Homework

Discussion Question 
Topics- from Learning by Experience and Reflection:
· Develop your vision of the ideal health care system.
·  List some of the characteristics that constitute such a system. What would be the goal or goals of your ideal system?
· Think about how you would go about implementing your ideal system.
· Consider some of the problems you are likely to encounter.
·   Must address all of the topics.
·    200-word minimm/250-word maximum without the references
· Minimum of two references in APA format. The articles chosen, they must have been published within last 3-5 years.

Psychotherapy With Individuals

In a 1- to 2-page paper, address the following:

Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
Explain at least three differences between CBT and REBT. Include  how these differences might impact your practice as a mental health  counselor.
Explain which version of cognitive behavioral therapy you might use  with clients and why. Support your approach with evidence-based  literature.

Discuss factors that influence the public’s perception of nursing? Describe ways to educate the general public on the professional nurse’s role and scope of nursing within a changing health care system.

The general public has different perceptions and opinions about nursing as a profession. Some of these views are stereotypical and are tainted with misinformation. However, many people perceive nursing as a noble profession that involves a high level of selflessness. They believe that a nurse’s primary role is to provide care to persons who need it without discrimination. On the other hand, people assume that nursing is a field specifically designed for women, not knowing that male nurses contribute significantly to medical practice (Dickerson, 2015).
Several factors influence how the public views nursing. Firstly, the media portrays nurses’ image and their line of work that is far from reality. Nurses are usually depicted in a flirtatious manner with pictures showing slim figures and flashy dressing. This creates a flawed expectation of how a typical nurse should appear and behave. Past experiences with nursing also inform public perception. Experience is the best teacher, and it is only through this that people can form accurate opinions. The public can be educated about a nurse’s role and the scope of nursing in numerous ways. The media can be an instrumental tool to conduct mass education about who a nurse is, the educational credentials and level of training required to qualify an individual as a nurse, and the extent of practice (Yvonne ten Hoeve, 2014).
References
Dickerson, P. (2015). Changing Views: Influencing How the Public Sees Nursing. ALD Publishing, From https://www.nursingald.com/articles/13112-changing-views-influencing-how-the-public-sees-nursing.
Yvonne ten Hoeve, G. J. (2014). The nursing profession: public image, self?concept, and professional identity. A discussion paper. Journal of Advanced Nursing, https://doi.org/10.1111/jan.12177.

2 Case Studies for Nurse Practitioner Program (First)

PLEASE complete accurately 2 case studies. Below I have attached the Template, Rubric/Guidelines, an Example Case Study, AND ALSO A template to Plug in the information/rearrange or take out information as needed for the case study. No plagiarism, provided proof of TurnItIn document. No references order than 5 years. 

 Diagnosis to use
1st Case Study > DIABETES TYPE 2
Differential Diagnosis=  Diabetes Type 1 Mellitus & Cushing Syndrome
2nd Case Study > HYPERTENSION
Differential Diagnosis = Congestive Heart failure & Chronic Kidney Disease.

Benchmark – Human Experience Across the Health-Illness Continuum

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.
Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not require

Response to peer

Please Answer the below discussion including two paragraphs and 2 references no later than 5 years ago. 

Compare and contrast the roles of the practice (DNP) and research (Ph.D.) scholar

Compare to other health related professions, nursing science has evolved over the years. Considering this phenomenon, nurses are seeking higher level of professional education resulting in a terminal degree such as Doctor of Nursing Practice (DNP) or Doctor of Philosophy (PhD) in Nursing Science. Most recently, one of my colleagues inquired about the reasons behind my choice to pursuing a DNP instead of a PhD. As both degrees being considered the result of terminal education, my answer was based on my current interests and future goals.  Most importantly when choosing between the two degrees, the individual nurse’s interest on whether he/she has interest in conducting research or if the nurse’s main interest is practice change and quality improvement (Rodriguez, 2016). A quick look into the difference between the two degrees conveys that a DNP education is practice-focused while a PhD is research-focused. However, a deeper dive in understanding and describing the role difference portrays the functional complementarity of both levels of education.
As the complexity in patient care continues to grow, more doctorate-prepared nurses are needed to ensure nursing contributions in healthcare transformation and policy change at the organization level. In addition, it is reported that DNP nurses have extensive knowledge in nursing ethics, psychosocial and biophysical science and is more versed in change theories. (Hartjes et al., 2019). As a DNP candidate nurse, I envision to acquire a broader range of knowledge in nursing leadership, evidence-based practice, healthcare policy, and informatics, thus providing me with the ability to provide patient care at a higher level.

How do these roles complement one another in translating research into practice?

The wave of transformation occurring across all type of business industries has created a chain reaction in healthcare organizations, with tends to render them even more dynamic. Hence, in nursing, this constant change in healthcare generates the need for effective and sustained collaboration among different professional nurses by partnering to support and advance care delivery.
The collective skills of the DNPs and PhD scholars working together to improve patient outcomes is the perfect scenario. The PhD nurse, having a more extensive training in research field, typically does the original research study and answers the clinical questions. On the other hand, the DNP nurse raises the clinical questions and completes the quality improvement (PI) projects. These two roles can supplement each other and support the advancement of nursing science. A case in point, Cowan., Hartjes, and Munro (2019) demonstrated the effectiveness of collaboration between DNP and PhD nurses in the creation of a Quality Improvement (QI) clinical pathway in an intensive care unit (ICU) at a Veterans Health Administration (VHA) Medical Center. The DNP nurse on that project was credited for leadership acuity in identifying and presenting the issue for further investigation. Together with the Clinical Nurse Leader (CNL) and other stakeholders the Lean Model was utilized to categorize areas lacking the support of Evidence-Based Practices (EBP) and redundancy. The PhD nurse assisted with relevant literature review and evidence appraisal for the project. Collectively, these scholars developed the research study design and presented it to Internal Review Board (IRB)for approval. The strengths, education, experience, and collaboration of the DNP and PhD nurses and the team led to a successful, sustainable project for the institution and betterment of care delivery.

How could these roles add value in addressing a practice problem at your hospital?

This question can be answered with a dive into a scenario reflecting a current practice problem at the hospital. Imagine for a moment that I am a DNP Nurse in charge of the large Orthopedic unit where we receive different type of patients with similar health issues. We develop various tests and treatment models with the potential goals of ensuring that our patients get the best possible care. However, we didn’t allocate enough resources to measure outcomes of our work. We do not know which surgical protocols need to be redesigned or which one produce the best outcomes? We are unclear as to who benefit from them the most, their demographics, their socioeconomic status, the level of disparities involved etc. As a DNP nurse, I can devise some project improvement (PI) processes, develop appropriate policy to attempt answering the above questions. Nevertheless, to fully address them and start generating supportive evidence, I would collaborate with a PhD nurse to study, analyze and evaluate the treatment protocols before we can adopt or reject them as models of practice.
                                                                                                   Reference:
Cowan, L., Hartjes, T., Munro, S. (2019). A Model of Successful DNP and PHD Collaboration.  Journal of American Association of Nurse Practitioners, 31(2). doi:10.1097/JXX.000000000000010510
Hartjes, T., Lester, D., Arasi-Ruddock, L., McFadden Bradley, S., Munro, S., Cowan, L. (2019) Answering the question: Is the Doctor of Philosophy or Doctor of Nursing Practice right for me? Journal of American Association of Nurse Practitioners, 31(8). doi: 10.1097/JXX.0000000000000273
Rodriguez, E. S. (2016) Considerations of the Doctor of Nursing Practice Degree. Oncology Nursing 
Forum. 43(1), 26-9. doi: 10.1188/16.ONF.26-29