Tag: Clinical-Nursing

  • Strategies for Academic Portfolios

    Strategies for Academic Portfolios

    In the realm of marketing, a successful branding strategy is one of the most important contributors to organizational success. A solid branding strategy can help add visibility and credibility to a company’s products.

    Similarly, nurse-scholars can build a personal brand to add visibility and credibility to their work. You can begin building your brand by developing and maintaining an academic portfolio. Such an activity can help share the results of your efforts and contribute to your success. This Module’s Discussion asks you to consider and share strategies for building your portfolio.

    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:

    Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements.

    Review one or more samples from your own research of resources focused on portfolio development.

    By Day 3 of Week 8

    Post
     an explanation of at least two strategies for including academic activities and accomplishments into your professional development goals. Then, explain how those goals may align with the University’s emphasis on social change. Be specific and provide examples.

    By Day 6 of Week 8

    Respond
     to at least 
    two
     of your colleagues’ posts by offering additional ideas regarding academic achievements to include or offering alternative ways of presenting the current achievements.

    This topic is closed for comments.

    DH

    Donna Hopkinson

    Oct 17, 2024 5:56pm
    | Last reply Oct 19, 2024 5:36pm

    Reply from Donna Hopkinson

    Hello Everyone,

    Personal branding plays a key role in a nurse’s staying on track with goals and objectives. Academic activities and accomplishments are crucial for the professional development of nurse scholars. One of the key strategies is engaging in publications and research processes. Nurse scholars can conduct research and publish the results for professional growth and improving individual knowledge. A nurse scholar can focus on researching marginalized communities and then publishing the research to support health equity and social betterment. This strategy consistently increases knowledge and helps improve the experience. Nurse scholars can foster personal brands by supporting different needy communities.

     

    The second strategy nurse scholars should focus on is working as an academic mentor. This leadership role also helps in managing committees and leading the nurses in the right direction through mentoring. Nurse scholars under this strategy develop highly strong leadership skills and understand the current trends in the healthcare field. “Students’ engagement in academic-related learning activities is one of the important determinants of students’ success. Identifying the best teaching strategies to sustain and promote nursing students’ engagement in academic and clinical settings has always been a challenge for nurse educators” (Ghasemi et al., 2020). Nurse scholars can decide on whether to work full-time or part-time as mentors for some students and guide them on different nursing programs. This will be a support system for students in the research process and bring change to society.

     

    The university has provided students to transform their personal and professional careers as scholars to foster positive change in the community. These strategies discussed above will support the community and society in improving healthcare and making this world a better living place. The research contributions will be helpful in preventing illnesses which is also the key step of the university. It helps people as a guide and education to bring social change in society. Participating in community-based activities like sports activities for disabled persons and health screening for women will foster a positive change by nurse scholars.

    References

    Ghasemi, M. R., Moonaghi, H. K., & Heydari, A. (2020). Strategies for sustaining and enhancing nursing students’ engagement in academic and clinical settings: a narrative review. 
    Korean Journal of Medical Education
    , 
    32
    (2), 103–117. https://doi.org/10.3946/kjme.2020.159

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    MF

    Marie Christine Magadan Franco

    Oct 16, 2024 10:38pm
    | Last reply Oct 19, 2024 6:56pm

    Reply from Marie Christine Magadan Franco

    As a nurse scholar, developing a personal brand is essential to increasing your reputation and visibility in the industry. Documenting and showcasing your papers and research initiatives is a good way to build an academic portfolio. You can paint a complete picture of your achievements in the nursing profession by posting summaries of your research findings and links to published articles or conference presentations. This shows off your proficiency and dedication to expanding the field’s body of knowledge. Including information from a study you conducted on patient care techniques and presented at a nursing conference, for instance, in your portfolio, can draw interest from colleagues and possible partners (East, 2015).

    Another essential strategy is to reflect on your professional development through continuous education and skills enhancement. Including certifications, workshops, and courses you have completed can show your dedication to lifelong learning. For instance, if you complete a certification in advanced practice nursing, highlighting this in your portfolio can emphasize your readiness to take on more complex roles in healthcare (Casey & Egan, 2013). This aligns well with Walden University’s emphasis on social change, as it demonstrates your ability to adapt and contribute to improving healthcare practices, ultimately benefiting patient outcomes and community health.

    Establishing clear goals to address healthcare inequities or enhance patient education may match your professional development objectives with Walden University’s emphasis on social change. For instance, a community outreach program can be created to educate marginalized groups about health issues. By adding this project to your portfolio, you demonstrate your abilities, expertise, and dedication to improving society. An all-encompassing approach to brand development promotes a more equitable healthcare environment, enhancing your career prospects and linking your work with larger social objectives (Hannans & Olivo, 2017).

     

    References

    Casey, D., & Egan, D. (2013). The use of professional portfolios for career enhancement. 
    British Journal of Nursing
    , 
    15
    (11), 547–552.

    East, R. (2015). Developing a nurse practitioner portfolio. 
    ACORN: The Journal of Perioperative Nursing in Australia
    , 
    28
    (4), 35.

    Hannans, J., & Olivo, Y. (2017). Craft a positive nursing digital identity with an ePortfolio. 
    American Nurse Today
    , 
    12
    (11), 48–49. Retrieved from 
    https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Digital-Identity-1017a-1.pdf
    Links to an external site.

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    JI

    Justina Chinyere Ibe

    Oct 16, 2024 10:27pm
    | Last reply Oct 18, 2024 9:54pm

    Reply from Justina Chinyere Ibe

    My Professional Development Goals 

    My professional development goal is to be professionally and academically up to date with academic and professional developments in Nursing, and make myself “visible” in my profession.  That means that I have to be up to date with evidence-based-practices and researches in nursing and have a portfolio that will showcase and highlight my professional and academic achievements. Having a portfolio will make me more visible to potential employers, academic and professional opportunities, and collaborations.  In this age of technology, e-portfolios are more accessible. McMillan et al., (2014) pointed out some of the benefits of e-portfolio a way to reflect and evaluate self achievements, showcase skills, assess and review programs, and showcase one’s professional standards.

    Instead of Professional Development Goals, Thompson et al, (2020) identifies the goals as “Individual Development Plans, (IDP)”. According the them, each plan is individualistic to each scholar. The purpose of IDP is to allow individuals to identify, develop, and pursue career aspirations while prioritizing the trajectory of their education and career.

    Strategies for Including Academic Activities and Accomplishments

    McMillan et al., (2014) pointed out the following as strategies for showcasing academic activities and accomplishments:

    A clearly developed website. This will be useful for potential employers. McMillan et al., (2014).

    Having an e-portfolio

    Including the URL of the e-portfolio on resume, business cards or cover letters.

    The following, according to Casey & Egan (2010) are the different ways one can showcase academic achievements and accomplishment:

    Records of education and training in advanced skills such

    as diagnostics to include some corroborative evidence

    of advanced skill competency such as OSCE or witness

    testimony

    Reports of audits of practice include documentation reviews

    Patient perspective through/patient stories

     Peer review of practice

    Feedback from colleagues and line managers

    Notes from clinical supervision undertaken

     Case studies

    Reflection on practice events and incidents including commentary on development and refinement of

    advanced skills over time

    My Goals alignment with Walden University Social Change

    Being academically and professionally up to date in my profession and making myself visible for advancement opportunities and employers will help me to better serve my community. This is in line with Walden University Goal for social change which among other goals, aim “to produce graduates who are scholarly, reflective practitioners and agents of positive social change”. Thus, my activities should reflect technological, employer and professional changes.

    References

    Casey DC, & Egan D. (2010). The use of professional portfolios and profiles for career enhancement. 
    British Journal of Community Nursing, 15
    (11), 547–552.

    McMillan, L. R. , Parker, F. & Sport, A. (2014). Decisions, decisions! E-portfolio as an effective hiring assessment tool. 
    Nursing Management (Springhouse), 
    45
     
    (4), 52-54. doi: 10.1097/01.NUMA.0000444882.93063.a7.

    Thompson, H. J., Santacroce, S. J., Pickler, R. H., Allen, J. K., Armer, J. M., Bakken, S., Bowles, K. H., Conley, Y. P., Dunbar, S. A., Ellington, L., Grey, M., Heitkemper, M. M., Herr, K. A., Lake, E., McCarthy, A. M., Melnyk, B., Miaskowski, C. A., Moore, S. M., Naylor, M. D., & Stone, P. W. (2020). Use of individual development plans for nurse scientist training. 
    Nursing Outlook
    , 
    68
    (3), 284–292. 
    https://doi.org/10.1016/j.outlook.2020.01.001
    Links to an external site.

    Walden University Handbook. (n.d.) Retrieved from https://academics.waldenu.edu/handbook/vision-mission-goals#s-lg-box-30141422

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    SC

    Sheena Chambers

    Oct 16, 2024 7:07pm
    | Last reply Oct 19, 2024 8:10pm

    Reply from Sheena Chambers

     Professional Development Goals

    It is a good to plan out goals for professionalism and how to grow because there is always room for improvement in our job. Some goals I plan to have in my education and for the future are to have effective communication, improve time management, start networking and be an effective thoughtful leader.

    How one can begin to set goals are to set clear, measurable goals for oneself. The acronym S.M.A.R.T is looking at specific, measurable, achievable, relevant, and time-bound goals to create an effective growth plan so that it is possible to stay motivated. One way I specifically wanted to grow is to build relationships and network. This is a wonderful way to gain exposure to new opportunities, have a support system and a way to get out and meet people. Another way to network would be to attend industry events, join professional organizations, or use LinkedIn to connect with those in my field of work (Hall, 2023).

    Strategies for Including Academic Activities and Accomplishments

                Strategies to include academic activities and accomplishments into my goals could be to seek out mentorship, take on new challenges, keep a growth mindset and reflect and adjust. Having a mentor is a fantastic day to find guidance, support, and feedback so one can achieve goals. Finding someone I respect and admire that mentor could promote growth and give inside guidance I may have not thought of. Taking on new challenges is a fantastic way to develop new skills. Volunteering for new projects, assignments or adding some responsibilities to challenge myself within my education (Hall, 2023).

    Goals and Alignment with Walden University’s Social Change

                Walden University’s social change mission includes providing a diverse community of professional careers to provide positive social change. The Walden University vision looks at an inclusive online learning community where all knowledge is valued to solve critical and societal challenges to promote greater good. The Center for Social Change focuses on three major commitments. These commitments are empowering change-makers, building community, and elevating social change outcomes. The big goal is to work towards the greater good and making inclusive goals that involve social change for the world. Some of the guiding values that align with my own from Walden are understanding, inspiring, advocating and connecting with the community for positive social change. Being inspiring and an advocate is essential to keeping yourself motivated to do the right thing and to be there for others. Being an advocate is essential for not only school or goals, but to serve people as future practitioners and doing the greater good for the community (Walden 2024).

     

    References

    Hall, Thompson-Markward. 2023. 
    How to Promote Professional Growth Throughout the Year. 
    Retrieved from: https://tmhdc.org/2023/01/24/how-to-promote-professional-growth-throughout-the year/?gad_source=1&gclid=EAlalQobChMl2o6EyYWRiQMVjWBHAR1o5S3PEAAYAyAAEglNb_D_BwE

    Walden University. 2024. 
    Social Change. 
    Retrieved from: https://www.waldenu.edu/why-walden/social-change

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    EA

    Eloisa Solarana Almaguer

    Oct 16, 2024 6:51pm
    | Last reply Oct 19, 2024 9:47pm

    Reply from Eloisa Solarana Almaguer

    Strategies for Developing Academic Portfolios

    The development of academic portfolios is an essential practice in contemporary education, especially at institutions like Walden University, which emphasizes social change (Hannans & Olivo, 2017). A portfolio not only documents academic achievements but also allows students to reflect on their learning and personal growth. To maximize the effectiveness of a portfolio, it is vital to implement clear and coherent strategies.

    Collection and Selection of Materials

    One of the most effective strategies for developing an academic portfolio is the careful collection and selection of materials, as this process involves gathering a variety of works that reflect both the student’s achievements and progress (Chae & Lee, 2021). The collection should include not only final projects but also drafts and ongoing work that demonstrate the evolution of critical thinking and acquired skills. For example, a student might include essays, research projects, and oral presentations that showcase their ability to research and communicate complex ideas.

    The selection process is equally crucial; students must choose those works that best evidence their development and align with their professional goals. This selection should be thoughtful, considering not only the most impressive work but also those that tell a story about their learning journey (van der Gulden et al., 2022). For instance, an education student might select a project on innovative teaching methods from a previous course, highlighting how this work relates to their desire to implement changes in the classroom.

    Reflection and Projection

    Another vital strategy is reflecting on the work completed, as this component allows students to assess their own learning and make connections between their academic experiences and professional goals. According to Chae & Lee (2021), through reflection, students can identify areas of strength and weakness, as well as establish plans for future improvement. For example, a student might reflect on how a specific course helped them develop leadership skills in education and how they plan to apply those skills in their future career.

    Projection, on the other hand, involves thinking about the future and how current achievements can influence professional goals. This may include identifying opportunities to apply learning in real-world or community contexts (Hannans & Olivo, 2017). In this sense, a student might plan to engage in community initiatives that promote inclusive education, aligning with Walden’s focus on social change.

    Conclusion

    When developing academic portfolios focused on academic achievements, it is essential to implement strategies for collecting and selecting materials, as well as fostering reflection and projection of learning. These practices not only enrich the portfolio but also prepare students to actively contribute to social change through their education.

    References

    Chae, S. J., & Lee, Y. W. (2021). Exploring the strategies for successfully building e-portfolios in medical schools. 
    Korean journal of medical education
    , 
    33
    (2), 133–137. https://doi.org/10.3946/kjme.2021.188

    Hannans, J., & Olivo, A. Y. (2017). 
    Craft a positive nursing digita identity with an ePortfolio
    . Myamericannurse.com. https://www.myamericannurse.com/wp-content/uploads/2017/11/ant11-Digital-Identity-1017a-1.pdf

    van der Gulden, R., Timmerman, A., Muris, J. W. M., Thoonen, B. P. A., Heeneman, S., & Scherpbier-de Haan, N. D. (2022). How does portfolio use affect self-regulated learning in clinical workplace learning: What works, for whom, and in what contexts?. 
    Perspectives on medical education
    , 
    11
    (5), 247–257. https://doi.org/10.1007/s40037-022-00727-7

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    SV

    Selina Villanueva

    Oct 16, 2024 4:25pm
    | Last reply Oct 18, 2024 10:36pm

    Reply from Selina Villanueva

    Professional Development Goals

    In addition to completing this program, I plan on improving my skills in critical areas of my professional practice. This includes enhancing my cultural competence and evidence-based practice (EBP) in nursing. Cultural competence and EBP in nursing are integral to providing patient-centered and culturally sensitive care supported by the most recent and relevant scientific evidence (Ličen & Prosen, 2023). Thus, I believe I will be able to use my academic activities and accomplishments to promote clinical interventions that are integral to achieving optimal population health outcomes and patient satisfaction.

     Strategies for Including Academic Activities and Accomplishments

    There are several strategies that I can use to include my academic activities and accomplishments in my professional portfolio. According to Casy and Egan (2013), professional portfolios are a “dynamic tool that allows and records professional growth” (p.550). Thus, I will gather all the relevant materials indicating my academic activities and goal accomplishments throughout my professional and academic experiences and include them in my portfolio. Such materials can include, but are not limited to, class presentations, research papers, certificates, and project reports. Also, I will use the strategy of reflection to demonstrate my personal, academic, and professional growth toward achieving my goals in cultural competence and EBP in nursing. According to Biedermann et al. (2022) and Mohajer et al. (2023), reflection is important in highlighting learning at a personal level and linking academic activities to one’s professional development. Thus, the two strategies highlighted above will be essential to ensuring my portfolio reflects the disparate ways my academic achievements are linked to my nursing practice and professional development goals.

    Goals and Alignment with Walden University’s Social Change

    As mentioned earlier, my professional development goals involve improving EBP in nursing and culturally competent and sensitive care. This approach to nursing aligns with Walden University’s commitment to positive social change because it promotes diversity, equity, and inclusion in care delivery (Walden University, n.d.). Moreover, my goals ensure that my nursing practice is guided by scientific evidence and patients’ cultural considerations, leading to increased involvement of communities, families, and patients in healthcare decision-making. The expected outcome of such practices includes optimal patient health outcomes, improved satisfaction, and positive changes to communities’ health-seeking behaviors, which reflect positive social change that is inclusive and respectful of the patient population’s diverse cultural backgrounds.

    References

    Biedermann, N., Ahern, T., & Harrison, H. (2022). Professional portfolio development: Personally and professionally rewarding and satisfying. 
    Australian Nursing and Midwifery Journal, 27
    (6), 41.

    Casy, D., & Egan, D. (2013). The use of professional portfolios for career enhancement. 
    British Journal of Nursing, 15
    (11). 547-552

    Ličen, S., & Prosen, M. (2023). The development of cultural competences in nursing students and their significance in shaping the future work environment: A pilot study. 
    BMC Medical Education, 23
    (1), 819-827. https://doi.org/10.1186/s12909-023-04800-5

    Mohajer, S., Li Yoong, T., Chan, C. M., Danaee, M., Mazlum, S. R., & Bagheri, N. (2023). The effect of professional portfolio learning on nursing students’ professional self-concepts in geriatric adult internship: A – quasi-experimental study. 
    BMC Medical Education, 23
    (1), 114-126. https://doi.org/10.1186/s12909-023-04097-4

    Walden University. (n.d.). 
    Social change
    . https://www.waldenu.edu/why-walden/social-change

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    CH

    Cenda Hemingway

    Oct 16, 2024 3:44pm
    | Last reply Oct 20, 2024 7:50pm

    Reply from Cenda Hemingway

                  Strategies for Academic Portfolios

    Academic portfolios are essential for the professional development of nursing students or graduates. They provide a platform to showcase accomplishments, skill sets, knowledge, and interests, providing a comprehensive professional growth record. Traditionally, job qualifications have been assessed through resumes alone, but technological advancements have introduced e-portfolios, broadening career opportunities beyond paper documentation.

    E-portfolios create a digital footprint that allows individuals to express creativity while outlining their professional goals. They also provide a means for students to connect with professional organizations, thereby enhancing their knowledge base (Hannans, et al.,2017). Walden aims to facilitate learning through diverse and innovative approaches that promote critical thinking and professional excellence (Walden University. (n.d.). Consequently, e-portfolios foster shared experiences and expand global networking beyond traditional word-of-mouth.

    Developing an e-portfolio will significantly enhance my resume by highlighting my academic growth and career accomplishments (McMillian, et al.,2014). I will include all relevant professional organizational memberships, such as the American Nursing Association (ANA), and community service activities, such as Bridge of Life, founded by DaVita. Additionally, I plan to maintain a detailed record of clinical skills learned and tracked hours. I will document all certifications earned and awards received, ensuring that my digital footprint reflects projects completed in my nursing specialty and scholarly research contributing to social change and advancing healthcare.

    Hannans, J. & Olivo, Y. (2017). 
    Craft a positive nursing digital identity with an ePortfolio 
    Links to an external site.
    Links to an external site.
    Links to an external site.
    . 
    American Nurse Today
    , 12(11), 48–49. Retrieved October 16, 2024, from 
    https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Digital-Identity-1017a-1.pdf
    Links to an external site.

    McMillan, L. R., Parker, F., & Sport, A. (2014). 
    Decisions, decisions! E-portfolio as an effective hiring assessment tool 
    Links to an external site.
    Links to an external site.
    Links to an external site.
    . 
    Nursing Management
    , 45(4), 52-54

    Walden University. (n.d.). 
    Walden University catalog 
    Links to an external site.
    Links to an external site.
    Links to an external site.
    . Retrieved October 16, 2024 from https://catalog.waldenu.edu

     

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    DT

    Deco Tanjong

    Oct 16, 2024 3:07pm
    | Last reply Oct 19, 2024 2:45pm

    Reply from Deco Tanjong

                            My professional development goal

    My professional development goal is to obtain my master’s degree in mental health before the end of the 2026 academic year, which will permit me to start applying skills that I learn from school, both theoretical and practical experience. After obtaining my LPN, RN, and now RN to MSN, I strongly believe I can do more than that.

    Also, I am hoping that after my advanced practical nursing license, I will continue to obtain my Doctorate in nursing, which will give me the opportunity to practice in a vast community.

    Strategies for including academic activities and accomplishments

    To help maintain and keep up with evidence-based practice, I will maintain my membership with nursing organizations like the American Nurse Association where I will receive updates and stay current with my practice.  I will make sure I follow up and complete my post-certification to continue my nursing education, by Undertaking at least 35 hours of learning activities relevant to my area of practice Casey, D. & Egan, D. (2013).

    Also, I will create a demographic portfolio with all my certificates acquired, my resume, and my years of practice in my specific area of practice. I will also maintain a personal and professional portfolio or learning activity. Casey, D . (2013).

    Goals alignment with Walden University

    Walden University, for the past 5oyears, has been empowering patinate people to make a difference in their lives and in their communities, which aligns with one of my goals of obtaining my certification and licensure so I can be able to help communities struggling with Mental health disorder and help give them hope. Casey, D. (2013)

    Reference:

    Casey, D. & Egan, D. (2013). 
    The use of professional portfolios for career enhancementLinks to an external site.
    Links to an external site.
    . 
    British Journal of Nursing
    , 15(11), 547–552.

    Burns, M. K. (2018). 
    Creating a nursing portfolioLinks to an external site.
    Links to an external site.
    . 
    Ohio Nurses Review
    , 93(3), 16-17.

     

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    QF

    Qiana Felder

    Oct 16, 2024 1:08pm
    | Last reply Oct 19, 2024 10:52pm

    Reply from Qiana Felder

    Professional Development Goals

    One of my main professional development goals is to be a lifelong learner. Doing so will ensure I am current on new evidence-based practices that could be implemented into my patient care plans.  Another goal is to be involved in a professional nursing organization like the American Nursing Association (ANA). The ANA provides many opportunities for nurses to advance their careers, such as networking events, certifications, and conferences.  I would also like to work with this association to advocate for policy change. This role of policy advocacy not only promotes policies that enhance healthcare, nursing practice, and workplace conditions but also empowers us as nurses to influence the future of our profession.

     

    Strategies for Including Academic Activities and Accomplishments

    Creating a nurse portfolio that includes academic activities and accomplishments can be vital to making you more marketable for career advancement by showcasing your worth to prospective employers. Portfolios can also help identify areas where improvement is necessary, serving as a tool for engaging in self-assessment and planning for personal development (Casey & Egan, 2013).

    Furthermore, I will actively engage in professional nursing organizations’ conferences to network with fellow nursing professionals. This networking opportunity can be invaluable for your career growth, providing a platform to exchange knowledge, learn from others’ experiences, and build professional relationships. I will also utilize an e-portfolio, which will be readily available for viewing by scanning a QR code. Creating an ePortfolio can aid in preparing for academic applications and professional interviews (Hannana & Olivo, 2017).

     

    Goals and Alignment with Walden University’s Social Change

    Walden University encourages a dedication to positive change by pursuing, acquiring, and applying knowledge to benefit communities (Walden University, 2024). This aligns with my goal of becoming a PMHNP to help underserved communities. I will apply knowledge gained from my experiences and evidence-based practices to help youth struggling with mental health disorders and promote a positive change in hopes of reducing the mental health stigma.

     

    References

    Casey DC, & Egan D. (2010). The use of professional portfolios and profiles for career enhancement. British Journal of Community Nursing, 15(11), 547-552

    Hannans, J. & Olivo, Y. (2017). Craft a positive nursing digital identity with an ePortfolioLinks to an external site. American Nurse Today, 12(11), 48–49. Retrieved November 14, 2018, from 
    https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Digital-Identity-1017a-1.pdf
    Links to an external site.

    Walden University. (2024). Social Change. Walden University. 
    https://www.waldenu.edu/why-walden/social-change
    Links to an external site.

     

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    JT

    John Kirby Tompkins

    Oct 16, 2024 9:37am
    | Last reply Oct 19, 2024 1:30pm

    Reply from John Kirby Tompkins

    Module 5 Initial Discussion Post
     

    Professional Development Goals
     

    On my journey in nursing from LPN to MSN level, my professional goals have included acquiring, maintaining, and improving my clinical skills, always with the objective of improving patient outcomes. Following the ANCC continuing education protocols has been one strategy for maintaining my professional goals. Yet, upon reflection, and at this time in my career, it is important to adapt in more explicit fashion, Walden’s vision of positive social change. In particular, I identify with the notion of a deliberate process of creation and application to achieve improvement in social conditions. (Walden, n.d.)
     

    Strategies for Including Academic Activities and Accomplishments
     

     First, I see the need to create an e-Portfolio that will contain elements of my traditional resume along with my ANCC continuing education record. In addition, I could add a blog from a reseach and training institute that featured and reflected my specific training experience in effectively meeting pediatric emotional, behavioral, and educational needs. Casey (2013) states “rather than just a retrospective account of continuing professional development activities, a portfolio can be used as a vehicle for engaging in self-assessment and personal and professional development planning”.
     

     And so, secondly, I need to challenge myself to be involved in research. Areas of interest include those with adverse childhood experiences (ACEs), those who are incarcerated, and immigrants being assimilated into an area with a long history of being underserved.
     

    Goals and Alignment with Walden University’s Social Change
     

    The Walden Vision promotes a deliberate thoughtful process of integrating who I am with where I want to go. In my professional life I have valued finding and being guided by the meaningfulness of whatever I do. This e-portfolio device can justify itself by promoting my professional sense of self, tracking evidence of work-related complexity and outcomes, and providing career structure and direction. (Burns, 2018).
     

    References
     

    Burns, M. K. (2018). 
    Creating a nursing portfolioLinks to an external site.
    Links to an external site.
    . 
    Ohio Nurses Review
    , 93(3), 16-17.
     

    Casey, D. & Egan, D. (2013). 
    The use of professional portfolios for career enhancementLinks to an external site.
    Links to an external site.
    . 
    British Journal of Nursing
    , 15(11), 547–552.
     

    Walden University. (n.d.). 
    Walden University catalogLinks to an external site.
    Links to an external site.
    . Retrieved October 14, 2024) from 
    https://catalog.waldenu.edu
    Links to an external site.
     

     

     

     

     

     

     

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    Joan Chikaodi Clement

    Oct 16, 2024 6am
    | Last reply Oct 19, 2024 11:02am

    Reply from Joan Chikaodi Clement

    Two strategies for including academic activities and accomplishments into your professional development goals and alignment with University’s emphasis on social change. 

    One of the strategies that I will use is documenting academic achievement as well as pursuing certification.  Impliedly, I will document my academic achievement such as research projects I have included and published, certifications as well as degrees.  Keeping records of my academic achievements will depict my achievements as well as my growth as a mental health specialist.  One area that I will focus on is documenting the research projects that I have conducted and published.  The Walden social change focuses on developing principled, knowledgeable, and ethical scholar-practitioners, who are and will become civic and professional role models by advancing the betterment of society (Walden University, n.d.). My goal of documenting academic achievement in areas such as research aligns with this social change because it will depict my commitment to the contribution of knowledge and the need to make change in the mental health field through the generation of evidence and knowledge.

    Another strategy is documenting evidence-based projects in the portfolio. EBP has been the cornerstone of improving health outcomes hence the need to incorporate and document to demonstrate its effectiveness (Connor et al., 2023).  Documenting these achievements will show my ability to apply evidence in patient care which will help advance the nursing profession.   Evidence-based practice aligns with Walden’s social change which denotes that a positive social change results in the improvement of human and social conditions. Lastly, I will pursue a leadership position and document this in my portfolio. The rationale for this is that with a leadership person, I can influence healthcare practices and policies positively.  For instance, joining a lead to personal growth, enhanced 
    professional
     perspective, and knowledge development, and by pursuing leadership in such an organization I would influence policy change (Cline et al., 2019). This aligns with Walden’s social change of advancing the betterment of society.

    References

    Cline, D., Curtin, K., & Johnston, P. A. (2019). Professional Organization Membership: The Benefits of Increasing Nursing Participation. 
    Clinical Journal of Oncology Nursing
    , 
    23
    (5), 543–546. https://doi.org/10.1188/19.CJON.543-546

    Connor, L., Dean, J., McNett, M., Tydings, D. M., Shrout, A., Gorsuch, P. F., Hole, A., Moore, L., Brown, R., Melnyk, B. M., & Gallagher-Ford, L. (2023). Evidence-based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. 
    Worldviews on Evidence-Based Nursing
    , 
    20
    (1), 6–15. https://doi.org/10.1111/wvn.12621

    Walden University. (n.d.). Walden University catalog. https://academics.waldenu.edu/handbook/vision-mission-goals#s-lg-box-30141422

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    Nicole Greco Carl

    Oct 16, 2024 1:11am
    | Last reply Oct 19, 2024 11:05am

    Reply from Nicole Greco Carl

    Professional Development Goals

    One of my professional development goals is to obtain an advanced degree by the year 2027.

    Another professional development goal of mine is to become a 104 NP by my third year of obtaining my Psychiatric-Mental Health Nurse Practitioner (PMHNP), (Ecareers, 2023).

     

    Strategies for Including Academic Activities and Accomplishments

    For my first goal, I am moving towards faster. I am already in the PHMNP program, however, to keep up with this goal, I need to stay focused and balance work, family, friends, and now school. To help me on this path, I deleted all social media besides Instagram. On other platforms, like TikTok, I was wasting time which I knew should be used towards my studies. “Excessive use of TikTok can also lead to a decrease in productivity and an overall decrease in quality of life” (Ainsworth, 2024).

    To obtain my second goal, I first need to succeed in my first goal. Already, during this first block of classes, I am learning the requirements regarding a 104 NP and what I am to do to obtain it once I become a 103 NP. Once I am a 103 NP, the wisest strategy for me will be to find a respected, trustworthy, and educated medical doctor that I can work with and learn from for the three years needed before becoming a 104 NP.

     

    Goals and Alignment with Walden University’s Social Change

    Walden’s goals center around three main goals; “empowering change-makers, building community, and elevating social change outcomes”(Walden, 2024). By achieving my goals, I will have the tools, resources, and knowledge to help the community around me that I see struggling. I see many younger patients in the hospital now, and because of their culture and or background, their parents struggle with the subject of mental health and their child needing treatment for it. I plan to work with this part of the community and help some of the older generation that has a hard time understanding that health is not just physical.

     

    References:

    Ainsworth, A. (2024, June 6). 
    Tiktok addiction: How to spend less time on TikTok
    . Next Level Recovery. https://www.nextlevelrecoveryassociates.com/blog-posts/tiktok-addiction#:~:text=The%20dopamine%2Dfueled%20reward%20system,to%20take%20action%20right%20away.

    eCareers, H. (2023, May 18). 
    6 strategies for Achieving Nursing Professional Development Goals
    . healthecareers.com. https://www.healthecareers.com/career-resources/nurse-credentialing-and-education/strategies-for-achieving-nursing-professional-development-goals

    Walden, university. (2024). 
    Social Change
    . Walden University. https://www.waldenu.edu/why-walden/social-change

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    Mishay Brooks

    Oct 15, 2024 10pm
    | Last reply Oct 19, 2024 12:54pm

    Reply from Mishay Brooks

    Professional Development Goals

    Setting clear professional development goals is important for me as a nurse-scholar to grow both academically and professionally. These goals not only help me focus on improving my skills but also guide me in contributing to the nursing field in meaningful ways. Two of my primary goals include gaining expertise in my nursing specialty and contributing to academic literature through research and publications (Vázquez-Calatayud et al., 2021). These goals support my long-term objective of staying at the forefront of evidence-based practice while ensuring that I continue to provide innovative and patient-centered care.

    Strategies for Including Academic Activities and Accomplishments

    To build an academic portfolio that reflects my accomplishments, I need to strategically include academic activities that demonstrate my growth and contributions. One way I can strengthen my portfolio is by actively engaging in research and scholarly publications. Publishing articles in peer-reviewed journals or presenting at professional conferences not only adds credibility to my work but also showcases my expertise. For example, I can focus on topics such as leadership in nursing or improving patient outcomes through innovative care models (Burns, 2018). These activities will allow me to contribute to the advancement of evidence-based practice, reinforcing my commitment to enhancing the nursing profession.

    Another strategy I will use is pursuing professional certifications and participating in continuing education courses. By obtaining certifications in specialized areas such as psychiatric nursing or emergency care, I can demonstrate my commitment to professional excellence (Burns, 2018). In addition, attending workshops, seminars, or enrolling in advanced courses will help me stay updated with the latest advancements in my field. Including these achievements in my portfolio will reflect my dedication to lifelong learning and maintaining the highest standards of care for my patients.

    Goals and Alignment with Walden University’s Social Change

    One of the most important aspects of my professional development is aligning my goals with Walden University’s emphasis on positive social change. Walden defines positive social change as the process of creating strategies and actions that improve human and social conditions. As a nurse-scholar, I recognize that my work must have a meaningful impact not only on individual patients but also on the broader healthcare system and society (Walden University, n.d.). For example, my research could focus on healthcare disparities or improving access to mental health services for underserved populations. By publishing work that addresses these systemic issues, I can actively contribute to the promotion of social change, a core value of Walden University.

    Additionally, I plan to participate in community outreach programs and volunteer for health promotion initiatives, which will allow me to make a direct impact on the health outcomes of my community. Including these activities in my portfolio will highlight how I am working to advance both healthcare quality and social equity (Walden University n.d.). By aligning my academic and professional development goals with Walden’s mission of fostering positive social change, I am not only developing my skills but also becoming an agent of change in my community. My portfolio will reflect my dedication to improving healthcare systems and creating a lasting, positive impact on society.

    Conclusion

    Incorporating academic activities and accomplishments into my professional development goals will help me build a strong personal brand as a nurse-scholar. By focusing on publishing research, gaining certifications, and contributing to positive social change, I will demonstrate my commitment to advancing nursing practice and improving healthcare systems. Aligning these goals with Walden University’s emphasis on social change further supports my mission to make a meaningful and lasting impact, both locally and globally.

    References

    Burns, M. K. (2018). 
    Creating a nursing portfolioLinks to an external site.
    Links to an external site.
    . 
    Ohio Nurses Review
    , 93(3), 16-17.

    Vázquez-Calatayud, M., Errasti-Ibarrondo, B., & Choperena, A. (2021). Nurses’ continuing professional development: A systematic literature review. 
    Nurse Education in Practice
    , 50, 102963. 
    https://www.sciencedirect.com/science/article/pii/S1471595320310490
    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

     

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    Rebecca Blair Manges

    Oct 15, 2024 7:46pm
    | Last reply Oct 19, 2024 9:11pm

    Reply from Rebecca Blair Manges

    Professional Development Goals

     
    As a current family nurse practitioner, I have worked in a couple of areas of practice, including primary care and oncology. During COVID, I ended up in an acute care role and found my area of practice where I can best serve my patients. When we look at goal setting, we must identify both long- and short-term goals. For example, I have attended conferences and training to strengthen my practice. Achieving a post-master’s certification as an Adult Gerontology Acute Nurse Practitioner is vital to my long-term goals. I want to use evidence-based practice and continue with activities that promote professional growth. 
     

    Strategies for Including Academic Activities and Accomplishments

    I started a professional portfolio when I started my master’s program. This portfolio includes all my clinical training as an FNP student, procedure logs, chart audits, and reviews. This information has helped me secure employment and is essential for clinic, hospital, and insurance credentialing. It has served as an important part of my career growth. It is also what led me back to school for additional education. Burns (2018) suggests three reasons for creating a nursing portfolio: self-promotion, evidence of outcomes, and structure and direction. A portfolio should show self-awareness, recognize the knowledge inherent in everyday nursing practice, and identify areas that need further development (Casey et al., 2010).

    Goals and Alignment with Walden University’s Social Change

    Completing further education to improve my practice to improve patient outcomes aligns with Walden University’s vision of social change. Walden University defines its goal as “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, ND). As a hospital provider, I care for acute issues that sometimes arise due to a lack of accessible primary care. I must help empower patients and aid with outpatient resources.

     

     

                                                                       References

    Burns, M. K. (2018). Creating a nursing portfolio. 
    Ohio Nurses Review
    , 
    93
    (3), 16–17.

    Casey DC, & Egan D. (2010). The use of professional portfolios and profiles for career enhancement. 
    British Journal of Community Nursing, 15(11
    ), 547-552.

    Walden University. (N.D.). 
    Social change
    . 
    https://www.waldenu.edu/why-walden/social-changeLinks to an external site.
    Links to an external site.

    I

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    Debra Stone

    Oct 15, 2024 5:31pm
    | Last reply Oct 18, 2024 2:01pm

    Reply from Debra Stone

    Professional Development Goals

    A nursing portfolio showcases the nurse’s education, skills, accomplishments, and professional experiences (Burns, 2018). By creating a nursing portfolio, you can identify areas for improvement in your skills or knowledge to improve competency. A professional portfolio allows the practitioner to showcase self-awareness, recognize the knowledge inherent in everyday nursing practice, and identify areas that need further development (Casey & Egan, 2010). Maintaining an updated portfolio is crucial to demonstrate your capabilities and expertise. Nurse practitioners often work autonomously and have less oversight, and with the broad scope of their practice, there can be some concerns regarding their competence and qualifications (Casey & Egan, 2010). As a Nurse Practitioner student, setting professional development goals is essential to guiding my learning experiences and preparing me as a future practitioner.

    Strategies for Including Academic Activities and Accomplishments

    Integrating academic activities and accomplishments into my professional development goals is essential for continuous growth and career advancement. Two effective strategies for including academic activities and accomplishments are pursuing specialized certifications relevant to my nursing field and joining professional organizations. Engaging in professional organizations and keeping specialty certifications relevant to their patient population can enhance clinical skills and affirm expert competence in a specific clinical area (Constable et al., 2021).

    Joining professional nursing organizations and attending conferences can help you connect with peers to stay current on best practices and build valuable professional relationships. Organizations and conferences will provide opportunities to connect with industry leaders, peers, and mentors in the NP community who can support your career development. Obtaining specialized certifications that align with your nursing field gains expertise and recognition, such as becoming a Nurse Practitioner or obtaining specialized certifications (e.g., pediatrics, public health, oncology). Attaining specialized certifications and joining professional organizations highlight your commitment to continuous learning and involvement in the professional community. By aligning your academic activities with your career objectives, you can advance your nursing career and demonstrate a commitment to personal and professional growth.

    Goals and Alignment with Walden University’s Social Change

    My professional development goals align with Walden University’s emphasis on social change. Specialized certifications or practicing in public and community health areas enable nurses to improve access to healthcare and address social determinants of health, reflecting the university’s commitment to fostering social change through improved health outcomes for underserved populations (Walden, n.d.). As a future nurse practitioner working in primary or emergency care, I can utilize the skills and knowledge I obtained from Walden University to advocate for and implement positive social change that will benefit communities, particularly those in underserved communities.

     

    References

    Burns, M. K. (2018). Creating a nursing portfolio. Ohio Nurses Review, 93(3), 16-17.

    Casey, D. C., & Egan, D. (2010). The use of professional portfolios and profiles for career enhancement. 
    British Journal of Community Nursing
    , 
    15
    (11), 547–552. 
    https://doi.org/10.12968/bjcn.2010.15.11.79625
    Links to an external site.

    Constable, M., Mulkey, M., & Aucoin, J. (2021). Hospital value-based purchasing: How acute care advanced practice nurses demonstrate value. 
    Journal of the American Association of Nurse Practitioners
    , 
    34
    (1), 12–17. 
    https://doi.org/10.1097/jxx.0000000000000606
    Links to an external site.

    Walden University. (n.d.). Vision, Mission, and Goals. https://catalog.waldenu.edu/content.php?catoid=178&navoid=63595

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    Qurita Powell

    Oct 15, 2024 5:03pm
    | Last reply Oct 15, 2024 7:47pm

    Reply from Qurita Powell

    Initial Post

                                             Strategies for Academic Portfolios

    As a student working towards obtaining an MSN degree with a PMHNP specialization, I understand the importance of incorporating academic accomplishments into professional growth plans. This integration is essential in presenting growth, professionalism, and conformity to the objectives of the nursing profession. This post will explain two essential strategies for incorporating academic activities and accomplishments into my professional development goals. These strategies include creating an electronic or ePortfolio and engaging in professional conferences. I will also describe how these strategies connect with Walden University’s focus on creating positive change in the world and explain its application in psychiatric mental health nursing practice with examples.

    The first strategy identified is to develop an extensive electronic portfolio that covers the subject matter. In a paper by Hannans and Olivo (2017), the authors suggested that an ePortfolio can be used to present academic and clinical portfolios. The course projects, the research papers, and the clinical case reports will form the basis of the ePortfolio, with all documents highlighting the aspects of psychiatric mental health. This strategy aligns with the Walden University mission by enabling me to showcase projects that shed light on mental health inequalities or suggest approaches to reach communities that are not adequately reached (Walden University, n.d.).

    The second strategy is participating in professional conferences and presenting academic work. Burns (2018) placed major significance on presenting educational achievements in a nursing portfolio. As a result, I can share my academic progress in psychiatric mental health nursing through paper research at a conference and case presentations. This is consistent with the University’s social change agenda of creating avenues through which the knowledge could help enhance mental health care practices and results.

    These strategies can help me achieve my professional growth goals since they document my academic work and the advancement of the discipline. They also correspond with the Walden social change focus because they address the social needs for enhancing mental health services. For instance, submitting a case of culturally competent care in a diverse community mental health facility is possible, arguing that my achievements in the class and social change impact positively (Casey & Egan, 2013).

    References

    Burns, M. K. (2018). Creating a nursing portfolio. Ohio Nurses Review, 93(3), 16–17.

    Casey, D., & Egan, D. (2013). The use of professional portfolios for career enhancement. British Journal of Nursing, 15(11), 547–552.

    Hannans, J., & Olivo, Y. (2017). Craft a positive nursing digital identity with an ePortfolio. American Nurse Today, 12(11), 48–49. 
    https://www.americannursetoday.com/wp-
    Links to an external site.
     content/uploads/2017/11/ant11-Digital-Identity-1017a-1.pdf

    Walden University. (n.d.). Walden University catalog. 
    https://catalog.waldenu.edu
    Links to an external site.

     

     

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    Lenore Louise Benton-Bey
     (She/Her)

    Oct 15, 2024 3:49pm

    Reply from Lenore Louise Benton-Bey

    Discussion Five

    Professional Development Goals

     
    The professional development goals that I am focusing towards are enhancing my knowledge and using that to build a strong foundation by furthering my career and family nurse practice as a family nurse practitioner (FNP). I can do this by completing my master’s and obtaining a certification that prepares me with an advanced registration nurse practice. In order to ensure patients to receive quality care and safe delivery of services, nurse hires must be adept at clinical reasoning and critical thinking, with the ability to efficiently navigate multidimensional patient care situations in coordination with members of an interprofessional team (McMillan et al, 2014). Once obtained,  I’ll be continuing my education by following up with journals that focus on evidence-based practices that are pertinent to family practice and all that it offers. And putting it to use with my career practices to give the most valuable and trusted care, advice and guidance for managing acute and chronic conditions. It is important to me as a nurse to use the health promotion practices and counseling for the patients and their families. There for if they are confident with what I am able to educate towards them, they will do their part to educate others, most importantly their families.

    Strategies for Including Academic Activities and Accomplishments

    As an adult learner I find that I have great motivation towards advancing my career which assists with guiding me towards success. For Adult Learners,  Readiness to learn: Their readiness to learn within their social roles is apparent, Motivation to learn: As a person matures the motivation to learn is internal (Knowles, 1984 p.12). These criteria are obviously desirable characteristics for community nurses who are taking on increasingly autonomous and complex roles in response to the demands of political and societal changes (Casey and Egan, 2013). I will attend at least 2 to 4 conferences or networking events a year either in persons or online to connect with professionals and expand best practice options to utilize for the community and my practice. Pursuing advanced certifications and obtain additional certifications in specialized areas and in family nurse practice will allow others experience my expertise. As well show the commitment to my professional development and growth. I also look forward to participating in quality improvement initiative by taking an active role with projects within the nursing practice setting to enhance patient outcomes and promote evidence-based practice for the FNP.

    Goals and Alignment with Walden University’s Social Change

    With that being said as I am able to work on quality projects, this will be a great opportunity for me to build onto other projects like participating on committees within my local organization or professional associations related to nursing that can contribute to decision-making and policy development. Walden University believes that education and social change are fundamental to the provision and maintenance of democratic ideals and principles, especially that of the common good (Walden University, 2024). Using that social change theory in mind I can see myself hosting health screenings and organizing health fairs or screenings for conditions such as blood pressure, cholesterol, diabetes, and cancer to help identify health issues early. Most importantly do what we nurses do best, by providing education on risk factors and encouraging the better outcomes and providing a positive impact on the health of the community. Supporting vulnerable population is a mission that aligns with Walden University’s social change. Working with vulnerable populations such as the elderly, children, low-income individuals, or individuals with disabilities. Working with these population I am able to provide health education, support, and resources to improve their overall well-being as an FNP.

     

    Reference

    Casey, D. & Egan, D. (2013). 
    The use of professional portfolios for career enhancement
    Links to an external site.
    . 
    British Journal of Nursing
    , 15(11), 547–552.

    McMillan, L. R., Parker, F., & Sport, A. (2014). 
    Decisions, decisions! E-portfolio as an effective hiring assessment tool
    Links to an external site.
    . 
    Nursing Management
    , 45(4), 52-54.

    Walden University. (n.d.). 
    Walden University catalog
    Links to an external site.
    . 
    Visions,Mission, and Goals
    . Retrieved October 14, 2024 from 
    https://catalog.waldenu.edu

     

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    Leaticia Onyeise

    Oct 15, 2024 2:53pm
    | Last reply Oct 19, 2024 10:24pm

    Reply from Leaticia Onyeise

    Professional Development Goals

    Goals are milestones developed to guide achieve something over time. They are used to measure and determine success.  The goals can be short-term or long-term and easy or challenging to reach. The goals can also impact one’s life, family, education, career, or profession, depending on how they are developed, set, or achieved. According to the Walden Academic Skill Center (n.d.), goals must be specific, measurable, achievable, realistic, and time-based (SMART). For example, as a nurse or healthcare provider, communication with patients and others must be concise, clear, complete, and compassionate to achieve better healthcare outcomes in service and practice. Casey et al. (2013) defined professional development as a series of learning and training experiences and actions one must take to improve his or her skills and knowledge to advance in a career or profession. Therefore, developing smart goals will allow a nurse to set both short-term and long-term goals that can result in reaching professional milestones in career achievements.  Also, establishing professional development goals and the processes it took to achieve success and create academic professional portfolios demonstrate one’s professional competency and capabilities to potential employers.  For example, my smart goals will include being efficient in my practice or service, meeting and maintaining my certification requirements, continuing my academic and professional development needs, and being efficient with my time management. All these will include undergoing academic and professional training, being licensed and maintaining professional practice standard requirements, having mentors and a network of people to collaborate with and trust, and improving my communication skills to serve patients and families effectively.

    Strategies for Including Academic Activities and Accomplishments

    As a registered nurse for over 13 years, I desire advanced training to acquire more skills, knowledge, and specialty as a healthcare provider. Presently, I work as a psychiatric nurse, caring for patients with various types of mental health disorders.  This is my eighth year caring for this category of patients who are very challenging and difficult to care for.  Therefore, one of my professional improvement strategies will include earning an advanced nursing degree or a specialized Psychiatric Mental Healthcare Nurse Practitioner certification. This is why I enrolled with Walden University School of Nursing to acquire a specialty program degree or certificate to gain additional skills and knowledge to continue and further serve this category of patients now and in my future practices. There is a need for more mental health professionals to help serve and meet the healthcare needs of this class of patients in rural, poor, and minority communities throughout the nation.  According to McMillan et al. (2014), other strategies will include improving my professional and scholarly research skills to better understand mental health issues and challenges, resolving critical disparities in our mental healthcare system, and refining my interpersonal skills, including communication, collaboration, and teamwork.  Any of these strategies will be essential in achieving academic and professional success as a Walden University student and a future psychiatric mental health nurse practitioner.

    Goals and Alignment with Walden University’s Social Change

    I aim to complete my advanced degree program in mental health and serve in the community. To achieve this, my short-term goals will include completing my assignments on time, getting good grades, and managing my time efficiently. My long-term goals will also include completing my advanced degree certification in the psychiatric mental health nurse practitioner program and advancing my career. Therefore, my goals and vision align with those of Walden University. The school’s goal and vision are to produce graduates who can use their knowledge to positively impact their profession, community, and society (Walden, 2022a) and with a learning community where graduates can apply their knowledge to solve critical societal challenges.  Furthermore, Walden (2022b) states that the university’s mission is to provide quality, student-centered degree programs that help career professionals become scholar-practitioners who can positively impact society.  As a potential mental healthcare nurse practitioner, my vision is to establish and provide evidence-based, patient-centered, and holistic services that will positively impact the community and society at large. This also aligns with the school’s goals and mission.

     

    Reference

    Casey, D. and Egan, D. (2013). The use of professional portfolios for career enhancement. Links to an external site. 
    British Journal of Nursing
    , 15(11), 547–552.

    Walden University. (2022b). Vision, mission, and goals. Retrieved July 12, 2022, from 
    https://catalog.waldenu.edu/content.php?catoid=193&navoid=74971
    Links to an external site.

    McMillan, L. R., Parker, F., & Sport, A. (2014). 
    Decisions, decisions! E-portfolio as an effective hiring assessment toolLinks to an external site.
    Links to an external site.
    . 
    Nursing Management
    , 45(4), 52-54.

    Walden University Academic Skills Center (n.d.). Smart goals setting: School-life success strategies, from Walden University Website
    :  
    SMART Goals – Academic Skills – Academic Guides at Walden University
    Links to an external site.

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    Veronica Monono

    Oct 15, 2024 11:56am
    | Last reply Oct 20, 2024 6:58am

    Reply from Veronica Monono

    Professional Development Goals
     

    Academic activities and accomplishments in my professional development goals are essential for advancing my career and contributing meaningfully to my field of study. Strategies that can help my professional goals may include pursuing advanced degrees and certification. Pursuing advanced degrees and certifications could involve enrolling in graduate programs and obtaining certification in the relevant field. I can deepen my academic skills and knowledge to achieve enormous professional growth in two or more fields of study
     (Smith, 2020).
     For example, after completing the MSN program in PMHNP, I can obtain certification that can qualify me to work as a public health nurse practitioner thereby creating an impact in our communities. By pursuing an advanced degree, I can align my professional development goal with the university’s emphasis on social change, for example, if my university has a strong focus on sustainability, as a student in the PMHNP program I can address the existence and reality of mental health illnesses in our communities thereby educating communities on how to deal and identify people suffering from mental health illnesses.
     

     

    Strategies for Including Academic Activities and Accomplishments
     

    Engaging in the professional nursing portfolio is a strategy for including academic activities in my professional goal. Burn, (2018) describes a professional portfolio as evidence of a nurse’s skills, educational achievements, and professional experience. Creating a professional nursing portfolio is an excellent tool to showcase a nurse’s expertise in their field of study and their academic and professional achievement and to stand out in their academic department and the job market as employers go through their resume or portfolio. 
     

    Additionally, engaging in research projects is another strategy for including academic activities in my professional goal, that is writing academic papers, and presenting at conferences at Walden University or other conferences relating to my field of study, which demonstrate expertise in my field of study. According to  (
    Green & Brown 2019)
     conducting research projects on health disparities in underserved communities, that is like communities suffering from mental health illnesses without access to adequate care faculties to accommodate their needs, can be incorporated into my professional development goal by setting goals to publish my research findings in a peer-reviewed journal and present my work at national or international nursing conferences. This can be aligned with the University’s emphasis on social change by contributing to evidence-based practices that address social inequities. For instance, researching ways to improve healthcare access for vulnerable populations directly supports social change initiatives focused on health equity.
     

     

    Goals and Alignment with Walden University’s Social Change
     

    Walden University strives to create positive social change by providing graduates with the right tools to become knowledgeable and ethical scholar-practitioners for the good of society (Walden University, n.d.). My goals align well with Walden’s vision of social change as I am reaching a higher degree of education to raise healthcare standards for all individuals in our communities.  As a Psychiatric mental health nurse practitioner in a health care setting, I will be working towards moving into a leadership position to utilize the new skills and knowledge obtained at Walden University to impact my patients and peers in a positive light.
     

     

     

    References
     

    Burns, M. K. (2018).
     
    Creating a nursing portfolioLinks to an external site.
    Links to an external site.
    . 
    Ohio Nurses Review
    , 93(3), 16-17.
     

    Green, P., & Brown, J. (2019). Publishing Your Research 101: Practical Guidelines for Authors and Reviewers. Radiographics, 39(7), 2130-2132.
     

     

    Smith, J. (2020). The Importance of Professional Development and Continuing Education in Nursing. Journal of Continuing Education in Nursing, 51(6), 247-248.
     

     

    Walden University. (n.d.). Vision, Mission, and Goals. Retrieved November 10, 2020,
     

    from 
    https://catalog.waldenu.edu/content.php?catoid=178&navoid=63595
    Links to an external site.
     

     

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    Lucia Almeida

    Oct 15, 2024 6:16am
    | Last reply Oct 19, 2024 11:10am

    Reply from Lucia Almeida

    According to the nursing career model, one of the activities to pursue is academic activities that foster the development and complementing of clinical skills, including research and attending similar conferences. Research increases the existing stock of human and formal knowledge, thus improving students’ reasoning abilities for best practice of evidence-based nursing. For example, the analysis of the first healthcare studies on telemedicine effectiveness can yield valuable information about how to enhance patient access to care. It also can result in the authoring of joint publications, which is very beneficial to professional growth and those who want to show that they are dedicated to their profession towards continuous learning.

    Another recommendation is education, explicitly continuing education and certification, which strengthens professional positions and fits well with the healthcare field. For example, when one acquires a certification in geriatric nursing, one will be proving expertise in an area rapidly expanding because of the geriatric population. Through the acquisition of such knowledge I am in a position to offer quality appropriate care to the elderly thus making me a asset to any health care facility will focus on care for older people. Through a package of these academic achievements, I will establish the career advancement foundation and help implement the necessary changes to address the needs of vulnerable groups in my field of practice (Burns, 2018).

    These goals align with the university’s focus on social justice as the process and impacts of change proposed for patients rely on knowledge application to better their lives and shift them from the current state for the better (Walden University, n.d.). Due to my emphasis on research and specialized training in my endeavors, I hope to advance healthcare practices for equitable blindness, especially for the missed population. For instance, the patient throughput can be studied on benchmark telemedicine to understand rural patronage’s challenges and, hence, launch the outreach program. Likewise, if I acquire knowledge on the health of the elderly, then it would make it easier to push for reforms that would enhance the quality of care given to elderly patients, which would be very helpful in terms of healthcare rights.

    References

    Burns, M. K. (2018). Creating a nursing portfolio. 
    Ohio Nurses Review
    , 
    93
    (3), 16–17.

    Park, M., Jeong, M., Lee, M., & Cullen, L. (2020). Web-based experiential learning strategies to enhance the evidence-based-practice competence of undergraduate nursing students. 
    Nurse Education Today
    , 
    91
    , 104466. 
    https://doi.org/10.1016/j.nedt.2020.104466
    Links to an external site.

    Walden University. (n.d.). 
    Social change
    . 
    https://www.waldenu.edu/why-walden/social-change

    Professional Development Goals

     
    During my journey of becoming a family nurse practitioner, creating professional development goals is crucial to gauge my progress. To provide my patients with the best care, utilizing the latest evidence-based practice (EBP) research and clinical guidelines is essential. For me, this means utilizing credible research databases to find pertinent information and joining nurse practitioner associations that release new clinical guidelines and studies. I also want to enhance my clinical assessment skills and knowledge of medications, chronic diseases, and common illnesses and create a network of professionals from whom I can receive advice. I want to be a professional, optimistic provider that my patients trust to give them holistic care that improves their quality of life.

    Strategies for Including Academic Activities and Accomplishments

     
    Utilizing a portfolio to showcase academic activities and accomplishments will help nursing professionals promote themselves, provide evidence of competencies to potential employers, and see if any of their goals need more attention (Burns, 2018). In recent years, e-portfolios have become the most common way portfolios are created and shared (Nastaran Najaffard et al., 2024). Clinical competence is essential in advancing education and becoming an independent provider. This is why monitoring academic activities, accomplishments, and clinical competencies through a portfolio is important to understand which competencies may need more attention. E-portfolios are easy to access, update, and refer to when needing to realign with goals that need to be met (Nastaran Najaffard et al., 2024). I plan to utilize an e-portfolio to monitor my progress and competencies while advancing my education to becoming a family nurse practitioner.

    Goals and Alignment with Walden UnUniversity’social Change

    Utilizing my education to improve my community and patient outcomes aligns perfectly with Walden UnUniversity’sision on social change. In their social change vision, Walden University discusses that they also support ethical scholar-practitioners as they become professional role models through bettering societies (Walden University, 2015). This also aligns with my goals of influencing positive social change in my workplace, community, and society through my professional manner, evidence-based practice, clinical skills, and knowledge. In conclusion, utilizing an e-portfolio to showcase academic activities and accomplishments is crucial to staying aligned with personal and professional goals and managing competencies. My ultimate goal as a family nurse practitioner is to utilize my scholarly advancements to influence positive social change within my workplace, community, and society.

    References

    Burns, M. K. (2018). Creating a Nursing Portfolio. 
    Ohio Nurses Review
    , 
    93
    (3), 16–17.

    Nastaran Najaffard, Mohammadi, A., Mojtahedzadeh, R., & Afagh Zarei. (2024). E-portfolio as an effective tool for improvement of practitioner nurses’ clinical competence. 
    BMC Medical Education
    , 
    24
    (1). 
    https://doi.org/10.1186/s12909-024-05092-z
    Links to an external site.

    Walden University. (2015). 
    Social change
    . 
    Www.waldenu.edu
    Links to an external site.
    . 
    https://www.waldenu.edu/why-walden/social-change
    Links to an external site.

     

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    Leticia Ariel Hernandez
     (She/Her)

    Oct 14, 2024 10:58pm
    | Last reply Oct 19, 2024 9:18pm

    Reply from Leticia Ariel Hernandez

    Strategies for Academic Portfolios

    Strategies to Promote Professional Development Goals

    One of the approaches to integrating academic activities into the professional development plan is to keep an accurate and well-organized academic portfolio. This portfolio should record some of the accomplishments that the person has achieved in their career, including publications, presentations, research projects, certifications, and continuing efforts in education (Burns, 2015). In this manner, the portfolio can be used to monitor progress, demonstrate competence, and plan for future endeavors such as employment or promotion. This strategy is not only about career advancement but also about constant learning and academic success.

    In addition, there is the strategy of establishing appropriate academic achievement targets aligning with career plans (Burns, 2015). For instance, a healthcare professional may aim to write articles to be published in scientific journals or deliver papers at conferences in the healthcare field. These academic achievements can be aligned to a comprehensive professional development strategy, such that every accomplishment is relevant and propels their career forward. By having tangible and timely objectives, professionals remain focused on academics and gain more experience and recognition in their disciplines.

    It is also important to look for ways to collaborate with other students or mentors in academic and professional settings. Collaborating in research, writing articles, or working on projects allows people to expand their perspectives and enrich their portfolios (East, 2015). It not only enhances knowledge and skills but also builds professional contacts. Such affiliations may open up other academic prospects and contribute to pursuing professional aspirations. These collaborations may be incorporated into the professional portfolio to showcase the skills in teamwork and advancement of knowledge in the field. Collectively, these approaches enable attaining academic and career-related goals, thus creating a solid foundation for future progress.

    Alignment with the University’s Emphasis on Social Change

    The professional development goals of building academic achievements also correlate with the mission and goals of Walden University, as it highlights the importance of personal growth for the betterment of society. Walden supports the concept of education as a tool to assist an individual in addressing issues affecting society, and academic goals are relevant to this cause. For instance, if a nurse-scholar has done a study on health disparities or mental health among vulnerable groups, then the findings from such studies can inform policy advocacy or inform the development of effective health promotion interventions that will increase the use of health services. An example could be a nurse who investigates the mental health interventions that could be used on vulnerable groups. Through presenting this research at conferences or interacting with the health organizations in the area, the scholar contributes to the improvement of the health care of needy populations. These actions are consistent with Walden’s mission of preparing scholar-practitioners to advance positive change in their respective disciplines.

    Walden University’s mission to foster social change is realized by empowering students. Learners with good career portfolios can play a major role in transforming society. From research, advocacy, or community involvement, the alignment of professional goals with the university’s mission means that students are not only building their careers but also improving society’s quality of life (East, 2015). The emphasis on social change helps in developing scholar-practitioners to transform society for the better.

     

     

    References

    Burns M. K. (2015). Creating a Nursing Portfolio. 
    Ohio Nurses Review
    , 
    90
    (2), S6–S7.

    East, R. (2015). Developing a nurse practitioner portfolio.

     

     

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    Cynthia Ngozika Ekenta

    Oct 14, 2024 9:49pm
    | Last reply Oct 19, 2024 7:31pm

    Reply from Cynthia Ngozika Ekenta

    Professional Development Goals

    As a psychiatric nurse practitioner student, my professional development goals include enhancing my clinical skills, participating in mental health research, and advocating for underrepresented groups. These objectives seek to improve my competence in providing effective mental health care while fostering commitment to social change and equity within the profession.
                    

    Strategies for Including Academic Activities and Accomplishments

    As a psychiatric nurse practitioner student, engaging in research projects is crucial for my professional development. Conducting research augments my academic understanding and enables me to contribute to evidence-based practices in mental health care. Research is essential for guiding treatment decisions and enhancing patient outcomes. I can directly implement this knowledge in my clinical practice by examining research on therapeutic interventions. Research indicates that student participation in research activities markedly improves critical thinking abilities and enriches comprehension of clinical practices (Brady et al., 2018). Critical thinking is essential in psychiatric nursing, as it entails the analysis of intricate situations and formulating informed decisions. Research enables me to critically assess evidence, evaluate treatment alternatives, and gain a deeper understanding of mental health disorders. Establishing a goal to co-author a paper or present at a conference can yield significant experience and augment my resume. Presenting my findings enables me to interact with colleagues and specialists, obtain feedback, and enhance my concepts. This active involvement in research equips me for evidence-based practice, guaranteeing that my future care is grounded in the most current scientific evidence.

    Participating in community outreach initiatives is essential for my professional development. These programs facilitate applying theoretical knowledge in practical contexts, enhancing mental health awareness and mitigating stigma. A study by Pescosolido et al. (2010) demonstrates that community outreach enhances mental health literacy and diminishes stigma, particularly within underserved populations. Defining explicit objectives, such as facilitating workshops or performing mental health evaluations, enables me to utilize my training and effectively affect a significant impact proficiently. Organizing a mental health awareness event can inform community members about available resources and the significance of seeking assistance. These outreach experiences enrich my educational journey and cultivate essential skills, including communication and advocacy. Interacting with diverse populations enhances my capacity to communicate intricate information and cultivate trust. Research participation and community outreach are essential to my growth as a psychiatric nurse practitioner, establishing my role as an advocate for mental health awareness and social reform. 
              

    Goals and Alignment with Walden University’s Social Change

    Both strategies—conducting research and engaging in community outreach—align closely with Walden University’s dedication to social change. Conducting research enables me to augment the knowledge foundation that underpins effective mental health interventions, particularly for marginalized groups encountering distinct obstacles to care. Studies demonstrate that tackling social determinants of health, including socioeconomic status and resource accessibility, can markedly enhance mental health outcomes (Muntaner et al., 2019). This corresponds with Walden’s focus on addressing health disparities and promoting equitable care. Community outreach initiatives promote Walden’s mission by improving mental health literacy and diminishing stigma. Pescosolido et al. (2010) emphasize that outreach programs are essential for enhancing public comprehension of mental health matters. Engaging in awareness-promoting activities enables me to dismantle misconceptions and motivate individuals to pursue assistance. I seek to impact my professional development and the wider community through these efforts. By merging research with practical outreach, I can improve my clinical skills while advocating for the needs of those I assist. My dedication to research and community involvement reflects Walden University’s mission of fostering positive social change.

    Reference

    Brady, S. J., McKenzie, M., & O’Connor, M. (2018). Student involvement in research: A critical component of a baccalaureate nursing education. 
    Nursing Education Perspectives
    , 39(3), 156–158. 
    https://doi.org/10.1097/01.NEP.0000000000000278
    Links to an external site.

    Muntaner, C., Lynch, J., & Smith, G. D. (2001). Social capital, disorganized communities, and the third way: understanding the retreat from structural inequalities in epidemiology and public health. 
    International journal of health services: planning, administration, evaluation
    , 
    31
    (2), 213–237. 
    https://doi.org/10.2190/NVW3-4HH0-74PX-AC38
    Links to an external site.

    Pescosolido, B. A., Medina, T. R., Martin, J. K., & Long, J. S. (2013). The “backbone” of stigma: identifying the global core of public prejudice associated with mental illness. 
    American journal of public health
    , 
    103
    (5), 853–860. 
    https://doi.org/10.2105/AJPH.2012.301147
    Links to an external site.

     

     

     

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    Barbara A Shannon

    Oct 14, 2024 5:42pm
    | Last reply Oct 20, 2024 10:16am

    Reply from Barbara A Shannon

    Strategies for Including Academic Activities and Accomplishments

    Incorporating academic activities and accomplishments into professional development is a key aspect of advancing your career and making a broader impact. One strategy for integrating academic activities into your professional development is actively seeking certifications, workshops, and continuing education that align with your field of expertise (Kumar et al., 2020). For example, as a psychiatric mental health nurse practitioner (PMHNP), obtaining additional certifications in trauma-informed care, substance abuse treatment, or geriatric psychiatry could enhance your clinical skills and broaden your scope of practice (Kumar et al., 2020). This ensures you remain current with evolving standards in mental health care, strengthening both your personal and professional growth (Happell et al., 2022). This aligns with Walden University’s social
     
    change by acquiring new skills that enable you to provide better care to underserved and vulnerable populations. By staying up to date with the latest evidence-based practices, you can help reduce health disparities and promote mental well-being, which aligns with Walden University’s mission to foster positive social change through education and service to the community (Singh et al., 2022).

    Another strategy is to engage in academic research or publish scholarly articles that contribute to the knowledge base in your field (Fraino & Selix, 2021). By participating in research initiatives, conducting studies, or writing articles on mental health care, you can influence practice standards, contribute to the improvement of patient care, and establish yourself as an expert in your specialty (Fraino & Selix, 2021). Engaging in research can also provide opportunities to present at conferences, which further solidifies your role in shaping the field (Fraino & Selix, 2021). This aligns with Walden University’s social change by contributing to research and knowledge dissemination, you advance healthcare policies and practices that can have a significant impact on public health. Sharing insights through publications and conferences helps educate other professionals and raise awareness about pressing issues such as mental health stigma, access to care, and community-based interventions, thus supporting the broader goal of creating a healthier, more equitable society (Happell et al., 2022).

    Goals and Alignment with Walden University’s Social Change

    Walden University emphasizes creating social change through knowledge application, advocacy, and service to the community. By pursuing continuous learning and contributing to the academic and clinical community, you are actively working toward improving mental health care systems, reducing disparities, and advancing public health initiatives—all of which are crucial components of social change (Hammoudi Halat et al., 2023). Whether through direct patient care, research, or education, these strategies ensure that your professional development is intertwined with making a positive impact in your community and beyond (Fraino & Selix, 2021).

    References

    Fraino, J., & Selix, N. (2021). Facilitating Well-Rounded Clinical Experience for Psychiatric Nurse Practitioner Students. 
    The journal for nurse practitioners: JNP
    , 
    17
    (8), 1004–1009. 
    https://doi.org/10.1016/j.nurpra.2021.05.015
    Links to an external site.

    Hammoudi Halat, D., Soltani, A., Dalli, R., Alsarraj, L., & Malki, A. (2023). Understanding andFostering Mental Health and Well-Being among University Faculty: A Narrative Review. 
    Journal of clinical medicine
    , 
    12
    (13), 4425. https://doi.org/10.3390/jcm12134425

    Happell, B.,  Donovan, A. O.,  Warner, T.,  Sharrock, J., &  Gordon, S. (2022).  Creating ortaking opportunity: Strategies for implementing expert by experience positions in mentalhealth academia. 
    Journal of Psychiatric and Mental Health Nursing
    , 29,  592–602. 
    https://doi.org/10.1111/jpm.12839
    Links to an external site.

    Kumar, A., Kearney, A., Hoskins, K., & Iyengar, A. (2020). The role of psychiatric mental health nurse practitioners in improving mental and behavioral health care delivery for children and adolescents in multiple settings. 
    Archives of psychiatric nursing
    , 
    34
    (5), 275–280. 
    https://doi.org/10.1016/j.apnu.2020.07.022
    Links to an external site.

    Singh, V., Kumar, A., & Gupta, S. (2022). Mental Health Prevention and Promotion-A Narrative Review. 
    Frontiers in psychiatry
    , 
    13
    , 898009. https://doi.org/10.3389/fpsyt.2022.898009

    Walden University. (n.d.). 
    Social change
    . 
    https://www.waldenu.edu/why-walden/social-change
    Links to an external site.

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    Erin Roecker

    Oct 14, 2024 1:45pm
    | Last reply Oct 19, 2024 11:23am

    Reply from Erin Roecker

    Strategies for Including Academic Activities and Accomplishments

    By including academic accomplishments into one’s professional development goals one can enhance their skill set and make themselves for marketable. This can be done by choosing academic interests that benefit personal goals. For example, if a registered nurse wants to be a nurse manager a degree in leadership or management would be beneficial both academically and personally. In my case, I have a personal goal of becoming a nurse practitioner, thus a master’s degree in nursing with an interest in FNP makes sense both academically and personally. Another way to include academic accomplishments into one’s professional development goals is by showcasing those accomplishments as a portfolio. According to an article regarding nursing portfolios, “A professional portfolio is a compilation of carefully selected materials that document the nurse’s competencies. The materials placed in a portfolio illustrate the background skills, and expertise of the nurse (Oermann, 2002).” This portfolio can include certifications, special skillsets and any pertinent projects. Portfolios serves as concrete evidence of a nurse’s skillset and background.

    Goals and Alignment with Walden University’s Social Change

    According to the Walden University mission statement, “Walden University provides 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.).” My aim is to transform myself into a compassionate, understanding, and caring provider so I can make positive social change in my community. My hope is to continue working for Indian health services in the state of Alaska which has such a large need for compassionate and educated providers to serve the rural population here. Promoting social change can be achieved through advocacy, culturally competent care and education. Social change is also achieved by bridging the gap between lack of care due to provider shortages in Alaska. Midlevel’s help bridge that gap and get more people access to care. According to an article regarding outmigration of Native Alaskans, access to care was a large factor in moving from rural to urban areas. “Barriers preventing access to social services such as health care diminish the quality of life of residents in rural Alaska and may motivate rural residents to seek such services elsewhere (Driscoll, Dotterrer, Miller, & Voorhees, 2010).” By bridging that gap through social change hopefully more Native Alaskans can get what they need where they currently reside.

    References:

    Driscoll, D., Dotterrer, B., Miller, J., & Voorhees, H. (2010). Assessing the influence of health on rural outmigration in Alaska. 
    International Journal of Circumpolar Health
    , 
    69
    (5), 528–544. 
    https://doi.org/10.3402/ijch.v69i5.17683
    Links to an external site.

    Oermann MH. (2002). Developing a professional portfolio in nursing. 
    Orthopaedic Nursing
    , 
    21
    (2), 73–78. 
    https://doi.org/10.1097/00006416-200203000-00013
    Links to an external site.

    Walden University. (n.d.). 
    Social change
    . 
    https://www.waldenu.edu/why-walden/social-change
    Links to an external site.

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    Romel Suason

    Oct 14, 2024 12:52pm
    | Last reply Oct 18, 2024 6:41pm

    Reply from Romel Suason

    Strategies for Academic Portfolios

    Portfolio-based learning for nursing professionals is associated with developing professional self-concept, a crucial aspect of professionalism in nursing that translates into excellence in care. Specifically, through portfolio learning, nursing interns learn the various aspects of professional self-concepts, such as building self-esteem, caring, communication, professional knowledge, staff relations, and leadership (Mohajer et al., 2023). The ultimate result of such learning by nursing students is improved overall confidence in the care offered to various population members. Therefore, this post will discuss at least two strategies that nurses could use to build their portfolios with examples.

    The portfolio is a workplace-based tool for monitoring and reflecting on clinical practice (Najaffard et al., 2024). It enhances nursing clinical competence development to ensure effective patient care (Najaffard et al., 2024). Developing an effective nurse portfolio provides a clinical governance tool that will foster nursing students’ learning and assessment of their clinical competence (Najaffard et al., 2024). Therefore, developing a high-quality nurse portfolio is crucial to developing clinical competence and translates to effective patient care. One strategy that nurses could utilize to build their portfolios is employing e-portfolio tools and templates. A shift to the utilization of electronic machinery to simplify and streamline work in all areas of life has resulted from the adoption of technological advances in various aspects of life. In the development of portfolios, using e-portfolios resulted in a significant increase in knowledge and performance scores demonstrated by the nurses (Najaffard et al., 2024). Additionally, the e-portfolio improves nurses’ awareness and performance in clinical governance due to their utilization to develop a comprehensive nursing portfolio (Najaffard et al., 2024). One of the strategies nurses could use in building their portfolio is an e-portfolio, which enhances knowledge in portfolio building, simplifies portfolio development, and enhances nurses’ clinical competence.

    The other strategy nurses could use to include academic activities and accomplishments into their professional development goals is listing their academic achievements and activities in their professional portfolio and aligning them with future professional goals. Focusing on work histories, grants, and professional networking opportunities through research and conference speeches could help nurses identify other professional goals that would be of value to their professional development (Burns, 2018). Other areas of focus include listing academic activities that align with involvement in the community and expert recommendations received throughout the nurse’s academic journey (Burns, 2018). Outlining these recommendations would open the nurse’s eyes to future professional development opportunities that could be developed into professional goals guiding further clinical and professional nursing practice

    competence.

    Professional development goals through portfolio creation align with the university’s emphasis on social change by highlighting areas that the nurse could develop to enhance their contribution to society. The nurse could identify impact areas where they could lend their expertise to improve community well-being. An example is through professional networking to identify gaps in community health that the nurse could help address. The conduction of community health assessments will allow the nurse to decipher how to apply their academic and clinical competencies as resources to address challenges occurring locally, regionally, and globally. Further, engaging with community members will increase the nurse’s awareness of social justice issues affecting the community served by the nurse. By developing professional networks to fight these social injustices, the nurse will contribute to community reparative processes and result in positive social change. Therefore, developing a professional self-concept through portfolio building will allow nurses to apply their professional expertise to effect social change.

     

     

    References

    Burns, M. K. (2018). Creating a nursing portfolio. 
    Ohio Nurses Review
    , 
    93
    (3), 16–17.

    Mohajer, S., Yoong, L. T., Chan, M. C., Danaee, M., Mazlum, R. S., & Bagheri, N. (2023). The effect of professional portfolio learning on nursing students’ professional self-concepts in geriatric adult internship: a quasi-experimental study. 
    BMC Medical Education
    , 
    23
    (114). 
    https://doi.org/10.1186%2Fs12909-023-04097-4
    Links to an external site.

    Najaffard, N., Mohammadi, A., Mojtahedzagdeh, R., & Zarei, A. (2024). E-portfolio as an effective tool for improvement of practitioner nurses’ clinical competence. 
    BMC Medical Education
    , 
    24
    (114). 
    https://doi.org/10.1186%2Fs12909-024-05092-z
    Links to an external site.

     

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    Caitlin J Mcelhaney

    Oct 14, 2024 11:44am
    | Last reply Oct 18, 2024 6:36pm

    Reply from Caitlin J Mcelhaney

    Professional Development Goals

    One of my primary professional development goals is to enhance my clinical expertise in psychiatric nursing by incorporating evidence-based practices (EBP) into my daily patient care. This involves staying updated with the latest research and clinical guidelines to improve patient outcomes, particularly in behavioral health settings. Another key goal is to pursue leadership roles in mental health initiatives, both within my organization and in broader professional nursing networks. By doing so, I aim to contribute to the advancement of mental health care, reduce health disparities, and promote a culture of continuous improvement in nursing practice. According to Melnyk et al. (2017), the implementation of EBP not only improves healthcare quality but also equips practitioners with the necessary skills to lead and influence change, aligning well with my career aspirations to drive positive outcomes in mental health care settings. 
     

    Strategies for Including Academic Activities and Accomplishments

    Incorporating academic activities and accomplishments into professional development goals is essential for bridging the gap between scholarly work and practical application in a clinical setting. One effective strategy is incorporating research and evidence-based practice (EBP). Engaging in research related to psychiatric nursing interventions and applying EBP in clinical care can enhance a practitioner’s role by improving patient outcomes and advancing the field. For instance, studying therapeutic communication in patients with schizophrenia and implementing new communication strategies in practice not only demonstrates leadership in clinical innovation but also contributes to professional growth (Melnyk et al., 2017). Another strategy is engaging in academic leadership and mentorship. Taking leadership roles in professional organizations or mentoring other nurses offers valuable experience and networking opportunities. For example, mentoring nursing students on research or clinical decision-making can enhance leadership skills, aligning with professional development by fostering collaboration and promoting career advancement (Yoder-Wise, 2019).

    Goals and Alignment with Walden University’s Social Change

    Walden University places a strong emphasis on social change by encouraging the use of academic knowledge to address real-world issues. Aligning professional goals with evidence-based practice (EBP) contributes to this mission, as it promotes positive social change by improving patient outcomes, reducing health disparities, and enhancing community health. Through research and EBP, professionals can make a direct impact on society by addressing pressing healthcare challenges (Walden University, 2020). Additionally, engaging in academic leadership and mentorship helps develop skilled healthcare professionals, empowering them to contribute to systemic improvements in healthcare. By mentoring future nurses or leading within professional organizations, individuals foster a culture of continuous improvement and innovation, which aligns with Walden’s vision of nurturing agents of social change. Ultimately, integrating academic accomplishments into professional development not only facilitates personal growth but also contributes to societal well-being and aligns with the university’s commitment to social responsibility and positive impact.

    References:

    Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Kaplan, L. (2017). 
    The state of evidence-based practice in US nurses: Critical implications for nurse leaders and educators
    . Journal of Nursing Administration, 47(7/8), 379-384.

    Walden University. (2020). 
    About social change
    . https://www.waldenu.edu/about/social-change

    Yoder-Wise, P. S. (2019). 
    Leading and managing in nursing
     (7th ed.). Elsevier.

     

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    LS

    Lisa Starkey

    Oct 14, 2024 7:16am
    | Last reply Oct 17, 2024 11:21am

    Reply from Lisa Starkey

    Discussion 5

    Professional Development Goals

    My professional development goals are specific and focus on enhancing my knowledge and expertise in the psychiatric mental health field, explicitly obtaining advanced certifications, and engaging in evidence-based research that highlights underserved communities and addresses health disparities.  Developing a professional portfolio showcases my academic capabilities and emphasizes my ability to conduct evidence-based research while presenting findings effectively.  These contributions to my field ultimately support improved patient outcomes and promote social change (
    Burns, 2018
    ).

     

    Strategies for Including Academic Activities and Accomplishments

    A compelling portfolio development strategy may include a detailed record of documenting key academic projects, presentations, research papers, and capstone projects.  For example, my collaboration with faculty and peers on research focused on mental health interventions for underserved populations.  Showcasing my academic accomplishments enhances my knowledge while providing opportunities to publish findings that support me in gaining valuable insights to shape my professional practice (
    Siddiqui et al., 2022
    ).  The presentation of research findings dedicated to mental health has the potential to bolster my credentials and foster broader discussions in support of improving mental health access.  I am allowed to network and become exposed to the latest developments in the mental health space.  The exposure will enable me to incorporate new ideas and best practices (
    Schmidt, n.d.
    ).

     

    Goals and Alignment with Walden University’s Social Change

    Walden University’s emphasis on social change aligns with my professional development goals of serving the mental health population to improve health outcomes.  Investigating effective interventions for populations often encountering systemic barriers to care will promote reducing care gaps in mental health services.  My advanced certificate aligns with Walden’s commitment to creating a positive social impact.  Walden’s dedication to critical thinking, research, and discovery cultivates scholarly and reflective professionals.  I aspire to be in alignment with providing quality mental health services.  Based on my experience thus far at Walden, I will be fully equipped to advocate for equitable mental health services, given the existing disparities within healthcare (
    Academics: Student Catalog, Handbook, and University Guidebooks: Student Catalog, Student Handbook, and University Guidebooks
    , n.d.
    ).

    ​

    References

    Academics: Student catalog, handbook, and university guidebooks: Student catalog, student handbook, and university guidebooks
    . (n.d.). Retrieved August 27, 2024, from 
    Links to an external site.
    https://catalog.waldenu.edu
    Links to an external site.

    Burns, M. K. (2018). Creating a nursing portfolio. 
    Ohio Nurses Review
    , 
    93
    (3), 16–17.
    Links to an external site.

    Schmidt, K. (n.d.). 
    5 reasons nurses should engage in professional networking
    . BluePipes Blog. Retrieved August 27, 2024, from 
    Links to an external site.

    5 Reasons Nurses Should Engage in Professional Networking


    Links to an external site.

    Siddiqui, Z., Fisher, M. B., Slade, C., Downer, T., Kirby, M. M., McAllister, L., Isbel, S. T., & Christine Brown Wilson. (2022). Twelve tips for introducing e-portfolios in health professions education. 
    Medical Teacher
    , 
    45
    (2), 139–144. 
    Links to an external site.
    https://doi.org/10.1080/0142159x.2022.2053085

  • (SOLVED) ES is a 45-year-old African American male that was prescribed bisoprolol for his high blood pressure

    NURS-6521 Week 4 Assignment Walden University – SCENARIO 3 

    ES is a 45-year-old African American male that was prescribed bisoprolol for his high blood pressure. Blood pressure today is 142/89 HR 60 RR 15. He states that he only occasionally takes the medication because he does not like the side effects. What information would you provide to the patient at his visit? What is his goal blood pressure? How is hypertension treated per current guidelines (JNC 8, ACC, AHA)? How would you improve his treatment? Include a complete medication order.
     

     

    SOLVED Scenario 3: Hypertension Management in African American Male

    Managing ES, a 45-year-old African American male with a BP of 142/89 mmHg (Stage 1 Hypertension per ACC/AHA 2017), requires addressing significant non-adherence to bisoprolol due to side effects. Non-adherence, which affects over 50% of long-term treatment patients, worsens results and causes problems. To build confidence and adherence, explain hypertension’s silent nature and long-term consequences (CVD, stroke, renal failure) while collectively addressing and evaluating his bisoprolol side symptoms (e.g., tiredness, ED).

    Blood pressure goals vary per guideline. JNC 8 suggests <140/90 mmHg for those under 60.  According to the ACC/AHA 2017 recommendations, persons under 65 with hypertension should aim for a treatment goal of <130/80 mmHg on medication to reduce cardiovascular risk (Carey et al., 2021).  In 2023/2024, ESH aims for <130/80 mmHg for those under 65. Based on the evidence, the ACC/AHA goal of <130/80 mmHg is recommended for ES (Carey et al., 2021). ORDER ASSIGNMENT HERE African-American-effective agents are prioritized in the updated treatment strategy. Due to reduced renin levels and greater angioedema risk, ACE inhibitors/ARBs are less effective monotherapy in this population. They should be started with a thiazide-type diuretic or calcium channel blocker (CCB) (Carey et al., 2021). Bisoprolol, a beta-blocker not recommended for monotherapy in uncomplicated hypertension, should be terminated due to ES’s non-adherence and adverse effects. Start oral amlodipine (CCB) 5 mg daily. If BP remains uncontrolled, add hydrochlorothiazide (HCTZ) 12.5 mg orally in the morning. Combination treatment uses distinct MOAs for cumulative efficacy and lower dosages with fewer adverse effects; single-pill combinations improve adherence. Labs and monitoring include blood pressure, including home monitoring; kidney function (serum creatinine, eGFR), especially diuretics; electrolytes (potassium) due to hypokalemia risk with thiazides; and lipid panel and blood glucose for cardiovascular risk assessment. Take into account medication interactions:  Although CCB + Thiazide combos are safe and effective, NSAIDs can lower antihypertensive effectiveness and raise BP. Grapefruit juice inhibits CYP3A4, boosting plasma amlodipine and other dihydropyridine CCB concentrations and risking hypotension and oedema. Reference Carey, R. M., Wright, J. T., Taler, S. J., & Whelton, P. K. (2021). Guideline-Driven management of hypertension. Circulation Research , 128 (7), 827–846. https://doi.org/10.1161/circresaha.121.318083

  • Using the Walden Library

    Using the Walden Library

    Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library.

    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 information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources.

    Begin searching for a peer-reviewed article that pertains to your practice area and interests you.

    By Day 3 of Week 4

    Post
     the following:

    Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not.

    By Day 6 of Week 4

    Respond
     to at least 
    two
     of your colleagues’ posts by offering suggestions/strategies for working with this database from your own experience, or offering ideas for using alternative resources.

    This topic is closed for comments.

    NC

    Nicole Greco Carl

    Sep 21, 2024 5:21pm

    Reply from Nicole Greco Carl

    The database I chose was our own Walden Library, it was easy to find from the homepage of my student portal, and I could go to academic resources and get taken right to our library. This resource utilizes OASIS, which I also used in my undergrad so it is a source I am comfortable with using.

     

    Recently in the ER with school starting back up we have had many children in because of marijuana use, with the use of our Walton library I wanted to look up some of the effects of marijuana on adolescents since many patients in our behavior health unit of the ER are under the influence of some substance. In the study they tested the chemical effects that marijuana causes on adolescent rats, the “researchers found changes in parts of the brain involved in making decisions…adolescent male rats treated with the drug had fewer nerve cells covered by the protective nets” (Sanders, 2019), these nets are  “structures [that] help stabilize links between cells” (Sanders, 2019).

     

    The most difficult problem I encountered when finding this resource was Outlook. To log into our student portal it goes to Outlook and to log into Outlook I need to verify through my phone and type in a randomly generated number. However, when doing this assignment I did not have my phone in the immediate vicinity and when I went to work on this assignment later when I did have my phone I needed to re-login to Outlook on my phone which had a whole other authentication process to go through.

     

    For the most reliable sources, I would still recommend our Walden Library/OASIS, especially since not only does it give you access to any resources but it also gives you an already-made citation in whatever format you need. However, if I was not in my own home with my own Wi-Fi, like I was for this assignment originally, I feel another great alternative to use is Google Scholar, since I have not been a student for a while I have not had access to OASIS, so when looking up information with colleagues at work we tend to use google scholar.

     

     

    References:

     

    Sanders, L. (2019). Marijuana use may affect decision-making areas in teen brains: Giving

    adolescent rats a pot-like compound damaged protective “nets” around nerve cells. 
    Science News for Students
    , N.PAG.

     

    Walden University Oasis Library. (n.d). 
    Search the library. 
    https://academicguides.waldenu.edu/libraryLinks to an external site.
    Links to an external site.

     

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    AG

    Allison George

    Sep 19, 2024 6:07pm
    | Last reply Sep 21, 2024 9:45pm

    Reply from Allison George

    Peer Reviewed Article

    Bartlett, B. N., Vanhoudt, N. N., Wang, H., Anderson, A. A., Juliar, D. L., Bartelt, J., Lanz, A. D., Bhandari, P., & Anil, G. (2023). Optimizing inpatient bed management in a rural community-based hospital: a quality improvement initiative. 
    BMC Health Services Research
    , 
    23
    (1). 
    https://doi.org/10.1186/s12913-023-10008-6
    Links to an external site.

    I work as a nurse in the medical-surgical unit at a rural critical access hospital. We also function as a skilled care rehabilitation inpatient unit. When the census is high with skilled rehabilitation patients, the hospital has had to defer patients in our emergency room to other hospitals because we don’t have enough room for them and our scheduled surgical patients. The peer-reviewed article Optimizing inpatient bed management in a rural community-based hospital: A quality improvement initiative discusses how to increase inpatient bed usage while decreasing the number of out-of-region transfers. The regional hospitals initiated a collaborative bed transfer system for hospitals so that the level three hospitals and surrounding hospitals didn’t become overcrowded and share empty beds. This helped the hospitals increase revenue and patient outcomes by decreasing delays in care and creating more available personnel for more complex patients (Bartlett et al., 2023).

    Difficulties Experienced

    I think the most difficult part of searching for this article was finding the correct wording to find an article that pertained to my specialty. Once I found the right word combination, I found several articles that I could use. To ensure I found the most pertinent and recent information, I will utilize scholar.google.com to see if there are any other articles out there that EBSCOhose doesn’t find. To ensure that I am using a respected source for articles from scholar.google.com, I will copy and paste the DOI into EBSCOhost and see if it populated and if it came from one of the sources that Walden Library says is credible.

    Would I recommend this database to my colleagues, why or why not? 

    Utilizing EBSCOhost in the Walden Library is a great database for finding credible, current information. Once you understand how to use the correct wording to find relatable articles, finding many current evidence-based practice articles from credible sources becomes simple. The next step is to go into the advanced search and make sure that you put 2019 as the first publishing date to ensure everything is under five years old. Then if there is a specific type of article, find that criteria and select it. For this paper, I marked “peer-reviewed articles” in the advanced criteria. If you have difficulties finding the correct word choice, utilizing scholar.google.com to find an article and cross-checking it within EBSCOhost by entering the DOI and seeing if it comes from a Walden-approved credible source may help find resources.

    Since the Walden Library is only for students, I would recommend using scholar.google.com to a coworker and educate them to select articles less than five years old and check the source before using the article’s information. Scholar.google.com is a much better source to use than Google.com because it selects articles that are less than five years old and checks the source before using the articles. It searches for scholarly articles instead of searching the internet.

    References

    Bartlett, B. N., Vanhoudt, N. N., Wang, H., Anderson, A. A., Juliar, D. L., Bartelt, J., Lanz, A. D., Bhandari, P., & Anil, G. (2023). Optimizing inpatient bed management in a rural community-based hospital: a quality improvement initiative. 
    BMC Health Services Research
    , 
    23
    (1). 
    https://doi.org/10.1186/s12913-023-10008-6
    Links to an external site.

     

     

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    SC

    Sheena Chambers

    Sep 18, 2024 9:44pm
    | Last reply Sep 22, 2024 6:43pm

    Reply from Sheena Chambers

    APA format of Peer-Reviewed Article Located in Area of Interest

    A peer-reviewed article that I found in my area of interest is 
    Circadian rhythm disturbance and delirium in ICU patients: a prospective cohort study. 
    This article primarily focuses on the outcomes of patients in the Intensive Care Unit (ICU) and their circadian rhythm with sleep and the relationship between becoming delirious in the ICU. This study focuses on the relation of melatonin use, cortisol and sleep in a surgical ICU. This study had arterial blood levels drawn for cortisol and serum melatonin three times a day. When testing for delirium versus non-delirious patients, cortisol plasma levels were significantly lower in those who did not exhibit delirium. Another tool to use, which is what I currently see on the ICU I work on, is using a delirium assessment, called CAM-ICU (Li, 2022). This assessment is utilized to screen for delirium and fluctuations in behavior. This is an assessment that is done daily on my unit and that is discussed daily in rounds with the attending. Making sure that patients have good sleep hygiene and no fluctuations in orientation is vital for good outcomes on their admission.

    Database Utilized and Search Experience

    The database I utilized for myself was from the main Walden University website library resources. Here, I chose Databases A-Z and chose CINAHL Plus with Full Text (Walden, 2024). This made my search very easy as there are many search databases to find articles on any interest. The CINAHL stands for Cumulative Index to Nursing & Allied Heath literature. This is an index to nursing and allied health literature, which includes journals and e-books on many nursing topics (Walden, 2024). My search experience was relatively easy and found it really interesting how many articles there are that pertain to my specialty and research interests.

    Database Usefulness to Colleagues and Recommendation

    Having access to databases for nursing research keeps us up to date on the newest findings so that we can bring that information to our colleagues and make a difference in our practice. EBSCO is also a great resource to use for those wanting to access evidence-based summaries of diseases and conditions, medical journals, drug information and many other resources (EBSCO 2024).  Colleagues can use this to look into reliable sources for their current practice and to mention evidence-based articles researched in one’s free time. This could even change the learning climate on one’s floor for others to reach out and learn more on topics specific to their unit or even the specialty they work in.

    References

    EBSCO. 2024. 
    Support Nursing Research. 
    Retrieved from: https://www.ebsco.com/health-care/benefits/support-nursing-research#:~:text=Researchers%20can%20access%20full%20text,news%20and%20many%20other%20resources.

    Jingijing, Li, et al. 2022. 
    Circadian Rhythm Disturbance and Delirium in ICU Patients: A Prospective Cohort Study.
     Retrieved from: https://web.p.ebscohost.com/ehost/detail/detail?vid=3&sid=0de3270e-6c3d-4875-ae43-ec31b8c63855%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0ZT1laG9zdC1saXZlJnNjb3BlPXNpdGU%3d#AN=164276827&db=rzh

    Walden University. 2024. 
    Databases A-Z. 
    Retrieved from: https://academicguides.waldenu.edu/az.php

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    MF

    Marie Christine Magadan Franco

    Sep 18, 2024 9:12pm
    | Last reply Sep 22, 2024 1:55pm

    Reply from Marie Christine Magadan Franco

    The peer-reviewed article that I chose is:

    Hodgson, N. R., Kwun, R., Gorbatkin, C., Davies, J., & Fisher, J. (2024). Emergency department responses to nursing shortages. 
    International Journal of Emergency Medicine
    , 
    17
    (1), 1–5. 
    https://doi.org/10.1186/s12245-024-00628-y
    Links to an external site.

    I use the Walden University Oasis Library to search for articles.  This article pertains to the Emergency Department and interests me because it discusses nursing shortages specific to this department.  I searched the library by typing in “emergency department nursing” to find articles about nursing issues in the department from a nurse’s point of view.  Oasis automatically sent me to EBSCO, Discovery Service.  At this point, I selected “Peer Reviewed Scholarly Journals Only” and set the time frame to “2019-2024” to get the most recent results. The search engine came up with 2,630 results.  This article came up in full text and is downloadable as a PDF (Walden University Oasis Library, n.d.).

    I did not run into any issues while searching this database.  I believe this database makes using it simple.  This database offers basic and advanced searches; mine was a basic search.  My colleagues can use this database to search by subject, database, book, peer-reviewed articles, and publication types.  It also can search by phrases and limiters such as “add, or, not” with additional subjects. This database can save past searches, organize your searches, and allow one to check out library materials through the application.  I would highly recommend this database because of the simplicity of its use and the detailed results available (Walden University Oasis Library, n.d.).

     

    References

    Walden University Oasis Library. (n.d). 
    Search the library. 
    https://academicguides.waldenu.edu/library
    Links to an external site.

    Walden University Oasis Library. (n.d
    .). Evaluating resources journals. 
     
    https://academicguides.waldenu.edu/library/evaluating/resource-types/journals
    Links to an external site.

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    JI

    Justina Chinyere Ibe

    Sep 18, 2024 9:04pm
    | Last reply Sep 21, 2024 12:57pm

    Reply from Justina Chinyere Ibe

    Main Question Post:

    Dening, K. H. (2023). Modifiable and non-modifiable risk factors for dementia: what primary care nurses need to know. 
    British Journal of Community Nursing, 28
    (9), 430–438. 
    https://doi.org/10.12968/bjcn.2023.28.9.430
    Links to an external site.

    The above peer-reviewed journal is of interest to me, on personal and professional grounds. My focus on this Discussion board is my interest on professional grounds. My area of study is acute care Gerontology. Dementia is a disease that is mostly found among the elderly. In my current practice as an acute care nurse, some of my patients present with dementia as part of their medical history or as a new diagnosis, especially when the reasons for a traumatic event, like a fall, is being unraveled, dementia is diagnosed.

    Database used to search for the article: 

    I used Cumulative Index to Nursing & Allied Health Literature (CINAHL) database. Specifically CINAHL Plus with Full Text to search for peer-reviewed journal articles relating to dementia. According to Walden University Library Database A-Z, (n.d.) CINAHL Plus with Full Text is a “Cumulative Index to Nursing & Allied Health Literature: a large collection of journals and e-books on many nursing and allied health topics”.

    Difficulties encountered during the search:

    Although not a major difficulty, I had to search through the many articles presented before I could find what I was looking for.

    Usefulness of database to colleagues and Recommendations: 

    CINAHL Plus with Full Text is useful database for colleagues, especially in nursing. This is because most of its articles are focused for nursing and allied health. The database gives one the option of searching for peer-reviewed journal articles or not. Thus, I will recommend the database for nursing colleagues, especially if they are looking for peer-reviewed articles.

    References

    Databases A-Z, (n.d.) 
    https://academicguides.waldenu.edu/az.php?a=c
    Links to an external site.

    Dening, K. H. (2023). Modifiable and non-modifiable risk factors for dementia: what primary care nurses need to know. 
    British Journal of Community Nursing, 28
    (9), 430–438. 
    https://doi.org/10.12968/bjcn.2023.28.9.430
    Links to an external site.

     

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    RS

    Romel Suason

    Sep 18, 2024 6:39pm
    | Last reply Sep 21, 2024 5:01pm

    Reply from Romel Suason

    Healthcare professionals must stay informed with the latest knowledge and quality practices to impact care outcomes positively. According to Mohamed et al. (2024), integrating evidence-based practices in their roles and staying informed is an indispensable facet of delivering quality and patient-tailored care for healthcare professionals. Accessing reliable scholarly and peer-reviewed sources, including my current Director of Patient Care Services (DPCS), is critical in my different practices or roles. Different online libraries, including the Walde Library, provide learners access to multiple databases, resources, and materials to support their academic and professional development. This paper provides a detailed discussion on utilizing the library to locate a peer-reviewed article, discuss the experience with the library, and search the article, including advocacy for this database to healthcare-based learners.

    Selected Peer-Reviewed Article

    Pinch C. M. (2019). Evaluation of Traumatic Uveitis in the Emergency Department. 
    Advanced Emergency Nursing Journal
    , 
    41
    (2), 122–128. 
    https://doi.org/10.1097/TME.0000000000000243
    Links to an external site.

    I utilized the CINAHL Plus found in Walden Library to obtain the article. The CINAHL is a comprehensive database dedicated to nursing and related healthcare. This focus on one line has made it a rich and valuable database for professionals in healthcare, nursing, those working in ICU, Hospice caregivers, and home health, which aligns with my areas of practice.

    Despite the availability of the CINAHL database, using it to get the right article per my area of practice took more work and effort. One key challenge encountered during the search was getting a large volume of possible articles, which was time-consuming to go through a 1000-plus results search. However, finding a more specific article took time, and an alternative approach to searching for the right article was required. At first, I used general or broader terms to search for the article, i.e., ‘Trauma Car’’; however,’ utilizing more focused and specific terms when searching was more effective as it yielded fewer articles more aligned to the required topic as per my practice. Further utilization of peer-reviewed, publication date and full-text filters helped streamline the results (Alharbi & Stevenson, 2020). According to Walden University Library (n.d), easily using library resources such as CINAHL helps learners get the right, quality, and topic-aligned articles for their research and evidence-based practices. With my experience with CINAHL, managing the large volume of articles on the topic of trauma demanded careful use of advanced search tools and filters.

    Regarding my current practice area as a DPCS, the role entails overseeing patient care management, guiding interdisciplinary teams, and ensuring compliance with healthcare regulations. More so, my background role includes work settings including ICU and Trauma. The selected article by Pinch on traumatic uveitis is linked to my previous roles in trauma care. According to 
    Holloway & Ladwig (2020
    ), having the know-how to address diverse traumatic conditions in acute care settings provides valuable insight into holistic patient care, which is a key facet of palliative and hospice care settings that involve managing.

    The CINAHL database has proved to be a valuable resource for my colleagues and others in nursing. The platform can be key to finding articles to support evidence-based care practice, including strategies to manage patients at their end-of-life stage, teamwork, and holistic care delivery. It also offers access to diverse resources, including articles, books, videos, lab results, eBooks, etc., which play a critical role in helping inform healthcare practice.

    In turn, I strongly recommend the CINAHL database in the Walden Library to colleagues and other healthcare professionals working in different care settings such as the ICU, hospice, and hospital. The database offers different peer-reviewed literature that support academic research and clinical research. The database is an excellent tool for any healthcare professionals looking to be informed and updated with the sector’s effective and latest developments or trends.

     

     

    References

    Alharbi, A., & Stevenson, M. (2020). Refining Boolean queries to identify relevant studies for systematic review updates. 
    Journal of the American Medical Informatics Association: JAMIA
    , 
    27
    (11), 1658–1666. 
    https://doi.org/10.1093/jamia/ocaa148
    Links to an external site.

    Holloway, K. L., & Ladwig, P. M. (2020).
     
    Nursing trauma patients in the emergency department: A review of best practices
    . Journal of Emergency Nursing, 46(4), 496-502. 
    https://doi.org/10.1016/j.jen.2019.11.002
    Links to an external site.

    Mohamed, R. A., Alhujaily, M., Ahmed, F. A., Nouh, W. G., & Almowafy, A. A. (2024). Nurses’ experiences and perspectives regarding evidence-based practice implementation in healthcare context: A qualitative study. 
    Nursing open
    , 
    11
    (1), e2080. 
    https://doi.org/10.1002/nop2.2080
    Links to an external site.

     

    Walden University Library. (n.d.). Databases A–Z: Nursing. Retrieved December 22, 2021, from 
    https://academicguides.waldenu.edu/az.php?s=19981
    Links to an external site.

     

     

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    HW

    Hiedi Wurster

    Sep 18, 2024 6:25pm
    | Last reply Sep 22, 2024 9:47pm

    Reply from Hiedi Wurster

    Walden Library Databases

     

    The database I used to find my research article Medline with full text. The peer reviewed article that I chose is 
    Patterns in Adolescent Cannabis Use Predict the Onset and Symptom Structure of
     
    Schizophrenia-Spectrum Disorder
     (Shahzade, 2018). I started with CINAHL on Walden’s A-Z: Nursing database (University, n.d.). I started with this one because in a previous class I was told that this database was the most thorough. It was exhaustive, but the articles it produced covered too wide of the field that I am interested in. I moved to Medline with full-text because it had access to full-text articles.  I used the words, “cannabis use” or “marijuana use” in the top search area and “schizophrenia” or “psychotic disorder” in the next one. Even though it produced over one thousand results, the first articles that came up were in line with what I am interested in.  It brought me to the abstract of the study. To get to the full text, I clicked on the green icon on the left side of the screen.  This took me to a ScienceDirect page with a link for subject collections. I clicked on the one for psychology which brought up the full-text article. One of the difficulties I experienced when searching for an appropriate article, was that there is considerable research on almost every aspect of marijuana. However, I am specifically interested in its role in mental illness. Finding something related to that proved to be a challenge.  I feel that Medline with full text would be a valuable resource for my colleagues. Its focus is bioscience, and it has access to full-text articles. Also, I found that I needed to be specific with my search words. Simply putting in “marijuana” and “mental illness” are too generic. Even phrases like, “does cannabis use lead to mental illness?” is too vague.

    I want to know more about the role that marijuana plays in the development of mental illness, specifically schizophrenia. When I worked in an involuntary inpatient psychiatric hospital, I noticed that most of our patients tested positive for marijuana. It made me wonder if using marijuana leads to the development of schizophrenia, or if they already had symptoms of schizophrenia and started using marijuana to alleviate them. With marijuana becoming more mainstream and socially acceptable, I am interested in the role THC plays in the development of schizophrenia and other mental illnesses. I believe this is something that needs to be researched because the current belief is that marijuana is legal so it must be safe. If it is proven to play a role in the development of mental illness, then we need to know so we can educate the public.

     

     

    References

    Shahzade, C. C. (2018, July). 
    Patterns in adolescent cannabis use predict the onset and symptom structure of schizophrenia-spectrum disorder
    . Retrieved from ScienceDirect: https://www.sciencedirect.com/science/article/pii/S0920996418300288

    University, W. (n.d.). 
    Databases A-Z: Nursing
    . Retrieved from Academic Guides: https://academicguides.waldenu.edu/az.php?s=19981

     

     

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    Cenda Hemingway

    Sep 18, 2024 6:20pm
    | Last reply Sep 20, 2024 9:28pm

    Reply from Cenda Hemingway

    The article I chose to peer review is titled “The role of advanced practice nurses in improving healthcare outcomes for patients with chronic kidney disease: A scoping review protocol.”  This article discusses the importance of nephrology advanced practice nurses and their impact on treating patients with end-stage renal disease. Studies have shown how advanced practice nurses have been instrumental in helping patients with the complexity of the disease. Nurse practitioners have been linked to decreasing the negative outcomes across all stages of chronic kidney disease. The knowledge and level of care provided by them have evolved over the years. They are being recognized across the country due to their collaboration with other providers and their roles in promoting preventative healthcare (Nozu et al., 2024).

    I used the Walden Library site to access the different search engines. I modified my selections by ensuring I filtered for full-text peer-reviewed articles. The filters helped simplify the search and ensured I found up-to-date journals. I found that I could easily search across Medline and  CINAHL Plus with Full Text with keywords without getting bombarded with articles that did not match my search. Therefore, I would recommend both search engines offered by Walden. They both provide scholarly journals that will be helpful for all students throughout their program of study. Utilizing different evaluation methods is also important when looking up articles to determine their level of validity, such as knowing the author and their level of expertise (Walden University Library. (n.d.).

    Nozu, H., Tamura, H., Kudo, T., Araki, T., Sato, H., Watanabe, T., & Sasagawa, I. (2024). The role of advanced practice nurses in improving healthcare outcomes for patients with chronic kidney disease: A scoping review protocol. 
    PloS One
    , 
    19
    (4), e0301676. 
    https://doi.org/10.1371/journal.pone.0301676
    Links to an external site.

    Walden University Library. (n.d.). 
    Evaluating resources: Journals 
    Links to an external site.
    Links to an external site.
    Links to an external site.
    . Retrieved October 4, 2019, from https://academicguides.waldenu.edu/library/evaluating/resource-types/journals

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    Eloisa Solarana Almaguer

    Sep 18, 2024 5:45pm
    | Last reply Sep 20, 2024 9:29pm

    Reply from Eloisa Solarana Almaguer

    Module 3: Discussion

    Selected Article

    Dikeç, G., Sarıtaş, M., & Oban, V. (2024). Bibliometric analysis of publications on stigmatization in psychiatric nursing literature. 
    Journal of Psychiatric Nursing
    , 15(1), 33-40. https://doi.org/10.14744/phd.2023.52385

    This study conducts a bibliometric analysis of publications related to stigmatization within psychiatric nursing, a topic of particular relevance for clinical practice and research in mental health (Dikeç et al., 2024). The database used to find this article was PubMed, a widely used source for accessing peer-reviewed research in a vast array of health areas.

    Difficulties Experienced During the Search

    Despite the advantages offered by PubMed, one of the main difficulties experienced during the search was filtering for the most current and specific studies. PubMed houses an enormous amount of publications in various health fields, which can make the search process somewhat overwhelming if the proper filters are not used. While trying to locate studies on bibliometrics and stigmatization in the context of psychiatric nursing, it became necessary to repeatedly refine the search terms to ensure relevant results.

    Initially, the search returned a considerable number of studies that addressed stigmatization in mental health in general but were not focused on psychiatric nursing practice. By using more specific terms, such as “psychiatric nursing,” “stigmatization,” and “bibliometric analysis,” it was possible to better narrow the results. Another challenge was filtering the studies to ensure they were as recent as possible, given that the field of mental health and stigmatization has evolved significantly in recent years, and older studies may not reflect the current state of research or clinical practices.

    Usefulness of the Database for Colleagues

    PubMed is a reference database for accessing a wide range of peer-reviewed scientific articles, and its usefulness for health professionals, including psychiatric nursing, is undeniable. Its extensive coverage spans practically all areas of life and health sciences, making it an essential tool for any professional wishing to stay updated on the latest research (Heath et al., 2021). For my colleagues in the field of psychiatric nursing, PubMed can be extremely useful for accessing a wide variety of studies on mental health, stigmatization, and other relevant topics. However, it is important to note that the ability to effectively manage filters and search terms is key to obtaining results that are truly applicable to their practice. Without proper use of these tools, PubMed can become overwhelming due to the large volume of available information (Heath et al., 2021).

    Despite this limitation, for those with experience in academic literature searches, PubMed offers the advantage of free access to a significant amount of scientific articles, which is particularly valuable for professionals in environments where bibliographic resources may be limited.

    Recommendation

    I recommend PubMed as an essential tool for my colleagues, especially for those interested in accessing peer-reviewed research in the fields of mental health and psychiatric nursing (Walden University, 2024). Its free access and broad coverage make it a valuable resource for staying updated with the latest research in the field. However, for very specific topics such as bibliometrics or stigmatization within psychiatric nursing, it may be useful to combine PubMed with other more specialized databases, such as CINAHL or PsycINFO, which might offer a greater concentration of studies directly applicable to nursing (Walden University, 2024).

    By doing so, the search can be supplemented with databases that provide studies more strictly focused on the nursing field or more specialized topics in mental health. Thus, PubMed offers an excellent initial platform for accessing a wide range of studies, while other databases can help refine the search when dealing with highly specific topics within the profession.

    References

    Heath, A., Levay, P., & Tuvey, D. (2021). Literature searching methods or guidance and their application to public health topics: A narrative review. 
    Health Information and Libraries Journal
    , 
    39
    (1), 6-21. https://doi.org/10.1111/hir.12414

    Walden University. (2024). 
    Databases A-Z
    . Waldenu.edu. https://academicguides.waldenu.edu/az.php?s=19981

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    Qiana Felder

    Sep 18, 2024 5:05pm
    | Last reply Sep 21, 2024 12:45am

    Reply from Qiana Felder

    APA format of Peer-Reviewed Article on Area of Interest

     

    Over the last ten years, I have worked in juvenile corrections and have been exposed to the negative stigma and lack of knowledge surrounding behavioral health. The article I chose is “A Systematic Review of Youth and Teen Mental Health First Aid: Improving Adolescent Mental Health.”  This systematic review discusses how mental health first aid (MHFA) can be an effective intervention for early detection and prompt treatment for the adolescent population by being incorporated into the school curriculum (Ng, 2020). The review found that MHFA training in schools can significantly improve students’ mental health literacy and reduce stigma, which are critical issues in juvenile corrections. This research is particularly relevant to my work and could also benefit my colleagues.

     

    Database Utilized and Search Experience

     

    The Walden University Oasis Library was used to locate a peer-reviewed article via the Science Direct database (Walden University Library, n.d.) about improving adolescent mental health. I found the resource to offer quality and reliable information. It was fairly easy to locate the article by searching the keywords “mental health” and “adolescents.” A large number of scholarly articles came up. I narrowed the search down by filtering the publication date to access the most up-to-date information. The only difficulty I encountered was signing in to access articles on some of the databases. It was smooth sailing once I realized my Walden login was my access information.

     

    Usefulness and Recommendation of Database to Colleagues

     

    I recommend Walden’s Library to my colleagues because 16 databases were available to obtain scholarly peer-reviewed articles, videos, journals, and books. The Library offers a vast amount of information, so my colleagues should have no issues finding what they need.  It was also beneficial and easy to navigate.

     

    References

    Ng, S. H., Tan, N. J. H., Luo, Y., Goh, W. S., Ho, R., & Ho, C. S. H. (2020). A Systematic Review of Youth and Teen Mental Health First Aid: Improving Adolescent Mental Health. 
    Journal of Adolescent Health
    , 
    69
    (2). https://doi.org/10.1016/j.jadohealth.2020.10.018

    Walden University Library. (2020). 
    Databases A-Z
    . Waldenu.edu. https://academicguides.waldenu.edu/az.php?s=19981

     

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    Selina Villanueva

    Sep 18, 2024 4:37pm
    | Last reply Sep 20, 2024 9:32pm

    Reply from Selina Villanueva

    Using the Walden University Library and Peer-Reviewed Articles

    An effective literature search begins with a clear goal that can be translated into research questions and relevant keywords that can be entered into different databases. I started my search at the Walden Library to identify peer-reviewed articles concerning family nursing, focusing on influenza as a disease that affects several families annually globally. The main keywords entered in the database were “influenza” AND “family nursing,” which provided several articles from 1969 to 2024. I limited the search by publication date and relevance to the topic, eventually selecting a research article by Nypaver et al. (2021) titled “Influenza and Influenza Vaccine: A Review.” The article extensively explores influenza from an epidemiological, pathophysiological, and etiological perspective, highlighting that the disease is a highly contagious viral infection that leads to the mortality of approximately 500,000 individuals globally (Nypaver et al., 2021). However, it is treatable and preventable through vaccination (Nypaver et al., 2021). The article noted that there are various challenges with preventing influenza through vaccination, including the occasional antigenic shift that can reduce vaccine effectiveness, coupled with other challenges such as poor access to care or inaccurate information about vaccines and their effects (Nypaver et al., 2021). Targeted interventions addressing barriers at multiple levels, including patients, healthcare policies, healthcare systems, and healthcare providers, can assist in improving influenza identification, intervention, and prevention efforts (Nypaver et al., 2021).

    Database Utilized and Search Experience

    The main database used was Walden Library and PubMed, which offer peer-reviewed and full-text articles. PubMed was significantly easy to use, especially with the various filters and search keywords that enable the researcher to limit their search results to a specific period. For instance, the initial results provided more than 5,000 articles but were reduced to a few hundred articles when I applied the date filter, making the information search more relevant to current practice. While the database and library were easy to use, I did not apply boolean operators to narrow down the search, which I believe is critical in some research questions that may require technical information. However, I believe that I followed the major steps of conducting a critical appraisal, including establishing a clear research question and checking the article abstract, study type, and outcome factors before selecting a systematic review for use (Al-Jundi & Sakka, 2017). I believe other students and professionals would also have a similarly easy time using the Walden Library and PubMed databases, provided they establish a structured search strategy using evidence-based procedures.

    Database Usefulness to Colleagues and Recommendation

    Several databases can be used during scholarly research for peer-reviewed articles in nursing and other fields. However, the Walden University Library offers a plethora of highly-accredited databases, including PubMed, CINAHL, Embase, MEDLINE, ProQuest, and ClinicalTrials.gov, which all offer peer-reviewed journals that have free full-text articles (Walden University Library, n.d.). Therefore, I believe that the library is highly beneficial for colleagues and is applicable in academic and professional contexts when practicing evidence-based nursing and healthcare provision.

    References:

    Al-Jundi, A., & Sakka, S. (2017). Critical appraisal of clinical research. 
    Journal of Clinical and       Diagnostic Research: JCDR
    , 
    11
    (5), JE01.

    Nypaver, C., Dehlinger, C., & Carter, C. (2021). Influenza and influenza vaccine: a review. 
    Journal of Midwifery & Women’s Health, 66
    (1), 45-53. https://doi.org/10.1111/jmwh.13203

    Walden University Library. (n.d.). 
    Databases A-Z: Nursing
    . https://academicguides.waldenu.edu/az.php?s=19981

     

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    Qurita Powell

    Sep 18, 2024 1:26pm
    | Last reply Sep 20, 2024 9:34pm

    Reply from Qurita Powell

         The peer-reviewed article I chose for this week’s assignment is titled 
    Racial/ethnic discrimination: Dimensions and Relation to Mental Health Symptoms in a Marginalized Urban American Population
    , by Chin et al. (2020). This article discusses the investigation of different dimensions of discrimination and its correlation to mental health issues pertaining to anxiety, depression, and PTSD.  While looking for articles for this assignment, this particular one stood out because I currently work in the mental health field and plan to become a PMHNP.  Learning and reading information about mental health and minorities has been an interest of mine for several years as I feel that this is a subject that is not often talked about or addressed in these communities.

    I searched for an article using Walden’s Library Databases A-Z: Nursing, which took me to the EBSCOhost database. This database was easy to navigate through, but I did experience some challenges finding an article relevant to my topic. I initially typed the words “mental health”, but after looking through a few pages of articles, I found that I needed to type in more specific words such as “urban communities”, “minorities,” and “marginalized” to narrow down my search to find exactly what I was looking for. It’s also important to make sure that you filter the years that you are looking for an article within. This database is a great tool to use when looking for resources, and I feel that all students/colleagues can benefit from utilizing it for assignments and research. You can convert the files to PDF to make the articles easier to read, which was helpful for me. EBSCOhost provides you with correct citations for multiple formats outside of APA. This simplifies creating references and adherence to specific formats. As a student, being able to use 1 database to search for diverse evidence-based articles instead of browsing different internet pages allows the user to work more efficiently.

    References

    Chin, D., Loeb, T. B., Zhang, M., Liu, H., Cooley-Strickland, M., & Wyatt, G. E. (2020). Racial/ethnic discrimination: Dimensions and relation to mental health symptoms in a marginalized urban American population. 
    American Journal of Orthopsychiatry
    , 
    90
    (5), 614–622. https://doi.org/10.1037/ort0000481

    Walden University Library. (n.d.). Databases A-Z: NursingLinks to an external site. Retrieved October 4, 2019 from https://academicguides.waldenu.edu/az.php?s=19981

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    Joan Chikaodi Clement

    Sep 18, 2024 12:18pm
    | Last reply Sep 21, 2024 11:51am

    Reply from Joan Chikaodi Clement

    Gjerstad, S. F., Nordin, L., Poulsen, S., Spadaro, E. F. A., & Palic, S. (2024). How is trauma-focused therapy experienced by adults with PTSD? A systematic review of qualitative studies. 
    BMC Psychology
    , 
    12
    (1), 135. https://doi.org/10.1186/s40359-024-01588-x

     

    The database used to search the above article is MEDLINE with Full Text. This is a database that provides access to full articles in a range of biomedical and health journals.  The challenge I experienced while using this database was that I got so many articles in the first search. However, they were broad hence I struggled with narrowing down the search to ensure it matched the topic I was focusing on.  However, after using the Boolean operator “AND”, I combined trauma therapy and PPTSD which helped in obtaining more relevant results. The Boolean AND NOT operator may be used to remove unwanted concepts or terms. Another strategy I used was limiting the article to full access and peer-reviewed journal articles and publication dates to the last five years, which helped in obtaining more refined results (MacFarlane et al., 2022).

    The MEDLINE with Full Text database would be useful to my colleague because of open access. This means that the users can easily access full-text articles without having to purchase the entire article. Another rationale is that this database has more than 580 active full-texts meaning that the users can select from the full range available. Another reason is that it has an easy-to-use interface with basic and advanced search features and searchable cited references.  Another reason is that its records are indexed with a controlled vocabulary known as Medical Subject Headings (MeSH) (Bramley et al., 2023).  Therefore, I would recommend this database because it can help in advancing nursing practice due to access to evidence and improve health outcomes.   This database would also be recommended because of its ease of use meaning that mental health providers can easily access evidence and integrate it in patient care without consuming so much time. Lastly, it is a database with peer-reviewed journal articles meaning that the evidence is reliable making it useful for evidence-based practice in mental health.

    References

    Bramley, R., Howe, S., & Marmanis, H. (2023). Notes on the data quality of bibliographic records from the MEDLINE database. 
    Database
    , 
    2023
    , baad070. https://doi.org/10.1093/database/baad070

    Gjerstad, S. F., Nordin, L., Poulsen, S., Spadaro, E. F. A., & Palic, S. (2024). How is trauma-focused therapy experienced by adults with PTSD? A systematic review of qualitative studies. 
    BMC Psychology
    , 
    12
    (1), 135. https://doi.org/10.1186/s40359-024-01588-x

    MacFarlane, A., Russell-Rose, T., & Shokraneh, F. (2022). Search strategy formulation for systematic reviews: Issues, challenges, and opportunities. 
    Intelligent Systems with Applications
    , 
    15
    , 200091. https://doi.org/10.1016/j.iswa.2022.200091

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    MB

    Mishay Brooks

    Sep 18, 2024 12:12pm
    | Last reply Sep 21, 2024 9:09pm

    Reply from Mishay Brooks

    Using the Walden Library

    For this discussion, I explored the Walden University Library to find a peer-reviewed article related to psychiatric nursing. The article I selected is “Moral distress in acute psychiatric nursing: Multifaceted dilemmas and demands” by Jansen et al. (2020). This article discusses the challenges psychiatric nurses face when dealing with moral distress in acute psychiatric settings. It provides insight into the ethical dilemmas encountered in the psychiatric nursing practice area, making it highly relevant to my field. To find this article, I used the CINAHL Plus with Full Text database, a go-to source for nursing and allied health professionals.

    Searching for the article by Jansen et al. (2020) was relatively straightforward, but there were a few hurdles. Initially, I used broad search terms like “psychiatric nursing” and “moral distress,” which resulted in numerous articles, many of which were not entirely relevant. To narrow down the results, I used more specific keywords such as “acute psychiatric nursing” and “ethical dilemmas,” which helped refine the search to articles directly related to the moral distress experienced in psychiatric care. Additionally, I used filters available in the database to limit results to peer-reviewed articles published within the last five years. One of the difficulties I encountered was deciding on the most appropriate keywords to use, as psychiatric nursing encompasses a wide range of topics. However, using specific search terms and filters ultimately helped me find the desired article.

    The CINAHL Plus with Full Text database is a valuable resource for psychiatric nurses and other healthcare professionals. It contains an extensive collection of nursing journals, covering a wide array of topics, including mental health, psychiatric care, ethics, and nursing practice. The database is designed for healthcare professionals, which means that most of the content is highly relevant and evidence-based (Walden University Library, n.d.). For psychiatric nurses, having access to a wide range of articles related to mental health nursing practices, patient care strategies, and ethical considerations is crucial in staying informed about the latest research and trends in the field (Jansen et al., 2020).

    I would recommend this database to my colleagues for several reasons. First, it offers an extensive collection of peer-reviewed nursing journals, which are critical for evidence-based practice. Second, the database provides various search options and filters, making it easier to find specific information related to psychiatric nursing. For example, users can filter by publication date, type of source (such as academic journals or clinical case studies), and subject headings, helping to narrow down search results to the most pertinent articles. This is particularly helpful for psychiatric nurses who need to stay up-to-date on new research findings and best practices in mental health care. Furthermore, CINAHL Plus with Full Text provides access to full-text articles, saving time that would otherwise be spent searching for complete documents (Walden University Library, n.d.). This feature is particularly beneficial when conducting literature reviews or seeking out evidence to support clinical decisions. The database also includes tools for citation generation, which simplifies the process of incorporating references into academic papers or clinical documentation, adhering to APA formatting guidelines.

    While CINAHL Plus with Full Text is highly useful, it is worth mentioning that some challenges may arise when using this database. One potential difficulty is that the sheer volume of available articles can be overwhelming, particularly when using broad search terms. This underscores the importance of selecting specific keywords and utilizing search filters to streamline the process. Despite this, the database’s advanced search options and user-friendly interface make it relatively easy to navigate once you are familiar with it. In addition to CINAHL, the Walden University Library provides access to other databases like PubMed, PsycINFO, and ProQuest Nursing & Allied Health, each with unique strengths. However, for psychiatric nursing specifically, CINAHL Plus with Full Text remains one of the most comprehensive resources, given its focus on nursing and allied health literature (Walden University Library, n.d.). Its content is regularly updated, ensuring that healthcare professionals can access the latest research and developments in psychiatric care.

    In conclusion, my experience using the Walden Library’s CINAHL Plus with Full Text database was positive, and I would certainly recommend it to my colleagues in psychiatric nursing. Despite some initial challenges in narrowing down search results, the database proved to be an invaluable tool for finding peer-reviewed articles that are pertinent to psychiatric nursing practice. The availability of full-text articles, along with its user-friendly interface and advanced search options, makes it an essential resource for healthcare professionals seeking evidence-based information to enhance their practice. Utilizing this database can help psychiatric nurses stay informed and provide high-quality care grounded in the latest research.

    References

    Jansen, T. L., Hem, M. H., Dambolt, L. J., & Hanssen, I. (2020). Moral distress in acute psychiatric nursing: Multifaceted dilemmas and demands. 
    Nursing Ethics, 27
    (5), 1315-1326. 
    https://journals.sagepub.com/doi/abs/10.1177/0969733019877526
    Links to an external site.

    Walden University Library. (n.d.). 
    Databases A-Z: NursingLinks to an external site.Links to an external site.
    Links to an external site.
    . Retrieved October 4, 2019 from 
    https://academicguides.waldenu.edu/az.php?s=19981Links to an external site.
    Links to an external site.

     

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    Lucia Almeida

    Sep 18, 2024 2:51am
    | Last reply Sep 21, 2024 9:19pm

    Reply from Lucia Almeida

    Main Post

    Using the Walden Library

    The article I selected, titled 
    Characteristics of Successful Interventions to Reduce Turnover and Increase Retention of Early Career Nurses: A Systematic Review
    , by Brook et al. (2019), focuses on healthcare workforce issues, particularly nursing retention and is sourced from the 
    CINAHL
     database. This database is a robust resource for healthcare professionals as it specializes in nursing and allied health literature, offering access to peer-reviewed journals, which are crucial for ensuring the accuracy and reliability of research.

    When I was looking for the article, some difficulties were connected to the keywords used being too specific. To begin with, the search terms were not efficient in providing relevant information, but when terms such as ‘nurse retention’, ‘early career’, and ‘intervention’ were included, the article was found. This was particularly revealing in the use of databases, where specifying the terms to be searched yields a flood of articles whose relevance may not be of much use.

    Definitely, colleagues would find the CINAHL database helpful, particularly those in nursing or allied health careers, since this database offers a broad and diverse range of scholarly materials relevant to these fields. Since the database is specifically for health-related research, the obtained literature applies to health care issues. Therefore, it is possible to get peer-reviewed articles that are useful in practice. Furthermore, it is indexed in detail, essential for research on healthcare topics, making CINAHL even more valuable.

    I recommend CINAHL to other students because it is user-friendly and provides relevant sources. The database is very flexible, and it is possible to filter the results by publication type, date, and subject. This makes it an ideal source of evidence-based literature that is current and appropriate to one’s field of practice. Also, the fact that the articles’ full text is available within the database helps users avoid time-consuming searching for the necessary materials. The use of peer-reviewed articles guarantees that the articles found are of academic and professional quality which is essential in scholarly writing.

    References

    Brook, J., Aitken, L., Webb, R., MacLaren, J., & Salmon, D. (2019). Characteristics of successful interventions to reduce turnover and increase retention of early career nurses: A systematic review. 
    International Journal of Nursing Studies
    , 
    91
    (91), 47–59. 
    https://doi.org/10.1016/j.ijnurstu.2018.11.003
    Links to an external site.

    Walden University Library. (n.d.). Library. Walden University. https://academicguides.waldenu.edu/library

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    Deco Tanjong

    Sep 17, 2024 10:27pm
    | Last reply Sep 21, 2024 10:30am

    Reply from Deco Tanjong

                                    Peer review article area of interest.

    The peer-reviewed article I selected is Unveiling Elderly Abuse through a Human Rights lens. In our society, the number of elderly people experiencing abuse is concerning and requires urgent attention(Duffey et al., 2023; Phelan, 2023). Fundamental principles undermining the framework ensure that all people, regardless of their Nationality, age, language, Sexual orientation, religion, or belief, are treated with dignity and respect( Health Information and Quality Authority Safeguarding Ireland,2023).

    Database utilization and search experience

    I went through weekly resources Walden University library Databases A-Z: Nursing. It took me to the OASIS search bar, and I searched for peer-reviewed and scholarly journals, and multiple articles came up. I read through and found a very interesting article, “Unveiling Elderly Abuse through Human Rights Lens”. Many people have very little knowledge about what elderly people go through at the hands of abusers and how it affects them mentally.

    Databases usefulness and Recommendation to peer

    I found this data very useful, and given the fact that it is available through the Walden University Website and easily accessible by every Walden University student at any given point in time, it is highly recommendable to peers. Also, there are available scholarly resources, books, and journals. Walden University Library. (n,d).  That will really be helpful to Walden University students.

    Resources:

    Walden University Library. (n.d.). 
    Databases A-Z: NursingLinks to an external site.
    Links to an external site.
    . Retrieved October 4, 2019 from https://academicguides.waldenu.edu/az.php?s=19981

     

     

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    Lenore Louise Benton-Bey
     (She/Her)

    Sep 17, 2024 9:10pm
    | Last reply Sep 21, 2024 10:34am

    Reply from Lenore Louise Benton-Bey

    Initial Post

    I have worked in cardiology and grew interested in women’s health. I work at the University of Iowa’s Health in postpartum care. We focus on children’s and women’s services, which means we also are cross-trained to assist with gynecology patients. Working here has amplified my ambition to enhance my knowledge and support the advancement of educating this population, as well as to find ways of increasing the educational part of this within myself and with other colleagues, especially when going into a family nurse practitioner and its practice. The scope of practice is expanding for the family nurse practitioner, especially regarding reproductive health and what can be done within the practice to get a better picture of one’s health. By all means, family planning is essential. Still, this article focuses more on the person’s goals in adding a more profound understanding of one’s family planning status, whether there is one to be shortly or not.

    I found the Journal for Nurse Practitioners article titled Improving Women’s Health: How Nurse Practitioners Can Support Reproductive Health. What I like about this article is that it also discusses how to support men in their reproductive health and further look into health goals with one another. Implement great success in the practice, and it has that it could be more cost-effective to have your family nurse practitioner implant a choice of birth control versus a specialty. Which I’m all about cost-effective resources.

    The database I used was the CINAHL Plus with full text. I could type in nurse practitioner, and women’s health, so many options were available. I am also familiar with science from my previous college studies. I was able to search and find articles with ease. I had no difficulties whatsoever. I tried to see if I could find the same article successfully on each database that I tried, including Science and CINAHL.

    I would suggest these databases to my colleagues because they have extensive peer-reviewed articles and topics in nursing journals for any focus.

     

    References

    Endres, K.H. (2024). Improving women’s health: how nurse practitioners can support reproductive health. The Journal for Nurse Practitioners, 20(0), 1-5. https://doi.org/10.1016/j.nurpra.2023.104854

     

    Walden University Library. (n.d.). 
    Databases A-Z: Nursing
    Links to an external site.
    . Retrieved October 4, 2019 from https://academicguides.waldenu.edu/az.php?s=19981

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    Caitlin J Mcelhaney

    Sep 17, 2024 6:46pm
    | Last reply Sep 21, 2024 5:56pm

    Reply from Caitlin J Mcelhaney

    APA format of Peer-Reviewed Article Located in Area of Interest

    The article I discovered during my research, Osborn et al. (2020), titled “Suicidality in Women with Premenstrual Dysphoric Disorder: A Systematic Literature Review,” caught my attention due to my interest in the relationship between suicide rates and hormonal changes during the menstrual cycle. This review underscores the strong link between Premenstrual Dysphoric Disorder (PMDD) and suicidality, revealing that women with PMDD are more likely to experience suicidal thoughts, ideation, and attempts, independent of other mental health conditions. One of the key findings is that while PMDD elevates the risk of suicidal ideation, it does not necessarily lead to more severe or impulsive suicide attempts (Osborn et al., 2020). This insight is pivotal for clinical practice, as it stresses the importance of early recognition and management of PMDD to reduce suicide risk.

     

    Database Utilized and Search Experience

    I used Walden University’s library database to locate this article. Specifically, I accessed the CINAHL Plus database and started with broad search terms like “menstrual cycle” and “suicide,” which yielded too many irrelevant results. To refine the search, I used more specific keywords such as “Premenstrual Dysphoric Disorder” and “suicide,” narrowing the results to articles published within the past five years. I also filtered for peer-reviewed, systematic reviews. After reviewing several articles, I found the one that best fit my research needs.

     

    Database Usefulness to Colleagues and Recommendation

    Walden’s library and the CINAHL Plus database were both easy to navigate and highly effective for research. I would definitely recommend them to my colleagues for future studies. One feature I particularly appreciate is that Walden’s system guides you by categorizing your topic by genre, which helps refine searches before accessing specific databases. This step improves the relevance of the results. Additionally, CINAHL Plus offers an option to choose from a variety of databases, making it more versatile for specific research needs. These features make the databases user-friendly and highly valuable for academic research.

    References

    Osborn, E., Brooks, J., O’Brien, P. M. S., & Wittkowski, A. (2020). Suicidality in women with Premenstrual Dysphoric Disorder: a systematic literature review. 
    Archives of Women’s Mental Health
    , 
    24
    (2). https://doi.org/10.1007/s00737-020-01054-8

    Walden University. (2020). 
    Databases A-Z
    . Waldenu.edu. https://academicguides.waldenu.edu/az.php

     

    Expand discussion thread from Caitlin J Mcelhaney

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    Debra Stone

    Sep 17, 2024 5:17pm
    | Last reply Sep 19, 2024 8:44am

    Reply from Debra Stone

    Main Post

    APA format of Peer-Reviewed Article on Area of Interest

    In my research, I selected the article by Liu et al. (2020) titled “Outcomes of Primary Care Delivery by Nurse Practitioners: Utilization, Cost, and Quality of Care.” This article was interesting because it explored patient outcomes when patients received care from a nurse practitioner compared to physicians. The study examined patient outcomes under the care of nurse practitioners and physicians, which showed comparable costs and similar outcomes for patients with chronic conditions such as diabetes, heart disease, and hypertension (Liu et al., 2020). The article’s focus is highly relevant to my future practice area of primary care and explores the outcome of care delivered by nurse practitioners.

    Database Utilized and Search Experience

    The article was accessed through the PubMed database using the Walden University Library, Databases A–Z: Nursing (n.d.). This database was beneficial because it provided numerous peer-reviewed journals and resources for healthcare professionals and researchers. However, I did encounter a few difficulties while searching for this article. Primarily, the challenge was narrowing the search results to find articles specifically relevant to my area of interest. Initially, I used broad search terms, such as nurse practitioners and primary care, which yielded overwhelming data. I then used filters such as full text and setting the publication date range, which helped narrow down relevant articles I could look at further. I have had previous experiences finding relevant articles and realizing I could not access the full text without signing up or paying; being able to select the filter option for full text was helpful and a time saver.

    Usefulness and Recommendation of Database to Colleagues

    In terms of usefulness, this database could benefit my Walden University colleagues. It provides access to many up-to-date information and resources essential for evidence-based practice. This database is handy for healthcare professionals willing to learn how to use advanced search options and filters effectively. Additionally, it was user-friendly, making it an excellent tool for healthcare professionals.

    References

    Liu, C., Hebert, P. L., Douglas, J. H., Neely, E. L., Sulc, C. A., Reddy, A., Sales, A. E., & Wong, E. S. (2020). Outcomes of primary care delivery by nurse practitioners: Utilization, cost, and quality of care. 
    Health Services Research
    , 
    55
    (2), 178–189. 
    https://doi.org/10.1111/1475-6773.13246
    Links to an external site.

    Walden University Library. (n.d.). Databases A–Z: Nursing. Retrieved 
    https://academicguides.waldenu.edu/az.php?s=19981
    Links to an external site.

    Expand discussion thread from Debra Stone

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    JT

    John Kirby Tompkins

    Sep 17, 2024 1:49pm
    | Last reply Sep 21, 2024 5:41pm

    Reply from John Kirby Tompkins

    I live and work in a rural area and there are few psychiatrists and/or PMHNP’s available for collaboration as preceptors. In desperation, I have sought contact with the local county jail, whose population receives some level of psychiatric and mental health services. This prompted me to seek a peer-reviewed article on mental health issues related to those in our society who are incarcerated.
     

    I reviewed Walden resources, particularly one related to evaluating resources and a second on fundamentals of library research (both listed below). I selected Ebsco as a database. I found this useful years ago for my MSN studies and, at my age, familiarity is a good starting point and would suggest to my peers that known resources are potentially less terrifying than unfamiliar ones. I recommend this database for its ease of use and for the choices of specific inquiry it allows. Beyond keywords and phrases, an inquiry can be qualified as far as peer-reviewed or not, date parameters, and choice of full text or abstract presentation selection of journal articles. 
     

    The article provided insight into issues associated with doing research on a unique aspect of a unique population that is considered underserved. It sought to survey a jail population of 200+ inmates about addictive gambling habits in captivity. It represented an honest attempt to help to define the problem with a direct survey of those involved. Its narrative offered the research team’s reflective perspectives about interacting with a captive population as they approached the task of administering the survey. Its conclusion offered suggestions for further behavioral research in the incarcerated population. (Hickey et al., 2015)
     

     

                                                                       
    References
     

     

    Hickey, K. L., Kerber, C., Astroth, K. S., Kim, M., & Schlenker, E. (2015). Behind Bars: Experiences Conducting Behavioral Addictions Research in a County Jail. 
    Journal of Psychosocial Nursing & Mental Health Services
    , 
    53
    (10), 60–64. 
    https://doi.org/10.3928/02793695-20150923-05
    Links to an external site.
     

    Walden University Library. (n.d.). 
    Evaluating resources: JournalsLinks to an external site.
    Links to an external site.
    . Retrieved September 16, 2024, from 
    https://academicguides.waldenu.edu/library/evaluating/resource-types/journals
    Links to an external site.
     

    Walden University Library. (n.d.). 
    Instructional media: Fundamentals of library researchLinks to an external site.
    Links to an external site.
    . Retrieved September 16, 2024, from 
    https://academicguides.waldenu.edu/library/instructionalmedia/researchfundamentals

  • PK is a 16-year-old female diagnosed with mild persistent asthma since age 12

    SCENARIO 2

    PK is a 16-year-old female diagnosed with mild persistent asthma since age 12. During her visit today, she reports having to use her albuterol MDI 3 days per week over the past 2 months. Over the past week she has been using albuterol at least once per day. She reports being awakened by a cough 5 nights during the last month. She also has a fluticasone MDI, which she uses “most days of the week.” Her current medications include: Flovent HFA 44 mcg two puffs BID, Proventil HFA two puffs Q 4-6 hr PRN shortness of breath, fexofenadine 180 mg po daily, diphenhydramine 50 mg qhs prn. What treatment plan would you implement for PK? What medication changes would you make? Include a complete medication order. How would you monitor the effectiveness of this plan, and what patient education would you provide? 
     

     

    SOLVED – Scenario 1
    : Prescription Error Identification & Correction – PK is a 16-year-old female diagnosed with mild persistent asthma since age 12

    Prescription mistakes are a global public health issue, leading to severe medication responses and poor patient outcomes, especially among the elderly (Agustí et al., 2023). Adverse medication responses, inappropriate usage, interactions, inaccurate doses, and poor compliance are compounded by systemic inefficiencies such as prior authorization delays. To reduce these hazards, advanced practice nurses must grasp pharmaceutical categorization, MOA, and prescription formatting.

    The prescription “linagliptin 5 mg PO daily #30 5 RF” has three significant errors, including the medicine name is misspelt (“linaglipton” should be “linagliptin”), the abbreviation “RF” should be “refills,” and the amount “#30” should be “30 tablets.”  This might cause dispensing errors and patient damage. The exact prescription is Linagliptin 5 mg tablet, one tablet daily. Give 30 pills and 5 refills for type 2 diabetes. Linagliptin inhibits DPP-4. Inhibiting the DPP-4 enzyme increases incretin hormones (GLP-1 and GIP), which enhance glucose-dependent insulin release and reduce glucagon production, decreasing blood glucose (Aroda et al., 2012).

    BUY A HUMAN-WRITTEN PAPER HERE

    “Tresiba inject 10 units SC TID with meals #1 box of 5 pens 1 RF” is dangerously inaccurate. Tresiba (insulin degludec) is a once-daily basal insulin; “TID with meals” might lead to harmful buildup and severe hypoglycemia (Philis-Tsimikas et al., 2019). “Inject” is redundant, “SC” is better, and “#1 box of 5 pens” is unclear. Mixing strengths (100 vs 200 units/mL) or moving from pen to syringe can cause an overdose. Correct prescription: 100 units/mL insulin degludec (Tresiba) injection. Daily subcutaneous injection of 10 units. Dispense one refill and one 3mL pre-filled pen (300 units). For diabetes. Its long-lasting effect results from multi-hexamer synthesis upon injection (Philis-Tsimikas et al., 2019).

    The prescription “tiotropium (Spiriva) 2.5 mcg PO BID #60 1 RF” contains route and frequency problems. Inoculation of tiotropium is once daily (“BID”), not twice (“PO”). The proper prescription is a tiotropium bromide (Spiriva Respimat) 1.25 mcg per actuation. Orally inhale 2 puffs (2.5 mcg) every day. One inhaler (60 puffs), one refill. To maintain COPD. Long-acting muscarinic antagonists (LAMAs) block M3 receptors, preventing bronchoconstriction (Agustí et al., 2023).

    The prescription “Qulipta 60 mg PRN for migraine #30 1 RF” misuses “PRN”. Daily preventative medicine Qulipta (atogepant) is not used for acute attacks (Vernieri et al., 2025). The prescription is Atogepant (Qulipta) 60 mg tablet, taken once daily. 30 pills, 1 refill. For episodic migraine prevention. According to Vernieri et al. (2025), it selectively blocks the CGRP receptor, inhibiting the neurogenic inflammation and vasodilation implicated in migraine pathophysiology.

    The life-threatening mistake in the levothyroxine prescription “levothyroxine 88 mg PO daily #30 5 RF” is milligrams instead of micrograms. 88 mg is 1000 times the usual amount. The exact prescription is one levothyroxine sodium 88 mcg tablet taken once a day on an empty stomach. Give 30 pills and 5 refills. The metabolic regulator levothyroxine is a synthetic T4 prohormone converted to active T3 for hypothyroidism.

    References

    Agustí, A., Celli, B. R., Criner, G. J., Halpin, D., Anzueto, A., Barnes, P., Bourbeau, J., Han, M. K., Martinez, F. J., De Oca, M. M., Mortimer, K., Papi, A., Pavord, I., Roche, N., Salvi, S., Sin, D. D., Singh, D., Stockley, R., Varela, M. V. L., . . . Vogelmeier, C. F. (2023). Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary.
    American Journal of Respiratory and Critical Care Medicine
    ,
    207
    (7), 819–837. https://doi.org/10.1164/rccm.202301-0106pp

    Aroda, V. R., Henry, R. R., Han, J., Huang, W., DeYoung, M. B., Darsow, T., & Hoogwerf, B. J. (2012). Efficacy of GLP-1 receptor agonists and DPP-4 Inhibitors: Meta-Analysis and Systematic Review.
    Clinical Therapeutics
    ,
    34
    (6), 1247-1258.e22. https://doi.org/10.1016/j.clinthera.2012.04.013

    Philis‐Tsimikas, A., Billings, L. K., Busch, R., Portillo, C. M., Sahay, R., Halladin, N., Eggert, S., Begtrup, K., & Harris, S. (2019). Superior efficacy of insulin degludec/liraglutide versus insulin glargine U100 as add‐on to sodium‐glucose co‐transporter‐2 inhibitor therapy: A randomized clinical trial in people with uncontrolled type 2 diabetes.
    Diabetes Obesity and Metabolism
    ,
    21
    (6), 1399–1408. https://doi.org/10.1111/dom.13666

  • NURS-6521 Week 2 Assignment: Case Studies

    NURS-6521 Week 2 Assignment: Case Studies

    For each of the scenarios below, answer the questions using your learning resources, Medscape, and clinical practice guidelines (ie JNC 8, AHA, ACC etc). Lecturio is an optional resource but highly recommended. Be sure to thoroughly answer ALL questions. When recommending medications, write out a 
    complete medication order
    . What would you send to a pharmacy? 
    Include the following information: drug, dose, route, frequency, duration (if applicable), quantity, # of refills and indication for use.  An example of a complete prescription is as follows:
     
    lisinopril 10mg #30 tabs, take 1 tab PO once daily for high blood pressure, refills: 2
    .
     Also state if you would continue, discontinue or taper the patient’s current medications. Review and discuss ALL labs and possible interactions. Use 
    at least 3 sources
     for 
    each scenario
     and cite sources using APA format; include in-text citations. You do not need an introduction or conclusion paragraph. Please also review assignment rubric.  
     

     
     

    SCENARIO 1

    What are the errors in the following prescriptions (5 total)? Rewrite each prescription correctly. What is each medication classification? What is the mechanism of action (MOA)?
     

    Hyzaar (losartan/hydrochlorothiazide) 50/25 mg PO daily #30 3 RF
     

    Lotrel (amlodipine/lisinopril) 5/40 mg PO daily #30 3 RF
     

    hydralizine 25 mg PO QID #120 1 RF
     

    digoxin 1.25 mg PO daily #30 1 RF
     

    Repatha 140 mg IV every 2 weeks #1 1 RF
     

    SCENARIO 1 SOLVED

     

    SCENARIO 2

    Does fentanyl have a high or low 
    first pass effect
    ? Please discuss why this is important to know and how it relates to 
    bioavailability
    . What route has 100% bioavailability? In addition to parenterally, how can this medication be given to counter the first pass effect? Write a sample prescription for this medication.
    Scenario 2 solved

     

    SCENARIO 3

    Where are the majority of cytochrome P450 (CYP) enzymes located? Using the Medscape pill identifier, enter the following characteristics to identify the medication. What CYP enzyme metabolizes this medication? How can this information be applied to medication therapy management? Write a
    sample prescription for the identified medication and strength
    . 
     

    Imprint (292)  Shape (Oval)  Color (Brown)  Form (Tablet)  Scoring (None) 
     

     
     

    SCENARIO 4

     
    DL is a 48-year-old male following up on his labs that were drawn last week. He smokes 1 pack per day. He is currently on losartan 50 mg po daily, linagliptin (Tradjenta) 5 mg PO daily and red yeast rice supplement. Fasting lipid profile shows Total Cholesterol 245 mg/dL, LDL 165 mg/dL, HDL 41 mg/dL, and Triglycerides 175 mg/dL. He is 5’10” and weighs 223 lbs. What treatment plan would you implement for DL? Include a complete medication order. What are GOAL Total Cholesterol, LDL, HDL, and Triglyceride levels? What is DL’s BMI per Medscape calculator? What patient monitoring and education would you provide? How many risk factors for Coronary Artery Disease (CAD) does DL have?
    Identify them specifically
    .
     

     

    Assignment: Case Studies

    Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.

    For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.

    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 case study posted in “Announcements” by your Instructor for this Assignment

    Review the information provided and answer questions posed in the case study

    When recommending a medication, write out a complete prescription for the medication

    Whenever possible, use clinical practice guidelines in developing your answers when possible

    Include at least three references to support your answer and cite them in APA format.

    By Day 7 of Week 1

    Submit the Assignment.

    submission information

    Before
    submitting your final assignment
    , you can check your draft for authenticity. To check your draft, access the 
    Turnitin Drafts
     from the 
    Start Here
     area.

    To submit your completed assignment, save your Assignment as 
    WK1Assgn1_LastName_Firstinitial

    Then, click on 
    Start Assignment
     near the top of the page.

    Next, click on 
    Upload File
     and select 
    Submit Assignment
     for review.

    Rubric

    NURS_6521_Week2_Assignment_Rubric

    NURS_6521_Week2_Assignment_Rubric

    Criteria

    Ratings

    Pts

    This criterion is linked to a Learning Outcome
    Scenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15
     
    to >
    11.0
     pts
    Excellent
    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    11
     
    to >
    7.0
     pts
    Good
    Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.

    7
     
    to >
    3.0
     pts
    Fair
    Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.

    3
     
    to >
    0
     pts
    Poor
    Medication selected is inappropriate or would not be provided based on patient unique characteristics.

    15
     pts

    This criterion is linked to a Learning Outcome
    Scenario 1: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3
     pts
    Complete
    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    0
     pts
    Poor
    The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate.

    3
     pts

    This criterion is linked to a Learning Outcome
    Scenario 1: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4
     pts
    Excellent
    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    3
     pts
    Good
    References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.

    2
     pts
    Fair
    References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.

    0
     pts
    Poor
    No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors.

    4
     pts

    This criterion is linked to a Learning Outcome
    Scenario 1: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3
     pts
    Excellent
    Uses correct grammar, spelling, and punctuation with no errors.

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

    1
     pts
    Fair
    Contains several (3 or 4) grammar, spelling, and punctuation errors.

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

    3
     pts

    This criterion is linked to a Learning Outcome
    Scenario 2: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15
     
    to >
    11.0
     pts
    Excellent
    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    11
     
    to >
    7.0
     pts
    Good
    Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.

    7
     
    to >
    3.0
     pts
    Fair
    Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.

    3
     
    to >
    0
     pts
    Poor
    Medication selected is inappropriate or would not be provided based on patient unique characteristics.

    15
     pts

    This criterion is linked to a Learning Outcome
    Scenario 2: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3
     pts
    Complete
    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    0
     pts
    Poor
    The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate.

    3
     pts

    This criterion is linked to a Learning Outcome
    Scenario 2: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4
     pts
    Excellent
    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    3
     pts
    Good
    References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.

    2
     pts
    Fair
    References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.

    0
     pts
    Poor
    No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors.

    4
     pts

    This criterion is linked to a Learning Outcome
    Scenario 2: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3
     pts
    Excellent
    Uses correct grammar, spelling, and punctuation with no errors.

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

    1
     pts
    Fair
    Contains several (3 or 4) grammar, spelling, and punctuation errors.

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

    3
     pts

    This criterion is linked to a Learning Outcome
    Scenario 3: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15
     
    to >
    11.0
     pts
    Excellent
    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    11
     
    to >
    7.0
     pts
    Good
    Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.

    7
     
    to >
    3.0
     pts
    Fair
    Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.

    3
     
    to >
    0
     pts
    Poor
    Medication selected is inappropriate or would not be provided based on patient unique characteristics.

    15
     pts

    This criterion is linked to a Learning Outcome
    Scenario 3: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3
     pts
    Complete
    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    0
     pts
    Poor
    The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate.

    3
     pts

    This criterion is linked to a Learning Outcome
    Scenario 3: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4
     pts
    Excellent
    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    3
     pts
    Good
    References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.

    2
     pts
    Fair
    References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.

    0
     pts
    Poor
    No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors.

    4
     pts

    This criterion is linked to a Learning Outcome
    Scenario 3: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

    3
     pts
    Excellent
    Uses correct grammar, spelling, and punctuation with no errors.

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

    1
     pts
    Fair
    Contains several (3 or 4) grammar, spelling, and punctuation errors.

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

    3
     pts

    This criterion is linked to a Learning Outcome
    Scenario 4: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection.

    15
     
    to >
    11.0
     pts
    Excellent
    Medication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.

    11
     
    to >
    7.0
     pts
    Good
    Medication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.

    7
     
    to >
    3.0
     pts
    Fair
    Medication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.

    3
     
    to >
    0
     pts
    Poor
    Medication selected is inappropriate or would not be provided based on patient unique characteristics.

    15
     pts

    This criterion is linked to a Learning Outcome
    Scenario 4: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    3
     pts
    Complete
    Written medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.

    0
     pts
    Poor
    The prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate.

    3
     pts

    This criterion is linked to a Learning Outcome
    Scenario 4: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable.

    4
     pts
    Excellent
    References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.

    3
     pts
    Good
    References for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.

    2
     pts
    Fair
    References for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.

    0
     pts
    Poor
    No references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors.

    4
     pts

    This criterion is linked to a Learning Outcome
    Scenario 4: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation NURS-6521 Week 2 Assignment: Case Studies

    3
     pts
    Excellent
    Uses correct grammar, spelling, and punctuation with no errors.

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

    1
     pts
    Fair
    Contains several (3 or 4) grammar, spelling, and punctuation errors.

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

    3
     pts

    Total Points: 
    100

  • NRNP 6531 Week 6 Midterm Exam 99% correct answers

    NRNP 6531 Week 6 Midterm Exam 99% correct answers

    Question 1                1 pts

    Which of the following are considered core competencies for Advanced Practice Registered Nurses (APRNs)?

    Group of answer choices

     

    Leadership, Quality, and Consultation

     

    Leadership, Research Skills, and Quality

     

    Leadership and Research Skills only

     

    Quality and Consultation only

    Question 2                            1 pts

    To reduce adverse events associated with care transitions, the Centers for Medicare and Medicaid Service have implemented which policy?

    Group of answer choices

     

    Mandates for communication among primary caregivers and hospitalists

     

    Penalties for failure to perform medication reconciliations at time of discharge

     

    Reduction of payments for patients readmitted within 30 days after discharge

     

    Requirements for written discharge instructions for patients and caregivers

    Question 3                           1 pts

    Rules proposed by the various State Boards of Nursing must be approved by the state Legislatures.

    Group of answer choices

     

    True

     

    False

    Question 4                                    1 pts

    Angie is a new NP who just finished her FNP program. She is having a difficult time finding an FNP position in the rural area where she lives. So, since she was an ER nurse prior to her graduate program she decides to go back to the ER as an APRN. Does she meet the competency requirements for such a position?

    Group of answer choices

     

    Yes

     

    No

    Question 51 pts

    A nurse practitioner uses the Newest Vital Sign (NVS) tool during a health visit with a patient managing a new chronic condition. The purpose of this screening is to evaluate the patient’s ability to:

    Group of answer choices

     

    Interpret health information and perform basic numerical calculations

     

    Navigate online health resources and digital tools

     

    Demonstrate understanding through verbal communication

     

    Comprehend written discharge instructions

    Question 6                                  1 pts

    Which statement made by a health care provider demonstrates the most appropriate understanding for the goal of a performance report?

    Group of answer choices

     

    “This process allows me to critique the performance of the rest of the staff.”

     

    “Most organizations require staff to undergo a performance evaluation yearly.”

     

    “It is hard to be personally criticized but that’s how we learn to change.”

     

    “The comments should help me improve my management skills.”

     

    Question 7                                1 pts

    Which is the most appropriate research design for a Level III research study?

    Group of answer choices

     

    Epidemiological studies

     

    Experimental design

     

    Qualitative studies

     

    Randomized clinical trials

     

    Question 81 pts

    According to multiple research studies, which intervention has resulted in lower costs and fewer rehospitalizations in high-risk older patients?

    Group of answer choices

     

    Coordination of posthospital care by advanced practice health care providers

     

    Frequent posthospital clinic visits with a primary care provider

     

    Inclusion of extended family members in the outpatient plan of care

     

    Telephone follow-up by the pharmacist to assess medication compliance

     

    Question 9                                        1 pts

    What is the main reason for using the REALM-SF instrument to evaluate health literacy?

    Group of answer choices

     

    It assesses numeracy skills.

     

    It enhances patient–provider communication.

     

    It evaluates medical word recognition.

     

    It measures technology knowledge.

     

    Question 10                                       1 pts

    The Consensus Model for APRN regulation consists of which of the following roles?

    Group of answer choices

     

    CNM

     

    CRNA

     

    APN

     

    CNS

     

    Responses A, B, C, and D

     

    Responses A, B & C only

     

    Question 11                         1 pts

    A patient with atopic and seborrheic dermatitis has lesions on the forehead and scalp line. Which corticosteroid prescription is most appropriate?

    Group of answer choices

     

    Initiate low-to-medium potency steroid such as 0.1 % triamcinolone acetonide; avoid occlusive dressings

     

    Use 0.05 % fluocinonide liberally

     

    Cover with occlusive dressing after application

     

    Start high-potency steroid daily for one month

     

    Question 12                                   1 pts

    During a full-skin exam, a raised, shiny, pearly lesion is found on the patient’s nose. What is the appropriate next step?

    Group of answer choices

     

    Begin cryotherapy in clinic

     

    Reassure the patient that this is a benign lesion.

     

    Refer for possible electrodessication and curettage (suspected basal cell carcinoma)

     

    Diagnose as melanoma

     

    Question 13                                   1 pts

    A newly diagnosed bullous pemphigoid patient reports severe pruritus. The provider prescribes a topical corticosteroid and warns about which possible complication?

    Group of answer choices

     

    Bone marrow suppression

     

    Systemic spread of disease

     

    Secondary skin infection from excoriations

     

    Contagious transmission

     

    Question 14                                      1 pts

    A 28-year-old woman with hidradenitis suppurativa has recurrent abscesses in the groin area. Which statement is accurate when counseling her?

    Group of answer choices

     

    It is caused by deodorant use

     

    The condition is chronic and relapsing, often leading to scarring despite therapy

     

    Lesions are contagious

     

    Antibiotics alone are curative

     

    Question 15                                  1 pts

    Jake, a 66-year-old man with psoriasis, develops new plaques along areas of healed abrasions. This response to skin trauma is known as:

    Group of answer choices

     

    Koebner Phenomenon

     

    Ashpitz Sign

     

    Guttate phenomenon

     

    None of the above.

     

    Question 161 pts

    A 36-year-old man presents with a cluster of painful, erythematous nodules on the back of his neck. Several lesions have coalesced and are draining purulent material. Which management is most appropriate?

    Group of answer choices

     

    Systemic antibiotics to treat carbuncles

     

    Warm compresses only

     

    Topical mupirocin

     

    Incision and drainage with local care

     

    Question 17                                    1 pts

    A man presents with a human bite to his knuckle sustained in a fight. Which complication is most concerning?

    Group of answer choices

     

    Possible exposure to rabies virus

     

    Potential septic arthritis or osteomyelitis

     

    Sepsis from Capnocytophaga canimorsus infection

     

    Transmission of human immunodeficiency virus

     

    Question 18                                    1 pts

    What is the initial approach when obtaining a biopsy of a potential malignant melanoma lesion?

    Group of answer choices

     

    Excisional biopsy

     

    Punch biopsy

     

    Shave biopsy

     

    Wide excision

     

    Question 191 pts

    Katie presents with multiple soft, mobile, fatty nodules on the neck and trunk. What is the most likely diagnosis?

    Group of answer choices

     

    Lipoma

     

    Acanthosis Nigricans

     

    Acrochordon

     

    Cherry Angioma

    Question 20                                1 pts

    A 9-year-old develops vesicular lesions that crust over. His mother recently had shingles. Which statement is accurate?

    Group of answer choices

     

    Chickenpox and shingles are caused by the same varicella-zoster virus

     

    Chickenpox and shingles are caused by different viruses

     

    Both are bacterial infections

     

    Chickenpox immunity prevents shingles

     

    Question 211 pts

    Olga was making French fries for her kids and gets splashed with hot oil. At the clinic the NP notes that she has red colored skin with superficial blisters and pain where the oil splashed. The most likely diagnosis is:

    Group of answer choices

     

    First degree burn

     

    Second degree burn

     

    Third degree burn

     

    Fourth degree burn

     

    Question 22                                       1 pts

    A patient with hidradenitis suppurativa develops painful bullae. Which antibiotic would not be recommended for treatment?

    Group of answer choices

     

    Keflex

     

    Dicloxacillin

     

    Azithromycin

     

    None of the above (all may be appropriate depending on severity)

     

    Question 231 pts

    A 45-year-old woman presents with cellulitis on her lower leg. Which organism is least likely to be the causative agent?

    Group of answer choices

     

    Staphylococcus aureus

     

    Streptococci

     

    Staphylococci

     

    Salmonella

     

    Question 24                        1 pts

    When prescribing a topical medication for an open, hairy area, which vehicle provides the best penetration?

    Group of answer choices

     

    Cream

     

    Gel

     

    Ointment

     

    Powder

     

    A 22-year-old has moderate inflammatory acne
    with several nodules and mild scarring. Which regimen is most appropriate?

    A patient is seen in the clinic for patches of hair loss. The provider notes
    several well-demarcated patches on the scalp and eyebrows without areas of inflammation and several hairs within the patch with thinner shafts near the scalp
    . Based on these findings, which type of alopecia is most likely?

    A provider performs an eye examination during a health maintenance visit and notes a
    difference of 0.5 mm in size between the patient’s pupils. What does this finding indicate
    ?

    A woman with
    androgenetic alopecia asks about medication options
    . You prescribe:

    A patient has a
    localized nodule on one eyelid
    which is warm, tender, and erythematous. On examination, the provider notes clear conjunctivae and no discharge. What is the recommended treatment?

    A 19-year-old has
    fever, severe sore throat, odynophagia, and tender submandibular nodes
    . The most likely organism is:

    Angus is a 46 y/o farmer who comes to the clinic for his annual physical exam. During the eye exam the NP notices that
    Angus has micro aneurysms and cotton wool spots on the retina
    . Based on these findings alone the NP could make the diagnosis that Angus has:

    Bryce is a 17 y/o male who comes to the clinic with chief complaint of
    ear sudden onset of pain, popping noises, and muffled hearing
    . During the ear exam the NP notices that the TM has ruptured.

  • Aqueous deficiency

    Question 33                1 pts

    Chronic gritty sensation and burning; abnormal Schirmer test. Likely mechanism:

    Group of answer choices

     

    Aqueous deficiency

     

    Corneal abrasion

     

    Evaporative disorder

     

    Poor eyelid closure

  • Bryce is a 17 y/o male who comes to the clinic with chief complaint of ear sudden onset of pain, popping noises, and muffled hearing.

    Question 32                                  1 pts

    Bryce is a 17 y/o male who comes to the clinic with chief complaint of ear sudden onset of pain, popping noises, and muffled hearing. During the ear exam the NP notices that the TM has ruptured.

     

    The first line treatment for Bryce would be:

     

    Group of answer choices

     

    Amoxicillin

     

    Cefoxin

     

    Augmentin

     

    Levaquin

  • diabetic retinopathy symptoms

    Diabetic retinopathy Question 31                                               1 pts

    Angus is a 46 y/o farmer who comes to the clinic for his annual physical exam. During the eye exam the NP notices that Angus has micro aneurysms and cotton wool spots on the retina. Based on these findings alone the NP could make the diagnosis that Angus has:

    Group of answer choices

     

    Papilledema

     

    Hypertensive retinopathy

     

    Diabetic retinopathy

     

    Cataracts

  • streptococcus pyogenes diseases

    Question 30               1 pts

    A 19-year-old has fever, severe sore throat, odynophagia, and tender submandibular nodes. The most likely organism is:

    Group of answer choices

     

    Streptococcus pyogenes

     

    Streptococcus pneumonia

     

    Streptococcus mutans

     

    Streptomyces