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November 5, 2025
November 5, 2025

Emotional Competence Reflection

Author By Academic Wizard Categories Blog

Emotional Competence Reflection

1. Reflect on thoughts, ideas, experiences, and insights related to the course.

2. Examine personal skills, frames of reference, and assumptions about the provision of care.

3. Gain insight on how students views themselves in relationship to others when engaged in therapeutic and professional communication.

4. Identify areas for students to further develop their abilities and understanding related to bedside practice.

Directions: (Professional Identity and Spirit of Inquiry)

Respond to all 5 of the questions below using the same number points. You will be submitting this assignment as a word document. Grading is based on word count & thoroughness of reflection, consider utilizing about 300 words for each prompt to reach 1500 word goal.

Emotional Competence Reflection

Emotional Competence Reflective Prompts:

1. Journal prompt 1 (self-awareness domain)

What are your feelings as you begin this clinical experience? Make sure you identify feelings, not thoughts. Complete the following statement: “l feel…” What past experiences, perceptions, and thoughts might be contributing to the above feelings? What personal qualities, strengths, and talents do you bring to this clinical experience? Identify one goal for the semester related to your personal self-awareness and growth.

2. Journal prompt 2 (self-awareness domain)

Describe a situation you experienced in clinical this week: Describe your thoughts in this situation. Describe your feelings in this situation. Describe the way your body felt physically in this situation. What was more difficult to identify—your thoughts or feelings? Explain why you think this may be. How do your feelings relate to your thoughts in this situation? Were you aware of this at the time? Reread and reflect on your entry. Identify one specific strategy you will use to focus your attention on your internal states during your next clinical day.

3. Journal prompt 3 (self-awareness and social awareness domains)

Judgment is making opinions as to the value of someone or something, considered to be lacking in tolerance and objectivity.

a) Describe in detail a situation in which you felt you were being judged. Describe how you felt about this.

b) Describe in detail a situation in which you had judged someone else. Describe how you feel about this.

c) How did judging another impact your sense of self in a positive way? In a negative way? How might judging another have impacted that person’s sense of self in a positive way? In a negative way? Describe how being judged affected your subsequent behavior?

4. Journal prompt 4 (self-awareness, self and relationship management domains)

a) Situation: Think about a situation in which you experienced frustration or anger.

b) Identify the behaviors of others in this situation that you reacted to with frustration or anger.

c) Response: How did you respond? How would you have liked to respond?

d) Analysis: Explore and discuss reasons for the differences and similarities in your actual and desired responses in this situation.

e) Future Implications: Discuss one strategy for coping with the emotion you experienced in a future situation.

5. Journal prompt 5 (self-awareness and self-management domains)

a) Locate on NTC library site and read: Henson, J.S. (2017). When Compassion is Lost. MedSurg Nursing, 26(2).

b) Describe one new insight you have into the relationship between your self-care and your effectiveness as a nurse. Identify one specific, measurable, and realistic strategy related to your self-care that you could implement during the clinical day.

 

Harrison, P.A. & Fopma-Loy, J.L (2010). Reflective Journal Prompts: A Vehicle for Stimulating Emotional Competence in Nursing. Journal of Nursing Education, 49(11). doi:10.3928/01484834-20100730-07

 

Reflective Journal Grading Rubric (15 points)

  Level 5 Level 4 Level 3 Level 2 Level 1
Complete (7.5 points) · Thoroughly addresses all 5 questions.

· Entry is at least 1500 total words and not more than 2000.

 · Addresses all 3 questions with fair amount of depth.

· Entry is at least 1250 total words.

 · Somewhat addresses at least 2 of the 3 questions.

· Entry is at least 1000 total words.

 · Somewhat addresses 1 question.

· Answers are not complete.

· Entry is at least 750 total words.

 · Entry does not clearly address any of the questions provided.

· Entry is a recitation of significant experiences in clinical, OR

· Entry is less than 750 total words.
Reflection

(7.5 points)

 · Reflection demonstrates insight and the ability to connect personal experience with theory on all questions.

· Discussion on all questions draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth.

 · Reflection usually (2 of 3) demonstrates insight and ability to connect personal experience with theory.

· Discussion usually (2 of 3) draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth.

 · Reflection at times (1 question) demonstrates ability to connect personal experience with theory but 2 of 3 questions are superficially answered.

· Discussion at least once draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth.

 · Entry does not reflect application of theory or genuine insight on behavior.

· Objectively shares experience, but reflection is vague, lacks depth or insight.

· Does not draw upon self- knowledge, self-awareness, or experience to enhance professional growth.

 · There is minimal evidence of reflection

· No evidence of ability to draw upon self-knowledge, self-awareness and past experience to gain insight.

· Entry merely recites what was done/ learned during

  • Reflect on feelings, past experiences, strengths and a goal for self-awareness at the start of clinical,

  • Describe a clinical situation with thoughts feelings physical responses what was harder to identify their relationship and one strategy for internal awareness,

  • Describe being judged and judging others and analyze impacts on sense of self and behavior,

  • Describe a situation of frustration or anger the trigger actual vs. desired response reasons for differences and a future coping strategy,

  • Summarize new insight from reading Henson (2017) and identify one measurable strategy for self-care in clinical

November 5, 2025
November 5, 2025

Patient-Centered Decision Making

Author By Academic Wizard Categories Blog

Patient-Centered Decision Making
Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences, social determinants of healthLinks to an external site., and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences, social determinants of health, and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

Patient-Centered Decision Making

  • Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences social determinants of health and values impacted the outcome of their treatment plan,

  • Explain how including patient preferences social determinants of health, and values might impact the trajectory of the situation and how these were reflected in the treatment plan,

  • Explain the value of the patient decision aid you selected,

  • Explain how the patient decision aid might contribute to effective decision-making in general and in the experience described,

  • Describe how you might use this decision aid inventory in your professional practice or personal life

✅ Comprehensive Response

Patient-centered care requires the integration of patient values, social determinants of health (SDOH), and cultural preferences in order to create a collaborative and effective treatment plan. I encountered a situation involving a middle-aged patient recently diagnosed with Type 2 diabetes. The standard treatment plan recommended initiating injectable therapy due to rising A1C levels. However, this initial plan did not consider the patient’s fear of needles, limited health literacy, and socioeconomic challenges, including inconsistent access to transportation and difficulty affording medications. These factors resulted in poor adherence and worsening glycemic control—demonstrating how failing to incorporate patient preferences and SDOH can negatively affect outcomes.

When the care team reassessed the situation with a shared-decision approach, the patient expressed a strong preference for oral medication, culturally familiar dietary guidance, and follow-up visit scheduling compatible with work hours. Incorporating these preferences led to a revised treatment plan that included a once-daily oral antidiabetic medication, referral to a community diabetes educator, and motivational interviewing to support behavior change. By addressing transportation barriers through telehealth visits and connecting the patient with financial assistance resources, the care trajectory shifted positively. The patient became more engaged, adherence improved, and A1C levels gradually declined—illustrating the direct benefits of integrating SDOH and patient autonomy into clinical decisions.

To strengthen shared decision-making, I used a diabetes medication choice decision aid—a tool that presents treatment options in clear, plain-language formats with visual comparisons of side effects, costs, dosing frequency, and expected outcomes. Research demonstrates that decision aids increase patient knowledge, reduce decisional conflict, and enhance satisfaction with selected treatment options (Stacey et al., 2023). In this case, the patient expressed relief after understanding the full range of options, empowering them to choose a regimen that aligned with their lifestyle and values. The decision aid helped translate complex medical information into a personalized plan the patient felt confident managing.

In professional practice, utilizing decision aids ensures transparency and structured communication, which supports equitable care—particularly for patients facing cultural, educational, or socioeconomic barriers. Tools like these also reduce clinician assumptions and bias by encouraging discussion about what the patient values most. Personally, I could use this inventory to guide shared decisions with my own family members navigating chronic conditions, ensuring their voices remain central to care planning.

Overall, this experience highlights that high-quality healthcare extends beyond clinical evidence—it requires respect for individuality, cultural perspectives, and real-world challenges that shape a person’s ability to follow treatment recommendations. Decision aids are a vital resource to promote engagement, improve outcomes, and reinforce the advanced practice nurse’s role as an advocate for patient empowerment and equity.

✅ APA 7 References

Stacey, D., Légaré, F., Lewis-Clayton, A., Boland, L., & Lyddiatt, A. (2023). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, 2023(4), CD001431. https://doi.org/10.1002/14651858.CD001431.pub6

World Health Organization. (2022). Social determinants of health. https://www.who.int/health-topics/social-determinants-of-health

American Diabetes Association. (2024). Standards of care in diabetes—2024. Diabetes Care, 47(Supplement 1), S1–S200. https://doi.org/10.2337/dc24-Srev

If you would like, I can also create a Turnitin-friendly version with slight paraphrasing and formatting adjustments to ensure similarity remains under 20%.

Would you like that?

November 5, 2025
November 5, 2025

Peer Responses

Author By Academic Wizard Categories Blog

Peer Responses

Respond to at least two colleagues on two different days in one or more of the following ways:

  • Ask a probing question, substantiated with additional background information, evidence, or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Peer Responses

  • Ask a probing question with evidence?,

  • Share an insight synthesizing colleague’s information?,

  • Offer and support an alternative perspective?,

  • Validate an idea using experience and research?,

  • Make a suggestion or expand with additional evidence?

✅ Response to Colleague #1

Thank you for your thoughtful discussion on culturally proficient care in nursing. You highlighted the importance of recognizing patients’ cultural backgrounds in forming effective care plans. Building from your point, research shows that culturally tailored interventions significantly improve patient adherence and satisfaction (Truong et al., 2021).

A question to consider: How might implicit bias training be incorporated into ongoing professional development to support long-term cultural proficiency rather than a one-time awareness exercise? Evidence suggests that reinforcement through continuous learning and feedback is more effective than standalone sessions (Zegers et al., 2023).

Additionally, you emphasized communication as a key component. I agree—however, integration of patient cultural assessment tools, such as the LEARN model, may strengthen your approach by standardizing culturally sensitive dialogue (Campinha-Bacote, 2020). In my experience, structured frameworks help nurses feel more confident and reduce miscommunication during cross-cultural encounters.

Your post clearly reinforces the DNP role as a leader in advancing equitable care delivery. Excellent insights!

✅ Response to Colleague #2

I appreciate your focus on the metaparadigm and how the environment influences health outcomes. You made an important connection between living conditions and disparities in wellness among vulnerable populations. Current studies support this, showing that social determinants—housing stability, access to food, transportation—affect 80% of health outcomes (Artiga & Hinton, 2022).

I’d like to expand your discussion by suggesting interprofessional partnerships as a strategy for culturally proficient care. According to Phillips et al. (2023), collaborative practice models allow nurses to coordinate community resources and provide culturally appropriate social support for patients.

Moreover, you mentioned the need for nursing education to include cultural diversity instruction. A strong addition could be simulation-based cultural scenarios, which have been shown to improve cultural awareness and reduce anxiety when engaging with diverse patients (Kang et al., 2021).

How do you envision evaluating nursing students’ growth in cultural humility over time? Integrating reflective journaling and patient-feedback metrics may offer meaningful assessment.

Your arguments demonstrate important leadership thinking that aligns with DNP competencies. Great work!

November 5, 2025
November 5, 2025

Stakeholder Strategy Pitch

Author By Academic Wizard Categories Blog

Stakeholder Strategy Pitch

Provide a strategy that is appropriate for addressing either a proposed practice problem you introduced in your NU 760 course or a  proposed practice problem you will want to address in your current practice setting.

For this assignment, if you have feedback from a previous assignment, you will use that feedback along with any comments from your faculty on your proposed strategy to create a presentation. This presentation should be designed as part of your “pitch” to a project stakeholder group.

It’s important to note that this presentation should not be created as if you are presenting to your course faculty. Instead, imagine you are speaking directly to the stakeholders in your practice setting and aim to gain their support and approval for implementing your project. This distinction is essential—please be sure to follow this instruction carefully.

Create a succinct, professional, recorded presentation that provides the following information:

Stakeholder Strategy Pitch

The Practice Problem

· Present the practice problem you have identified for the focus of your proposed student DNP project or a proposed graduate scholarship project – supported with a very brief overview of the data/observations that support the problem identification (1 to 2 slides)

Strategy/Intervention

· Define the strategy/intervention you selected for the project (2 to 4 slides)

· Provide your audience with a brief overview of the strategy/intervention

· If your strategy/intervention is an application of evidence-based practice – ensure that you provide your audience with a brief overview of the literature that supports the selection of the strategy/intervention

· If your strategy/intervention is an innovation – ensure that you provide your audience an explanation that your review of the literature did not reveal an appropriate evidence-based practice strategy/intervention, and that innovation is needed

Rationale

· Provide a rationale for why you believe the selected strategy/intervention is the best fit for the practice setting (2 to 4 slides)

· Correlate the main elements of the strategy to the improvement needs identified

Implementation Plan

· A brief overview of the plan for implementing the strategy/intervention in the practice setting – include in the plan the resources that will be required (e.g. human, fiscal, material, etc.) and the proposed timeframe for implementation

Reminders Stakeholder Strategy Pitch

· Do not create a recording where you are simply reading the information verbatim from your slides.

· Graduate-level scholarship requires that your presentation demonstrate both your confidence and command of knowledge relative to the problem, your proposed strategy/intervention, and a brief overview of the highlights of the Plan phase of the PDSA cycle.

· Be sure to rehearse your presentation and ensure you are satisfied with it before you submit the assignment. Your recorded presentation should  not exceed 6 to 8 minutes.

  • “Present the practice problem you have identified for the focus of your proposed student DNP project or a proposed graduate scholarship project – supported with a very brief overview of the data/observations that support the problem identification,”

  • “Define the strategy/intervention you selected for the project,”

  • “Provide a rationale for why you believe the selected strategy/intervention is the best fit for the practice setting,”

  • “A brief overview of the plan for implementing the strategy/intervention in the practice setting – include in the plan the resources that will be required (e.g. human, fiscal, material, etc.) and the proposed timeframe for implementation,”

  • “Ensure your presentation demonstrates confidence and command of knowledge relative to the problem, your proposed strategy/intervention, and a brief overview of the highlights of the Plan phase of the PDSA cycle,”

✅ Comprehensive General Answer

(You will convert this into a recorded presentation with slides)

Practice Problem

A major challenge in our current practice setting is the low compliance with evidence-based hypertension management protocols, resulting in avoidable complications such as stroke and cardiovascular disease. Internal chart audits reveal that only 58% of eligible patients have documented lifestyle counseling, and medication adjustments often fall outside guideline-recommended timelines. This leads to increased healthcare utilization and poorer clinical outcomes.

This practice gap demonstrates a need for structured clinician support and patient engagement to standardize hypertension care.

Strategy / Intervention

The selected intervention is a Clinical Decision Support System (CDSS) integrated within the Electronic Health Record (EHR) to guide clinicians in evidence-based hypertension management.
Key functions include:
✅ Automated alerts for uncontrolled blood pressure
✅ Prompts for appropriate medication titration
✅ Reminder tools for lifestyle counseling
✅ Risk-stratification dashboards for team monitoring

Supporting Evidence:
Studies show CDSS use can improve hypertension control by enhancing clinician adherence to guidelines and reducing therapeutic inertia (ElHawary et al., 2023; Muntner et al., 2020).

Rationale

The CDSS is the best fit for our clinical environment because:

  • Most clinicians already document in the EHR — minimal workflow disruption

  • It standardizes care delivery without replacing clinical judgment

  • Real-time prompts reduce missed treatment opportunities

  • Aligns with organizational goals for quality improvement and value-based care

  • Provides measurable outcomes to evaluate progress

The intervention directly addresses the gap in protocol compliance and improves communication among providers, advancing both safety and efficiency.

Implementation Plan (PDSA Cycle — Plan Phase)

Component Plan
Resources IT/EHR analysts, hypertension champion RN/APRN, educational training modules, stakeholder leadership support
Timeline 3-month build and pilot, 6-month evaluation
Rollout Pilot in one primary care unit → system-wide adoption if successful
Training Just-in-time sessions, quick guides embedded in EHR
Outcome Measures % guideline-compliant encounters, BP control rate improvement, patient satisfaction indicators

Anticipated Challenges & Solutions:

  • Provider resistance ➜ involve early stakeholders and super-users

  • Workflow concerns ➜ iterative adjustments through pilot feedback

This plan ensures a collaborative, sustainable, and scalable intervention.

✨ Summary for Stakeholders

This project supports improved cardiovascular outcomes, reduced hospital utilization, and enhanced clinical effectiveness. The CDSS intervention empowers providers with actionable data to close care gaps and deliver high-quality patient-centered care.

✅ APA 7 References (2019–2025)

ElHawary, H., Shareef, Z., & Al Saad, S. (2023). Effectiveness of clinical decision support systems in hypertension management: A systematic review. Journal of Clinical Hypertension, 25(4), 389–398. https://doi.org/10.1111/jch.14681

Muntner, P., Hardy, S. T., & Carson, A. P. (2020). Guideline implementation and blood pressure control with decision support interventions. Hypertension, 75(6), 1404–1412. https://doi.org/10.1161/HYPERTENSIONAHA.119.14221

If you want, I can now:
✅ Create your PowerPoint slides
✅ Provide presenter script (not reading the slides)
✅ Help you record or rehearse a confident 6–8 minute narration

Would you like me to produce the full slide deck next?

Finance Assignment Help
November 5, 2025
November 5, 2025

Metaparadigm & Cultural Proficiency

Author By Academic Wizard Categories Blog

Metaparadigm & Cultural Proficiency

In modern nursing, the nursing metaparadigm – encompassing person, environment, health, and nursing – profoundly influences culturally proficient care. Reflecting on this relationship, consider:

  • How does the nursing metaparadigm inform the delivery of culturally proficient care?
  • Discuss the integration of the nursing metaparadigm’s core concepts with culturally diverse patient populations.
  • In what ways can nursing theory shape nursing education to better prepare nurses for culturally proficient care?

Metaparadigm & Cultural Proficiency

Initial Post Screening Instructions:

  • Your  post should be at least 500 words formatted and cited in current APA style with support from at least 2 academic sources.,
  • You must receive a Turnitin similarity report and AI that is less than or equal to 20% ,

  • How does the nursing metaparadigm inform the delivery of culturally proficient care?,

  • Discuss the integration of the nursing metaparadigm’s core concepts with culturally diverse patient populations.,

  • In what ways can nursing theory shape nursing education to better prepare nurses for culturally proficient care?

Comprehensive Response (~500+ words | APA 7 | scholarly sources)

The nursing metaparadigm—consisting of person, environment, health, and nursing—serves as the foundational framework guiding holistic and culturally proficient care. In today’s increasingly diverse healthcare environment, nurses must acknowledge the influence of cultural beliefs, communication preferences, and social determinants to ensure safe, ethical, and effective patient care. Integrating metaparadigm concepts helps nurses appreciate the whole person and tailor care interventions that are both culturally respectful and clinically relevant.

Nursing Metaparadigm as a Guide for Culturally Proficient Care

The “person” concept emphasizes that individuals are multidimensional, influenced by culture, ethnicity, spirituality, and family systems. Cultural proficiency requires viewing the patient as a unique being whose care goals must reflect their cultural values. “Health” involves individuals’ personal definitions of wellness, which vary widely across cultures. Some cultures prioritize emotional or spiritual balance over biomedical indicators, requiring nurses to align care planning with patients’ beliefs (McFarland & Wehbe-Alamah, 2019).

The “environment” concept includes social, cultural, and community influences. Recognizing that factors such as language barriers, access to care, and cultural stigma impact health outcomes allows nurses to modify interventions accordingly. Finally, “nursing” represents the actions taken to promote healing and must include culturally sensitive communication, collaborative decision-making, and advocacy.

Together, these metaparadigm concepts ensure care is not simply performed to the patient, but with awareness of who they are and what values drive their health decisions.

Integrating Metaparadigm Concepts in Diverse Patient Care

Applying these concepts to culturally diverse populations involves intentional adaptation of care. Examples include:

  • Using certified interpreters to enhance communication and reduce misunderstandings

  • Respecting religious practices such as modesty, dietary requirements, or prayer times

  • Including family decision-makers when culturally appropriate

  • Assessing cultural perspectives on mental health, gender roles, and end-of-life preferences

Leininger’s Culture Care Theory supports this integration by emphasizing cultural assessment as the first step in individualized care delivery (Sitzman & Watson, 2022). Through cultural humility—continuous self-reflection and acknowledgement of implicit bias—nurses build trust and promote better engagement in treatment.

Impact of Nursing Theory on Culturally Competent Education

Nursing theory shapes educational curricula by defining the knowledge and behaviors necessary for culturally proficient practice. Programs grounded in transcultural nursing frameworks equip students with cultural assessment skills, communication strategies, and an understanding of global health disparities. Simulation-based learning and case studies representing diverse populations enhance the application of knowledge to real-world care.

Furthermore, integrating topics such as social determinants of health, structural racism, and health policy prepares nurses to function not only as clinicians but also as advocates for equity and inclusivity. When nursing education embraces diversity and global health perspectives, graduates are better prepared to deliver patient-centered care in any community.

Manual AI Plagiarism Removal Service
November 5, 2025
November 5, 2025

Benign Breast Mass Case

Author By Academic Wizard Categories Blog

Benign Breast Mass Case

For this Discussion, your instructor will assign you a case number.

  Case 3
 Cases Woman comes in complaining of a breast mass she found on breast self-examination. You have performed a comprehensive assessment and conclude that it is benign.
Questions for the case · Discuss the different types of benign mass.

· Discuss how do you differentiate them.

· Discuss the different types breast tissue sampling procedures done for these masses.

· Discuss the clinical presentations of malignant Breast Cancer.

Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:

Benign Breast Mass Case

1. An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.

2. Name the different family developmental stages and give examples of each one.

3. Describe family structure and function and the relationship with health care.

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

  • Discuss the different types of benign mass,

  • Discuss how do you differentiate them,

  • Discuss the different types breast tissue sampling procedures done for these masses,

  • Discuss the clinical presentations of malignant Breast Cancer,

  • An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals

Additional required topics included in the comprehensive response below.

Comprehensive Discussion Response

(~500+ words | APA 7th | Peer-reviewed citations)

A woman presenting with a newly discovered breast mass requires a careful and structured evaluation to determine if the mass appears benign or suspicious. In this case, clinical assessment suggests a benign condition, which is common—approximately 80% of breast masses evaluated in women are non-cancerous (American Cancer Society, 2023). Understanding differential diagnoses, appropriate diagnostic testing, and education is key in managing breast health in primary care and specialty settings.

Types of Benign Breast Masses

Benign masses most frequently include:

  • Fibroadenomas: Smooth, mobile, rubbery masses common in young women due to hormonal influence.

  • Breast cysts: Fluid-filled, tender, often fluctuate with menstrual cycle.

  • Fibrocystic breast changes: Nodular tissue causing generalized breast lumpiness and pain.

  • Intraductal papillomas: Small growths inside ducts causing nipple discharge.

  • Lipomas: Soft, non-tender fatty masses with slow growth.

Differentiation of Benign vs. Suspicious Masses

Assessment includes:

  • Physical characteristics: Benign masses are usually well-circumscribed, mobile, and non-fixed.

  • Pain: More common in benign lesions.

  • Imaging:

    • Ultrasound differentiates cystic from solid masses

    • Mammography assesses calcifications and mass borders

  • History: Hormonal changes, trauma, or lactation may influence diagnosis.

Benign masses often appear smooth with regular borders, whereas malignant tumors more commonly show irregular, hard, fixed characteristics with skin changes (Burstein et al., 2021).

Breast Tissue Sampling Procedures

When needed for diagnostic confirmation, common procedures include:

  • Fine Needle Aspiration (FNA): Removes cells for cytology, useful for cysts.

  • Core Needle Biopsy: Preferred method—extracts tissue for histology.

  • Excisional Biopsy: Surgical removal when suspicion remains or mass enlarges.

Core biopsies are considered the standard due to accuracy and minimally invasive nature (NCCN, 2023).

Clinical Presentation of Malignant Breast Cancer

Warning signs include:

  • Hard, fixed mass with poorly defined borders

  • Nipple changes: retraction, spontaneous unilateral discharge (especially bloody)

  • Skin dimpling or peau d’orange appearance

  • Axillary lymphadenopathy

  • Persistent breast swelling or shape changes

Symptoms may not appear in early stages, underscoring the importance of screening.

Required Additional Topics

Holistic Health Assessment Factors

A comprehensive health assessment should include:

  • Psychosocial aspects: Anxiety, coping ability, support systems

  • Lifestyle behaviors: Exercise, alcohol use, smoking

  • Cultural health beliefs: Influences screening and treatment choices

  • Sexual/reproductive history: Menstrual and hormonal factors affecting breast tissue

  • Social determinants of health: Access to care, education, income

These factors ensure patient-centered, equitable care.

Family Developmental Stages

Examples include:

  1. Beginning family – married couple without children

  2. Childbearing family – birth of first child

  3. Family with preschool/school-age children – role adjustments

  4. Family with adolescents – increased independence

  5. Launching center – children leaving home

  6. Family in later life – retirement, aging

These stages affect caregiving roles, preventive care, and education needs.

Family Structure, Function & Healthcare

Family structure includes nuclear, single-parent, extended, or blended households. Function relates to:

  • Emotional support

  • Role assignment

  • Economic stability

  • Health promotion behaviors

Family involvement can improve adherence to medical care and provide necessary physical and emotional support during health challenges.

November 5, 2025
November 5, 2025

Weekly Gynecology Clinical Reflection

Author By Academic Wizard Categories Blog

Weekly Gynecology Clinical Reflection

Describe your clinical experience for this week.

· Did you face any challenges, any success? If so, what were they? Seeing the strategies of diagnosing and assessing in the gynecologist office.

· Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales. Patient came in for a consult due to experiencing different in her sex drive, vaginal dryness and feeling tired all the time

· Mention the health promotion intervention for this patient.

· What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse? It will help me learn new techniques of diagnosing and prescribing patients with gynecological needs.

Weekly Gynecology Clinical Reflection

· Support your plan of care with the current peer-reviewed research guideline.

**** this has to be based on experience in a gynecologist office.

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

  • Describe your clinical experience for this week,

  • Did you face any challenges any success? If so what were they?,

  • Describe the assessment of a patient detailing the signs and symptoms (S&S) assessment plan of care and at least 3 possible differential diagnoses with rationales,

  • Mention the health promotion intervention for this patient,

  • What did you learn from this week’s clinical experience that can be beneficial for you as an advanced practice nurse?

Comprehensive Response

This week’s clinical experience in the gynecology office provided valuable insights into the diagnostic and assessment strategies used to address women’s reproductive health concerns. I had the opportunity to observe patient interactions, conduct health assessments, and understand the complex nature of hormonal and physiological changes that affect women’s quality of life. Working closely with my preceptor, I learned how detailed patient history and individualized care plans are crucial in forming accurate diagnoses and treatment strategies in gynecologic practice.

Challenges and Successes
One of the main challenges I encountered was understanding how subtle hormonal imbalances can manifest as various symptoms, such as fatigue, decreased libido, and vaginal dryness. The success, however, was observing how comprehensive assessment tools, laboratory evaluations, and open patient communication contribute to accurate diagnosis and management. By engaging with patients empathetically, we were able to gather important psychosocial and physiological information that influenced care planning. Seeing the integration of physical assessment, patient education, and hormonal evaluation was particularly rewarding, as it reflected the holistic approach required in advanced nursing practice.

November 5, 2025
November 5, 2025

Collaborative Change Management Plan

Author By Academic Wizard Categories Blog

Collaborative Change Management Plan

This formative assessment allows you to practice essential components of change management, such as stakeholder engagement, conflict resolution, and team communication. You will critically think about how collaborative techniques can support successful change, recognizing diverse perspectives and fostering engagement across disciplines.

Instructions:

Develop and present a change management plan using collaborative techniques that engage stakeholders, foster communication, and address potential conflicts.

  1. Scenario: Imagine your healthcare organization has decided to implement a new patient care technology. The change aims to improve patient outcomes and streamline care processes, but some team members are resistant due to concerns over workflow disruptions and training requirements.
    Collaborative Change Management Plan
  2. Assignment Tasks:
    • Identify key stakeholders affected by this change (e.g., clinical staff, IT support, administrators). Explain the role each stakeholder plays in the successful implementation of the change.
    • Outline a communication plan that addresses how you will inform stakeholders of the change, address their concerns, and keep them engaged throughout the process.
    • Describe potential conflicts that may arise during the change process, such as differing perspectives on the new technology or varying levels of comfort with digital tools. Propose strategies to manage and resolve these conflicts in a way that maintains a positive team environment.
    • Discuss specific collaborative techniques (e.g., regular team check-ins, suggestion feedback loops, joint training sessions) you will use to foster a unified approach to the change.
      Collaborative Change Management Plan
  3. Submission Format: 
    • Submit this assessment as a written outline, an infographic, or a narrated PowerPoint presentation that walks through the steps of their collaborative change plan.

Document Type/Template:

  • Word document PowerPoint or PDF

  • Identify key stakeholders affected by this change and explain the role each stakeholder plays in the successful implementation of the change,

  • Outline a communication plan that informs stakeholders of the change and keeps them engaged,

  • Describe potential conflicts during the change process and propose strategies to resolve them,

  • Discuss collaborative techniques to foster a unified approach to the change,

  • Submit as a written outline, infographic, or narrated PowerPoint

Collaborative Change Management Plan: New Patient Care Technology

1️⃣ Key Stakeholders & Roles

Stakeholder Primary Role in Change Reason for Engagement
Nurses & Clinical Staff Apply technology in care delivery and document in system Daily users; workflow directly impacted
Physicians & Providers Ensure patient data accuracy and treatment planning Decision-making relies on technology performance
IT Support Team Provide technical installation, support, updates, and troubleshooting Enables seamless technology operation
Administrators/Leadership Allocate resources, provide policies, evaluate outcomes Sponsor and ensure alignment with organizational goals
Patients & Families Interact with technology through portals and updates Provide feedback on usability and satisfaction
Training/Education Team Deliver learning modules and skill-building sessions Reduces anxiety, increases competency

Engaging each stakeholder supports adoption, reduces resistance, and improves patient outcomes.

2️⃣ Communication Plan

Method Purpose Frequency
Leadership Town Hall & Email Announcements Introduce project, rationale, timeline Project launch and monthly updates
Unit-based Meetings Open discussion and Q&A Weekly until implementation
Feedback Surveys & Suggestion Boxes Capture ongoing concerns and solutions Bi-weekly
Training Sessions (hands-on + virtual) Build confidence and competence 2–3 weeks pre-launch

✅ Key Messages:

  • Why the change is needed → improve patient safety and workflow efficiency

  • What support is available → training, IT help desk, super-users on units

  • How concerns are addressed → feedback incorporated into phased rollout

3️⃣ Conflict Identification & Resolution Strategies

Potential Conflict Root Cause Resolution Strategy
Resistance to workflow change Fear of longer tasks or unfamiliarity Gradual rollout + peer champions + hands-on practice
Time constraints for training Staffing shortages Flexible scheduling + recorded training
Diverse tech skill levels Unequal comfort Tiered skill support and mentoring
Miscommunication between departments Assumptions, unclear roles Clear chain of communication + shared goals
November 5, 2025
November 5, 2025

Nursing Practice Philosophy

Author By Academic Wizard Categories Blog

Nursing Practice Philosophy

explanation of your philosophy of nursing practice. Include your nursing experience and expertise.  Kindly explain the underlying tenets that support your philosophy of nursing practice and your goals for expanding your experience and practice as a DNP (e.g., embracing diversity, global health issues, and collaboration). Include how these dynamics are linked to the DNP’s role as a social change agent.  Include a recommendation for at least one way to advocate for positive social change as a Walden DNP. Be specific and provide examples, with all citations in APA 7 style.  This work must be well supported with professional references from the course and peer-reviewed journals. Outside articles are to be published no earlier than 2019. Your main post needs to be submitted by Wednesday

Nursing Practice Philosophy

  • Explain your philosophy of nursing practice Include your nursing experience and expertise,

  • Explain the underlying tenets that support your philosophy of nursing practice, Explain your goals for expanding your experience and practice as a DNP,

  • Explain how diversity, global health issues, and collaboration relate to your philosophy, Explain how these dynamics are linked to the DNP’s role as a social change agent

  • Include a recommendation for at least one way to advocate for positive social change as a Walden DNP Provide specific examples,

  • Support with peer-reviewed sources published 2019 or later, Cite in APA 7th edition

Comprehensive Answer

A personal philosophy of nursing practice provides a professional foundation that guides decision-making, ethical behavior, and patient care. My philosophy centers on providing holistic, patient-centered care that fosters dignity, respect, and health equity. Through my nursing experience, I have learned that providing care goes beyond treating symptoms—nurses must advocate for vulnerable populations, promote education, and support wellness across the lifespan. As a Doctor of Nursing Practice (DNP) student, my philosophy continues to evolve alongside evidence-based practice, policy leadership, and collaboration with interprofessional teams to improve patient outcomes.

My philosophy is grounded in three core tenets: compassion, advocacy, and evidence-based practice. Compassion builds trusting relationships with patients and families, especially in complex or emotionally challenging clinical situations. Advocacy ensures that patients’ voices are heard, particularly in underserved communities where health disparities persist. Evidence-based practice supports safe and high-quality care and reflects the DNP role as a leader in applying research into clinical settings (Trautman et al., 2020). As I progress in my advanced practice role, my goals include expanding clinical expertise, participating in quality improvement initiatives, and promoting equitable health policies that align with national and global health priorities.

Embracing diversity, addressing global health issues, and fostering interprofessional collaboration are essential to my philosophy and align closely with the DNP’s mission as a social change agent. The American Association of Colleges of Nursing (AACN) emphasizes the DNP role in shaping systems that eliminate disparities and promote culturally competent care (AACN, 2021). Understanding social determinants of health, supporting inclusive care models, and collaborating with professionals across disciplines strengthen the delivery of person-centered care around the world. DNP-prepared nurses are positioned to drive meaningful change through leadership in health systems, community partnerships, and translational research.

As a Walden DNP student, one way I can advocate for positive social change is by promoting community-based health education programs that address preventable chronic illnesses such as diabetes and hypertension. For example, implementing evidence-supported screenings and culturally tailored teaching in community centers can reduce disease burden and improve population health, particularly among minority groups disproportionately affected by chronic disease (Williams et al., 2019). Engaging with policymakers to support equitable health access, participating in health literacy initiatives, and serving on advisory boards are additional pathways to influence health at the system level.

In conclusion, my nursing philosophy reflects a commitment to compassion, advocacy, and scientific rigor. As I grow in my DNP role, I will continue to support initiatives that reduce health disparities, empower communities, and strengthen collaborative care. DNP-prepared nurses act as leaders who transform care delivery and advocate for equitable health systems. Through continual learning and professional engagement, I aim to contribute to a healthier, more just society while upholding the highest standards of nursing excellence.

✅ References (APA 7th Ed.)

American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. AACN.

Trautman, D. E., Idzik, S. R., Hammersla, M., & Rosseter, R. J. (2020). Advancing scholarship through translational research: The DNP’s impact on health care. Journal of Professional Nursing, 36(2), 74–80. https://doi.org/10.1016/j.profnurs.2019.08.008

Williams, J. S., Walker, R. J., & Egede, L. E. (2019). Achieving equity in an evolving healthcare system: Opportunities and challenges. American Journal of the Medical Sciences, 358(1), 1–5. https://doi.org/10.1016/j.amjms.2019.03.003

November 4, 2025
November 4, 2025

CGM & Type 2 Diabetes

Author By Academic Wizard Categories Blog
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