NR393 Week 8 Discussion From the Past to the Future

Purpose:

The purpose of this discussion is for learners to analyze lessons from the past that apply to the future.

Course Outcomes:

This assignment enables the student to meet the following course outcome:

CO4: Analyze the impact of nursing history on professional nursing roles today and in the future. (PO7)

Directions:

Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:

Demonstrate understanding of concepts for the week

Integrate scholarly resources

Engage in meaningful dialogue with classmates

Express opinions clearly and logically, in a professional manner

Use the rubric on this page as you compose your answers.

Discussion

What lessons from history have we learned as a profession that will take us into the next century? What can we do to help this happen? What should we avoid?

Florence Nightingale was given credit to improving patient care during the 1800’s when she took action against unsafe conditions that were unsanitary and could negatively impact patient outcomes. She used medical statistics and patient demographics to gather the number of deaths in hospitals and mortality rate and how it directly correlated to the different illnesses and injuries noted. This is considered evidenced based practice. Evidence based practice is “An integration of research evidence, clinical expertise and a patient’s preferences. This problem-solving approach to clinical practice encourages nurses to provide individualized patient care”( EIU 2018).

Evidence based practice involves 5 steps:

Forming a clinical question to identify a problem
Gather the best evidence
Analyze the evidence
Apply the evidence to clinical practice
Assess the result.

The research used in EBP can be controlled trials, evidence gathered from cohort, case- control analysis, observational studies, opinions from clinical experts, personal experiences, etc. As nurses when we use EBP we are able to stay updated on the newest protocols for patient care. This overall increases patient outcomes when we are using the most updated evidence supported clinical interventions. The lesson we have learned from Florence and her recognizing by using EBP that there needs to be infection control, we are able to improve patient outcomes today with the most relevant data. We should avoid thinking that we have all of the answers. Healthcare is ever changing and there is always a better way to do something. As nurses we should always speak up if we think we have a better or more efficient way of doing something because nothing is set in stone. Improvements and advancements are what keeps healthcare going.

Why is evidence-based practice in nursing so important? (2018, December 10). Eastern Illinois University Online. https://learnonline.eiu.edu/articles/rnbsn/evidence-based-practice-important.aspxLinks to an external site.

Campbell, W. (2019). Repository Home. https://sigma.nursingrepository.org/bitstream/handle/10755/623083/Campbell_W_p83595_1.pdf?sequence=1&isAllowed=y

I believe that one of the biggest challenges for nurses to be change advocates is to be afraid of people telling you “No.”. As humans, we like routines, we like schedules and planning and to know what is coming next. We get comfortable in knowing our jobs, knowing how policies and procedures work, and we don’t like it when they change! Healthcare requires one to always be open and mindful of practices that are always changing – so as humans if we can avoid that, we will. Being able to stand up for what you know, is a huge step in being able to be a change agent. Florence decided many, many years ago to do something different – because the current ways just weren’t working. We are still seeing people stand above the pack and try something new for the best interest of the patient. It is okay to question “what if?’. Is it okay to say, “I wonder if we tried this, for that…”. Who knew that leaving Petri-dishes out for longer than anticipated would lead to the creation of the world’s first antibiotic – penicillin? Many medicines today are created for one purpose and found to have other beneficial properties. In order to adapt to the times, we need to have people who are willing to try something new.

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

NR393 Week 8 Discussion From the Past to the Future

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.