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Category: Nursing

  • [Solved] Discussion NT W6 Reply to Peer 1

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    Middel range theories have been applied to nursing and psychology fields, for example in Nursing: A middle-range theory like Leininger's Cultural Care Theory could be used to explore how cultural factors impact patient care and in In Psychology: Bandura’s Social Cognitive Theory might be used to stu…

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    Middel range theories have been applied to nursing and psychology fields, for example in Nursing: A middle-range theory like Leininger's Cultural Care Theory could be used to explore how cultural factors impact patient care and in In Psychology: Bandura’s Social Cognitive Theory might be used to study how individuals learn behaviors through observing others, which could be applied to phenomena like aggression or educational achievement. Middle-range theories in nursing and physiology connect big ideas with real-world use, helping nurses understand patient behavior and improve care (Smith et al., 2024). Liehr and Smith’s concept building process is a 10-phase process which allows one to reflect on and delineate an area of interest, formulate abstract ideas through reflection, then formulate a concrete concept with its conceptual definition. Children and adolescents are faced with multiple stressors that will lead to insecurities and fears, often both groups will recover from such stressors through resilience that promotes positive outcomes and positive mental health outcomes.

               The purpose of building the concept of nurturing resilience is to clarify the meaning of this concept in children and adolescents, develop a conceptual definition of nurturing resilience, and provide a conceptual model of nurturing resilience based on the building process. The concept was formulated utilizing Liehr and Smith's practice-based approach to concept building (Martinez, & Opalinski, 2019). It is imperative that nurses use the resilience theory to promote balance and a positive outcome. Resilience is a protective mechanism which keeps youth balanced while promoting positive mental health when faced with adversities by allowing one to bounce back after adversity to an original, fundamental state (Martinez & Opalinski, 2019). Nurses need to be able to be resilient in order to promote it and achieve positive outcomes in children and adolescents. Nurturing resilience provides adolescents and children the ability to change in response to difficult circumstances; in turn, mental distress is reduced, and mental health of youth are optimized.

    References

    Smith, M. J., Liehr, P. R., & Carpenter, R. (2024). Middle range theory for nursing. Springer Publishing.

    S; M. W. (2020, July 8). Taking on enduring distress: Building a concept to lead a program of Research. Nursing forum. [https://pubmed.ncbi.nlm.nih.gov/32643164/](https://pubmed.ncbi.nlm.nih.gov/32643164/)

    Martinez, L. A., & Opalinski, A. S. (2019). Home Page: Journal of Pediatric Nursing: Nursing Care of children and families. Building the Concept of Nurturing Resilience. [https://www.pediatricnursing.org/](https://www.pediatricnursing.org/)

    – 2 years ago

  • [Solved] Bar scanning

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    c. Impact on Healthcare and Nursing • Discuss the impact on professional nursing practice related to: Patient safety Quality of care measures/monitoring Risk management Effect on population within the region Organizational infrastructure and operations Support discussions with examples & data from c…

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    c. Impact on Healthcare and Nursing

    • Discuss the impact on professional nursing practice related to:

    Patient safety

    Quality of care measures/monitoring

    Risk management

    Effect on population within the region

    Organizational infrastructure and operations

    Support discussions with examples & data from current evidence-based resources.

    – 2 years ago

  • [Solved] 509ap7m5r

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  • [Solved] 509ap5m5r

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  • [Solved] discussionmap

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  • [Solved] Discussion P W6 Reply to peer 2

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    Assessment of glomerular filtration rate (GFR) is fundamental to clinical practice, public health, and research. The kidney has several critical functions; GFR is used as an overall assessment of these kidney functions. GFR is used to diagnose, stage, and manage chronic kidney disease (CKD) (Inker &…

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    Assessment of glomerular filtration rate (GFR) is fundamental to clinical practice, public health, and research. The kidney has several critical functions; GFR is used as an overall assessment of these kidney functions. GFR is used to diagnose, stage, and manage chronic kidney disease (CKD) (Inker & Titan, 2021). GFR is most commonly assed through markers and creatinine levels. Strengths: GFR is a well-established clinical laboratory practice, particularly in the neonatal population. It is a property of the kidney, has a large range, and is affected by physiological, pharmacologic, and pathologic conditions. Limitations: Methods to measure GFR are laborious, expensive, and not broadly available (Bjornstad et al, 2018). A major challenge to diagnose early kidney disease is the lack of individuals that participate in yearly doctor visits as well as those who live with hypertension unknowingly will result in kidney failure. Creatinine and/or cystatin C are most accurate once GFR is <60ml/min/1.73m2, a point at which half of renal function is already lost. Accurate measurement of GFR is also important to stratify renal injuries, monitor nephrotoxicity and guide medication dosing (Bjornstad et al, 2018). Often certain medication drugs that are nephrotoxic can lead to acute renal failure (AKI), creatinine levels, BMP as well as GFR levels must be monitor on a weekly basis to be able to treat the patient accordingly.

    About 1-3% of all infants and children have a condition called vesicoureteral reflux (VUR), which means some of their urine flows in the wrong direction after entering the bladder. Some of the urine flows back up toward the kidneys and can increase the chance of developing a urinary tract infection (UTI) (2024). Most pediatric UTIs are caused by Gram negative coliform bacteria arising from fecal flora colonizing the perineum, which enter and ascend the urinary tract. Escherichia coli (E. coli) is the most common uropathogen, responsible for approximately 80% of pediatric UTIs (Tallus, 2019). Other common uropathogens include Klebsiella, Proteus, Enterobacter and Enterococcus species (Kaufman et al., 2019). Refluxing ureteral endings show structural and functional anomalies: previous studies have shown a significant decrease in alfa actin, miosin and desmin contents as well as a high rate of atrophy and muscular degeneration with disorganized muscular fibres (Arena et al., 2016). VRU can also be caused by an abnormal embryological development occurring during the early stage of fetal life. VRU occurs on both sexes however females are prone to have more UTIs due to their anatomy and a shorter urethra, in males a circumcision will favor in the prevention of UTIs.

    References

    Inker, L. A., & Titan, S. (2021, November). Measurement and estimation of GFR for use in clinical practice: Core curriculum 2021 – American journal of kidney diseases. National Kidney Foundation. [https://www.ajkd.org/article/S0272-6386(21)00707-1/fulltext](https://www.ajkd.org/article/S0272-6386(21)00707-1/fulltext)

    Bjornstad, P., Karger, A. B., & Maahs, D. M. (2018). Measured GFR in Routine Clinical Practice-The Promise of Dried Blood Spots. Advances in chronic kidney disease, 25(1), 76–83. [https://doi.org/10.1053/j.ackd.2017.09.003](https://doi.org/10.1053/j.ackd.2017.09.003)

    Vesicoureteral reflux (VUR) in Infants & Children. National Kidney Foundation. (2024, October 26). [https://www.kidney.org/kidney-topics/vesicoureteral-reflux-vur-infants-children](https://www.kidney.org/kidney-topics/vesicoureteral-reflux-vur-infants-children)

    Kaufman, J., Temple-Smith, M., & Sanci, L. (2019, September 24). Urinary tract infections in children: An overview of diagnosis and management. BMJ pediatrics open. [https://pmc.ncbi.nlm.nih.gov/articles/PMC6782125/](https://pmc.ncbi.nlm.nih.gov/articles/PMC6782125/)

    Tullus K. Fifteen-minute consultation: why and how do children get urinary tract infections? Arch Dis Child Educ Pract Ed (2019. 10.11)36/archdischild-2018-315023.

    Arena, S., Iacona, R., Impellizzeri, P., Russo, T., Marseglia, L., Gitto, E., & Romeo, C. (2016, November 29). Physiopathology of vesico-ureteral reflux. Italian journal of pediatrics. [https://pmc.ncbi.nlm.nih.gov/articles/PMC5129198/](https://pmc.ncbi.nlm.nih.gov/articles/PMC5129198/)

    – 2 years ago

  • [Solved] Please discuss how you can use mindfulness in your role as a DNP student.

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    Please discuss how you can use mindfulness in your role as a DNP student. USE APA 7 format and at least 2 minimun scholarly references no oolder than 5 years old – 2 years ago

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    Please discuss how you can use mindfulness in your role as a DNP student. USE APA 7 format and at least 2 minimun scholarly references no oolder than 5 years old

    – 2 years ago

  • [Solved] I need help with an evidence based project

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  • [Solved] Quality Improvement

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    what is strengths and weaknesses in reducing medication errors? – 2 years ago

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    what is strengths and weaknesses in reducing medication errors?

    – 2 years ago

  • [Solved] Help

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    In-depth study guidance and analytical solution covering Help.

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