. 37). This ion movement generates electrical signals in excitable cells like neurons and muscle cells. When a neurotransmitter binds to an ion channel, it can cause the channel to open or close, leading to an immediate change in the cell’s electrical state. As such, medications that target ion channels typically work by modulating this flow of ions, either enhancing or inhibiting the channel’s activity, and are often used to treat conditions like epilepsy, anxiety, and cardiac arrhythmias.

     

    On their part, G proteins, are part of a larger signaling pathway that involves G protein-coupled receptors (GPCRs). When a signaling molecule, such as a hormone or neurotransmitter, binds to a GPCR, it activates the associated G protein, which then influences various intracellular signaling pathways (Yang, et al., 2021). This can lead to changes in enzyme activity, gene expression, or ion channel regulation, but these effects are generally slower and protracted compared to the direct actions of ion channels. According to Yang et al. (2021), medications targeting GPCRs and G proteins can modulate these signaling pathways, affecting a wide range of physiological processes. These drugs are commonly used in treating conditions like hypertension, depression, and allergies.

     

    In response to the patient’s question, I would let her know that I understand her concerns, and while genetics do play a role in the risk for mental illness, having the same genes as your grandmother does not mean you will definitely develop the same condition. Mental illnesses are influenced by a combination of genetic, environmental, and lifestyle factors (Marees, et al., 2021). Hence, just because your grandmother had a mental illness does not mean you will have it too. It is important to focus on factors you can control, like maintaining a healthy lifestyle, managing stress, and seeking support if you ever need it.

     

    References

    Marees, A. T., Smit, D. J., Abdellaoui, A., Nivard, M. G., van den Brink, W., Denys, D., . . . Derks, E. M. (2021). Genetic correlates of socio-economic status influence the pattern of shared heritability across mental health traits. 
    Nature Human Behaviour, 5
    , 1065-1073. 
    https://doi.org/10.1038/s41562-021-01053-4
    Links to an external site.

    Yang, D., Zhou, Q., Labroska, V., Qin, S., Darbalaei, S., Wu, Y., . . . Xie, L. (2021). G protein-coupled receptors: Structure- and function-based drug discovery. 
    Signal Transduction and Targeted Therapy, 6
    (7), e574. 
    https://doi.org/10.1038/s41392-020-00435-w
    Links to an external site.

    Zheng, J., & Trudeau, M. C. (2023). 
    Textbook of ion channels.
     Boca Raton, FL: CRC Press.

  • Hawaii and Guam APRN Board of Nursing licensure Regulations

    Hawaii and Guam APRN Board of Nursing licensure Regulations

    Here is a comparison between the APRN Board of Nursing regulations in Hawaii and Guam, which I drew from my experience there. Two years ago, I worked in Guam, and currently, I live and practice in Honolulu, Hawaii. This experience gives me a unique perspective on how APRN regulations differ between these locations.

    Hawaii grants APRNs Full Practice Authority (FPA), meaning APRNs can practice independently without physician supervision. Key regulations include full autonomy in diagnosing, treating, and managing patient care. The ability to prescribe medications, including controlled substances, without needing a collaborative agreement with a physician (Hawaii Board of Nursing, 2023). For example, in my current practice in Hawaii, APRNs can independently manage patients with chronic conditions like diabetes, adjusting medications and developing care plans without the need for a physician’s approval.

    ORDER A PAPER HERE

    When I was working in Guam, the regulatory environment was different. APRNs in Guam are required to have a collaborative agreement with a physician, particularly for prescriptive authority. APRNs can diagnose and treat patients but must maintain a formal, documented collaboration with a physician, especially for prescribing controlled substances (Guam Board of Nurse Examiners, 2022) Hawaii and Guam APRN Board of Nursing licensure Regulations. For instance, while APRNS could diagnose conditions like hypertension in Guam, they needed to collaborate with a physician for certain treatment decisions, particularly when prescribing medications like beta blockers or ACE inhibitors.

    To compare APRN Board of Nursing regulations in Hawaii and Guam, I’ve focused on two key areas: scope of practice and prescriptive authority. 

    Hawaii is one of the states with Full Practice Authority (FPA) for APRNs. This means APRNs can diagnose and treat patients independently without physician oversight. (Hawaii Board of Nursing, 2023). For instance, an APRN in Hawaii can independently manage a patient with diabetes, adjust medication as necessary, and prescribe insulin or other treatments without requiring a physician’s approval. Guam, conversely, requires APRNs to have a collaborative agreement with a physician, particularly when prescribing medications.

    APRNs in Guam can diagnose and treat patients, but they need a formal, documented agreement with a collaborating physician. (Guam Board of Nurse Examiners, 2022). In practice, this means that an APRN in Guam treating a hypertensive patient might diagnose the condition independently. Still, they would need to consult with or gain approval from their collaborating physician to prescribe certain antihypertensive medications.

    Key Differences:

    Scope of Practice: Hawaii provides full autonomy to APRNs, allowing them to practice without needing a physician’s involvement, whereas Guam requires APRNs to maintain a formal collaboration with a physician.

    Prescriptive Authority: Hawaii allows APRNs to prescribe all medications, including controlled substances independently. In contrast, Guam restricts prescriptive authority and requires collaboration for prescribing, especially with controlled substances.

    Impact on APRNs:

    APRNs practicing in Hawaii can fully leverage their education and experience, functioning autonomously in primary, acute, and specialty care. For example, an APRN in Hawaii may run an independent clinic, managing all aspects of patient care, from diagnosis to medication management, without physician oversight. In Guam, APRNs must adhere to the collaborative practice requirements. This means that even though they are skilled and educated, they are legally bound to collaborate with physicians for certain aspects of patient care, particularly when prescribing medications Hawaii and Guam APRN Board of Nursing licensure Regulations.

    Example of Adherence: In Hawaii, an APRN could independently open a private practice where they diagnose, treat, and prescribe medication for patients, even handling controlled substances like opioids for pain management. In Guam, an APRN might work within a healthcare clinic where they collaborate with a physician. While APRNs can handle most patient care, they must ensure their prescribing practices align with the collaborative agreement, especially regarding medications requiring physician oversight.

     

    References

    American Association of Nurse Practitioners (AANP). (2023). State practice environment for APRNs. 
    https://www.aanp.org/advocacy/state/state-practice-environment
    Links to an external site.

    Guam Board of Nurse Examiners. (2022). APRNs in Guam: Regulatory guidelines. Guam Board of Nurse Examiners. 
    http://guamboardofnurseexaminers.org/aprn-regulations
    Links to an external site.

    Hawaii Board of Nursing. (2023). Advanced Practice Registered Nurse licensure requirements. Hawaii Department of Commerce and Consumer Affairs. 
    https://cca.hawaii.gov/pvl/boards/nursing/aprn/
    Links to an external site.

    National Council of State Boards of Nursing (NCSBN). (2023). APRN consensus model: Practice regulations by state. 
    https://www.ncsbn.org/aprn-consensus.htm 
     Hawaii and Guam APRN Board of Nursing licensure Regulations

  • 92 y/o African American male is brought to the Emergency Department by his daughter. The patient has slurred speech. His blood pressure is 210/100

    92 y/o African American male is brought to the Emergency Department by his daughter. The
    patient has slurred speech. His blood pressure is 210/100

    Case Study Assignment: differential diagnoses and diagnostic testing

    When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools to help in understanding a patient’s condition. In turn, beginning with a differential diagnosis supports the process of further applying information to narrow the possibilities of what the condition may be and working to arrive at the most accurate diagnosis for planning treatment.

    For this Case Study Assignment, you will determine the physical exams and diagnostic tests that would be most appropriate for gaining information and better understanding of your patient’s condition. Then, based on your analysis, you will formulate a differential diagnosis for the patient.

    Resources

     

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources.

    WEEKLY RESOURCES

    To prepare:

    By Day 1 of this week, your Instructor will assign a patient profile for this Assignment. 
    Note:
     Please see the 
    Course Announcements
     section of the classroom for your patient profile Assignment.

    Review this week’s Learning Resources.

    Review the details of the patient case study.

    Consider what physical exams and diagnostic tests would be most appropriate to gather more information about the patient’s condition.

    Reflect on how the results would be used to make a diagnosis.

    Identify 
    three to five (3–5)
     possible conditions that may be considered in a differential diagnosis for the patient.

    Assignment: Diagnostic Reasoning 

    Include the following:

    Identify the patient’s chief complaint.

    Identify what physical exams and diagnostic tests would be most appropriate to gather more information about the patient’s condition. Be specific and explain your reasoning.

    Explain how the results would be used to make a diagnosis.

    Identify 
    three to five (3–5)
     possible conditions that may be considered in a differential diagnosis for the patient. Explain your thinking.

     

    92 y/o African American male is brought to the Emergency Department by his daughter. The
    patient has slurred speech. His blood pressure is 210/100

    Case Study Assignment: Differential Diagnoses and Diagnostic Testing of a 92-Year-Old African American Male

    Hypertension is one of the most common non-communicable lifestyle diseases that usually affect persons as they grow older. One of the causes is the inevitable stiffening of the walls of blood vessels through calcification as one ages. Combined with atherosclerosis due to hyperlipidemia, this is because of the higher prevalence of hypertension in the older generation (Barrett et al., 2019; Jameson et al., 2022). The patient discussed in this case is an elderly African American male with a history of hypertension who is non-compliant with taking his medications. On admission to the Emergency Department (ED), his BP is found to be high at 210/ 100 mmHg. The patient was brought by his daughter to the ED, and he presented with slurred speech. According to the Mayo Clinic (2022), dysarthria is a primary symptomatic indication of hemorrhagic stroke that affects the right side of the brain. Dysarthria is a disturbance in spoken speech by the patient as the speech center is impaired by the blood that infiltrates the brain parenchyma after a hemorrhagic stroke occurs. The patient high blood pressure could likely have been caused by non-adherence to his prescription or the ineffectiveness of the current medications he is on.

    Background

    Dysarthria is caused when neurons that send signals to control the tongue, face, and throat muscles are affected. Therefore, the muscles in these places become poorly coordinated due to the deranged neuronal signaling and weak and slow response (Barrett et al., 2019; Chiaramonte & Vecchio, 2020). The patient’s speech, affected by dysarthria, becomes slurred, slow, and incomprehensible. The increased blood pressure increases artery pressure in the brain, causing them to burst, resulting in hemorrhagic strokes. The neurons in the speech center get compromised; hence, they cannot effectively send nerve impulses to the neuromuscular junction for adequate movement required for speech.

    BUY A PLAGIARISM-FREE PAPER HERE

    Convenient Diagnostic Tests and Physical Examination for the 92-Year-Old Patient

    The brain has membranes that coordinate and send messages regulating our functions.  The brain parenchyma is referred to as subarachnoid hemorrhage or SAH. However, another type of hemorrhagic stroke affects the actual brain parenchyma and, by extension, the speech center and is referred to as intracerebral hemorrhage or ICH (Barrett et al., 2019; Jameson et al., 2022). In this case, it is most likely that the type of hemorrhagic stroke he suffered from was the ICH type. Ball et al. (2023). A physical assessment, including a neuro assessment, is essential to focus on during patient systems assessment.

    The neurologic examination will not stop at that but will also assess several neurological signs. A patient who has suffered a hemorrhagic stroke such as this one will usually also display signs that indicate meningeal irritation in the absence of inflammation. These signs indicate meningeal irritation, called meningism (Ball et al., 2023; McCance & Huether, 2019). In this case, a positive Kernig sign and a positive Brudzinski sign indicate the presence of meningismus or nuchal rigidity. A positive Brudzinski sign is elicited when hip flexion is not voluntary as the patient’s neck flexes. On the other hand, pain when the knee is extended as the thigh is bent at an angle of 90 degrees indicates a positive Kernig sign. Other appropriate tests for this patient include an electroencephalogram or EEG, an electrocardiogram or EKG, a chest X-ray, a computed tomography (CT) scan of the brain, and a magnetic resonance image (MRI).

    Regarding imaging studies and evidence-based practice (EBP), a CT scan and an MRI should be the first imaging done. In this case, a CT scan gives the neurologist a much broader picture of any brain damage that this patient may have suffered. CT cans are more conclusive in detecting any bleeding in the brain.  In this case, An MRI will also be helpful. Apart from the primary hemorrhage, there will also be subsequent hemorrhages in the form of abnormalities such as cerebral vein thrombosis and cavernomas, amongst others. An MRI will help detect any persistent bleeding, as well as surgeries and treatment plans.

    Other Laboratory Blood Tests

    Apart from suffering from hypertension, the patient could also be suffering from a variety of coagulation abnormalities and hemorrhagic conditions. Specific blood tests must also be done to measure these and rule them out in the patient. These include prothrombin time or PT (which can be translated to the international normalized ratio or INR), platelet count, and the activated partial thromboplastin time or aPTT amongst others (Jameson et al., 2022; McCance & Huether, 2019). The presence of thyroid antibodies, immunoglobulins, antinuclear antibodies, and the rheumatoid factor must also be quantitatively assessed. This is to rule out other conditions, such as vasculitis. Lastly, liver function tests and a renal profile may have to be performed as well to rule out kidney and liver failure.

    Employment of the Tests to Make a Diagnosis

    The above tests and investigations would show that this patient has a diagnosis of hemorrhagic stroke. The impaired speech and the elevated blood pressure on assessment also support this diagnosis. Positive aPTT, PT, and INR tests would also point to a disorder of clotting that may have supported the hypertension in causing the stroke. The outcomes of these various tests and evaluations will be interpreted in light of the subjective information already in the clinician’s hands. 92 y/o African American male is brought to the Emergency Department by his daughter. The patient has slurred speech. His blood pressure is 210/100

    The Most Probable Differential Diagnoses for the Patient

    According to the Mayo Clinic (2022) and Jameson et al. (2022), the other conditions that may also cause dysarthria and get mistaken for hemorrhagic stroke (differential diagnoses) include:

    Transient ischemic attack (TIA).

    Hypertensive encephalopathy.

    Amyotrophic lateral sclerosis or ALS.

    The thinking behind this is that these conditions would cause similar dysarthria.

    References

    Ball, J., Dains, J.E., Flynn, J.A., Solomon, B.S., & Stewart, R.W. (2023).
    Seidel’s guide to physical examination: An interprofessional approach, 10
    th
    ed
    . Elsevier.

    Barrett, K.E., Barman, S.M., Brooks, H.L., & Yuan, J. (Eds) (2019).
    Ganong’s review of medical physiology, 26
    th
    ed.
    McGraw-Hill Education.

    Chiaramonte, R., & Vecchio, M. (2020). A systematic review of measures of dysarthria severity in stroke patients.
    PM&R, 13
    (3), 314-324.
    https://doi.org/10.1002/pmrj.12469

    Jameson, J.L., Fauci, A.S., Kasper, D.L., Hauser, S.L., Longo, D.L., & Loscalzo, J. (Eds) (2022).
    Harrison’s Principles of Internal Medicine, 21
    st
    ed
    . McGraw-Hill Education. 92 y/o African American male is brought to the Emergency Department by his daughter. The patient has slurred speech. His blood pressure is 210/100

    Mayo Clinic (2022, May 17).
    Dysarthria
    .
    https://www.mayoclinic.org/diseases-conditions/dysarthria/symptoms-causes/syc-20371994

    McCance, K.L. & Huether, S.E. (2019).
    Pathophysiology: The biologic basis for disease in adults and children, 8
    th
    ed
    . Mosby/Elsevier.

     

    By Day 7 of Week 3 – 
    92 y/o African American male is brought to the Emergency Department by his daughter. The
    patient has slurred speech. His blood pressure is 210/100

    NURS_6512_Week 3_Assignment 1_Rubric

    NURS_6512_Week 3_Assignment 1_Rubric

    Criteria

    Ratings

    Pts

    This criterion is linked to a Learning Outcome
    Identify the patient’s chief complaint. 92 y/o African American male is brought to the Emergency Department by his daughter. The patient has slurred speech. His blood pressure is 210/100

    15
     
    to >
    12.0
     pts
    Excellent
    The response clearly, accurately, and in detail explains the assigned patient’s chief complaint.

    12
     
    to >
    9.0
     pts
    Good
    The response accurately explains the assigned patient’s chief complaint.

    9
     
    to >
    6.0
     pts
    Fair
    The response vaguely and with some inaccuracy explains the assigned patient’s chief complaint.

    6
     
    to >
    0
     pts
    Poor
    The response is inaccurate and/or missing an explanation of the assigned patient’s chief complaint.

    15
     pts

    This criterion is linked to a Learning Outcome
    Identify what physical exams and diagnostic tests would be most appropriate to gather more information about the patient’s condition. Be specific and explain your reasoning.

    20
     
    to >
    17.0
     pts
    Excellent
    The response clearly, accurately, and in detail Identifies physical exams and diagnostic tests that are most appropriate to gather more information about the patient’s condition; reasoning for the exams/tests is clear, accurate, and detailed.

    17
     
    to >
    14.0
     pts
    Good
    The response accurately Identifies physical exams and diagnostic tests that are most appropriate to gather more information about the patient’s condition; reasoning for the exams/tests is specific and accurate.

    14
     
    to >
    13.0
     pts
    Fair
    The response vaguely and with some inaccuracy Identifies physical exams and diagnostic tests that are appropriate to gather more information about the patient’s condition; reasoning for the exams/tests is vague and somewhat accurate.

    13
     
    to >
    0
     pts
    Poor
    The response is inaccurate and/or missing identification of physical exams and diagnostic tests that are appropriate to gather more information about the patient’s condition; reasoning for the exams/tests is inaccurate or missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    Explain how the results would be used to make a diagnosis. 92 y/o African American male is brought to the Emergency Department by his daughter. The patient has slurred speech. His blood pressure is 210/100

    15
     
    to >
    12.0
     pts
    Excellent
    The response clearly, accurately, and in detail explains how the results would be used to make a diagnosis.

    12
     
    to >
    9.0
     pts
    Good
    The response accurately explains how the results would be used to make a diagnosis.

    9
     
    to >
    6.0
     pts
    Fair
    The response vaguely and with some inaccuracy explains how the results would be used to make a diagnosis.

    6
     
    to >
    0
     pts
    Poor
    The response explains inaccurately and/or is missing how the results would be used to make a diagnosis.

    15
     pts

    This criterion is linked to a Learning Outcome
    Identify three to five (3–5) possible conditions that may be considered in a differential diagnosis for the patient. Explain your thinking.

    35
     
    to >
    29.0
     pts
    Excellent
    The response clearly, accurately, and in detail identifies four or five possible conditions that may be considered in a differential diagnosis for the patient; with clear, accurate, and detailed reasoning for each possible condition.

    29
     
    to >
    23.0
     pts
    Good
    The response accurately identifies three to five possible conditions that may be considered in a differential diagnosis for the patient; with accurate reasoning for each possible condition.

    23
     
    to >
    17.0
     pts
    Fair
    The response vaguely and lacking specificity identifies three possible conditions that may be considered in a differential diagnosis for the patient; with vague reasoning for each possible condition.

    17
     
    to >
    0
     pts
    Poor
    The response inadequately identifies fewer than three possible conditions that may be considered in a differential diagnosis for the patient; with inadequate or missing reasoning for each possible condition.

    35
     pts

    This criterion is linked to a Learning Outcome
    Written Expression and Formatting: Paragraph Development and Organization — Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused and neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

    5
     
    to >
    4.0
     pts
    Excellent
    Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

    4
     
    to >
    3.0
     pts
    Good
    Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.

    3
     
    to >
    2.0
     pts
    Fair
    Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic 92 y/o African American male is brought to the Emergency Department by his daughter. The patient has slurred speech. His blood pressure is 210/100.

    2
     
    to >
    0
     pts
    Poor
    Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided. 5  pts This criterion is linked to a Learning Outcome Written Expression and Formatting: English Writing Standards — Correct grammar, mechanics, and proper punctuation 5   to >
    4.0
     pts
    Excellent
    Uses correct grammar, spelling, and punctuation with no errors.

    4
     
    to >
    3.0
     pts
    Good
    Contains a few (1 or 2) grammar, spelling, and punctuation errors.

    3
     
    to >
    2.0
     pts
    Fair
    Contains several (3 or 4) grammar, spelling, and punctuation errors.

    2
     
    to >
    0
     pts
    Poor
    Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

    5
     pts

    This criterion is linked to a Learning Outcome
    Written Expression and Formatting: APA The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. 92 y/o African American male is brought to the Emergency Department by his daughter. The patient has slurred speech. His blood pressure is 210/100

    5
     
    to >
    4.0
     pts
    Excellent
    Uses correct APA format with no errors.

    4
     
    to >
    3.0
     pts
    Good
    Contains a few (1 or 2) APA format errors.

    3
     
    to >
    2.0
     pts
    Fair
    Contains several (3 or 4) APA format errors.

    2
     
    to >
    0
     pts
    Poor
    Contains many (≥ 5) APA format errors.

    92 y/o African American male is brought to the Emergency Department by his daughter. The patient has slurred speech. His blood pressure is 210/100

    5
     pts

    Total Points: 
    100

  • Federalist #78 questions

    Federalist #78 questions

    Why is it important that our Federal Judiciary (federal courts) be independent?

    Who appoints the Federal judges and justices to the U.S. Supreme Court?

    How long can a Federal judge remain on the Federal bench and a justice on the U.S. Supreme Court?

    Who is to be the “Guardian of the U.S. Constitution? Why?

    Who is to interpret the U.S. Constitution? Why?

    What is the role of the Federal judiciary?

    GET WRITING HELP HERE 

    HUMAN-WRITTEN
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  • Discussion – Introduce Yourself BIS 1120 INTRO TO SOFTWARE APPS

    Discussion – Introduce Yourself BIS 1120 INTRO TO SOFTWARE APPS

    Introduce yourself to the class. Use your first and last name for the subject of your posting (also list your 
    preferred
     name if you have one you go by).

    Respond to the following items in your posting, numbering your responses:

    Personal information you care to share such as employment, family life, and hobbies.

    Educational information such as your major/education goals, how long you have been at Sinclair, what you would like to get out of this course, and/or why you chose to register for this particular course.

    Your backup plan for completing coursework should your initial plan fail. Such as, what will you do if your Internet is down and/or your computer is inoperable for an extended period of time?

    Tip(s) for being successful in a college course.

    Use appropriate spelling (proof your posting) and grammar (capitalization, punctuation, etc.) in your posting. Read other student postings to become familiar with other students enrolled in the course. You are welcome to reply to others, but it is not required in this class.

    Discussion – Introduce Yourself BIS 1120 INTRO TO SOFTWARE APPS

  • BIS 1120 INTRO TO SOFTWARE APPS

    Introduction and Getting Started

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Participate in the 
    Discussion | Introduce Yourself

    Review the following in the 
    BIS 1120 Resource Library > SIMnet Resources
     module to get familiar with using SIMnet:

    McGraw Hill Digital Technical Support

    Navigating in SIMnet

    Library Bookshelf in SIMnet

    Contact your instructor with any questions about the course and/or assignments

    List of Topics and Sub-Modules for Introduction and Getting Started

    Introduction and Objectives

    Link

    Microsoft 365/2021

    Link

    This course requires the Microsoft 365/2021 software applications. As an active student, you can install the software applications on your Windows PC or Mac. Click this link to visit Sinclair’s IT site to learn more and install the software applications on your computer. If you have any questions or need assistance, please contact 
    Sinclair’s IT Help & Support
    .

    NOTE:
     Using a Chromebook or the web-based version of the software applications are not acceptable (and will not work) for completing assigned activities in this course.

    Discussion | Introduce Yourself

    Discussion Topic

     
    Available until Jun 23, 2025 11:59 PM. 
    Submission restricted after availability ends.

    Introduce yourself to the class. Use your first and last name for the subject of your posting (also list your 
    preferred
     name if you have one you go by).

    Respond to the following items in your posting, numbering your responses:

    Personal information you care to share such as employment, family life, and hobbies.

    Educational information such as your major/education goals, how long you have been at Sinclair, what you would like to get out of this course, and/or why you chose to register for this particular course.

    Your backup plan for completing coursework should your initial plan fail. Such as, what will you do if your Internet is down and/or your computer is inoperable for an extended period of time?

    Tip(s) for being successful in a college course.

    Use appropriate spelling (proof your posting) and grammar (capitalization, punctuation, etc.) in your posting. Read other student postings to become familiar with other students enrolled in the course. You are welcome to reply to others, but it is not required in this class.

    This discussion is worth 10 points.

    Windows/Office/File Management

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Review the following in the 
    BIS 1120 Resource Library > SIMnet Resources
     module to get familiar with using SIMnet:

    SIMbook Navigation in SIMnet

    Completing a SIMbook – Video

    SIMpaths in SIMnet

    SIMpaths in SIMnet – Video

    Objective Quizzes in SIMnet

    Grades in SIMnet

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – Intro: Windows and Office and File Management
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Refer to the 
    Windows, Office, and File Management 
    Resources
     in the 
    BIS 1120 Resource Library
     
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – Windows and Office and File Management

    Objective Quiz – Windows and Office and File Management

    Contact your instructor with any questions about the course and/or assignments

    BIS 1120 INTRO TO SOFTWARE APPS

    List of Topics and Sub-Modules for Windows/Office/File Management

    Introduction and Objectives

    Link

    SIMbook – Intro: Windows and Office and File Management

    External Learning Tool

    SIMpath – Windows and Office and File Management

    External Learning Tool

     
    Due 
    June 23 at 11:59 PM

     
    Starts Jun 16, 2025 12:00 AM
    Ends Jun 30, 2025 11:59 PM

    Objective Quiz – Windows and Office and File Management

    External Learning Tool

     
    Due 
    June 23 at 11:59 PM

     
    Starts Jun 16, 2025 12:00 AM
    Ends Jun 30, 2025 11:59 PM

    Word 1 | Creating and Editing Documents

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Review the following in the 
    BIS 1120 Resource Library > SIMnet Resources
     module to get familiar with using SIMnet:

    Completing a Project in SIMnet

    Completing a Project in SIMnet – Video

    Projects in SIMnet – Best Practices

    Reviewing Project Results in SIMnet

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – Word Chapter 1: Creating and Editing Documents
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – Word 1

    Refer to the 
    Word Resources
     in the 
    BIS 1120 Resource Library
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – Word 1

    Project – Word 1

    Objective Quiz – Word 1

    Contact your instructor with any questions about the course and/or assignments

    Word 2 | Formatting and Customizing Documents

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page.

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – Word Chapter 2: Formatting and Customizing Documents
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – Word 2

    Refer to the 
    Word Resources
     in the 
    BIS 1120 Resource Library
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – Word 2

    Project – Word 2

    Objective Quiz – Word 2

    Contact your instructor with any questions about the course and/or assignments

    Word 3 | Collaborating with Others and Working with Reports

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page.

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – Word Chapter 3: Collaborating with Others and Working with Reports
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – Word 3

    Refer to the 
    Word Resources
     in the 
    BIS 1120 Resource Library
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – Word 3

    Project – Word 3

    Objective Quiz – Word 3

    Contact your instructor with any questions about the course and/or assignments

    Word 4 | Using Tables, Columns, and Graphics

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page.

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – Word Chapter 4: Using Tables, Columns, and Graphics
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – Word 4

    Refer to the 
    Word Resources
     in the 
    BIS 1120 Resource Library
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – Word 4

    Project – Word 4

    Objective Quiz – Word 4

    Contact your instructor with any questions about the course and/or assignments

    BIS 1120 INTRO TO SOFTWARE APPS

    Word Exam

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the following in the 
    BIS 1120 Resource Library > SIMnet Resources
     module to get familiar with using SIMnet:

    Completing a SIMnet Exam – Video

    Refer to the 
    Word Resources
     in the 
    BIS 1120 Resource Library
    to help with the skills covered for this exam

    Complete the two-part 
    Word Exam
     in SIMnet

    Capstone Project – Word

    SIMexam – Word

    Contact your instructor with any questions about the course and/or assignments

     

    Discussion | Introduce Yourself

    Discussion Topic

     
    Available until Jun 23, 2025 11:59 PM. 
    Submission restricted after availability ends.

    Introduce yourself to the class. Use your first and last name for the subject of your posting (also list your 
    preferred
     name if you have one you go by).

    Respond to the following items in your posting, numbering your responses:

    Personal information you care to share such as employment, family life, and hobbies.

    Educational information such as your major/education goals, how long you have been at Sinclair, what you would like to get out of this course, and/or why you chose to register for this particular course.

    Your backup plan for completing coursework should your initial plan fail. Such as, what will you do if your Internet is down and/or your computer is inoperable for an extended period of time?

    Tip(s) for being successful in a college course.

    Use appropriate spelling (proof your posting) and grammar (capitalization, punctuation, etc.) in your posting. Read other student postings to become familiar with other students enrolled in the course. You are welcome to reply to others, but it is not required in this class.

    This discussion is worth 10 points.

    Excel 1 | Creating and Editing Workbooks

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – Excel Chapter 1: Creating and Editing Workbooks
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – Excel 1

    Refer to the 
    Excel Resources
     in the 
    BIS 1120 Resource Library
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – Excel 1

    Project – Excel 1

    Objective Quiz – Excel 1

    Contact your instructor with any questions about the course and/or assignments

    Excel 2 | Working with Formulas and Functions

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – Excel Chapter 2: Working with Formulas and Functions
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – Excel 2

    Refer to the 
    Excel Resources
     in the 
    BIS 1120 Resource Library
     
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – Excel 2

    Project – Excel 2

    Objective Quiz – Excel 2

    Contact your instructor with any questions about the course and/or assignments

    Excel 3 | Creating and Editing Charts

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – Excel Chapter 3: Creating and Editing Charts
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – Excel 3

    Refer to the 
    Excel Resources
     in the 
    BIS 1120 Resource Library
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – Excel 3

    Project – Excel 3

    Objective Quiz – Excel 3

    Contact your instructor with any questions about the course and/or assignments

    Excel 4 | Getting and Managing Data

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – Excel Chapter 4: Getting and Managing Data 
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – Excel 4

    Refer to the 
    Excel Resources
     in the 
    BIS 1120 Resource Library
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – Excel 4

    Project – Excel 4

    Objective Quiz – Excel 4

    Contact your instructor with any questions about the course and/or assignments

    Excel Exam

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Refer to the 
    Excel Resources
     in the 
    BIS 1120 Resource Library
     
    to help with the skills covered for this exam

    Complete the two-part 
    Excel Exam
     in SIMnet

    Capstone Project – Excel

    SIMexam – Excel

    Contact your instructor with any questions about the course and/or assignments

    List of Topics and Sub-Modules for Excel Exam

    Capstone Project – Excel

    External Learning Tool

     
    Due 
    July 28 at 11:59 PM

     
    Starts Jun 16, 2025 12:00 AM
    Ends Jul 30, 2025 11:59 PM

    SIMexam – Excel

    External Learning Tool

     
    Due 
    July 28 at 11:59 PM

     
    Starts Jun 16, 2025 12:00 AM
    Ends Jul 30, 2025 11:59 PM

    You may access this activity only one time. There are 60 items to complete in 60 minutes with three attempts per item. The password for accessing this activity is 
    AJVpkFdw
    .

    Access | Introduction to Databases

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    Lesson: Access – Introduction to Databases
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – Access 1

    Guided Project – Access 2

    Refer to the 
    Access Resources
     in the 
    BIS 1120 Resource Library
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – Access

    Objective Quiz – Access

    Contact your instructor with any questions about the course and/or assignments

    PowerPoint 1 | Creating and Editing Presentations

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – PowerPoint Chapter 1: Creating and Editing Presentations
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – PowerPoint 1

    Refer to the 
    PowerPoint 
    Resources
     in the 
    BIS 1120 Resource Library
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – PowerPoint 1

    Project – PowerPoint 1

    Objective Quiz – PowerPoint 1

    Contact your instructor with any questions about the course and/or assignments

     

    PowerPoint 2 | Illustrating with Pictures and Information Graphics

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – PowerPoint Chapter 2: 
    Illustrating with Pictures and Information Graphics
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – PowerPoint 2

    Refer to the 
    PowerPoint 
    Resources
     in the 
    BIS 1120 Resource Library
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – PowerPoint 2

    Project – PowerPoint 2

    Objective Quiz – PowerPoint 2

    Contact your instructor with any questions about the course and/or assignments

    PowerPoint 3 | Preparing for Delivery and Using a Slide Presentation

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – PowerPoint Chapter 3: 
    Preparing for Delivery and Using a Slide Presentation
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – PowerPoint 3

    Refer to the 
    PowerPoint 
    Resources
     in the 
    BIS 1120 Resource Library
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – PowerPoint 3

    Project – PowerPoint 3

    Objective Quiz – PowerPoint 3

    Contact your instructor with any questions about the course and/or assignments

    PowerPoint 4 | Customizing Images, Illustrations, and Themes

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – PowerPoint Chapter 4: 
    Customizing Images, Illustrations, and Themes
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Guided Project – PowerPoint 4

    Refer to the 
    PowerPoint 
    Resources
     in the 
    BIS 1120 Resource Library
     
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – PowerPoint 4

    Project – PowerPoint 4

    Objective Quiz – PowerPoint 4

    Contact your instructor with any questions about the course and/or assignments

    PowerPoint Exam

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Refer to the 
    PowerPoint Resources
     in the 
    BIS 1120 Resource Library
     
    to help with the skills covered for this exam

    Complete the two-part 
    PowerPoint 
    Exam
     in SIMnet

    Capstone Project – PowerPoint

    BIS 1120 INTRO TO SOFTWARE APPS

    SIMexam – PowerPoint

    Contact your instructor with any questions about the course and/or assignments

    List of Topics and Sub-Modules for PowerPoint Exam

    Capstone Project – PowerPoint

    External Learning Tool

     
    Due 
    August 9 at 11:59 PM

     
    Starts Jun 16, 2025 12:00 AM

    SIMexam – PowerPoint

    External Learning Tool

     
    Due 
    August 9 at 11:59 PM

     
    Starts Jun 16, 2025 12:00 AM

    You may access this activity only one time. There are 60 items to complete in 60 minutes with three attempts per item. The password for accessing this activity is 
    ato3gZF9
    .

    Windows/Office/File Management

    Print

    To meet the learning objectives for this module, you will complete these activities.

    Review the 
    Introduction and Objectives
     page

    Review the following in the 
    BIS 1120 Resource Library > SIMnet Resources
     module to get familiar with using SIMnet:

    SIMbook Navigation in SIMnet

    Completing a SIMbook – Video

    SIMpaths in SIMnet

    SIMpaths in SIMnet – Video

    Objective Quizzes in SIMnet

    Grades in SIMnet

    Complete these 
    optional
     learning activities in preparation for completing this module’s graded activities:

    SIMbook – Intro: Windows and Office and File Management
    , including the 
    Show Me > Guide Me > Let Me Try
     activities

    Refer to the 
    Windows, Office, and File Management 
    Resources
     in the 
    BIS 1120 Resource Library
     
    to help with the skills covered in this module

    Complete these 
    graded activities
     in SIMnet:

    SIMpath – Windows and Office and File Management

    Objective Quiz – Windows and Office and File Management

    Contact your instructor with any questions about the course and/or assignments

    BIS 1120 INTRO TO SOFTWARE APPS

  • Nurs 6003 module 1 quiz answers

    By Day 7 of Week 1

    Complete
     the quiz.

    Attempt History

    Attempt

    Time

    Score

    LATEST

    Attempt 1

    Time:
    30 minutes

    Score:
    100 out of 100

    Question 1

    10 
    / 10
     pts

    In which area will you retrieve written assignments with comments from your instructor?

    Discussion

     

    My grades area

     

    Assignment Link

     

    The My Grades area is where you will retrieve written assignments that contain feedback from your instructor.

    Question 2

    10 
    / 10
     pts

    Students can always edit their posting in Discussion.

    True

     

    False

     

    Students cannot edit their Discussion responses after they have posted them.

    Question 3

    10 
    / 10
     pts

    When you submit an assignment, when should you have the assignment complete by on the day assigned?

    10:59 p.m. Central Time (CT)—which is 11:59 p.m. Eastern Time (ET); the time stamp in the classroom will reflect your time zone

     

    11:59 p.m. Central Time (CT)—which is 10:59 p.m. Mountain Time (MT); the time stamp in the classroom will reflect Mountain Time (MT), regardless of your time zone

     

    11:59 p.m. Eastern Time (ET)—which is 8:59 p.m. Pacific Time (PT); the time stamp in the classroom will reflect Pacific Time (PT), regardless of your time zone

     

    10:59 p.m. Mountain Time (MT)—which is 12:59 a.m. Eastern Time (ET) the next day; the time stamp in the classroom will reflect Eastern Time (ET), regardless of your time zone

     

    All assignments are due by 10:59 p.m. Central Time (CT) on the day assigned.

    Question 4

    10 
    / 10
     pts

    Where in your online course will you find the contact information for your Instructor?

    Syllabus

     

    Student Support

     

    Instructor’s Corner

    Your Instructor’s contact information can be found in the Instructor’s Corner on the course home page.

    Question 5

    10 
    / 10
     pts

    Since your online classroom could unexpectedly time out on occasion, what should you do before submitting a long Discussion posting?

    Type and save the assignment as a word-processed document first.

     

    Tell your instructor you are going to submit an assignment.

     

    Create a new topic.

     

    Call the Student Support Team for help.

     

    Saving your assignment as a word-processed document on your computer and on a disk will ensure you have the information safely stored should you be unexpectedly timed out of your classroom. When you return to the classroom, you will be able to submit your assignment by copying and pasting it to the Discussion.

    Question 6

    10 
    / 10
     pts

    In an online course, students can participate in the online classroom and submit assignments whenever it is convenient for them to do so.

    True

     

    False

     

    Online learning is flexible in that you can participate and work on assignments at any hour convenient to you. However, your online courses will have specific due dates each week for participating in Discussions and for submitting written assignments.

    Question 7

    10 
    / 10
     pts

    If you are having trouble accessing your online classroom, what should you do first?

    Clean your browser’s cookies and cache

    Check firewall settings

     

    Deactivate pop-up blockers

     

    If you are unable to access your online classroom or open links within the classroom, clean your browser’s cookies and cache. If those actions do not solve the problem, check the other items listed above and then contact Student Support.

    Question 8

    10 
    / 10
     pts

    When will you lose access to your completed courses (excluding this Student Readiness Orientation)?

    Never

     

    30 days after the course end date

     

    60 days after the course end date

     

    120 days after the course end date

     

    You will have access to any of your online courses (excluding this Student Readiness Orientation) until 60 days after the course end date. It is therefore important to keep copies of your work, as well as any resources from the online classroom that you would like to save.

    Question 9

    10 
    / 10
     pts

    Who should you contact with questions about online classroom technical concerns?

    Your Instructor

     

    Walden Academic Advisor

     

    Customer Care Team

     

    Program Director

     

    The Customer Care Team (Student Support) can assist you with any questions about online classroom technical concerns. You can locate the contact information for the Customer Care Team in the Help area of Canvas.

    Question 10

    10 
    / 10
     pts

    If you have a question about which courses you should register for next term, who should you contact?

    Student Support Team

     

    One of your current instructors

     

    Your Academic Advisor

     

    Your Academic Advisor is the best person to contact with such questions.

    Quiz Score: 
    100
     out of 100

  • Networking Opportunities

    Networking Opportunities

    In this module, you begin laying the foundation for your academic and professional success. Your efforts begin with a vision that includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone.

    Walden University and the College of Nursing also have a vision and mission, which include helping you to make your own vision a reality. Members of your new academic community, such as faculty, support teams, and fellow students, can also be helpful. Current practitioners and other member of the professional community can also help you to clarify your vision.

    This Module’s Discussion asks you to consider how the Walden mission and vision as well as the College of Nursing’s mission and vision apply to your professional and academic goals. You will also begin to identify individuals and teams who can help you along the way as you begin designing the “blueprint”—your Academic Success and Professional Development Plan—that will guide you toward your own vision for academic and professional success. Finally, you will explain the importance of networking and how it can help you achieve your professional and academic goals.

    Note
    : Unless otherwise noted, initial postings to Discussions are due on or before Day 3, and response postings are due on or before Day 6. You are required to participate in the Discussion on at least three different days (a different day for main post and each response). It is important to adhere to the weekly time frame to allow others ample time to respond to your posting. In addition, you are expected to respond to questions directed toward your own initial posting in a timely manner.

     

    Resources

     

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources.

    WEEKLY RESOURCES

    To Prepare:

    Review the Walden and College of Nursing mission and vision statements, Walden’s goals and University Outcomes, and the MSN and PMC Program Learning Outcomes presented in this Module’s Learning Resources.

    Reflect on your professional and academic goals as they relate to your program/specialization.

    Consider how the information in these resources fit with your own goals and to your becoming a scholar-practitioner.

    Also consider academic and professional individuals and teams with whom you may collaborate in support of your efforts as a student at the university and as a professional within your organization and career.

    Consider the importance of networking and how it may help you achieve your professional and academic goals.

    By Day 3 of Week 1

    Post
     a brief introduction of yourself to your colleagues. Include an explanation as to how Walden’s vision, mission, goals, and social change initiatives relate to your professional and academic goals and to your becoming a scholar-practitioner. Also include an explanation for how the Walden MSN Program Outcomes and perspectives relate to your professional and academic goals and to your becoming a scholar-practitioner. Finally, explain why networking is important and how it may help you achieve your professional and academic goals.

    By Day 6 of Week 1

    Respond
     to at least 
    two
     of your colleagues’ posts by suggesting additional individuals and/or teams with whom you wish to collaborate or by offering additional networking strategies.

    Main question

    Hello:

    My name is Dania Viera I am a mother of two daughters and a grandmother of a beautiful toddler boy of three years of age. I currently have a master’s in nursing education that I received 5 years ago through another university in which I also completed my bachelor’s degree in nursing. I have been a registered nurse since 2012 and before that accomplishment, I was an LVN/LPN for 5 years before receiving my RN. I currently have two jobs; I work full time as a charge RN in a med-surg unit at a hospital in California and I also have been employed at a community college as a clinical’s instructor.

    Nurse practitioner is something I have always wanted to do but the busyness of life, the birth of my grandbaby, and weddings of my two kids have gotten in the way of my professional goals. Since I did have kids at a young age, I felt very guilty about my accomplishments because those were in sacrifice of my kids’ time. With this new goal, I didn’t want to sacrifice my grandson’s time, and I wanted to enjoy every time I could with him. I now decided to continue my academic goals to accomplish that desire to practice as an NP with specializing in psychiatric health. My goals are to work in addiction medicine for adults and assist in this pandemic disease of addiction. I also want to continue my education acquire a Family medicine NP and continue with a doctorate in Nursing Practice. Hopefully to finish all those goals by the age of 50. I know that age should not be a limit, but I need to place time constraints on my goals, so I stay focused and don’t try to deviate from the road.

    Reviewing the university website, I can understand the requirements for a preceptor during my practicum and the qualifications for site requirements (Walden University, n.d.) This information allows me to get familiarized with the needed requirements ahead of time and prepare for my practicum to accomplish my goals as a practitioner.

    I have noticed all the available departments to help in my success as a student on the school’s website. Career planning and development is one of my favorites, as a new practitioner, it is of great help that I receive help with job placement and career planning resources (Walden University, n.d.)  This department will guide me in the hunt for new opportunities in my desired field of psychiatry NP.

    Networking is extremely important in this field of healthcare. In nursing we are all aware by now that is not the job of one but a team of collaborating healthcare individuals to achieve the desired health goal for a patient as an individual and or the family that surrounds this patient. To achieve my goals, I would have to network with other NP who have gone through the program for clinical sites, school resources, and departments for placement in clinical rotations as well as with counselors, other students, and our professors. Every professional connection should be based on interactions that involve knowledge sharing and mutual professional development (Schmidt, K, n.d.)

    It takes a team to make a nurse, and it makes a greater team to make a Nurse Practitioner.

     

    References

     

    Schmidt, K. (n.d.). 
    5 reasons nurses should engage in professional networkingLinks to an external site.
    Links to an external site.
     [Blog post]. Retrieved November 14, 2018, from 

    5 Reasons Nurses Should Engage in Professional Networking


    Links to an external site.

    Walden University. (n.d.). 
    College of NursingLinks to an external site.
    Links to an external site.
    . Retrieved October 5, 2020, from 
    https://academicguides.waldenu.edu/fieldexperience/son#s-lg-box-3837398
    Links to an external site.

    Walden University. (n.d.). 
    Writing centerLinks to an external site.
    Links to an external site.
    . Retrieved November 14, 2018, from https://academicguides.waldenu.edu/writingcenter

     

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    CM

    Christopher Mccoy

    Aug 26, 2024 10:45pm
    | 
    Last reply Aug 29, 2024 8:42pm

    Reply from Christopher Mccoy

    My name is Christopher McCoy, and I am a Registered Nurse in the State of California, where my primary job currently is a Director of Nursing in a hospital setting, and my academic goal for my MSN is to be a Psychiatric Nurse Practitioner.

    Walden’s vision, mission, goals and social change initiatives relate to my professional & academic goals to becoming a scholar practitioner, in that one of my number one priority in nursing administration is improving staff retention rates.   In essence Walden contributes to social change by ensuring deliberate efforts to enhance the confidence, sense of worth, and progress of individuals. (Walden University, n.d.)

    To further elaborate I believe my staff retention goals aligns with Walden’s social change as this writer confidently believes that a consequence of positive staff retention, is that of improved quality of care, due to more thoroughly trained Nurses which ultimately reduces risk potential.  Therefore, throughout this academic journey for my MSN I hope to learn more about strategies for retention of a team, for the patient’s ultimate benefit.  Then, essentially an improved staff retention outcome would be synonymous with Walden’s University Outcomes to impact positive social change in my community. (Walden University, n.d.)

    On that note, networking is very important in my experience in the recruitment of quality nursing candidates whom we would like to hire and certainly of whom we would like to stay with us.  The networking should start with a genuine expression of what it is that our nursing administration stands for as it relates to servant leadership and heart for patients.  The goal of initiating this conversation up front is intended to attract like-minded nursing professionals who can unify with that vision, and contribute to a dynamically efficient team environment.

    One key behavior in my career so far has been in maintaining a long list of people within the profession, and always making sure to be of service to them if I can, even if in little ways and this practice keeps the relationships refreshed and on the forefront of ones consciousness. (Schmidt, K, n.d.).  Next, if that individual has a positive impression whoever is engaging in networking, they are more likely to suggest their friend or family in the same field who may need a job, reducing the risk for being short staffed be a quicker fill-rate of the positions.

    The promises of the power of networking do sound attractive, however in the start of my career I was shy to do so.  However after I took the courage to start building a network, eventually through practicing the networking process, unique career opportunities developed such as working as a Registered Nurse Expert Witness, and other unexpected positive career changes including staff gravitating to work at certain jobs where I worked.  Academically the process of networking at Walden University will also help if I am having difficulty understanding an assignment and a fellow colleague is able to lend assistance.  In general however, I require more practicing in the networking space, however, with practice I can improve the growth my networking to find quality staff who are more likely to be retained by our nursing administration, as it relates to my professional goals. Wofford, P. (2018).

    References

    Walden University. (n.d.). 
    Walden University catalogLinks to an external site.Links to an external site.
    Links to an external site.
    . Retrieved October 4, 2019, from 
    https://academics.waldenu.edu/handbook/vision-mission-goalsLinks to an external site.
    Links to an external site.

    Schmidt, K. (n.d.). 
    5 reasons nurses should engage in professional networkingLinks to an external site.
    Links to an external site.
     [Blog post]. Retrieved November 14, 2018, from https://blog.bluepipes.com/5-reasons-nurses-should-take-professional-networking-seriously/

    Wofford, P. (2018). 
    10 networking tips for nurses who hate networkingLinks to an external site.
    Links to an external site.
    . Retrieved from https://nurse.org/articles/tips-for-nurse-networking/

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    JW

    Jodian Watson

    Aug 26, 2024 9:54pm
    | 
    Last reply Aug 27, 2024 1:34pm

    Reply from Jodian Watson

    Main Question Post:

    Hello everyone, I am Jodian Watson, Jamaican born and the last of 5 siblings. It has always been my dream to help others and the journey to becoming a nurse has helped me to achieve that, I have been serving in the profession for 16 years. With this next step of attaining my MSN, Women’s Health or Family NP I will be able to reach the subset group dear to my heart, women and children.

    At the heart of every professional is the pride of a job well done, to be the best they can be and be a learning resource for their colleagues. (Faubion, 2024) defines integrity as a quality, of being fair and honest, having strong moral principles, or having a firm adherence to a code of moral values. Integrity in nursing practice means keeping confidences, practicing forthrightness, and having an overall sense of trustworthiness. Walden University embodies these qualities and is steered by a governing body who constantly ensures their students attain their best in their chosen fields, making them formidable change agents in their community. My professional goals align with Walden’s because as a future Family NP I aim to make an impact. (Hemma, 2019) puts it nicely when she sates professional networking in nursing is not just about what everyone can gain but most importantly the attainment and dissemination of knowledge, research development and new discoveries in nursing.

    Professional Networking is something I have been doing since I
    graduated from nursing school
    , it seems to be a course we all learnt without ever giving it a title. Mingling with different specialties during our training period, exchanging ideas and opinions and being exposed to a facet of modalities that later shaped the field I chose as an experienced nurse. (Porter et al., 2023) gives a great definition, professional networking involves a series of goal directed interpersonal interactions that build and maintain professional relationships and include the exchange of work and career benefitting resources. Looking back at my nursing journey, it is clear to me professional networking has brought me to where I am now. New business ideas have developed from participating in discussions, my nursing field has been diversified from medical surgical to midwifery and psychiatry from interacting in various professional groups and nursing associations. Starting this journey with Walden will deepen my cultural, professional and intellectual diversity.

    Others looking in may say I have achieved a lot in my career by becoming a nurse, it has awarded me many opportunities I would not have attained otherwise. However, I cannot see it as my own definition of success until I am able to contribute and utilize my skillset and experiences to help advance the care of the subset of the population I care most about.

    References:

    Walden University. (n.d.). 
    Walden University student handbook: Vision, mission, and goals.

    https://academics.waldenu.edu/handbook/vision-mission-goals#s-lg-box-30140618
    Links to an external site.

    Enhancing the Capacity of HealthCare Scholars and Professionals in Responding to the Global Health issues. 2nd Andalas international nursing conference 2019. Malini, Hema (Nursing School Administrator) editor. Germany: Sciendo, 2019

    Porter, C. M., Woo, S. E., Alonso, N., & Snyder, G. (2024). Corrigendum to “Why do people network? Professional networking motives and their implications for networking behaviors and career success” [J. Vocat. Behav. 142 (2023) 103856]. 
    Journal of Vocational Behavior, 149, 
    1-2. 
    https://doi.org/10.1016/j.jvb.2024.103972
    Links to an external site.

    Faubion, D. (2024). 10 ways to Demonstrate Integrity in Nursing Practice. 
    10 Ways to Demonstrate Integrity in Nur2555sing Practice (nursingprocess.org)
    Links to an external site.

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    CR

    Celeste Rusciano

    Aug 26, 2024 9:40pm

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    Main Question Post -1 .docx

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    MB

    Maryann Barbosa

    Aug 26, 2024 9:32pm
    | 
    Last reply Aug 26, 2024 10:31pm

    Reply from Maryann Barbosa

    Main Question Post

    Hello all,

    My name is MaryAnn and have worked primary in a skilled nursing facility (SNF). My professional goal is to become a nurse practitioner and open a practice. Opening this practice will move me away from the older patients that I am used to taking care of but am I open for new challenges. After some research, I came across Walden University.

    As I looked more at the university, Walden’s vision and purpose statement spoke to me. I knew I had decided well. Walden’s vision, mission, goals and social change initiatives relate to my professional and academic goals by having updated education that can be implemented in what I will practice improving my career in the field as I seek greater knowledge and understanding with the use of critical thinking to provide enhanced treatment for my patients (Walden University, n.d.).

    Walden’s outcomes align with my goals as I am committed to growing professionally and enhancing and improving my professional knowledge and skills. Learning outcome number six showing continuous dedication to professional development and respect of nursing theories/ethical principles (altruism, autonomy, human dignity, integrity, social justice) in line with morally responsible, legally liable, expert nursing practice (Walden University, n.d.) truly aligns with what I am striving for.

    One definition of a social network is a system of interpersonal contacts and events (Schmidt, K, n.d.). Networking offers access to opportunities, information exchange, support system building, visibility enhancement, and provision of useful resources, which is a potent instrument for both academic and professional goals attainment. Through proactive networking, you improve your chances for success, fulfillment, and job advancement as well as for academic progress.

    Throughout my career as a nurse, I have met some truly knowledgeable people who have now become lifelong friends. I will utilize their support and knowledge throughout my journey here at Walden.

    Reference

    Schmidt, K. (n.d.). 
    5 reasons nurses should engage in professional networkingLinks to an external site.
    Links to an external site.
     [Blog post]. Retrieved November 14, 2018, from 

    5 Reasons Nurses Should Engage in Professional Networking


    Links to an external site.

    Walden University. (n.d.). 
    Walden University catalogLinks to an external site.
    Links to an external site.
    . Retrieved October 4, 2019, from 
    https://academics.waldenu.edu/handbook/vision-mission-goals
    Links to an external site.

    Walden University. (n.d.). 
    Walden University catalogLinks to an external site.
    Links to an external site.
    . Retrieved October 4, 2019, from 
    https://catalog.waldenu.edu
    Links to an external site.

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    LS

    Leslie Sama

    Aug 26, 2024 9:20pm
    | 
    Last reply Aug 28, 2024 2:57pm

    Reply from Leslie Sama

    Hi everyone. My name is Leslie. I am very thrilled to be at Walden University and to be a part of this great program. I have been practicing as a family nurse practitioner for the past five years, and my specialty is Leukemia/Lymphoma and stem cell transplants. Now I am pursing the psychiatric Nurse practitioner pathway. I have had great experiences given the challenges of this field. Still, I have to say that these challenges have been rewarding since they have fueled my passion for advancing my education to ensure that my impact in healthcare progresses. The complexities that come with oncology care have made me realize how important it is to learn continuously and the need to be in a better position to address the ever-evolving challenges our healthcare systems continue to witness. This is basically what has led me to further educate myself.

    This institution has a vision of creating a community of learning where the application of knowledge in the solving of critical societal challenges is in perfect resonance with my academic and professional goals. The mission of this university is to empower career professionals like me into scholar-practitioners, which is in perfect alignment with my desire to make a positive change in society. Furthermore, Walden’s goal is to ensure that it provides a multi-contextual, learner-cantered education. This is a reflection of my commitment to ensuring I am in a better position to integrate my academic learning with my professional experiences to foster professional excellence in critical thinking and research.

    This university emphasizes social change. I particularly find this inspiring. For me, deliberately creating and putting strategies into use that improve social and human conditions is the cornerstone of what nursing should look like. I am personally committed to being a very reflective nurse who frequently contributes to the improvement of society both at work and beyond.

    The MSN program at Walden has been designed to provide graduates with the necessary skills in the facilitation of positive social change, which is the pillar of my professional aspirations. Some of the outcomes of the program, such as ethical integrity, commitment to lifelong learning, and the ability to apply the knowledge acquired through the specific challenges encountered in the field, are crucial for me as I develop my role as a nurse leader. I believe that the outcomes above will help me be in a better position to address complex issues in healthcare, contribute to the advancement of the nursing practice through evidence-based approaches, and advocate for patients to ensure they receive better outcomes.

    Throughout my practice, I have realized that one of the most essential aspects of achieving my academic and professional goals is through networking. Building connections with mentors, different healthcare practitioners, and colleagues is something that can help me acquire a diverse perspective, take part in collaborative initiatives that contribute to positive change, and share knowledge (Schmidt,2018). this institution places an extreme emphasis on collaboration and community. This, on its own, provides me with a unique opportunity to build the networks I really need to advance my academic, personal, and professional goals. I started this journey with much faith that my engagement with this vibrant academic and professional community will enhance my learning experiences and open those to opportunities that will be vital in helping me make the lasting impact in this field of nursing that I desire (Wofford, 2018).

     

    References

    Academics: Student Handbook: Vision, Mission, and Goals. (n.d.). 
    https://academics.waldenu.edu/handbook/vision-mission-goals
    Links to an external site.

    Schmidt, K. (n.d.). 5 reasons nurses should engage in professional networking links to an external site. [Blog post]. Retrieved November 14, 2018, from 

    5 Reasons Nurses Should Engage in Professional Networking


    Links to an external site.

    Wofford, P. (2018). Ten networking tips for nurses who hate networking links to an external site. Retrieved from 
    https://nurse.org/articles/tips-for-nurse-networking
    Links to an external site.

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    Irynne Grace Canencia Obmerga

    Aug 26, 2024 7:52pm
    | 
    Last reply Aug 30, 2024 4:50pm

    Reply from Irynne Grace Canencia Obmerga

    Main Question Post: 

    Hello everyone! This is Irynne Grace Obmerga, you can call me “Irynne”. Like anyone else, I am also new to this online program, but I am excited and motivated in advancing my career when I get back to the workforce. The source of my inspiration is my young boys as they were also the reasons when I paused my nursing career in February 2022. I availed an early retirement at 50 years old from my government job as Nurse Manager after working for over 20 years.
     

    I am currently enjoying my “transnational travel” as a retired nurse. I regularly traveled between California and the Philippines. During my hiatus years in nursing, it is an absolute honor for me to join the “Lions Club International” within my district. This organization shows me another life through a different lens. Immersion in giving service to humankind. 
     

    “Walden University’s mission is to provide a diverse community of career professionals with the opportunity to transform themselves as scholar-practitioners so that they can effect positive social change.” 
    Walden University. (n.d.). 
    Walden University catalogLinks to an external site.
    Links to an external site.
    . Retrieved October 4, 2019, from 
    https://catalog.waldenu.edu
    Links to an external site.
     Select Introduction, then the link “Vision, Mission, and Goals” under the Introduction header. Review Walden’s vision, mission
     
     

    This mission truly resonates with me. I am driven by a deep commitment to give back to our community in my own little way.
     

    Walden’s focus on “scholar-practitioner” learning aligns with my own educational and professional journey. The most meaningful change is to be able to bridge the gap between theory and practice, apply what you have learned in academic research to real-world challenges. In my previous role and my current responsibility, I had the opportunity to put this principle into action, collaborating with my colleagues and community partners to develop and implement data driven solutions to solve complex situations.
     

    Walden University MSN Program Outcomes and perspectives relate to my academic and professional goals in many ways. It helps their students to develop professional excellence and be an agent of positive social change. (academics.waldenu.edu). The 3 core values highlighting Walden are quality, integrity, and student-centeredness that is vital in our daily experiences. This is another driving force for me to become empowered as a good leader and as a citizen. 
     

    I believe pursuing my degree in Walden can lead to a rewarding and impactful career, where I can make a tangible difference in the lives of those struggling with mental health challenges.
     

    The nursing profession and healthcare in general is so huge that you cannot rely on yourself just to provide the needs of everyone, you must use your Network. According to Dr. Lynn Parsons, Department Chair Nursing at Morehead State University: In general, nurses still have a lot to learn in establishing “connections.” 
     

    I agree with her statement as it entails knowledge, confidence, maturity, and self-taught books to bring it out on me. When I became a Nurse Manager, I must embrace the responsibility that I read a lot of journals, books and watch you tube videos on leadership on how to connect with your staff and colleagues. I learned the importance of networking early in my career. (“Fernando Torres-Velez | School of Veterinary Medicine”) (“Fernando Torres-Velez | School of Veterinary Medicine”) My main mantra as a person is from my favorite author Robin Sharma, “be braver, be more present, be more excellent, be more inspirational, be more kind and be more human.” 
     

    I treat everyone with respect, and I value their work. I handled 2 medical-surgical units during pandemic as my co nurse manager got sick around that time but since I developed good connections with my staff and leaders, the work is there but remains manageable and rewarding. My former Medical-Surgical Chief Nursing Officer once even told me that I could unretire at any time. 
     

    I would say that professional networking does not happen like magic. It should start from within without initially seeking something in return. Be excellent in what you do and put your heart and compassion into your work and your relationship with your coworkers. Be an active and engaged listener. Reach out and attend conventions to expand your connections. 
     

    Consistent, strategic networking can help you build valuable connections and identify new career opportunities in nursing. 

     

    Resources:
     

    Walden University. (n.d.). 
    Walden University catalogLinks to an external site.
    Links to an external site.
    . Retrieved October 4, 2019, from 
    https://catalog.waldenu.edu
    Links to an external site.
     Select Introduction, then the link “Vision, Mission, and Goals” under the Introduction header. Review Walden’s vision, mission, and goals.
     

    Schmidt, K. (n.d.). 
    5 reasons nurses should engage in professional networkingLinks to an external site.
    Links to an external site.
     [Blog post]. Retrieved November 14, 2018, from 

    5 Reasons Nurses Should Engage in Professional Networking


    Links to an external site.
     

    Wofford, P. (2018). 
    10 networking tips for nurses who hate networkingLinks to an external site.
    Links to an external site.
    . Retrieved from 
    https://nurse.org/articles/tips-for-nurse-networking/
    Links to an external site.
     

    Walden University. (n.d.). 
    Walden University catalogLinks to an external site.
    Links to an external site.
    . Retrieved October 4, 2019, from 
    https://catalog.waldenu.edu
    Links to an external site.
     Select College of Nursing, then Master of Science in Nursing (MSN). Review the MSN Learning Outcomes on this page.
     

     

     

     

     

     

     

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    Stephanie Stephenson

    Aug 26, 2024 11:21am
    | 
    Last reply Aug 28, 2024 1:58pm

    Reply from Stephanie Stephenson

    Main Question Post

    Howdy everyone, my name is Stephanie Stephenson. I am 35 years old and live with my husband in Grand Junction, CO. I have been a bedside RN for 10+ years, making my way from MedSurg to Intensive Care Units, to Interventional Radiology and now PeriAnesthesia. I am currently the PeriAnesthesia Educator and floor RN in the hospital setting, serving multiple areas radiating out to 250 miles. I love the outdoors, riding dirtbikes, hunting, and reading.

    As I pursue my journey to become a Nurse Practitioner, I am deeply committed to not only advancing my clinical skills but also making a meaningful impact on the communities I serve. Walden University’s vision, mission, goals, and social change initiatives resonate strongly with my professional and academic aspirations, offering a framework that supports both my personal growth and my desire to contribute positively to society. Walden’s vision of empowering students to make a difference in their professions and communities aligns seamlessly with my goal of becoming a Nurse Practitioner. The university’s mission echoes my own commitment to lifelong learning and professional development. I will be equipped with the skills and confidence to excel and apply knowledge in real-world settings. The university’s desire to produce graduates who can effect positive social change speaks directly to my ambition to improve patient outcomes. By gaining advanced clinical knowledge and developing leadership skills through Walden’s programs, I will be able to advocate for my patients effectively and implement evidence-based practices, making a significant impact on my patients lives and the healthcare system as a whole.

    Walden’s MSN Program outcomes and perspectives relate to my professional and academic goals by developing my clinical expertise and provide scholarly insight in advanced nursing practice. I aspire to become a well-rounded scholar-practitioner, capable of making significant contributions to the nursing profession and whole healthcare system. One of the key outcomes of the Walden MSN program is the ability to integrate nursing theory, research, and evidence-based practice into advanced nursing roles. This aligns with my goal of becoming a highly skilled Nurse Practitioner that provides exceptional care by applying the latest research and best practices. Another outcome that aligns with my goals is the development of my leadership and collaborative skills that will aid me in advocating for my patients, contributing to quality improvement initiatives, and seek out further leadership opportunities. The program’s focus on integrating theory and practice, leadership, lifelong learning, cultural competence, and scholarly inquiry will equip me with the skills and knowledge needed to excel in advanced nursing practice. By achieving these outcomes, I will be well-prepared to make a meaningful impact on patient care, contribute to the nursing profession, and serve as a leader and advocate in the healthcare community.

    As I work towards becoming a Nurse Practitioner, I recognize that networking will be a crucial element in my future success. Having been a part of multiple interdisciplinary teams throughout my career, I have utilized multiple relationships that were started by a simple email to being introduced through a colleague. Each job procurement and success in my career to date would not have occurred if not for the network I built. Having this prior knowledge, I recognize that networking is essential for me to achieve and advance my professional and academic goals through Walden’s MSN Program. Healthcare takes a village, and when you share a common goal, you in turn communicate effectively, become more cohesive and achieve unparalleled success. Carlson (2015) reaffirms that networking is a learned skill and once you empower yourself to be a better networker, your collaboration and growth in your career soar. I am confident that with all the resources Walden’s MSN Program offers and my prior experience and knowledge, I will continue to hone and advance my networking skills and achieve my professional and academic goal of becoming a Nurse Practitioner and a scholar-practitioner.

     Resources

    Carlson, K. (2015). 
    Savvy Networking for Nurses: Getting connected and staying connected in the 21
    st
     century (The Nurse Keith Career Mastery Series Book 1). 
    Nurse Keith Coaching.

    Schmidt, K. (n.d.). 
    5 reasons nurses should engage in professional networking.
     [Blog post]. Retrieved August 24, 2024, from https://blog.bluepipes.com/5-reasons-nurses-should-take-professional-networking-seriously/

    Walden University. (n.d.). 
    Walden University student handbook: Vision, mission, and goals.
     https://academics.waldenu.edu/handbook/vision-mission-goals#s-lg-box-30140618

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    FP

    Francine Pilgrim

    Aug 26, 2024 10:31am
    | 
    Last reply Aug 30, 2024 6:16am

    Reply from Francine Pilgrim

    Post
     a brief introduction of yourself to your colleagues. Include an explanation as to how Walden’s vision, mission, goals, and social change initiatives relate to your professional and academic goals and to your becoming a scholar-practitioner. Also include an explanation for how the Walden MSN Program Outcomes and perspectives relate to your professional and academic goals and to your becoming a scholar-practitioner. Finally, explain why networking is important and how it may help you achieve your professional and academic goals.

    Hello All,

    My name is Francine Pilgrim and I have been an RN for too many years to count.
      
    I recently completed my BSN degree with the explicit purpose of advancing to the MSN FNP program.
      
    I chose Walden University for my graduate study because Walden is intentional about producing graduates that will make a positive impact on society thus enact social changes for the better.
      
    Walden’s values of quality, integrity and student centeredness speaks of it’s commitment to a higher standards of excellence.

    This is what I strive for for myself.
      
    My aspirations require that I am educated by an organization that embodies substance and greatness.
      
    My personal goals for the short term is to progress in my career to become a practicing family nurse practitioner.
      
    This will then enable me to transition with that knowledge into my long term goal of maturing into a patient advocate and resource liaison for the citizens of my home country, for which there is a great need.
      
    This, I hope, will my contribution to enabling positive societal change.
      
    Even if it is not within the local USA.

    According to Portia Wofford, founder of Your Nurse Connection, to accomplish this, networking should be key. It makes for a vital component of my nursing career.
      
    Regardless the reason, building a safe professional network is essential. It can open up countless and precious opportunities to creating endless placement options and career progression thus broadening my educational scope and sharpening my practical skills.
      
    Numerous studies demonstrate the benefits of professional networks, including increased employment and business prospects, deeper and wider knowledge, enhanced ability to innovate, quicker career advancement, and increased status and authority. Developing and maintaining professional relationships also raises job satisfaction and enhances the caliber of output.

    Academics: Student Handbook: Vision, Mission, and Goals
    . (n.d.). https://academics.waldenu.edu/handbook/vision-mission-goals#:~:text=Walden%20University%20strives%20to%20produce,a%20commitment%20to%20lifelong%20learning.

    10 Networking Tips for Nurses Who Hate Networking
    . (n.d.). Nurse.org. https://nurse.org/articles/tips-for-nurse-networking/

    Gino, F. (2024, March 7). 
    Learn to Love Networking
    . Harvard Business Review. https://hbr.org/2016/05/learn-to-love-networking

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    AB

    Angela Bowden

    Aug 24, 2024 6:42am
    | 
    Last reply Aug 30, 2024 12:09am

    Reply from Angela Bowden

    Main Question Post

    Good day everyone, my name is Angela, I am 39yrs old and I live with my husband and 2 children,  I currently am working as a nurse practitioner in the hospital setting, however I went through adult geriatric primary care and I would like to complete my acute care focus.

    Walden’s vision, mission, goals and social change initiatives relate to my professional and academic goals by having up to date education that can be applied to what I will practice in the work force and profession to better advance my career in the acute care field as I want to expand and understanding with the use of critical thinking to provide better care for my patients and contribute to their health and social conditions.

    Walden University’s outcomes relate to my professional and academic goals as I am  committed to life long learning, in my  current  position, with every patient i see and talk to, I usually take something from them that i can apply to someone else. Also being part of this program, it was not required of me to get this further education, I wanted to obtain to provide the best care I can to my diverse,  multicultural community.

     I have found that networking as a hospitalist is important mostly with other specialties services, including Infectious Disease, pulmonology,  Cardiology, and critical care as it does create a clearer chain of communication when  being part of a  multidisciplinary team. It was also a good way to learn from each other and different points of view from other specialties.  Also, networking can also help provide further job opportunities and be able to  explore different that you may not have previously considered (
    Professional networking in nursing
    ).

     

    It is also recommended by ANA to join their state organization especially as a new grand to be able to learn your local,  up to date legislature for your community.   Also going to annual conferences meeting people from different communities to get different perspectives (
    Professional networking for Nurses
     2017).

     

      Resources:

    Academics: Student handbook: Vision, mission, and goals
    . Vision, Mission, and Goals – Student Handbook – Academics at Walden University. (n.d.). https://academics.waldenu.edu/handbook/vision-mission-goals#s-lg-box-30140618

    By ANA Career Center Staff. (2017, October 20). 
    Professional networking for Nurses
    . ANA. https://www.nursingworld.org/resources/individual/networking/#:~:text=The%20Importance%20of%20Networking&text=You%20really%20get%20a%20sense,can%20bring%20for%20career%20advancement.

    Professional networking in nursing
    . NurseJournal.org. (n.d.). https://nursejournal.org/resources/networking-in-nursing/

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    Rhonda Roxanne Rash

    Aug 20, 2024 8:36am
    | 
    Last reply Aug 30, 2024 7:15pm

    Reply from Rhonda Roxanne Rash

    Participation in Discussions:
     The exchange of ideas among colleagues engaged in scholarly inquiry is a key aspect of learning and is a requisite activity in this course. You are expected to participate by posting a response to a prompt or question in the Discussion area. In addition, you are expected to respond to your fellow students’ postings. To count as participation, responses need to be thoughtful; that is, they must refer to the week’s readings, relevant issues in the news, information obtained from other sources, and/or ideas expressed in the postings of other class members. You may ask questions or offer further information or links about the subject. Please pay attention to grammar and spelling, as consistently poorly written posts will receive grade penalties. In grading the required Discussion postings, your Instructor will be using the Discussion Posting and Response Rubric, located in the 
    Course Information
     area.

    Your original post should start with: 
    Main Question Post

    Your response posts should start with: 1. 
    Response and

    include Name of person to whom you are responding

    Original Posts require 3 references

    Both Response Posts require 2 references

     

    There are 4 Discussions during this 11-week course: Modules 1, 3, 5 and 6.

    Note:
     Unless otherwise noted, initial postings to Discussions are due on or before Day 3, and response postings are due on or before Day 6. You are required to participate in the Discussion on at least three different days (a different day for main post and each response).
     It is important to adhere to the weekly time frame to allow others ample time to respond to your posting. In addition, you are expected to respond to questions directed toward your own initial posting in a timely manner.

    Please use correct netiquette: always be respectful and courteous in all of your communications

    Reply from Mattie Bah

    My Name is Mattie Bah, and I live in Maryland. I migrated from Sierra Leone, West Africa about 30 years ago.  I Completed my nursing degrees her in the USA. My work experience ranges from working with trauma patients in a level 3 hospital, with patients ranging from medical/surgical to orthopedics, including MVC (motor vehicle crash), and stab/gunshot wound victims.  I also have had the privilege to work as an Infection Control Practitioner which allowed me to see from a different angle of patient care. In this job capacity I was able to learn more about infectious processes, which focused more on prevention and management of diseases, such as airborne diseases like tuberculosis.  After a few years in Infection Control I was able to start a home care business, with my family. Transitioning to home care as an employer has also widened my horizon in the healthcare arena, by assuming distinct roles within the healthcare market.  In my leisure time, I engage in a lot of fundraising activity for a medical charity organization in The Gambia, West Africa which I am a co-founder.  We provide medical treatment (screening /medication) to the underserved population free of charge, including surgical needs. Otherwise, I love travelling with my family.

    I chose to enroll in Walden University for my Nurse Practitioner degree because it is an online accredited university, with a vision to provide up to date scholarly academic education that will enable me to function competitively in the ever-developing world of healthcare.  Walden’s mission aligns with mine as it will also provide me with the structure and knowledge for me to continue my academic growth in an environment that is equipped with a capable faculty. In this setting, I can learn and grow and be able to effect change globally.  Walden provides its programs through diverse process learning approaches, all resulting in outcomes of quality and integrity, which is the goal I am striving for.

    Social change initiatives are important to me personally, as my advanced practice education will help me in treating patients, not only in the hospital setting, but also in the community. Mental health is a taboo topic in my part of the world, a place of cultural biases where you are expected to be strong and face problems as an everyday part of life that are considered a normal occurrence. My expertise in this area will help many who would otherwise go undetected in these medical camps, because of the education/knowledge and experience I will acquire at Walden and through the practicum field experience.

    Networking is the link that creates opportunities for growth in other areas of interest. My transition to Infection Control was by networking with a fellow nurse who had just left bedside nursing. In speaking with her, I understood what the job entailed and when opportunity was presented in the department, I could apply for the job.  During my orientation, she continued to serve as a guide for me, in navigating my way through.

    Networking can also be beneficial in interdisciplinary connections that improve patient care.  When the interdisciplinary team of nurses, PT, OT, for example work together, it improves patient outcomes because care is tailored around the patients’ needs.

    Resources

    Schimdt K. (n.d.) https://blog.bluepipes.com/5-reasons-nurses-should-take-professional-networking-seriously/ 

    5 Reasons Nurses Should Engage in Professional Networking


    Links to an external site.

    Walden University. (n.d.) Walden University Student handbook. Vision Mission, and Goals 
    https://academics.waldenu.edu/handbook/vision-mission-goals
    Links to an external site.

    Walden University. (n.d.) Walden University Student handbook. Vision Mission, and Goals 
    https://academics.waldenu.edu/handbook/vision-mission-goals#s-lg-box-30141422
    Links to an external site.

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    JH

    Janelle L Hammock

    Aug 28, 2024 10:53pm
    | 
    Last reply Sep 1, 2024 11:10pm

    Reply from Janelle L Hammock

    My name is Janelle Hammock. I completed my Paramedic program in 2001 and worked in prehospital and emergency room settings before pursuing career paths outside healthcare. Those professions included Emergency Management, Disaster Response and Recovery, Social Services, and Director of Operations for an intensive therapeutic center serving autistic individuals and those with related disorders. In May 2023, I returned to school to complete an accelerated BSN and now work as a nurse in the Emergency Department of a Level 1 Trauma Center. These various careers enabled me to pursue my passion for elevating the voices of those who do not have the platform to be heard, serving underserved populations, caring for people who far too often remain unseen, and advocating for systemic and social change.

    Walden University’s Mission expresses a commitment to developing scholar-practitioners capable of effecting social change which was a deciding factor in choosing this university to pursue my MSN-FNP degree (Walden University, n.d.-b). My lifelong pursuit of elevating disparity issues preventing access to services while advocating for change to promote more equitable representation of underserved populations illustrates my alignment with Walden University’s MSN learning outcome of equipping students to reduce health disparities through advocacy for specialized nursing care (Walden University, n.d.-a). Through my previous work in social services and disaster recovery, I have seen first-hand the socioeconomic inequities that impact an individual’s ability to meet basic human needs and am committed to being a change-maker in the communities I serve through the nursing profession.

    I have always considered myself a lifelong learner and am excited to continue my education as a scholar-practitioner. I plan to put knowledge into action as I expand my leadership abilities, focus on mastering the skills and knowledge of advanced nursing practice, and effect change based on evidence-based practice. My belief that everyone is responsible for using their unique talents and gifts to build community aligns with Walden University’s social change commitment (Walden University, n.d.-c). It also makes networking an important aspect of professional development. We all bring unique perspectives and experiences. Connecting and collaborating with a diverse network of colleagues, mentors, and community members exposes us to worldviews that differ from our own and enhances our understanding of the populations we serve. These networks also allow us access to new practice opportunities, potential career paths, and collaborations essential to our personal and professional growth. I look forward to sharing my experiences with my Walden classmates and hope they are open to sharing their perspectives with me as we pursue our academic goals.

    References

    Walden University. (n.d.-a). 
    Master of Science in Nursing (MSN) program outcomes
    . Retrieved August 27, 2024, from https://academics.waldenu.edu/catalog/nursing/master-science/nursing

    Walden University. (n.d.-b). 
    Vision, mission, and goals
    . Retrieved August 27, 2024, from https://www.waldenu.edu/about/who-we-are/mission-and-vision

    Walden University. (n.d.-c). 
    Social change at Walden University
    . Retrieved from https://www.waldenu.edu/about/social-change

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    CR

    Corrina Richmond

    Aug 28, 2024 10:48pm
    | 
    Last reply Sep 1, 2024 11:27pm

    Reply from Corrina Richmond

    Hello everyone,

    My name is Corrina and I have been a nurse for 9 years. The first 8 years of my nursing career were in OB. I was a travel mother baby nurse for about 5 years, living in places such as Arizona, Hawaii, Las Vegas, California and a few local contracts in the Chicagoland area. I then transitioned to psych and have been doing that for about a year. I work at a psychiatric facility for pediatric and adolescents. I truly love what I do! I was always fascinated in psych and I’m happy to have the opportunity to help patients and their families. When I’m not working I travel as much as I can, try new restaurants and spend time with my puppy and other loved ones.

    I knew I always wanted to advance in my career as a nurse practitioner. When I changed my specialty to psych, I didn’t see anything more fitting than a career as a Psychiatric Mental Health Nurse Practitioner. I wanted to start a program that aligned with the same goal as I had and Walden’s vision, mission, goals and social change initiatives fit that description. Walden’s mission, “transform diverse nursing professionals into champions of change who will improve health outcomes and advance health equity” is something that hit home with me. I am a black nurse and understand the importance of diversity and how everyone should have equal opportunity to healthcare. Becoming a Psychiatric Mental Health Nurse Practitioner will add to this mission. I also agreed with Walden’s vision, “prepare distinguished graduates to advance the greater good of global communities” (Walden University, 2020).  My goal is to help local communities.

    Networking is essential when it comes to career development and growth. It is believed that over 80% of jobs are obtained by networking (Schmidt, n.d.). So the more you network the more likely you will be to find a job. This will be helpful as a new graduate. Another reason why networking is important is because it helps with career advancement. Taking this course and completing this programing means that we all want to advance in our careers. Collaborating with peers allows this to happen. I look forward to working with you all.

     

     

    References

    Schmidt, K. (n.d.). 
    5 reasons nurses should engage in professional networkingLinks to an external site.
    Links to an external site.
     [Blog post]. Retrieved November 14, 2018, from 

    5 Reasons Nurses Should Engage in Professional Networking


    Links to an external site.

     

    Walden University. (2020). Vision, Mission, and Goals. Retrieved from

    https://catalog.waldenu.edu/content.php?catoid=172&navoid=59420Links to an external site.Links to an external site.
    Links to an external site.

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    SU

    Stella Chinelo Ukakogu

    Aug 28, 2024 10:04pm
    | 
    Last reply Aug 31, 2024 4:21pm

    Reply from Stella Chinelo Ukakogu

    Main post

    Hi everyone, this is Stella Ukakogu, a registered nurse who completed my course in December 2022. I am doing my Psychiatric Mental Health Nurse Practitioner (PMHNP) program at Walden University. The decision to enter the clinical specialty of mental health nursing must be inspired by a passion for caring for and supporting mentally ill patients.

    Walden’s vision, mission, goals, and mission and change align with my career and academic objectives. Of particular interest to me, Walden’s mission to promote the betterment of society matches my desire to fight against the stigmatization of mental health issues and to advocate for people with mental disorders. Ideally, one can say that as a future PMHNP, I will not only provide valuable care needed by my patients but also raise awareness of the given issue and make sure that minorities will have an equal chance to receive the appropriate level of support they need (Walden University, n. d.).

     

    The Walden MSN Program Outcomes and perspectives benefit my growth as an academician-scholar. These outcomes focus on using research findings in practice, following the code of ethics, and patient-centered care, which is vital for my PMHNP practice role. Such concepts will help me perform my duties in the future since the nature of mental health care requires balance and an understanding of several factors by the healthcare professionals, enabling me to make a difference to the patients and the society (Walden University, n. d. ).

    In a working environment, building a relationship with colleagues and other healthcare professionals is important because it will foster teamwork by sharing knowledge to achieve a common goal such as patient care and safety and it will improve career growth. Through networking, I will be able to stay focused on achieving my desire for mental health care by sourcing more information from experienced mentors; those who have been in the system for a long time to guide me in my quest to become a competent and compassionate PMHNP.

     

    References

    Riley, J. B., & Frances, S. (2019). The importance of networking in nursing. Journal of Nursing Management, 27(3), 480-485.

    Walden University. (n.d.). Vision, mission, and goals. Retrieved from https://www.waldenu.edu/about/who-we-are/vision-mission

    Walden University. (n.d.). Master of Science in Nursing (MSN) program outcomes. Retrieved from https://catalog.waldenu.edu/

     

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    Carissa Jones

    Aug 28, 2024 9:35pm
    | 
    Last reply Aug 31, 2024 1:29am

    Reply from Carissa Jones

    Post a brief introduction of yourself to your colleagues. Include an explanation as to how Walden’s vision, mission, goals, and social change initiatives relate to your professional and academic goals and to your becoming a scholar-practitioner. Also include an explanation for how the Walden MSN Program Outcomes and perspectives relate to your professional and academic goals and to your becoming a scholar-practitioner. Finally, explain why networking is important and how it may help you achieve your professional and academic goals.

    As a nurse, I knew I wanted my practice to constantly challenge me and allow me to make a difference to each patient and family member I encountered. I started in the intensive care unit (ICU) at a Level I trauma center as a new graduate with an associate degree in nursing. I was overwhelmed with what I did not know and feared failure immediately. I met with nurse educators, mentors, and preceptors regularly and studied on my own time at home. Thankfully, with hard work, I did well in the ICU as a new nurse. As I completed four years of experience in the ICU, I decided I wanted to be a flight nurse on a helicopter. I appreciated the dedication, skillset, continuing education, and autonomy that the flight nurses had.

    I continued to work in the ICU part-time but broadened my experience by taking a full-time position in the pediatric intensive care unit (PICU). After a few years of experience in the PICU and continuing my education in the adult ICU, I became a flight nurse. I served a fantastic 11-year journey in helicopter emergency medical services (HEMS). I completed my last mission in April of 2022. I now work as a nighttime hospital supervisor, which includes being a clinical resource for the nurses. I enjoy my current work but miss the autonomy, advanced skill set, and patient care I previously experienced in the HEMS industry. This guided me to pursue a degree at Walden University to obtain an Adult-Gerontology Acute Care Nurse Practitioner degree through the RN to MSN bridge program.

    After researching multiple universities, I could relate to Walden University’s vision and mission, which made me feel that this was the right place to further my education and broaden my knowledge to provide the best patient care possible. I value Walden’s flexibility and the resources available to students. The university prioritizes their success and creates a dedicated foundation for professional development. Walden’s program was also appealing as I could take classes online and engage in discussions with students from different backgrounds. This motivated my decision to return to school to connect with a diverse group of professionals, enhancing my personal growth and contributing to societal change, aligning with Walden’s vision to advance the greater global good (Walden University, n.d.b).

    In addition, Walden aspires to cultivate graduates of high caliber equipped to make significant contributions to their chosen professions, thereby enhancing society. This aligns with the School of Nursing’s (SON) aim to produce top-tier nursing graduates prepared to undertake roles as caregivers, educators, and lifelong learners (Walden University, n.d.a). The MSN program at Walden resonates with my goals as it highlights the importance of continuous learning in the ever-evolving field of nursing and, professional networking. Walden understands the importance of professional networking in forming connections for career advancement, gaining knowledge resources, and finding professional support (Schmidt, n.d.).

    I am incredibly excited about this journey.

    References

    Schmidt, K. (n.d.). 
    5 reasons nurses should engage in professional networking links to an external site.
    Links to an external site.
     [Blog post]. Retrieved August 24, 2024, from 

    5 Reasons Nurses Should Engage in Professional Networking


    Links to an external site.

    Walden University. (n.d.a). Walden University Catalog and Handbook. Retrieved August 25, 2024, from 
    Master of Science in Nursing (MSN) – College of Nursing – Academics at Walden University
    Links to an external site.

    Walden University. (n.d.b). Walden University Catalog and Handbook. Retrieved August 25, 2024, from 
    Vision, Mission, and Goals – Student Handbook – Academics at Walden University
    Links to an external site.

     

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    RP

    Rupalben Patel

    Aug 28, 2024 8:51pm
    | 
    Last reply Sep 3, 2024 10:14pm

    Reply from Rupalben Patel

    My Goals and University Vision and Mission
     

    Hi everyone, My name is Rupalben Patel. I have been a nurse since 2018, and I am currently working in acute rehabilitation, where I treat patients suffering from stroke, MS, Parkinson’s, spinal cord injury, and brain injury. I was urged to further my career therefore discovered Walden University through online resources and was intrigued by the flexibility it provides, which is critical for me as I work full time and have family responsibilities. I was also intrigued by Walden because of its mission, vision, and ambitions, which are quite like my own in nursing informatics. 
     

    Walden University’s School of Nursing (SON) mission statement emphasizes “a diverse community of career professionals transforming into scholar-practitioners to effect positive social change.” Given the diversity in the nursing profession, earning my degree will allow me to contribute to this varied community and drive constructive social change considering the rapidly evolving technological landscape in healthcare.
     

    The university’s focus on positive social change through improved human and social conditions resonates with me. Technological advancements in healthcare, such as robotic equipment and electronic charting systems, have proven to be beneficial in fostering societal improvements. With my degree from Walden, I aim to be part of a team that enhances technology and drives social change.
     

    MSN Learning Outcomes
     

    One of the MSN learning outcomes from Walden University that aligns with my goals is the ability to leverage information technology to communicate effectively and create opportunities to enhance patient care remotely. Nurses are pivotal in using health technology to elevate patient care and communication. I plan to use my degree to help develop and refine systems that will enhance overall patient care and the healthcare field.
     

    References 
     

    Walden University. (2020). Vision, Mission, and Goals. Retrieved from 
     

    https://catalog.waldenu.edu/content.php?catoid=172&navoid=59420Links to an external site.
    Links to an external site.
     
     

    Walden University. (2020a). Social Change. Retrieved from 
     

    https://catalog.waldenu.edu/content.php?catoid=172&navoid=59420Links to an external site.
    Links to an external site.
     
     

    Walden University. (2020b). MSN learning Outcomes. Retrieved from 
     

    https://catalog.waldenu.edu/preview_program.php?catoid=172&poid=67151&returnto=59823Links to an external site.
    Links to an external site.
     
     

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    Kashonda J Bradford
     (She/Her)

    Aug 28, 2024 8:44pm
    | 
    Last reply Aug 31, 2024 11:53pm

    Reply from Kashonda J Bradford

    Hello, my name is KaShonda Bradford, and I have been a nurse since 2001. I have worked in nursing administration, skilled nursing, case management, and step-down nursing. Currently, I am a travel nurse and have gained many skills and experiences. I love helping people and being a nurse. I am currently enrolled in the Post Masters Certificate program at Walden University to become a Family Nurse Practitioner. I am drawn to Walden University because its vision mission goals, and social change efforts align with my academic aspirations. The university’s focus on social change resonates with me especially as I aim to become a nurse practitioner and positively impact the healthcare field. I believe that Walden’s commitment to fostering social change will not only help me achieve my academic goals but also empower me to make a meaningful difference in the lives of others through my future career.

    Walden’s dedication to social change and their various programs resonates with my aspirations as a nurse practitioner to enhance health outcomes. By engaging in online networking and building connections with fellow nurses I aim to expand my knowledge and skills to advance in my profession. I am confident that aligning myself with Walden’s initiatives will provide me with the resources and support needed to achieve my goals and make a positive impact in the healthcare field.

     

    Walden University (2020). About Walden. [online] Available at: https://catalog.waldenu.edu/about/mission-vision.htm [Accessed August 28, 2024].

    Walden University (2020). College of Nursing Mission and Vision. [online] Available at: https://catalog.waldenu.edu/nursing/about/mission-vision.htm [Accessed August 28, 2024].

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    RR

    Ronacris Dadia Riego

    Aug 28, 2024 4:40pm
    | 
    Last reply Aug 30, 2024 2:11pm

    Reply from Ronacris Dadia Riego

    Hello, my name is Ronacris Riego, and I am a nurse since 2018.  I have a background in case management, utilization management, and psychiatric unit nursing. Currently, I work as a travel nurse, and throughout my experience, I have realized that I like socializing with new people. It makes it easy for me to develop a close therapeutic relationship with my patients, therefore making it easy to understand some of their medical and mental conditions and thus create an appropriate treatment plan. I know that I have enrolled in this MSN program at Walden, and one of my biggest hopes is to acquire relevant skills and experience appropriate for improving health outcomes.

             All students enrolling in any program in this institution must understand the organization’s Mission and vision as a guide for better results and academic achievement. The Walden University mission states that the organization serves the purpose of roving a diverse population of career professionals; the professionals have the necessary skills for transforming themselves into scholarly practitioners crucial for impacting social change. Therefore, my primary goal during my studies is to acquire all the essential skills and prepare myself with all the knowledge needed to spearhead social change. Social change. Nursing is a career that entails interaction with various people and communities (Firestone et al., 2021). Each community has diverse cultural implications that negatively or negatively impact the consumption of healthcare services. As a healthcare provider and a scholarly practitioner, I am prepared for human interaction changes necessary for transforming culture over a while.

              
    This learning institution has a vision statement illustrating the goals of studies. The institution looks forward to rendering broad educational opportunities necessary for learners; as a healthcare popover, there is a need to have a contextual education program that shapes the learner to various healthcare environments. The availability of social change provides quality healthcare providers that can adapt to any cultural environment (Firestone et al., 2021). Diversification mandates healthcare providers to have the necessary skills for managing multicultural patients. As an MSN student, therefore, I have the mandate of ensuring I master the diverse learning process and programs and also develop the highest levels of integrity.

             The Walden University programs directly relate to my professional and academic goals. For instance, the goal is to have a diverse-sensitive healthcare provider. Therefore, having skills and knowledge that are crucial and diverse shapes the person I want to be. After graduating from nursing school, I will have all it takes to be a scholarly practitioner. The facility is committed to rendering education and producing graduates who are scholarly practitioners and, therefore, agents of social change in the community. Another crucial aspect is that the facility admits students from all walks of life. I will likely make the acquaintances necessary for networking during my stay at the institution. Networking is crucial because it makes it easy to access lucrative job opportunities (Pianse & Belfiore, 2021). Another essential element of networking is that it provides accessibility to career advice and professional connections.

     

    References

    Pianese, T., & Belfiore, P. (2021). Exploring the Social Networks’ Use in the Health-Care Industry: A Multi-Level Analysis. 
    International journal of environmental research and public health
    , 
    18
    (14), 7295. 
    https://doi.org/10.3390/ijerph18147295
    Links to an external site.

    Firestone, R., Matheson, A., Firestone, J., Schleser, M., Yee, E., Tuisano, H., Kaholokula, K., & Ellison-Loschmann, L. (2021). Developing principles of social change as a result of a Pasifika Youth Empowerment Program: A qualitative study. 
    Health promotion journal of Australia: official journal of Australian Association of Health Promotion Professionals
    , 
    32 Suppl 2
    (Suppl 2), 197–205. 
    https://doi.org/10.1002/hpja.395
    Links to an external site.

    Walden University (2020). About Walden. [online] Available at: https://catalog.waldenu.edu/about/mission-vision.htm 

    Walden University (2020). College of Nursing Mission and Vision. [online] Available at: https://catalog.waldenu.edu/nursing/about/mission-vision.htm 

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    BH

    Bethany Hakel
     (She/Her)

    Aug 28, 2024 3:35pm
    | 
    Last reply Aug 31, 2024 6:24pm

    Reply from Bethany Hakel

    Main Question Post

    My name is Bethany Hakel and I have been a nurse for 10 years; prior to going back to school I worked with individuals with disabilities in their homes.  The first three years as a nurse I worked in a Med-Surg unit at a community hospital and the past 7 years I have worked in hospice.  I started as a RN Case Manager for home hospice patients and currently round on our inpatient unit as well as speak with inpatient hospice referrals.

    Walden’s vision, mission, goals, and social change initiatives align with my goals as a nurse and as a person in general.  Walden’s vision of judging knowledge by its ability to improve the greater global good is ambitious and important in society (Walden, n.d.)  Learning only to obtain knowledge for oneself without actions to better the world around us seems in the end unvaluable. The development of ideas along with intentional actions to promote every person’s worth and improve their well-being in turn improves society in general (Walden, n.d.).  As healthcare providers we are called to care for our patients and help them take action to improve their lives, and in turn improve society in general.

    The Walden College of Nursing MSN program outcomes further specify Walden’s vision, mission, goals, and social change initiatives to apply directly to healthcare providers (Walden, n.d.).  Using knowledge gained through the MSN program we as scholar-practitioners can then translate the knowledge into action to improve our patients’ health, reduce disparities in access to healthcare, and in turn improve society.

    As Schmidt (n.d.) states, many, including myself, have thought of networking as done only by salespeople or those attempting to persuade customers into buying a certain product or service.  However, Schmidt’s (n.d.) descriptions of social and professional networks have shown me that we all network to some extent in our lives.  It is no coincidence that many of my Facebook friends are also nurses!  Professional networking is important when seeking a new job, gaining new information in one’s specialty, and having reliable and professional references when applying for a new job (Schmidt, n.d.).  Networking can help me achieve my professional goal of becoming a hospice nurse practitioner as those jobs are few and far between in my area.

     

    References

    Walden University. (n.d.). 
    About Walden: Vision, Mission, and Goals.
      Retrieved from https://academics.waldenu.edu/handbook/vision-mission-goals

    Walden University. (n.d.). 
    Master of Science in Nursing
    .  Retrieved August 27, 2024 from https://academics.waldenu.edu/catalog/nursing/master-science/nursing

    Schmidt, K. (n.d.). 
    5 reasons nurses should engage in professional networking.
    Links to an external site.
     [Blog post]. Retrieved August 27, 2024, from https://blog.bluepipes.com/5-reasons-nurses-should-take-professional-networking-seriously/

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    Nazanin Kalhor

    Aug 28, 2024 3:10pm

    Reply from Nazanin Kalhor

    Main Question Post

    Hello everyone,

    My name is Nazanin Kalhor, and I am thrilled to be here with you as we continue our studies in Walden University’s Master of Science at Nursing (MSN) program. Nursing is my professional background. After earning my AA degree in 2017, I immediately began working in home health and hospice, performing both fieldwork and administrative duties with agencies working with CMS. I returned to school to earn my BSN, which I received in 2023. My motivation is to improve patient care outcomes and advance the nursing profession through evidence-based practice and ongoing education. I am determined to increase my clinical experience and education so that I can become a competent and caring nurse practitioner.

    Walden University’s vision, mission, and commitment to social change are entirely consistent with my academic and professional goals. My goal is to provide excellent patient care while simultaneously advocating for social justice and health fairness, which aligns with Walden University’s objective of empowering students to make a difference in their professions and communities (n.d.-a). My commitment to understanding and meeting the unique needs of various patient populations is consistent with the goal of creating a diverse and inclusive learning environment. This is consistent with my goal of being an evidence-based nurse practitioner who is culturally competent and improves patient outcomes (Walden University, n.d.–b).

    Furthermore, Walden’s goals of encouraging lifelong learning and critical thinking are vital for my development as a scholar-practitioner. I plan to use what I’ve learned in this degree to conduct research and execute evidence-based treatments that will result in positive change in healthcare settings. Walden’s emphasis on social change activities inspires me to participate in community health projects and advocate efforts to reduce healthcare inequities (Walden University, n.d.-c).

    My academic and professional objectives are perfectly aligned with Walden University’s MSN program outcomes. The results highlight how important it is for me to build advanced nursing competencies, leadership abilities, and a dedication to evidence-based practice because these are all essential for my future as a nurse practitioner. My goal is to gain proficiency in these areas so that I can make educated clinical decisions, lead healthcare teams, and provide exceptional patient care. The program’s emphasis on ethical practice and legal challenges in the healthcare industry will help me evolve into a well-rounded scholar-practitioner with the highest levels of professional integrity.

    Networking is an essential component of both professional and academic success. Building a strong network of colleagues, mentors, and industry professionals may offer support, direction, and opportunities for collaboration. Through networking, I aim to meet experienced experts who can provide insights and assistance, help me solve difficulties, and open doors to new prospects in research and practice. Participating in a community of like-minded people would not only improve my learning experience but will also allow me to give back to the nursing profession by sharing my knowledge, experiences, and best practices. I am delighted to learn from and grow with every one of you as we embark on this academic journey!

    References

    Walden University. (n.d.-a). 
    Vision, mission, and goals
    . Retrieved from https://www.waldenu.edu/about/who-we-are/mission-and-vision

    Walden University. (n.d.-b). 
    Diversity and inclusion at Walden University
    . Retrieved from https://www.waldenu.edu/about/who-we-are/diversity-and-inclusion

    Walden University. (n.d.-c). 
    Social change at Walden University
    . Retrieved from https://www.waldenu.edu/about/social-change

    Walden University. (n.d.-d). 
    Master of Science in Nursing (MSN) program outcomes
    . Retrieved from https://www.waldenu.edu/online-masters-programs/msn/program-outcomes

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    Nazanin Kalhor

    Aug 28, 2024 3pm
    | 
    Last reply Aug 31, 2024 2:08pm

    Reply from Nazanin Kalhor

    Hello everyone,

    My name is Nazanin Kalhor, and I am thrilled to be here with you as we continue our studies in Walden University’s Master of Science at Nursing (MSN) program. Nursing is my professional background. After earning my AA degree in 2017, I immediately began working in home health and hospice, performing both fieldwork and administrative duties with agencies working with CMS. I returned to school to earn my BSN, which I received in 2023. My motivation is to improve patient care outcomes and advance the nursing profession through evidence-based practice and ongoing education. I am determined to increase my clinical experience and education so that I can become a competent and caring nurse practitioner.

    Walden University’s vision, mission, and commitment to social change are entirely consistent with my academic and professional goals. My goal is to provide excellent patient care while simultaneously advocating for social justice and health fairness, which aligns with Walden University’s objective of empowering students to make a difference in their professions and communities (n.d.-a). My commitment to understanding and meeting the unique needs of various patient populations is consistent with the goal of creating a diverse and inclusive learning environment. This is consistent with my goal of being an evidence-based nurse practitioner who is culturally competent and improves patient outcomes (Walden University, n.d.–b).

    Furthermore, Walden’s goals of encouraging lifelong learning and critical thinking are vital for my development as a scholar-practitioner. I plan to use what I’ve learned in this degree to conduct research and execute evidence-based treatments that will result in positive change in healthcare settings. Walden’s emphasis on social change activities inspires me to participate in community health projects and advocate efforts to reduce healthcare inequities (Walden University, n.d.-c).

    My academic and professional objectives are perfectly aligned with Walden University’s MSN program outcomes. The results highlight how important it is for me to build advanced nursing competencies, leadership abilities, and a dedication to evidence-based practice because these are all essential for my future as a nurse practitioner. My goal is to gain proficiency in these areas so that I can make educated clinical decisions, lead healthcare teams, and provide exceptional patient care. The program’s emphasis on ethical practice and legal challenges in the healthcare industry will help me evolve into a well-rounded scholar-practitioner with the highest levels of professional integrity.

    Networking is an essential component of both professional and academic success. Building a strong network of colleagues, mentors, and industry professionals may offer support, direction, and opportunities for collaboration. Through networking, I aim to meet experienced experts who can provide insights and assistance, help me solve difficulties, and open doors to new prospects in research and practice. Participating in a community of like-minded people would not only improve my learning experience but will also allow me to give back to the nursing profession by sharing my knowledge, experiences, and best practices. I am delighted to learn from and grow with every one of you as we embark on this academic journey!

    References

    Walden University. (n.d.-a). 
    Vision, mission, and goals
    . Retrieved from https://www.waldenu.edu/about/who-we-are/mission-and-vision

    Walden University. (n.d.-b). 
    Diversity and inclusion at Walden University
    . Retrieved from https://www.waldenu.edu/about/who-we-are/diversity-and-inclusion

    Walden University. (n.d.-c). 
    Social change at Walden University
    . Retrieved from https://www.waldenu.edu/about/social-change

    Walden University. (n.d.-d). 
    Master of Science in Nursing (MSN) program outcomes
    . Retrieved from https://www.waldenu.edu/online-masters-programs/msn/program-outcomes

     

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    Elizabeth Rachel Fofanah

    Aug 28, 2024 1:37pm
    | 
    Last reply Aug 30, 2024 10:12pm

    Reply from Elizabeth Rachel Fofanah

    Hi everyone, my name is Elizabeth Fofanah, and I have worked as a nurse for 8 going on to 9 years. I have had experience in a range of settings, such as the Intensive Care Unit (ICU), Psychiatric Units, Neurology Units, and Cardiac Progressive Care Units (PCU/Tele). Currently, I work as a Cardiac PCU nurse at Abrazo Central Hospital in Phoenix, Arizona.

    I have worked as a nurse for slightly more than 8 years, and I’m sincerely thoroughly enjoying it so far. Initially, I worked as a nursing assistant at a facility that provided specialized care for patients with medical needs. It provided me with the opportunity to meet and collaborate with different nurses from all walks of life. Our team consisted of individuals from all backgrounds who possess a strong

    dedication to providing compassionate care and support to elderly individuals.

    Additionally, it provided me with the opportunity to learn from the residents how to effectively manage their chronic conditions. We provided medical assistance for acute illnesses, offered palliative care, and served as a support system for individuals who

    considered us their family. I have developed a strong passion for nursing. My dedication lies in helping and affection to the residents, their families, and the staff members under my supervision. I have always harbored a desire to return to school, but I have been

    apprehensive owing to my family responsibilities, particularly with young children, and I have contemplated the matter.

    I thought that I would be unable to simultaneously engage in full-time employment and academic studies, but I have ultimately decided to return. I am quite fortunate, as I have a solid support system. One of my motivations for wanting to pursue additional

    education is to acquire advanced knowledge and skills and be able to contribute meaningfully to society.

    The provided passage is a segment from Walden University’s mission statement. It asserts that the university aims to offer an array of professionals the chance to develop themselves as practicing scholars, enabling them to bring about beneficial societal

    transformations. The College of Nursing aims to “establish routes to success for nurses, students, and healthcare stakeholders with the goal to attain greatness and enhance global health outcomes.”

    These declarations should provide a framework for nurses’ professional and academic goals, urging them to pursue significant advancements in healthcare, prioritize excellent patient care and outcomes, and aspire to become outstanding scholar-practices.

    A nurse’s occupational and educational goals, whether established independently or together, should align with the organization’s stated mission and vision. The organization’s overarching goals should guide the assessment of registered nurses’ academic and professional aspirations, and they should seek assistance to further their own objectives. Networking is a crucial component of achieving success in both your career and academic endeavors. Nurses can utilize this tool to establish connections with both groups and individuals that can provide them with assistance and support in achieving their objectives. When endeavoring to establish a network, it is advisable to establish connections with others both in person and through internet platforms. This will enable you to derive inspiration and receive support from a broader spectrum of individuals.

     Nursing must incorporate both the professional and academic aspects of the discipline to gain recognition as a genuine profession. To foster the growth of skilled and proficient nurses, it is imperative to perceive nursing education and practice as an amalgamation of the two elements, as this is crucial for the development of competent and capable nurses. Academic research and development require proficiency in scholarly writing and research concepts, whereas professional growth requires knowledge of evidence-based practice and practical experience in implementing this approach. Nurses must possess expertise in both professional and academic domains to enhance their career prospects.

    References:

    Robert, A. and Rees, C.E. (2020). The professional and academic challenges of nurse education and practice. Nursing Open, 7(1), pp.100-110.

    Walden University (2020). About Walden. [online] Available at: https://catalog.waldenu.edu/about/mission-vision.htm [Accessed August 28,2024].

    Walden University (2020). College of Nursing Mission and Vision. [online] Available at: https://catalog.waldenu.edu/nursing/about/mission-vision.htm [Accessed August

    28, 2024].

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    Nche Mou Bayong

    Aug 28, 2024 10:49am
    | 
    Last reply Sep 3, 2024 10:47pm

    Reply from Nche Mou Bayong

    Hello everyone, my name is Nche Mou Bayong, and I am currently the Program Director at an Intensive Residential Treatment Services (IRTS) facility in Bloomington, MN. My journey in the nursing field spans over eight years, with a significant part of my experience gained during my service in the Navy. This background has provided me with a unique perspective on the importance of mental health care, particularly for veterans and underserved populations. My current role allows me to directly impact individuals struggling with mental health challenges, which has further motivated my decision to specialize in psychiatry nursing. I believe that pursuing this specialization will enable me to develop the skills and knowledge necessary to provide more comprehensive care to those in need, particularly in the mental health sector, where there is a growing demand for qualified professionals who can address complex psychiatric conditions.

    Walden University’s mission and vision resonate deeply with my professional aspirations. The university’s commitment to social change and its focus on transforming students into scholar-practitioners align perfectly with my goal of making a meaningful impact in psychiatric nursing. Walden’s emphasis on evidence-based practice and ethical decision-making is crucial to my development as a nurse leader who provides high-quality care and advocates for systemic changes in mental health care delivery. As I work towards my MSN, I am confident that the knowledge and skills I gain will empower me to contribute to the advancement of psychiatric nursing within my organization and the broader healthcare community. My ultimate goal is to leverage my education and experience to drive positive changes that improve patient outcomes and enhance the quality of mental health services.

    As I progress through the MSN program at Walden University, I am particularly drawn to the program outcomes that emphasize clinical judgment, ethical decision-making, and interprofessional collaboration. Such aspects are essential to my development as a psychiatric nurse practitioner. In mental health care, thinking critically to arrive at sound clinical decisions within an ethical framework is paramount since patients’ circumstances may present multiple factors. However, it is essential to pay attention to the collaboration between healthcare professionals as, in many cases, mental health treatment involves professionals from several specialist areas. This is an aspect I would like to pursue to polish my skills as I seek a career path in practice where I will likely be part of a healthcare team and ensure that the patients come first. This fits into my overall career goals of increasing patient satisfaction and promoting better mental health service delivery within organizations and communities.

    Networking is another critical component of my professional and academic journey. It will be beneficial to cultivate rapport with friendly faculty members, peers, and especially experts in the psychiatric nursing field as I advance my learning and career (Walker, 2018). In essence, networking results in acquiring information, guidance, and backing that is instrumental in the success of the chosen specialization. Membership with professional bodies like the APNA will create an avenue through which I will build my practice by gaining the latest information on development in the nursing profession and building relationships with people with a similar passion I have for the nursing specialty of psychiatric mental health nursing (Nurse.org, 2024). Such relationships will assist me in improving my learning outcomes, allowing me to engage in collaboration and research and even get promotions. I believe that an established professional network is essential to reaching my goals and developing as a psychiatric nurse.

    Walden University’s social change initiatives inspire me as I pursue my goals in psychiatric nursing. The focus on contributing to positive social change encourages me to shift away from patient-focused thinking regarding what I can do for society and, especially, the less fortunate communities or those who have been marginalized because of mental problems. My goal is to utilize the gained knowledge and skills when working at Walden to advance the policies connected with the increased availability of mental health services, lack of prejudice to people suffering from mental disorders, and the implementation of the person-centered approach. This resonates with my goals of becoming a leader in the field of psychiatric nursing to be able to change not only the specific procedures in dealing with patients who suffer from mental disorders but also to shape the practices that would enhance societies’ tolerance towards mental health issues. From my experience at Walden, I will acquire those tools that will create the change needed to achieve sustainable success.

    Looking forward, I understand that becoming a successful psychiatric nurse practitioner requires continuous learning and professional development. Networking will also be beneficial in this process as it allows for gathering more people who are similarly passionate about improving mental health care. Notably, it will enrich the practice by developing connections with other professionals, such as clinicians, researchers, or policymakers, in various capacities. Additionally, forming solid relationships with my peers at Walden will create an invaluable support system during challenging times. I see great potential for my further personal and career development, and I am quite confident that through networking, learning, and commitment to social issues, I will be able to pursue my academic and professional goals and contribute to the field of psychiatric nursing.

    References

    Nurse.org. (2024). 
    List of Professional Nursing Organizations | nurse.org
    . Nurse.org. 
    https://nurse.org/orgs.shtml
    Links to an external site.

    Walker, A. (2018). 
    10 Networking Tips for Nurses Who Hate Networking
    . Nurse.org. https://nurse.org/articles/tips-for-nurse-networking/‌

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    Stella Chinelo Ukakogu

    Aug 28, 2024 12:46am
    | 
    Last reply Aug 31, 2024 10:19pm

    Reply from Stella Chinelo Ukakogu

    My name is Stella Chinelo.  I want to be called Chinelo. I have been a nurse for two years. I have worked in acute care and pediatrics.   I am currently working in a mental health hospital. I studied Dental therapy in Nigeria before moving to the United States.  I decided to go back to school to study nursing because I like to care for the sick.   I graduated with an Associate degree in nursing in 2021. I went back to school to get my bachelor’s degree in nursing, I graduated in December 2022. My first job was in the emergency department.   It allowed me to meet and work with staff members from different walks of life, who have the passion to care. It is also   Walden University’s vision of its graduates will be able to make changes and contribute to the greater good of the community that one may serve, which aligns with my personal goal (Walden University, 2021). Walden displays the goal to provide well-educated practitioners that encourage well diverse group to utilize all the knowledge and skills they have learned from their perspective program and apply to bring about social change through innovative, principal scholar-practitioners (Walden University, 2021). Walden University’s vision, mission, and goals will help me achieve my personal and professional goals and be able to make a contribution, change, and be a part of the greater good in the mental health facility.  upon completion of the program and certification as a mental health nurse practitioner. There are a lot of initiatives. I would like to play a more active role in the community that I serve, preventing unnecessary rehospitalization for example, I see not only the financial and emotional impact it has on the patients, their families, and the community, but also the potential penalties for the hospitals to readmit within 30 days for certain target conditions (Gupta & Fonarow, 2018). Because of this, I have the vision and goal of working as a mental health nurse practitioner in a mental health facility. I believe that Walden University will be able to prepare me as far as having the knowledge, critical thinking, and clinical skills once I finish the mental health nurse practitioner program. I will be able to provide the necessary care that is based on the most up-to-date evidence-based research to prevent the unnecessary rehospitalization of patients. (Walden, 2021).

    Nurses can develop a diverse network, access unique perspectives and insights, get advice, and share experiences and accomplishments. Online networking can also help nurses gain visibility in the field, especially when seeking a new role

    References

    Gupta, A., & Fonarow, G. C. (2018). The Hospital Readmissions Reduction Program—learning from the failure of a healthcare policy.

    Schmidt, K. (n.d.). 5 reasons nurses should engage in professional networking links to an external site.Links to an external site. [Blog post]. Retrieved November 14, 2018, from 

    5 Reasons Nurses Should Engage in Professional Networking


    Links to an external site.

    Walden University. (2021). Vision, mission, and goals. Retrieved August 27, 2021, from Vision, Mission, and Goals – Walden University

     

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    Bernadette B Sotelo

    Aug 28, 2024 12:26am
    | 
    Last reply Aug 31, 2024 9:49pm

    Reply from Bernadette B Sotelo

     

    Main Question Post

    Hi to all, I am Bernadette Sotelo, a certified oncology nurse who has worked as an oncology nurse in Saudi Arabia and Kuwait before moving to the US 2 years ago.  When I first arrived, I was astounded by the possibilities that were made available to me, and I am excited to seize the opportunity to further my education on attaining my MSN.  However, because of the hectic schedules that nurses face on a daily basis, I started looking for an online school since I still wanted to pursue my goal of improving myself better. Luckily, my cousin, who is currently enrolled in her second quarter at Walden University, strongly recommended this institution. Something that will work with my hectic schedule is vitally required.

    My goal and Walden’s are similar in that we want to equip graduates with the most recent knowledge to significantly alter society for the benefit of all people on the planet. I want to improve my career and clinical skills so that I may acquire the knowledge and skills needed to manage the demanding healthcare needs of the people I work with.  Developing these skills will enable them to perform at a higher level.  I want to advance my professional career to better serve the diverse community I work with. Walden University provides modern, student-centered courses that prioritize critical thinking, and we will work together to make this happen.

    As we constantly encounter clinical issues in our work that put our nursing skills to the test, I think that lifelong learning and teamwork are important. The results and perspectives of Walden’s MSN program are relevant to my professional and academic objectives, as acquiring a master’s degree will enhance my clinical abilities through further training and certification, enabling me to deliver high-quality patient care. The highly skilled instructors at Walden and the school’s support network are essential to my career as a nurse practitioner.

    Schmidt (n.d.) mentioned in his blog, “Professional Networking is the best way for nurses to find jobs.” I got every job I have, including this online course, through networking in all its forms. Its significance cannot be overstated. In addition, networking with colleagues and building a professional network through memberships in organizations will supply me with a network of support, possibilities for career progression, and the opportunity to share information and best practices with colleagues. Professionally and academically, networking encourages collaboration between students and other healthcare professionals, which improves projects, patient outcomes, and methods for solving issues.

     

    References

    Walden University. (n.d.). 
    Walden University catalogLinks to an external site.Links to an external site.
    Links to an external site.
    . Retrieved October 4, 2019,

    Walden University. (n.d.). 
    Walden University student handbook: Vision, mission, and goals.
     
    https://academics.waldenu.edu/handbook/vision-mission-goals
    Links to an external site.

    Schmidt, K. (n.d.). 
    5 reasons nurses should engage in professional networking
    . BluePipes Blog. https://blog.bluepipes.com/5-reasons-nurses-should-take-professional-networking-seriousl/

    NurseJoulnal. (n.d.). Professional networking in nursing. 
    https://nursejournal.org/resources/networking-in-nursing/
    Links to an external site.

     

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    Lovepreet Kaur
     (She/Her)

    Aug 28, 2024 12:02am
    | 
    Last reply Aug 30, 2024 8:31am

    Reply from Lovepreet Kaur

    Main question post

    Hi, my name is Lovepreet kaur. I completed my BSN in 2018 in India. I got my california RN license in February 2023. Currently i am working as a home health nurse.

    ​
    I am pleased
     to join you in this academic endeavor as I earn my Master of Science in Nursing (MSN) with an emphasis in Family Nurse Practitioner (FNP). 
    This is why the vision, mission, and goals of Walden University correlate with my personal and professional priorities,
     and the institution’s dedication to social innovation has been a 
    significant
     determinant of my decision to join the university
     
    (
    Walden University, n.d.-c). 
    I find Walden’s vision of establishing 
    a learning community that prepares graduates to introduce societal changes stimulating; as a nurse, I have a passion for positively impacting
     patients and the healthcare system
     (
    Walden University
    , 
    n.d.-c). 
    The mission of turning 
    students into scholar-practitioner individuals who can make positive social change precisely complements my objective of enhancing healthcare results within my working community,
    especially as an FNP
    ,
     through preventative care and patient education
     
    (
    Walden University, n.d.-c). 

    ​
    Walden outlines goals for an institution that offers innovative, learner-centered education and enhances critical thinking and excellence as a professional, helping shape the learner into a more reflective practitioner
     (
    Walden University
    , 
    n.d.-b). 
    I am motivated to increase my knowledge base and use this information to solve real-life problems so that I 
    am 
    well-equipped
     to handle the future challenges of this field of health care.
     
    Of all the stated aims and objectives
    , the theme of positive social change is most significant to me because it calls for bringing about positive change in society. I would
     like to use 
    the skills and strategies learned from Walden to enhance the worth and value of persons and communities.

    ​
    Networking is the other domain that has been accorded a lot of importance as I continue my academic and professional development 
    at
     Walden. Establishing networking with students, professors
    , and members of the working environment will give me a variety of viewpoints, encouragement,
     and cooperation
     (
    Saatchi
     et al., 2023). 
    Such relationships will be beneficial when pursuing my goals and objectives of being a good FNP while enhancing the availability and quality of health services.
     
    I am eager to 
    learn
     from each of you 
    and
     share more about myself throughout this program.

    Reference
    s

    Saatchi, A. G., Pallotti, F., & Sullivan, P. (2023). Network approaches and interventions in healthcare settings: A systematic scoping review. 
    PloS one
    , 
    18
    (2), e0282050. 
    https://doi.org/10.1371/journal.pone.0282050
    Links to an external site.

    Walden University. (n.d.-b). Master of Science in Nursing (MSN): Learning outcomes. 
    https://academics.waldenu.edu/catalog/nursing/master-science/nursing
    Links to an external site.

    Walden University. (n.d.-c). 
    Vision, mission, and goals.
     
    https://academics.waldenu.edu/handbook/vision-mission-goals
    Links to an external site.

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    Saramma Ipe

    Aug 27, 2024 10:21pm
    | 
    Last reply Aug 29, 2024 2:46pm

    Reply from Saramma Ipe

    Hi, I am Saramma Ipe. I have been an RN for 35 years. I graduated with an MSN in 2015, took a break from my continuous education, and started a Post-Master’s Adult Primary Geriatric Certification program. For the last 17 years, I have been in a critical care unit, seeing people in their last days with their anxiety and suffering. This experience has made me think and work with senior citizens and give them support and guidance for the rest of their lives with emotional resilience. This thought inspired me to continue my nursing education for the NP certification

    Walden’s vision, mission, goals, and social change initiatives create a learning community where knowledge is applied to solve critical challenges, advancing the profession for greater change. Walden University’s mission is help graduates to increase their knowledge, skills, and abilities to function properly to a positive social change in their workplace and the community. This aligns with my professional and academic goals of becoming a scholar-practitioner who not only excels in the nursing field but also contributes to meaningful social change in the community too. Walden University has several social initiatives designed to empower students to make a positive impact on society. Social change projects, workshops, webinars, and networking opportunities to help individuals develop their social change ideas(Academics at Walden University (n.d.).

    Walden’s MSN programs are designed to prepare graduates to synthesize organizational and systems leadership for cost-effective nursing practice, contribute to high-quality healthcare delivery, advance the nursing profession, and promote social change. MSN and graduate studies can significantly help to become a scholar-practitioner by providing a blend of theoretical knowledge and practical experience. By combining rigorous academic training with practical experience, graduate studies equip me with the tools needed to excel as a scholar-practitioner, making meaningful contributions to both academia and the professional community. The comprehensive approach to nursing education supports the academic goal of gaining a holistic understanding of healthcare, enabling one to become a well-rounded scholar-practitioner (Zaccagnini et al.,  2020).

    Networking plays an important role in achieving professional and academic success. It helps build relationships with other professionals, providing opportunities for mentorship, collaboration, and career advancement. Academically, networks help gain more contacts and knowledge, giving a competitive advantage when choosing a graduate program. Networking helps us achieve our goals by finding mentors and advisors. During the professional journey, experienced mentors and advisors can give valuable advice, helping us establish ourselves as leaders in the field (Goolsby & Knestrick 2017).

     

    References

    Academics: Student handbook: Vision, mission, and goals
    . Vision, Mission, and Goals – Student       Handbook – Academics at Walden University. (n.d.).

    https://academics.waldenu.edu/handbook/vision-mission-goals

     

    Goolsby MJ, Knestrick JM. Effective professional networking. J Am Assoc Nurse Pract. 2017   Aug;29(8):441-445. doi: 10.1002/2327-6924.12484. Epub 2017 Jun 13. PMID: 28608520.

    Zaccagnini, M., Bussières, A., West, A., Boruff, J., & Thomas, A. (2020). Features of scholarly    practice in health care professionals: A scoping review protocol. Canadian journal of respiratory therapy : CJRT  Revue canadienne de la therapie respiratoire : 
    RCTR
    , 
    56
    , 38–41.

     

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    Abumchukwu Ezemonye Onujiogu

    Aug 27, 2024 8:58pm
    | 
    Last reply Aug 29, 2024 5:36pm

    Reply from Abumchukwu Ezemonye Onujiogu

    Main Question Post

    Hello everyone,

    My name is Abumchukwu Onujiogu. I prefer people to call me (AB). I worked full-time in a skilled nursing facility. My career objective with Walden University is to pursue a career as an Advanced Practice Registered Nurse (APRN) specializing in mental health care, with a strong focus on health promotion and disease prevention. I aim to contribute to the well-being of my patients by utilizing evidence-based practices and fostering a compassionate and holistic approach to care.

    Walden University’s vision, mission, and goals deeply resonate with me. The school’s commitment to social change and its focus on critical thinking and evidence-based practices align perfectly with my academic and professional goals (Walden University, n.d.). This alignment gives me confidence that the cutting-edge instruction I will receive at Walden will further my career in mental health care and advance my practice. The university’s emphasis on applying learning to solve critical societal challenges directly supports my goal of becoming an APRN equipped to address patients’ mental health needs. The focus on transforming students into scholar-practitioners who effect positive social change resonates with my desire to use critical thinking and evidence-based practices in my career.

    Walden University’s emphasis on providing multi-contextual and innovative educational opportunities is instrumental in supporting my goal of extending my knowledge in mental health care. The university’s learner-centered education approach allows me to tailor my studies to my specific interests, such as disease prevention and chronic depression management in elderly patients. Professional networking can easily be seen as manufactured and motivated by hidden agendas, whereas social networking is seen as genuine and whole (Schmidt, 2017).  The university’s commitment to positive social change aligns with my professional goal of improving patient outcomes through enhanced treatment. Walden’s social change initiatives support my holistic approach to care by focusing on the worth and dignity of individuals and communities.

    Networking is not just essential but invaluable in professional development. It opens up countless and precious opportunities (Wofford, 2018). I understand the significant role collaboration with faculty, fellow students, and professional teams can play in enhancing my learning and professional development. I am eager to leverage the opportunities for networking within the Walden community and beyond, as they can provide valuable connections and resources to help me achieve my goals. My potential contribution to my professional development is highly valued and appreciated. Integrating these aspects into my academic success and professional development plan has created a clear pathway toward becoming a skilled and compassionate APRN. I am deeply grateful for the opportunity to pursue my career objectives at Walden University, and I look forward to the journey ahead with the school’s support and guidance.

     

    Reference

    Walden University. (n.d.). Walden University student handbook: Vision, mission, and goals. Retrieved from 
    https://academics.waldenu.edu/handbook/vision-mission-goals#s-lg-box-30140618
    Links to an external site.

    Schmidt, K. (n.d.). 5 reasons nurses should engage in professional networkingLinks to an external site.Links to an external site. [Blog post]. Retrieved November 14, 2018, from 

    5 Reasons Nurses Should Engage in Professional Networking


    Links to an external site.

    Wofford, P. (2018). Ten networking tips for nurses who hate networking. Nurse.org. Retrieved from 
    https://nurse.org/articles/tips-for-nurse-networking
    Links to an external site.

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    Chelsea Horning

    Aug 27, 2024 6:20pm
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    Last reply Aug 27, 2024 7:27pm

    Reply from Chelsea Horning

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    My name is Chelsea Horning, I graduated nursing school in 2011 and received my BSN in 2018. I have primarily worked as a Clinical Supervisor for the past several years of my career, currently in the Emergency Department. I chose Walden University because their vision and goals align with my own. I work in a very unique hospital, as it serves a diverse group of patients compared to other community hospitals in my area. I recognize that the world we live in is ever-changing and that we, as practitioners, need to keep up with those changes and be accepting of them so that we can better serve our communities. Walden’s vision and mission statements make it clear that they understand the critical societal challenges and want to take part in it. My goal after obtaining my MSN and sitting for my boards is to continue working in the Emergency Department but as an advanced practice nurse.

    Walden’s MSN Learning Outcomes are the same goals I wish to achieve. I want to make a change in the world of Nursing, I want to leave behind a footprint. Outcome four is one that I am passionate about. I have noticed that not only nurses but also physicians, continue to speak to patients using verbal or written discharge instructions that patients cannot fully understand, even though as practitioners, we know that this increases the risk for readmission and emergency room visits (Shahid et al., 2022). This outcome goes hand in hand with Outcome 1. I want to increase health literacy with my patients to help drive down unnecessary healthcare costs.

    I found Walden University after networking with Nurse Practitioners that I know when I decided to move forward with my academic goals. Professional networking is a key factor in elevating career goals. Finding ideal opportunities to meet potential contacts and joining professional organizations in your specialty is a great way to begin networking (Barbier, 2016). Networking in social settings is not the only option to expand your professional contacts though. Baumann & Utz (2023) state “despite the differences between offline and online networking, research has identified similar benefit” (p. 2). During this week’s required readings, I particularly enjoyed the article “10 Networking Tips for Nurses Who Hate Networking”. As a mom with three young children, it was educational in ways to network from home which included using social media and joining Facebook groups. I believe in this day and age, everyone has used networking, rather they realized it or not. The key to success is pinpointing who you need to make connections with to reach your goals.

    Resources

    Academics: Student handbook: Vision, mission, and goals
    . Vision, Mission, and Goals – Student Handbook – Academics at Walden University. (n.d.). https://academics.waldenu.edu/handbook/vision-mission-goals

    Barbier, Ann Marie, MS,M.S.N., C.R.N.P. (2016). News from ANN’s Executive Committee: The Benefits of Professional Networking: The View from the Industry Side of Health Care: NN.
     Neonatal Network, 35
    (3), 179-180. 
    https://www.proquest.com/scholarly-journals/news-anns-executive-committee-benefits/docview/1804900089/se-2
    Links to an external site.

    Lea Baumann, & Sonja Utz. (2023). Professional networking: Exploring differences between offline and online networking. 
    Cyberpsychology: Journal of Psychosocial Research on Cyberpspace
    , 
    15
    (1). 
    https://doi.org/10.5817/CP2021-1-2
    Links to an external site.

    Rabia Shahid, Muhammad Shoker, Luan Manh Chu, Ryan Frehlick, Heather Ward, & Punam Pahwa. (2022). Impact of low health literacy on patients’ health outcomes: a multicenter cohort study. 
    BMC Health Services Research
    , 
    22
    (1), 1–9. 
    https://doi.org/10.1186/s12913-022-08527-9
    Links to an external site.

    Wofford, P. (2018, May 24). 
    10 networking tips for nurses who hate networking
    . Nurse.org. https://nurse.org/articles/tips-for-nurse-networking/

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    Ronald G Lim

    Aug 27, 2024 5:23pm
    | 
    Last reply Aug 29, 2024 9:16am

    Reply from Ronald G Lim

    Main Question Post

     

    I am Ronald Lim, and I have worked as a community health nurse for over ten years. I am married to a nurse, and we have a daughter of working age. I mainly serve the older population and people with disabilities, so I wanted to pursue a master’s in AGNP primary care. Thus, my search for an NP school began. Fortunately, a colleague who also enrolled at Walden University highly recommended this school. Upon looking at Walden’s website, I noticed that it suits the flexibility I need to pursue higher education simultaneously.

    Walden’s vision of providing graduates with modern education to effect critical societal changes for the greater global good aligns with my vision. I aspire to advance my career and clinical skills to gain the knowledge and skills necessary to address the complex healthcare needs of the population I serve. Gaining these skills will serve them in another higher role. Walden’s mission and goals also resonate with me. I want to advance a professional career to help the diverse community I serve. Over the years of patient interactions, there have been apparent gaps in their healthcare needs. I aspire to contribute to solving these gaps in health care by applying the education and critical thinking skills I will be getting. Walden University will partner in this endeavor as it provides innovative, learner-centered educational programs that use critical thinking skills.

     

    I believe in lifelong learning and collaboration as we continually meet clinical challenges in our jobs that test our existing nursing knowledge. Walden’s MSN outcomes and perspectives relate to my professional and academic goals, as obtaining a master’s degree will significantly improve my clinical skills through additional training and certification to provide quality patient care. Walden’s highly qualified faculty and support system of the school is crucial to my becoming a nurse practitioner.

     

    I got my current job through networking, specifically by referral. I cannot emphasize its importance. As Schmidt (n.d.) mentioned in his blog, “Professional Networking is the best way for nurses to find jobs.” Moreover, developing social and professional relationships and joining professional organizations will help me gain a support system, knowledge sharing, best practices with peers, career advancement, and job opportunities. Academically and professionally, networking fosters collaboration with fellow students and other healthcare providers, leading to better projects, patient outcomes, and solutions to problems.

     

     

    References

    Walden University. (2011b). Vision, mission, and goals. Retrieved from

    https://catalog.waldenu.edu/content.php?catoid=153&navoid=49950
    Links to an external site.

     

    Walden University, LLC. (Producer). (2018). 
    The Walden Journey to a Masters in Nursing: The Journey Begins
     [Video file]. Baltimore, MD: Author.

     

    Schmidt, K. (n.d.). 
    5 reasons nurses should engage in professional networkingLinks to an external site.
    Links to an external site.
     [Blog post]. Retrieved November 14, 2018, from

    5 Reasons Nurses Should Engage in Professional Networking


    Links to an external site.

     

    1nurse. (2024, April 18). The Benefits of Networking in Nursing and Strategies to Build a Strong Network. Retrieved from

    https://www.1nurse.com/blog/story/2024/04/18/benefits-networking-nursing-
    Links to an external site.

    and-strategies-build-strong-network/