NR 500 Week 6: Systems-Structure and Function

Chamberlain University NR 500 Week 6: Systems-Structure and Function– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 500 Week 6: Systems-Structure and Function   assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 500 Week 6: Systems-Structure and Function              

Whether one passes or fails an academic assignment such as the Chamberlain University NR 500 Week 6: Systems-Structure and Function  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 500 Week 6: Systems-Structure and Function              

The introduction for the Chamberlain University NR 500 Week 6: Systems-Structure and Function  is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 500 Week 6: Systems-Structure and Function              

After the introduction, move into the main part of the NR 500 Week 6: Systems-Structure and Function assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 500 Week 6: Systems-Structure and Function              

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 500 Week 6: Systems-Structure and Function              

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 500 Week 6: Systems-Structure and Function

The majority of nurses and advanced practice nurses today are working in complex adaptive systems. As science and evidence-based practice have evolved, so have complex adaptive systems (CAS). Complex adaptive systems or complexity science in nursing is a non-linear, unpredictable model of behavior with many diverse components that are interconnected, all functioning together towards new and improved care models (D’Agata & McGrath, 2016). CAS’s are interactive systems, involving an array of disciplines. They have multiple components that often challenge the way things were always done towards a new and improved method of thinking and doing that is science based. Once CAS’s are embraced by the healthcare community, great stride towards a better functioning healthcare system can and will evolve.

As a future nurse educator, I see the need for greater understanding and involvement in complex adaptive systems. One issue that I would like to see further advanced is that of family centered care in the neonatal intensive care unit (NICU) environment. Clinical nurse educators have become increasingly valuable resources to nurses, other healthcare disciplines, patients, and their families. This advanced practice role can provide the necessary education and role modeling that can ultimately transition current models of care into improved future models of care. As I researched this discussion question, I found a clinical issue that I could identify with and one that I would like to see my future role as a nurse educator impact. Through exploration of interconnected relationships between the parent, nurse, and patient, the need for increased parental involvement in direct care is an identifiable need for promoting the neurodevelopment in the NICU patient (D’Agata & McGrath, 2016). Educating nurses to allow for supportive parental caregiving right from the start in NICU stays, offers a stronger potential for improved parent attachment to their infant and possibly impacting premature brain development (D’Agata & McGrath, 2016).  

   Premature infants are presenting to hospitals across our country with earlier gestations and more complicated medical needs than ever before. Their survival rates have greatly improved. However, the neurodevelopmental outcomes long after NICU stay is the clinical issue that needs to be addressed. There is rising evidence that poorer brain development caused by premature births lead to “cognitive, emotional, and behavioral deficits” (D’Agata & McGrath, 2016). Anxiety, attention deficits, autism, depression, cognitive deficits, and social difficulties have manifested in these individuals, long after NICU stay (D’Agata & McGrath, 2016). Family centered care is not a new concept in nursing, especially in the neonatal and pediatric settings. Incorporating the family into care, specifically the patient’s parents is one that is overall an accepted part of care but there is room for growth. In the NICU setting where the patient is in a complex and fragile medical state, the bedside nurse is the primary caregiver and coordinator of care for the baby. In an essence, the nurse acts as the gateway between newborn and parents. Parents can often feel a lack of control or inadequacy in this type of situation. The neonate will likely experience factors that are abnormal early life experiences like stress, pain, and separation which can negatively affect the premature brain (D’Agata & McGrath, 2016). D’Agata & McGrath (2016) go on to describe research proving that chronic stress can alter the course for normal brain development. For example, a normal diaper change should not be a stressful event but accompanied by vital signs, heel sticks, repositioning, and bathing might be too much for a little one who has no reserve. Increased incorporation of parental participation in hands on care early in NICU stay has shown potential for improving short and long-term outcomes for the neonate (D’Agata & McGrath, 2016). The pathway of letting go of some of the rigidity that occurs in NICU care and adapting to a less linear approach to family centered care would help foster the crucial emotional connection needed to be formed between parent and child. The nurse educator can intervene by sharing recommendations for parental involvement with the staff and encouraging the incorporation of parents as co-care providers (D’Agata & McGrath, 2016). A nurse educator would educate NICU nurses on how to refocus their nursing care delivery by supporting them and helping staff to understand the need to coach and educate new parents in the NICU and ultimately piece the family unit back together.

At the microsystem level, there are infant-nurse-parent interactions. The direct care provided to the infant and the incorporation of family centered care is evidenced at this stage of complex adaptive care. The NICU department and the polices that the nursing staff are expected to follow in regards to family visitation and involvement in care is also part of the microsystem. The hospital that houses the NICU would be the mesosystem. The administrators and managers that direct the philosophy of this system ultimately affect nursing education and nursing care in the NICU (microsystem). The community surrounding the hospital is the macrosystem. Government legislation, funding, and research ultimately play a role at the macro level for complex adaptive systems as described. Improved access to technology and funding for advancement of research on neurodevelopment of the neonate at the macro level would trickle down to the mesosystem where a hospital administrator would see the need for nurse educator positions in the NICU, allowing for more open jobs. A nurse educator with a graduate degree would accept the clinical educator position in the NICU (microsystem) and implement the complex adaptive changes for improving parental involvement in the care of their infant through education, role modeling, and supportive care to the entire team. The embracement of a complex adaptive care system by the nursing profession, healthcare systems, various disciplines, and the community supports evidence-based practice and improved care for the NICU patient and family unit.

Reference

D’Agata, A., & McGrath, J. (2016). A framework of complex adaptive systems: Parents    as partners in the neonatal intensive care unit. Advances in Nursing Science, 39(3), 244-256. doi: 10.1097/ANS.0000000000000127

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NR 500 Week 7 Assignment: Cultivating Healthful Environments

Sample Answer 2 for NR 500 Week 6: Systems-Structure and Function

My specialty track is Family Nurse Practitioner (FNP). The issue that I have identified that is related to my specialty track is the increasing rise of opioid-related deaths and opioid addiction related to the over prescribing of opioids. Opioids are prescribed more frequently for pain that non-opioids or other non-pharmacological methods. Opioid over prescribing affects every level of system and by finding solutions for one level the others will be affected.  As stated by Marquis and Huston (2012) a change in any element of the healthcare system causes changes in other elements of the system.

The overuse of opioid treatment for pain affects the system at the micro level by introducing opioids to opioid naive patients. By doing so this increases the risk of addiction to opioids. It also increases the probability of requesting opioids in the future for pain management. Opioid addiction can cause financial problems by the costliness of the prescriptions and resulting to buying opioids on the street if unable to get a prescription. Opioid addiction also causes family conflict and strains. At this level I would address the issue by decreasing the amount of opioid prescriptions for pain and use alternatives such as non-opioid treatment or non-pharmacological methods such as physical therapy, massage etc. Thompson (2017) stated that non-pharmacologic methods help to lessen patients’ focus on the time remaining until their next dose of opioids. By implementing this solution the amount of opioid prescriptions will decrease thus decreasing request for opioid prescriptions and opioids as first line of treatment for pain.

The overuse of opioid treatment for pain affects the meso level by increasing visits to the emergency department for chronic pain management. It also impacts the hospital by increasing opioid overdose and death related visits/admissions to the hospital. Psychiatric related visits are also increased due to opioid related addiction. Incidents involving violence in the hospital are also increased by opioid addiction. I will address these issues by not treating chronic pain in the emergency department. By not treating chronic pain in the emergency room setting there will be less visits for patients drug seeking thus decreasing incidents involving violence. 

The overuse of opioid treatment for pain affects the macro level by increasing the cost to community through increasing cost of health insurance and home insurance. Increasing addiction rate correlates with increasing theft thus increasing home insurance. Emergency department wait times are increased with opioid addiction and drug seekers. HCAHPS scores asks about pain management and if the patient feels pain wasn’t properly managed than some organizations get decreased reimbursements. Legislation has started to decrease over prescribing of opioids. To address this issue I will advocate for increased legislation on opioid over prescribing. I will also increase education to the population of the dangers of opioids and alternative treatments to pain. 

Marquis, B.L., & Huston, C.J. (2012). Leadership roles and management functions in Nursing: Theory and application (7th ed.). Philadelphia, PA: Lippincott, Williams, & Wilkins.

Thompson, C. A. (2017). HCAHPS survey to measure pain communication, not management. American Journal Of Health-System Pharmacy: AJHP: Official Journal Of The American Society Of Health-System Pharmacists, 74(23), 1924-1926. doi:10.2146/news170084

Sample Answer 3 for NR 500 Week 6: Systems-Structure and Function

As a future nurse practitioner, an area of concern I have is ensuring patients receive all of the care available through multiple avenues in order for their needs are met holistically and not just their medical diagnosis. At the micro-level I plan to ensure the needs of the patient are matched with services addressing those needs.  At this level, I would include the patient in his/her care in order to have a shared understanding of the goals and responsibilities of both the provider and patient. At the meso-level, I plan to develop networks in the interest of my patients.  These networks need to be strong and collaborative relationships built on mutual respect and interest in order to collectively ensure the overall well-being of the patients are being met.  At the macro-level, I would work toward a person and population centered system whose main goal is to better health for the community as a whole.  This would require both vertical integration (treating the disease with multiple layers of specialization) and horizontal integration (holistic person-centered care to improve health overall.) If there was an integrated health record system available to all providers in the community, less repetition and more advancement could be made collaboratively by the providers in the patients’ overall health and well-being (Pim, Sanneke, Wilfrid, and Marc, 2013).

Pim P., V., Sanneke M., S., Wilfrid, O., & Marc A., B. (2013). Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. International Journal Of Integrated Care, Vol 13, Iss 1 (2013), (1). doi: 10.5334/ijic.886

Sample Answer 4 for NR 500 Week 6: Systems-Structure and Function

My specialty track is education and a situation that would impact this system is the inability to implement hands-on simulation in undergraduate nursing education programs.  This would impact the system at the micro level (nursing education program), by not adequately preparing nursing students prior to caring for future patients, since simulation provides a safe learning environment for students to practice and master clinical skills in.  The meso level (the educational institution) would be impacted by the nursing program’s outcomes, which in turn could negatively affect the school’s academic reputation.  Lastly, the absence of simulation would impact the system at the macro level (community) by supplying fewer competent nurses, which ultimately affects the entire healthcare system.

     Due to the various internal and external factors affecting the implementation of hands-on simulation in nursing education, my proposed solution would be incorporating virtual learning instead.  It is cost effective, convenient, and still provides students with a safe learning environment to practice in.  A study conducted by Smith and Hamilton (2015), examined the effectiveness of virtual reality (VR) as a teaching strategy for proper insertion of a Foley catheter. The experimental group utilized the VR program to practice catheterization skills, while the control group did not have access to the program (Smith & Hamilton, 2015).  All participants in the experimental group successfully completed the skill on their first attempt (Smith & Hamilton, 2015).  The results of this study support the use of VR simulation as a supplemental tool for teaching students’ clinical skills such as insertion of a Foley catheter (Smith & Hamilton, 2015).

     I would address this situation at the micro level, by collaborating with colleagues within the nursing program, and emphasize the effects virtual learning can have on students and their clinical performance. I would then consult with administrative personnel within the institution (meso level) to present the facts and address the need for virtual learning in nursing education.  Finally, I would work within the community (macro level) to find what skills nurses need improvement in, explore different virtual learning programs that would best fit students’ needs, and find ways in which funding could be raised if needed.    

     In my opinion, the expected outcomes on each of the systems using my solution would be the same as they would be with hands-on simulation, since they are similar supplemental teaching strategies.  The expected impact on the micro level utilizing my solution would be that student nurses would be adequately prepared prior to their clinical practicums.  The educational institution (meso level) would be impacted by the nursing program’s overall improved outcomes.  Finally, the community (macro level) would be impacted by an increased number of competent nurses joining the workforce post completion of the program, which positively affects the healthcare system.   

Smith, P. C., & Hamilton, B. K. (2015). The effects of virtual reality simulation as a teaching strategy for skills preparation in nursing students. Clinical Simulation in Nursing. 11(1), 52-58.  

Week 6: Reflection on Learning

This week I learned in depth about Evidence Base Practice and how it is important to implement that in my future NP practice. 
Evidence-based practice in nursing involves reviewing and assessing the highest-quality and most current research to inform care delivery. Nursing Practitioners (NPs) have a vast knowledge that allows them to refer patients to specialists, order laboratory tests, and write prescriptions to diagnoses (Clarke et al., 2021). Other specialists also recognize them as having different skills and knowledge, including their role in research and EBP. More particularly, my role in implementing EBP as I contemplate my future as a nursing practitioner will involve administering standardized surveys, completing needs assessments, and carrying out small-scale plot projects and qualitative studies (Clarke et al., 2021). My role will also involve conducting structured literature reviews to identify future research priorities, influence policies, and inform my patients and other professionals of the excellent available evidence when making clinical and healthcare decisions. 
Clinical scholarships entail various activities that aim to systematically advance nursing practice, research, and teaching through rigorous inquiries. Therefore, as NP, I will engage in the scholarship in various ways, including working with other medical professionals and NPs to systematically examine quantifiable outcomes impacting the cost of care, the quality of care, and patient’s health in general (Clarke et al., 2021). I also engage the professionals in systemic evaluation of what I do within my practice and in my research and later document my progress and contributions to the nursing practice.   
The major challenge in healthcare systems today is delivering reliable, consistent, and high-quality services. EBP aims to guarantee the professional and individual development of healthcare professionals such as nurses, reducing care costs and enhancing the overall quality of care (Clarke et al., 2021). However, there are numerous systemic barriers to implementing EBP at an individual and organizational level. Some of the obstacles, in this case, include a lack of resources, such as a shortage of nurses, insufficient access to libraries with good nursing journals, and a heavy workload (Clarke et al., 2021).   

References 

Clarke, V., Lehane, E., Mulcahy, H., & Cotter, P. (2021). Nurse Practitioners’ Implementation of Evidence‐Based Practice Into Routine Care: A Scoping Review. Worldviews on Evidence-Based Nursing, 18(3). https://doi.org/10.1111/wvn.12510Links to an external site.