NR 501NP Week 2: Ways of Knowing
Chamberlain University NR 501NP Week 2: Ways of Knowing– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 501NP Week 2: Ways of Knowing 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 501NP Week 2: Ways of Knowing
Whether one passes or fails an academic assignment such as the Chamberlain University NR 501NP Week 2: Ways of Knowing 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 501NP Week 2: Ways of Knowing
The introduction for the Chamberlain University NR 501NP Week 2: Ways of Knowing 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.
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How to Write the Body for NR 501NP Week 2: Ways of Knowing
After the introduction, move into the main part of the NR 501NP Week 2: Ways of Knowing 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 501NP Week 2: Ways of Knowing
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 501NP Week 2: Ways of Knowing
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 501NP Week 2: Ways of Knowing
Several years ago, I was orienting in an emergency room. I believe I may have been there about 1 week; it was a larger capacity ER than what I had been working in previously, I was overwhelmed as is. A patient was brought in, an elderly woman. There were several of us in the room, the PA, the MD, a few other nurses, and I believe a QI person of some sort that was an RN also. We were discussing what we would be doing with the patient, she was not doing well at all. The decision came about to place an external pacemaker on the patient; I have not done anything like this. The MD basically, in front of all these people, asked that I do this. I froze in place and began to panic; it must’ve been noticeable, the QI person jumped in to assist me. This ER was a clique, and they knew I was a new hire. I know in my being I wanted to care for this patient but was not given the right tools and guidance to do so; that is not fair to the patient. I also found this to be unprofessional and unethical. The MD, I felt, did this to test me and see what I knew. The phrases eat their young and being thrown to the wolves bodes well in this situation. What is being identified here is a situation where my preceptor should not have allowed this to happen, and we could have worked on this together if she had stepped in with me and guided me. Because of the poor orientation and the negativity in this environment, I chose to resign.
From a personal knowledge standpoint, lack of empathy and the inability to develop a relationship and rapport with the preceptor is what I reflected on. In many situations of nursing and caring for patients, reflection comes upon me after a day’s work, often to think about what could have been differently, certainly not all is negative, but just to think about if things could have been done one way or the other and what will be done the next time any situation comes up again. From this instance, there is a large problem of improper orientation of new nurses, following that with the unsurpassable ability to keep nursing on staff due to lack of proper orientation. It is no secret that retention of nurses begins with positive orientation and positivity in the workplace. Positive work environments start with positive leaders, and leaders set examples for our followers (Uchmanowicz et al., 2020). If I learned anything from this experience is to be a leader and set an example for younger or newer nurses; I have been a preceptor for several new nurses and have done so to the best of my ability with this ill experience in my mind. I make a conscious effort to be fair, listen intently and be sure that my orientee gets everything they need out of the experience. I may overly ask if they have any questions and if they understand what is being taught. Experience plays a large part in gaining confidence in what we do every day. Also, over the years, I have had other situations that have been brought about, but I am willing and able to handle with more confidence and trust my ability as a nurse. I will continue to treat my colleagues, whether superior or inferior, with respect, empathy and understanding so that they will not feel the way I did in this situation as I can fully relate. I want to promote a positive environment with my colleagues; it is important for personal well being as well as promoting the best care we can to our patients when we are confident in ourselves and our work. Butts and Rich (2018) state that nurses must be on alert and attentive to circumstances that stray away from the goal of patient care; these situations need addressed and nurses must strive for achievement of maximizing health in all situations such as persons, their families and the community in which nurses serve. This is what I strive to be as a nurse and to instill in nurses orienting with me.
Butts, B.J. & Rich, L.K. (2018). Philosophies and theories for Advanced Nursing Practice (3rd ed.). Jones and Bartlett Learning.
Uchmanowicz, I., Witczak, I., Rypicz, Ł., Szczepanowski, R., Panczyk, M., Wiśnicka, A., & Cordeiro, R. (2020). A new approach to the Prevention of Nursing Care Rationing: Cross‐sectional study on positive orientation. Journal of Nursing Management, 29(2), 317–325. https://doi.org/10.1111/jonm.13156
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Sample Answer 2 for NR 501NP Week 2: Ways of Knowing
It is so sad that you had to experience that as a new nurse. I am happy that you took a bad situation and did not let it get you down but instead be strong and know that it is an unhealthy environment. Often, I feel new nurses are treated that way at work, and some do not even realize that it is a form of incivility in a work environment. Some individuals do not even understand that what they did was mean or unprofessional, which is why practicing self-awareness is so critical. I constantly reflect on what I say and my behaviors toward others because I want them to treat me the way I would want to be treated, and that is with respect and kindness. As a new nurse, your preceptor is like your mentor. Preceptors are educators and teachers who guide new nurses through their clinical practice to gain knowledge and skills to be competent in their works and practice safely. Successful preceptorship can result in job retention for new nurses and increase job satisfaction (Quek & Shoery, 2018). It is a time for new nurses to build their confidence and shape themselves into the type of nurse they want to be, so it is crucial to have a strong supportive preceptor.
The orientation experiences that we all have gone through makes us who we are now as nurses. When I was orienting on my floor, my preceptor did not leave a good impression. Every time we worked together, she was always in a negative mood, saying out loud in the hall how she hates this place and hates this job. She would walk into the patient room and would not even introduce herself or even smile. Sometimes patients would ask me if she was okay. Whenever I approached her with a question, she would answer me all annoyed, like I was bothering her. I voiced my concern with my director, and in the end, I was paired with a different preceptor, and let me tell you, I had such a different experience. My new preceptor was so empathetic and supportive in guiding me through my orientation and never made me feel like I was asking stupid questions when I did not know something. From that experience, I shape myself into the type of nurse I want to be, and that is kind, empathetic and always smiling when I walk into a patient room. I want to be a positive energy around my coworkers and my patients. Creating a positive environment affects not only all the workers but also the healing for the patient. With all the orientation experiences, I feel we are all applying Carper’s pattern of knowing. It encourages us to be self-aware and empathetic toward our coworkers and patients so we can put ourselves in their shoes and form a healthy relationship and build trust.
I’m happy to hear that you are precepting new nurses and making sure they do not go through what you went through. You are making a difference because by showing these new nurses support and empathy, they will go on years from now and deliver the same compassion and support to the new nurses they will be working it. What you are doing is an excellent characteristic of a strong leader, and I think you will do great things as an APRN.
Quek, G.J.H., Shoery, S. (2018). Perceptions, experiences, and needs of nursing preceptors and their preceptees on preceptorship: An integrative review. Journal of Professional Nursing, 34(5), 417-428. https://doi.org/10.1016/j.profnurs.2018.05.003Links to an external site.
Sample Answer 3 for NR 501NP Week 2: Ways of Knowing
Nurses are faces with ethical decisions and dilemmas daily often leading to moral distress. Ethical decisions making, is choosing between two equally good or poor choices, whereas moral decision making is influenced by personal and or religious beliefs (Rainer et al., 2018). As healthcare providers seek to act in the best interest of patients, ethical decisions can often be affected by personal moral beliefs. Ethics committees are called upon by nursing staff mostly in end-of-life decisions. The ANA code of Ethics for Nurses 1st provision, states nurses practice with compassion and respect for human dignity (Jacoby & Scruth, 2017). Nurses’ angst is compounded by organizational structure, the control division between medicine and nursing disciplines, and physician values being disguised as professional judgement (Zolkefli, 2018).
Ethical decisions will always present in medicine, but the way nurses are responding to them have been changing. Zolkefi (2018) states one has two paths when it comes to ethical decision making: taking responsibility or shift responsibility to others. Nurses that engage and take responsibility have less moral distress and have earned respect from their nurse and physician colleagues (Zolkefi, 2018). There are many ethical models to guide decision making, however the ANA Code of Ethics for Nurses is encompassing and a place to start for contemplation and reflection.
Jacoby, S. R., & Scruth, E. A. (2017). Negligence and the Nurse: The Value of the Code of Ethics for Nurses. Clinical Nurse Specialist, 31(4), 183–185. https://doi.org/10.1097/NUR.0000000000000301
Rainer, J., Schneider, J. K., & Lorenz, R. A. (2018). Ethical dilemmas in nursing: An integrative review. Journal of Clinical Nursing, 27(19-20), 3446–3461. https://doi.org/10.1111/jocn.14542
Zolkefli, Y. (2019). Negotiated ethical responsibility: Bruneian nurses’ ethical concerns in nursing practice. Nursing Ethics, 26(7-8) 1992-2005. https://doi10.1177/0969733018809797
Sample Answer 4 for NR 501NP Week 2: Ways of Knowing
I am so sorry this happened to you as a new nurse. It is so unfortunate and upsetting that this happens in our profession and happens so frequently. I know in my hospital the staffing matrix is managed by the Chief Financial Officer (CFO) who only takes into account how much money they are making for each patient based on their diagnosis and how much money they are paying out to care for each patient. She does not care how seasoned and competent and comfortable the nurse is caring for the patients. Once the six-week training period is over that nurse is just another figure in her spreadsheet for determining productivity. Not saying she does not have an important job to do. The hospital would go bankrupt without her. I just wish she would take more into account than just money. I also recently discovered that our floor manager’s quarterly bonus is based on meeting the productivity goal set for our floor by the CFO. So, when our census drops, she does not care what the acuity of the patients left on the floor is, if the matrix says we can only have so many bodies on the clock for the number of patients on the floor, she is pushing staff to go home because the CFO is incentivizing her to do so. It’s more about the money and less about what is best for the patient. I think when MBAs were put in charge of running hospitals instead of doctors a lot of clinical factors were left to slip through the cracks at the expense of patients and staff.
NR 501 Week 3 Concept Analysis
Concept Analysis Paper
Definition/Explanation of the selected nursing concept:
Imogene King’s concept in Nursing revolves around goal attainment, which describes “a dynamic, interpersonal relationship in which the patient grows and develops to attain the goals which they set up in their lives” (Adib-Hajbaghery & Tahmouresi, 2018, p.141). It breaks down factors, which may influence or affect the attainment of the set goals. These factors include time, space, stress and roles.
Three defining attributes:
The defining attributes according to Park (2021), which promote goal attainment, include proper patient-nurse relationship, mutual understanding, patient-nurse goals being in line with each other, and nurses using their knowledge to set goals and establish relationship.
1 Antecedent and 1 Consequence of the concept:
Antecedent: Before coming up with the goal attainment concept, King read all the available nursing research articles. She required understanding theory from a broader context although few theories existed at the time. While doing her research, she came across Margaret Kaufman dissertation about a nursing conceptual framework in the 1950s (Kotowski, 2018). This became her inspiration and used the methodology to formulate a conceptual framework, which became the building block for the goal attainment theory.
Consequence: King’s goal attainment theory has survived through time and changes as it is based on communication and interactions through which nurses and patients apply to achieve their set objectives. An analysis of the first 25 years in the nursing research reveals changes in the concepts and frameworks, which led to the various benefits. The current nursing paradig was not developed until the 1980s. Through this paradigm, the nursing research was unified under the metaparadigm four sentinel elements. This paradigm formed an organized method and a meaningful structure in nursing research, which resulted in enhanced understanding of knowledge development.
Model Case:
A case model is an example of the use of the concept, which describes all its defining attributes. This means that the model case in use should be a live case of the concept given.
John is an 18-year-old male living in west Yorkshire, England. Five years ago, he was diagnosed with borderline personality disorder while at school. He was subsequently administered with Dialectical behavior therapy by his doctor. After this, he managed to continue with his life for a while, until he stopped attending his counseling sessions and failed to refill his medication. His mental health deteriorated and was admitted to a mental hospital. Nurse Rose was appointed as his caretaker. After reading his symptoms, the nurse collaborated with John to come up with a plan in which he would follow without having to fall back. The plan included john having counselling sessions weekly, attending group meetings, and setting time for taking his medication. His medicine refill dates were also set, thereby creating a program which he would adhere to. A month later, John had picked himself up again, and this time he was able to live a healthy life. He was released after three months to continue with his school, which he successfully completed.
Theoretical Applications of the Concept:
The applicable theories include coping skills and Katherine Kolcaba theory of comfort. The main aim of Imogene King’s concept is to guarantee that patients reach the set goals and hence move forward in their lives after experiencing a medical challenge. Therefore, a patient needs coping skills to overcome the medical issue they are experiencing. For example, in the model case above, John collaborated with his nurse Rose to formulate coping mechanisms including how he would adhere to his medications until he overcame his sickness. With the theory of comfort, the patient is the center while nurses think critically about the most appropriate comfort care plan, offer patients the right care, support patients to attain the most pleasant state mentally, psychologically, socially, physiologically, and environmentally (Xiong et al., 2019, p.1-2). This theory aligns with goal attainment factors and intended outcome of achieving the set medical goal of healing.
Reflection:
As a nurse practitioner, this concepts provides insights into how I can improve my ability to administer care based on commonalities instead of concentrating on differences. I would be able to help more patients because time wasted one patient due to lack of goal setting would be spread to others. With the care concepts emerging from Imogene King’s concept, I am in a better position to explain what I do for my patients and the reasons for my actions. In practice, this would help me articulate evidence, which justifies my practice approaches. The analysis is also a basis for creating nursing theories to guide my advance care strategies aimed at enhancing patient outcomes. I can apply the knowledge while assessing, diagnosing, planning, implementing, as well as evaluating patients. Overall, the goal attainment concept gives nurse practitioners a guide to establish themselves with patients and forge a plan for reaching the set goals.
References
Adib-Hajbaghery, M., & Tahmouresi, M. (2018). Nurse-patient relationship based on the
Imogene King’s theory of goal attainment. Nurse Midwifery Studies, 7, 141-144.
Kotowski, M. (2018). Exploring the legacy of Imogene King in the making of a nurse educator,
leader, and nurse theorist. Dissertations. 2969. https://ecommons.luc.edu/luc_diss/2969
Park, B. (2021). Systematic review effects of nurse-led intervention programs based on goal
attainment theory: A systematic review and meta-analysis. Healthcare, 9, 699. https://doi.org/10.3390/ healthcare9060699
Xiong, Y., Xing, H., Hu, L., Xie, J., Liu, Y., & Hu, D. (2019). Effects of comfort care on
symptoms, gastric motility, and mental state of patients with functional dyspepsia. Medicine, 98(25), e16110. https://doi.org/10.1097/MD.0000000000016110