NR 500NP Week 5: Systems Theory and Practice Issues

Chamberlain University NR 500NP Week 5: Systems Theory and Practice Issues– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 500NP Week 5: Systems Theory and Practice Issues   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 500NP Week 5: Systems Theory and Practice Issues              

Whether one passes or fails an academic assignment such as the Chamberlain University NR 500NP Week 5: Systems Theory and Practice Issues  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 500NP Week 5: Systems Theory and Practice Issues              

The introduction for the Chamberlain University NR 500NP Week 5: Systems Theory and Practice Issues  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 500NP Week 5: Systems Theory and Practice Issues              

After the introduction, move into the main part of the NR 500NP Week 5: Systems Theory and Practice Issues 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 500NP Week 5: Systems Theory and Practice Issues              

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 500NP Week 5: Systems Theory and Practice Issues              

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 500NP Week 5: Systems Theory and Practice Issues

My experience as a RN is in the ED and ICU. The ED in itself can be considered as a complex adaptive system, because of the constantly changing dynamics and boundaries set by the staff as well as coordinating with the outside units and integrating the best plan of care for the patients. I have worked beside many great FNPs in the ED that assist doctors and lighten their patient load as well as make the turnover more efficient and smoother.  Many of the patients that come through ED are not always as simple as just writing a prescription and seeing them on their way.  Many patients have adaptive challenges in place that can pose as barriers to the Nurse Practitioners and doctors. 

Lateef et al. (2022) stated that, “adaptive challenges, on the other hand, are less obvious and, thus, not so easy to identify”. “An example would be, attempting to change a negative behavior in a patient who presents with frequent giddiness and has not been taking his antihypertensive medication” (Lateef et al., 2022).  Let’s also say this patient is a frequent flyer and continues to show up in the ED with noncompliance of taking meds causing hypertensive issues and is uninsured.  The first step in the care for this patient would be at the micro- level.  The micro- level focuses on the subjective and objective data obtained from the NP and doctor to better help them make clinical decisions about this patient’s care such as treatment, goals of care, and or supportive services needed after discharge (Sawatzky et al., 2021). 

Sawatzky et al. (2021) mentions that at the meso-level, “healthcare managers and leaders of quality improvement, performance monitoring, and accreditation of different healthcare services and organizations” monitor data for better patient outcomes.  This patient’s noncompliance and frequency of visits to ED, has now integrated the meso- level of care to intervene.  For example, at the meso-level the managers and the leaders of the ED will find ways of quality improvement and performance monitoring, as to why the frequency of visits are occurring.  As a NP I could coordinate with these managers to find and try to resolve what can we do to better educate this patient or what services can we offer to help with the noncompliance and frequency of visits.  Because of all of this the macro- level of the hospital is now affected in this patient’s care.  Related to the patient being noninsured and the resources used to help this patient now affects the overall healthcare system and reimbursement of healthcare services that the hospital won’t receive because he is unfunded.  

References:

Lateef, Kiat, K., Yunus, M., Rahman, M., Galwankar, S., Al Thani, H., & Agrawal, A. (2022). BRAVE: A point of care adaptive leadership approach to providing patient-centric care in the emergency department. Journal of Emergencies, Trauma and Shock, 15(1), 47–52. https://doi.org/10.4103/jets.jets_138_21Links to an external site. Sawatzky, Kwon, J.-Y., Barclay, R., Chauhan, C., Frank, L., van den Hout, W. B., Nielsen, L. K., Nolte, S., & Sprangers, M. A. G. (2021). Implications of response shift for micro-, meso-, and macro-level healthcare decision-making using results of patient-reported outcome measures. Quality of Life Research, 30(12), 3343–3357. https://doi.org/10.1007/s11136-021-02766-9Links to an external site.

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Sample Answer 2 for NR 500NP Week 5: Systems Theory and Practice Issues

The healthcare system is complex, diverse,  and evolving every day. Each organization is different and has its flaws. The healthcare system I work for is a big teaching hospital. However, everything is not peachy. Every day is a challenge to face even though healthcare professionals are doing their best to provide the best care they can offer. After Covid19 I noticed that we have a nursing shortage because many nurses went to do travel nursing, some are burned out, and others are dissatisfied with management. Additionally, the institution I work for is a magnet hospital which makes it difficult to hire Associates prepared nurses because they have found bachelor’s prepared nurses have higher positive patient outcomes. According to the American Association of Colleges of Nursing (2022), having many BSN nurses in the hospital equals have less mortality rate which is the reason for encouraging BSN-prepared nurses. The staffing shortage we have is impacting us because sometimes we have to be on call in case some nurses don’t show up and sometimes we have to stay an extra four hours until the oncoming nurse can make it. Additionally, I noticed the nurse educators rushing the new grad to get off orientation because they need nurses which is not safe.

I believe this issue originates at the macro level because the lower management follows the directions given to them about the budget. If they don’t pay their nurses well those nurses may end up leaving the institution. I will address this issue by attending committees and advocating for the patients and my colleagues. Additionally, respectfully communicate the issue with my managers even though they know the issue might help. If they decided not to cooperate with us and make a positive change, the next step will be not to agree to pick up extra shifts. According to DeNisco and Barker (2015), “this first step has been referred to as unfreezing, creating dissatisfaction, creating a sense of urgency, and sense-making”. My solution might affect the other levels because the hospital needs nurses to run it effectively. The patients are paying so much money and they deserve the best care they can get.

Interprofessional collaboration can be used to resolve the issue by making the upper management understand that the nurses’ mindset affects patient care. If the nurses are satisfied and happy, they will be there and give all they have to the patients. It won’t be easy but communication and collaboration may have an impact on the issue.

References:

Association of Colleges of Nursing. (2022). Nursing shortage. https://www.aacnnursing.org/news-information/fact-sheets/nursing-shortageLinks to an external site.

DeNisco, S.M. & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.

Sample Answer 3 for NR 500NP Week 5: Systems Theory and Practice Issues

I agree that the nursing shortage is a major challenge frequently encountered in many healthcare organizations. I also concur that it is associated with many detrimental effects such as burnout and dissatisfaction and thus sustainable solutions to this longstanding issue are warranted. Some of the factors that contribute to inadequate nursing staff include high demand from the increasing aging population, an aging nursing workforce, high turnover, and inadequate recruitment and supply of nursing professionals (Haddad et al., 2022). The onset of the COVID-19 pandemic exacerbated this issue due to the reassignment of nurses to COVID-19-related departments and job abandonment from fear of associated risks. 

The nursing shortage is associated with various negative effects. These include high patient-to-nurse ratios, increased workload, long working hours, workplace stress and psychological distress, job dissatisfaction, and burnout (Tamata et al., 2021). These effects undermine the quality of care and patient safety through the increased incidence of medical errors, mortality, and morbidity. Job dissatisfaction and reduced motivation lead to low retention rates since most nurses are forced to leave the profession further worsening the shortage. Sustainable solutions are thus required by the management and leadership of healthcare facilities. 

I believe the nursing shortage can be effectively addressed through lasting innovative approaches. This will necessitate the adoption of effective strategies such as implementing acceptable patient-to-nurse ratios, fostering an empowering and motivating workplace environment, and recruiting more nurses (Haddad et al., 2022). The incorporation of technology in the delivery of healthcare will also reduce the high workload (Marć et al., 2019). Motivation should be improved through the promotion of flexible working schedules, professional development, management support, and incentives. This will require involvement in appropriate committees, advocacy, and legislative processes to develop tailored policies to address the nursing shortage. Engagement and collaboration of all stakeholders are integral throughout this process to ensure adequate nursing staff, satisfactory patient care, and successful implementation of devised strategic policies to address the nursing shortage crisis. 

References 

Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2022). Nursing Shortage. In StatPearls. StatPearls Publishing.

Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2019). A nursing shortage – a prospect of global and local policies. International nursing review, 66(1), 9–16. https://doi.org/10.1111/inr.12473

Tamata, A. T., Mohammadnezhad, M., & Tamani, L. (2021). Registered nurses’ perceptions on the factors affecting nursing shortage in the Republic of Vanuatu Hospitals: A qualitative study. Plos One, 16(5). https://doi.org/10.1371/journal.pone.0251890 

Sample Answer 4 for NR 500NP Week 5: Systems Theory and Practice Issues

My area of interest is to screen adult patients during their health encounter with the primary care provider (PCP) on tobacco use.  Healthcare organizations that screen patients by utilizing the 5As intervention model can identify patients that practice tobacco use.  As a FNP, I will function as a PCP for patients in the healthcare setting.  It is important for the PCP to screen patients to ascertain their status on tobacco use.  The PCP should be integral in implementing EBP into their medical practice as they can be effective change agents to motivate smokers to quit, and empower them to be effective in abstaining from tobacco use.  The initiation of smoking cessation activities should be improved in the primary care setting (Hendricx et al.,2015, p.111).  Tobacco use can cause patients to experience many health problems, and it also increase their mortality rates.  The effects of tobacco use are detrimental to the patients’ health.  Therefore, it is imperative that the PCP screen patients for tobacco use, and promote smoking cessation.  The healthcare providers should provide patients with quality care that will lead them to accomplish the best outcomes.  It is important to provide patients with primary and secondary prevention regarding tobacco use.  Patients that have a positive tobacco use history are at an increased risk for cardiovascular and vascular disease in addition to other chronic diseases.  “Smoking is the single biggest cause of preventable mortality and morbidity…” (Grothier & McEwen, 2014).  Smoking cessation interventions can help patients deter their tobacco use with the help of pharmacological, behavioral, and supportive therapy.  Patients that stop smoking will decrease their risk of developing the chronic diseases associated with tobacco use, and improve their overall health.  The effects of tobacco use can be prevented by empowering patients to abstain from tobacco use with smoking cessation interventions.  Screening patients for tobacco use can lead to patients achieving improved health and financial outcomes. 

References:

Grothier, L., & McEwen, A. (2014). Smoking cessation: the heart of the matter. Nurse Prescribing, 12(2), 93-99. doi:10.12968/bjca.2013.8.9.438.

Hendricx, M., Kleijsen, J. R., Kotz, D., Spigt, M. G., Van Rossem, C., & Van Schayck, C. P.  (2015). Smoking cessation in primary care: exploration of barriers and solutions in current daily practice from the perspective of smokers and healthcare professionals. European Journal of General Practice, 21(2), 111-117. doi:10.3109/13814788.2014.990881.

Sample Answer 5 for NR 500NP Week 5: Systems Theory and Practice Issues

A complex adaptive system is constantly changing and flexible in nature (DeNisco & Barker, 2015). My previous experience is in critical care units and my future role will be as an adult-gerontology acute care nurse practitioner, both within complex adaptive systems. An ongoing issue that I have experienced within the acute care setting is high turn-over rates for bedside nurses. In 2017, the United States saw a 16.7 percent turnover rate for staff nurses, as 2022 brought a 27.1 percent turnover rate (NSI, 2022). This issue occurs primarily at the micro level, but does also affect the meso and macro levels (DeNisco & Barker, 2015). The micro level involves the staff providing direct patient care in a specific department, such as the staff nurses working in an intensive care unit (2015). Therefore, high-turnover rates directly affects these staff nurses as it can cause higher burnout rates and worsening staffing ratios for nurses (NSI, 2022). 

This high-turnover rate is caused by many factors. However, I think monetary retention bonuses and focusing on improving work-life balance are good strategies to keep nurses at the bedside for longer periods of time. Monetary retention bonuses could be quarterly or annually, which would provide an appreciated financial bonus for staff that stay in their staff positions. Also, managers that focus on appropriate work-life balances will result in satisfied nurses, leading to more nurses staying at the bedside. Therefore, the focus on work-life balance and the addition of retention bonuses will affect the meso level, which includes the hospital as a whole. The meso level is affected by my proposed changes since the retention bonuses will have to be budgeted appropriately and the focus on nurses achieving appropriate work-life balance will have to be adopted by the whole hospital to be successful. The macro level, which includes the community the hospital is in, would be positively affected by having a strong nursing staff at their local hospital. Higher nurse engagement is directly correlated with improved patient outcomes (Brooks, et al., 2019). 

References

Brooks Carthon, J. M., Hatfield, L., Plover, C., Dierkes, A., Davis, L., Hedgeland, T., Sanders, A. M., Visco, F., Holland, S., Ballinghoff, J., Del Guidice, M., & Aiken, L. H. (2019). Association of Nurse Engagement and Nurse Staffing on Patient Safety. Journal of nursing care quality, 34(1), 40–46. https://doi.org/10.1097/NCQ.0000000000000334Links to an external site..

DeNisco, S.M. & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.

NSI. (2022). “2022 NSI National Health Care Retention & RN Staffing Report”. NSI Nursing Solutions. https://www.nsinursingsolutions.com/Documents/Library/NSI_National_Health_Care_Retention_Report.pdfLinks to an external site..

NR 500 Week 5 Discussion: Evidence-Based Practice 

Discuss the EBP process and importance to nursing practice. Identify your selected specialty track. Provide a rationale on why you selected the specific professional track. Identify a concept or topic you have a passion about or an area of interest related to your future specialty advanced practice area. Provide an example, using the best evidence available, substantiating the significance of your selected area of interest as it relates to your specific specialty track. 

• Evidenced-based practice (EBP) is a crucial component to the science of nursing. It is the clinical solution to a problem based on research and evidential proof.  Over the last 20 years EBP has brought about positive change to the healthcare and nursing community. With the public’s demand for improved healthcare and the evidence of scientific based research that can provide potentially life-saving benefits, EBP should be of upmost consideration to all care providers (Spruce, 2014). Evidenced-based practice combines clinical expertise, research evidence, patient values, and preferences into the process of decision making for the improved care of patients (Howe & Close, 2016). It is through continued implementation of EBP into the practice of nursing that will benefit those within our care. 

     My specialty is track is that of nurse educator. I chose this track to fulfill the interest I have in educating, encouraging, and mentoring those new to nursing practice or a particular nursing specialty. This interest in education has evolved over my years in nursing practice as well as from motherhood. Since 2012, I have educated my children primarily at home. It has been through these experiences that sparked a desire in me to pursue the education path in nursing. Seeing someone learn something new, master a skill, and grow in knowledge gives me great joy. 

     As an operating room nurse, I have been witness to evidenced-based practice and the impact it can have on surgical patients. One topic that interests me greatly is the prevention of surgical site infections. Surgical site infections (SSIs) are the most common infection that is healthcare associated in surgical patients (Schub & Smith, 2016). SSIs can delay healing and increase morbidity and mortality. Increased hospital stays and readmissions are a huge contributor to rising costs in healthcare. The prevention of SSIs is an evidence based practice focus in nursing care. As a perioperative educator in a hospital based setting, I can contribute to educating nursing staff on proven, preventable measures that can be implemented in surgical patients. Educators in individual care settings can work to review the evidence and work closely with healthcare providers to improve practice and increase safety for patients (Spruce, 2014). One example of an educator’s implementation to improve SSIs would be holding pre-procedure huddles with the OR team to improve communication, quality of care, and to empower other nurses to advocate for their patients and speak up when necessary. The following of surgical safety checklists, surgical skin antisepsis, hand hygiene, minimizing OR traffic, team training, speaking up whenever a break in sterile technique is observed, and timely prophylactic antibiotics are just a few methods that have been researched and proven effective in the prevention of SSIs (Spruce, 2014). Nurse educators will play a crucial role in educating nurses in the academic and clinical setting in improving care based upon evidence based practice. 

Howe, C., & Close, S. (2016). Be an expert: Take action with evidence-based practice. Journal of Pediatric Nursing, 31(3), 360-362. doi: 10.1016/j.pedn.2016.02.01 

Schub, T. & Smith, N. (2016, June). Infections, surgical site: Prevention. CINAHL Nursing Guide. Retrieved from: http://eds.b.ebscohost.com.chamberlainuniversity.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=4&sid=46d7bc80-e559-482e-80f7-aa7dff360b99%40sessionmgr103 

Spruce, L. (2014). Back to basics: Preventing surgical site infections. AORN Journal, 99(5), 600-611. doi: 10.1016/j.aorn.2014.02.002