MRU Health Care Policy Presentation and Professional Nurse Interview Report

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ASSIGMENT#1: DO A TERM PAPER

  • Topic: Interviewing a Professional Nurse o Interview a nurse professional with years of experience.
  • Provide examples for:
  1. Teamwork
  2. Patient-care adaptability
  3. Time management
  4. Communication style
  • Motivation and core values
  • 3-5 pages(excluding title page and reference page) APA stylepaper with at least
  • 3 references within 5 years.
  • The term paper could be done in groups up to 7 students or individually. Every student of the group must upload the file into this link to obtain a grade

ASSIGMENT#2:DO A POWER POINT PRESENTATION

This week you need to upload the PowerPoint presentation that you will be use for week 15 related to Baccalaureate Education topics. this will be a group presentation, you could select to do the presentation by one or more members of the group. You have the option to do the PowerPoint individually. You must select one of the following baccalaureate essentials and make the PowerPoint for the selected one.

The baccalaureate education essentials are:

o Liberal Education for Baccalaureate Generalist Nursing Practice

o Basic Organizational and Systems Leadership for Quality Care and Patient Safety

o Scholarship for Evidence-Base Practice

o Information Management and Application of Patient Care Technology

o Health Care Policy, Finance, and Regulatory Environment

o Interprofessional Communication and Collaboration for Improving Patient Health Outcomes

o Clinical Preventiion and Population Health

o Professionalism and Professional Values

o Baccalaureate Generalist Nursing Practice

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CHAPTER 28: The NCLEX-RN® examination Tommie L. Norris, DNS, RN SERGIO OSEGUEDA, MD-MSN-FNP-RN-BC MRC FACULTY The NCLEX-RN examination • To receive a license to practice as an RN in the United States and its territories, candidates must furnish evidence of competency to provide safe and effective nursing care by successfully completing the NCLEX-RN examination • There are three types of RN programs: (1) 2-year associate degree programs usually found in community or junior colleges, (2) hospital-based diploma programs, and (3) baccalaureate degree or higher programs found in 4-year colleges and universities or academic health centers. Purpose of the NCLEX-RN examination • The purpose of the NCLEX-RN examination is to: • 1. Safeguard the public from unsafe practitioners. • 2. Assist state boards of nursing in determining candidates’ capabilities for performing entry-level RN positions. Characteristics of the NCLEX-RN examination • The NCLEX-RN examination is a pass-fail examination and has been computerized since 1994. • Today the NCLEX-RN examination is offered at Pearson Professional Centers throughout the United States, American Samoa, Guam, Northern Mariana Islands, and U.S. Virgin Islands. • The official results of the examination are sent to candidates within 6 weeks after they have taken the examination. Computer adaptive testing • The NCLEX-RN examination uses computer adaptive testing (CAT), which is a test-administering technique that uses computer technology and measurement theory. • As a candidate answers questions on the examination, CAT adapts to the level of the candidate’s knowledge, skills, and ability. • After a candidate answers a question at a particular level of difficulty, the computer then selects the next item that the candidate should have a 50% chance of answering correctly. NCLEX-RN • Candidates taking the examination answer a minimum of 75 questions to a maximum of 265 questions. The NCSBN (2013) advises that the length of an NCLEX-RN examination be based on the performance of the candidate on the examination and has established a goal to be 95% sure of pass-fail decisions. The computer determines whether a candidate passes or fails based on the following three rules: • 1. 95% confidence interval rule: 95% certainty that the candidate’s ability is obviously above or below the passing standard. • 2. Maximum-length examination rule: When the candidate is very close to the passing standard, the computer continues to give test items until the maximum number of items is reached; at this point, the computer disregards the 95% confidence rule and considers only the final ability estimate. • 3. Run-out-of-time rule: The candidate runs out of time, and the 95% confidence interval has not been determined. Skipping questions and changing answers • Candidates taking the NCLEX-RN examination are not allowed to skip questions and return to them at a later time or to change answers to questions once an answer has been selected and entered into the computer. • These actions would defeat the purpose of adaptive testing because CAT selects questions based on the examination taker’s knowledge, skills, and abilities. Question format • All of the information needed to answer a particular question appears on one computer screen, so candidates do not need to see the previous or next screen for answer determination. • Questions are presented in traditional top-down format, in which the question is presented, followed by the potential answers to it. • Candidates will receive test items in a variety of formats which include traditional multiple choice, multiple response, ordered response, fill-in-the-blank calculations and/or hot spots. • Recently items may also include charts, graphics, sound, video, tables, and multimedia. Identify the point of maximal impulse (PMI): Hot spot (questions based on illustrations and charts). QUESTIONS: • • Multiple-response, multiple-choice questions. SATA • • Fill-in-the-blank • • Ordered response “Drag and drop” (prioritize). • • Chart exhibit. • • Audio. • • Graphic option identification. Cognitive domains and the NCLEX-RN examination • Knowledge questions (remember) • Comprehension questions (understand) • Application questions (apply) • Analysis questions (analyze) Components of the NCLEX-RN® examination test plan • 1. Safe, effective care environment • • Management of care • • Safety and infection control • 2. Health promotion and maintenance • 3. Psychosocial integrity • 4. Physiologic integrity • • • • • Basic care and comfort • Pharmacologic and parenteral therapies • Reduction of risk potential • Physiologic adaptation Client needs • Safe and effective care environment • Health promotion and maintenance • Psychosocial integrity • Physiologic integrity Integrated processes • • Nursing process • • Caring • • Communication and documentation • • Teaching and learning Nursing process • Assessment. • Analysis. • Planning. • Implementation. • Evaluation. Caring • The NCSBN defines caring as “the interaction of the nurse and client in an atmosphere of mutual respect and trust. In this collaborative environment, the nurse provides encouragement, hope, support and compassion to help achieve desired outcomes” Communication and documentation • The NCSBN defines communication and documentation as “the verbal and nonverbal interactions between the nurse and the client, the client’s significant others and the other members of the health care team. • Events and activities associated with client care are validated in written and/or electronic records that reflect standards of practice and accountability in the provision of care” Teaching and learning • The NCSBN defines teaching and learning as “facilitation of the acquisition of knowledge, skills and attitudes promoting a change in behavior” Build your NCLEX study plan • Use the following tips and strategies to build your own study plan and increase the likelihood of being successful on the NCLEX-RN examination: • • Review the NCLEX Candidate Bulletin (find the most current Bulletin at www.ncsbn.org). • • Become familiar with the test plan (find the most current Test Plan at www.ncsbn.org). • • Locate your test site early. Be sure to obtain an Authorization to Test (ATT). Summary • Success on the NCLEX-RN examination is needed to obtain a license and practice as an RN. • Most candidates taking the NCLEX-RN examination are successful. • Of the 155,098 first-time, U.S.-educated candidates taking the examination during 2013, approximately 83.04% were successful (NCSBN, 2014c). • The pass rate is somewhat higher for those testing for the first time in 2014, with 85.54% of the 89,032 candidates passing. • The key to success on the NCLEX-RN® examination is sound preparation from the nursing program, adequate preparation for the examination, and confidence in oneself.
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Explanation & Answer

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Interviewing a Professional Nurse
Outline
1. Abstract
Objective: The purpose of this paper is to address several aspects of nursing by
interviewing a professional nurse in a bid to make clear how the complexity in health care can be
dealt with.
2. Introduction
3. Teamwork
a. Description
b. Findings from interview.
4. Patient-care adaptability
a. Description
b. Findings from interview.
5. Time management
a. Description
b. Findings from interview.
6. Communication style
a. Description
b. Findings from interview.
7. Motivation and core values
8. Conclusion


1

CULTURAL ASSESSMENT

Cultural Assessment to Members of Asian Culture Living in the US
Institution Affiliation
Course

2

CULTURAL ASSESSMENT
Cultural Assessment to Members of the Asian Culture Living in the US

Culture, which is the way of living by various communities and societies, may have some
impacts on various fields in the United States including in the healthcare sector. These impacts
can either be positive or negative depending on the types of beliefs and practices being upheld by
that particular community or society in the United States. In the assignment, a cultural
assessment of members of the Asian culture in the United States will be conducted. The
assessment includes evaluating the culture's trans-cultural beliefs, identifying its healthcare
behaviours, challenges and barriers to healthcare including the challenges related to outcomes.
Finally, in the assessment, an evidence-based plan that can be utilized to improve healthcare
outcomes and access to healthcare will be developed.
Trans Cultural Beliefs Assessment
As earlier noted, the term culture denotes reflections of communities’ or societies’ way of
living and this includes their practices, beliefs or idea patterns, and customs. Members of the
Asian culture, more so the Chinese living in the United States have various cultural beliefs and
practices, ranging from their language, religious practices to dietary preferences, among others.
Brown (2020) notes that language is a way of living for communities as they use it to
communicate; hence part of the culture. The Asians; Chinese living in the United States mostly
use the mandarin language. This is since; mandarin is the most common traditional language for
most of the Chinese communities in China. However, when conversing with non-Chinese
individuals in the states, members of the Asian culture will use English. Regarding religious
practices which is part of the culture, most of the Asians; Chinese in the United States exercise
Buddhism religious practices, which include singing and chanting their scriptures, meditations,

CULTURAL ASSESSMENT

3

and also coining of mantras for the avoidance of self-weakness, denial, and indulgence. This is
also common and evident when one visits the old Chinatowns in Philadelphia and San Francisco.
Lueck (2018) notes that the socio-economic status of Asians; Chinese in the United
States has tremendously increased. Currently, most of the Chinese in the United States have
attained the middle-class socio-economic status with only thirteen per cent of them living in
poverty as per 2019 data (Budiman, 2021). Members of the Asian culture; the Chinese in the
United States value life so much. Therefore, they practice palliative care till their loved one dies.
The individuals believe that palliative care is the secret to “good death”. Again upon death,
Chinese in the United States bury their loved ones with a lot of respect after carrying out some
rituals, such as praying and incense burning, since it is part of their end-of-life practices.
Members of the Asian culture; Chinese in the United States have strong preferences for their
traditional food. These foods include noodles, soups, and seafood. Therefore, these individuals
prefer these diets over traditional American foods. Lastly, the Chinese in the United States are
known for their risk-taking ventures, more so regarding their health. This is evident through their
higher uptake of alcohol and other drugs.
Healthcare Behaviors for Members of the Asian Culture in the US
Chinese living in the United States are also known for their strong clinging to their
traditions and cultures including in healthcare. When sick or unwell, most of these individuals
opt for traditional herbal therapies not unless it gets serious and this is where non-traditional
therapy comes into play. When seriously sick, that is when Chinese in the United States will visit
hospitals for medical treatment, which is a non-traditional therapy. Lastly, some Chinese
immigrants in the United States periodically go to drug addiction treatment centers for drug

4

CULTURAL ASSESSMENT
abuse treatment and rehabilitation especially if the abuse is severe and this is a non-traditional
therapy.
Challenges and Barriers to Healthcare
As far as members of the Asian culture in the United States; the Chinese are concerned,
the key challenges and barriers to healthcare emanate from their strong cultural practices and
beliefs, among other things, such as financial statuses. For example, the above-identified
members of the Asian culture in the United States believe in respect for authority and therefore,

try to avoid disagreements with healthcare professionals (Wu et al., 2020). Again, these members
believe in being strong. To most of them, discussing mental illness’ symptoms and also seeking
medical help before traditional therapy is a form of lack of self-control and weakness.
Again, poverty is a barrier to healthcare among some of these Chinese immigrants as they
do not have funds to pay insurance premiums or seek quality healthcare. As was earlier noted,
about thirteen per cent of the Chinese in the United States live in poverty. Some of the outcomes
of the above-discussed challenges and barriers include misdiagnosis or little healthcare help as
some of the Chinese patients in the United States are not willing to open up and discuss their
symptoms or even seek expert medical care. The other outcome is increased mortality rates and
poor healthcare among these individuals as they cannot seek quality medical care due to their
poverty levels.
Evidence-Based Plan
To improve healthcare outcomes and access to healthcare among the Chinese in the
United States, things such as the deployment of Chinese healthcare practitioners to hospitals
where Chinese immigrants frequent and use of technology can help. Research by Zhang, Wang,

CULTURAL ASSESSMENT

5

and Cheng (2020) shows that Chinese trust each other more than members of other races. Hence
they would be more open to Chinese doctors. Zheng et al. (2020) note that using of technology in
diagnosis is more efficient than human observations. Therefore, using technology can help in the
diagnosis process. Lastly, increasing state healthcare insurance coverage among the poor can
also help. Currently, Obamacare is proving to be successful and increasing such would ensure
everyone in the US including the poor is covered.

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CULTURAL ASSESSMENT
References
Brown, P. (2020). Language as a model for culture: Lessons from the cognitive sciences.
In Anthropology beyond culture (pp. 169-192). Routledge.
Budiman, A. (2021, February 10). Chinese; Data on Asian Americans. Pew Research Center’s
Social & Demographic Trends Project. https://www.pewresearch.org/social-trends/factsheet/asian-americans-chinese-in-the-u-s/
Lueck, K. (2018) Socio-economic success of Asian immigrants in the United States. Journal of
Ethnic and Migration Studies, 44:3.
Wu, J., Liu, M., Ouyang, Y., & Chi, I. (2020). Beyond just giving care: Exploring the role of
culture in Chinese American personal care aides’ work. Journal of Cross-Cultural
Gerontology, 35(3).
Zhang, G., Wang, R., & Cheng, M. (2020). Peer-to-peer accommodation experience: A Chinese
cultural perspective. Tourism Management Perspectives, 33, 100621.
Zheng, Z., Chen, Z., Hu, F., Zhu, J., Tang, Q., & Liang, Y. (2020). An automatic diagnosis of
arrhythmias using a combination of CNN and LSTM technology. Electronics, 9(1).


Interviewing a Professional Nurse

Student’s name
Course code
Instructor’s name
Date

Interviewing a Professional Nurse
Abstract
The contemporary healthcare setup is increasingly becoming complex. Patient care today
is multi-faceted and multi-dimensional and hence the complexity in healthcare. The purpose of
this paper is to address several aspects of nursing in a bid to make clear how the complexity in
health care can be dealt with. To articulately and comprehensively get an in-depth view of the
aspects, I interviewed Sheri Underwood, Group Chief Nursing Officer Detroit Medical Center.
The paper has been divided into four sections, each addressing a different patient and health care
aspect.

Introduction
The predominant aspects that define patient care are teamwork, patient-care adaptability,
time management, communication style and motivation, and core values of the health care team.
The interview questions directed at Sheri Underwood were greatly woven to establish how each
of these aspects contributes to patient care. Additionally, the nurse provided examples that better
illuminated patient care, which is essentially a brushstroke to the painting that is healthcare.
i)

Teamwork

With the high degree of complexity in health care, patients are cared for by different
professionals. Health care facilities have numerous providers and nurses, each with a different
duty, and hence teamwork is very vital (Babiker et al., 2014). Nurses and providers need to be
equipped with the necessary teamwork skills.
According to Underwood, the Detroit Medical Center's success is largely due to the high
level of teamwork that has been instilled in the staff. She explained that teamwork involves
cooperation between staff,...


Anonymous
Really helpful material, saved me a great deal of time.

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