NR 390 Week 4 Discussion Impact of 19th-Century Nurses

NR 390 Week 4 Discussion Impact of 19th-Century Nurses

NR 390 Week 4 Discussion Impact of 19th-Century Nurses

Week 4 Impact of 19th-Century Nurses

Important nurses of the 19th century are often overshadowed by Nightingale’s prominence. Select one 19th-century nurse other than Nightingale and describe this person’s
contributions to the profession. Although some duplication is expected, please try to select a nurse who has not already been presented by a classmate

It amazes me how much, in terms of medicine and technology, that we have advanced over just the last 100 years! From 1MB computers being over the size of a house to us carrying devices in our pockets that seem to just have endless memory. In my current practice, I actually use both EMR and paper charting and have experienced the EMR going down and needing to transition to paper.

As far as paper charting, I think that some of the pros are that it’s just easier – there is no searching for a certain box to click or where to input this piece of data. The paper charting systems I have worked with are pretty straight forward and organized for a body-wide assessment. Writing in a quick nursing note can cover everything you need without needing to check off what seems like hundreds of little boxes. However, there are some cons as well. Legibility is probably the biggest one for me. Not everyone has perfect penmanship, and if you can’t read the notes, they might as well be useless. There is also the concern about paper orders getting confused, again due to bad penmanship or inaccurate use of abbreviations. If that piece of paper gets misplaced, thrown away, or soiled with food and/or water/liquid, it is also destroyed. With paper charting, there isn’t a backup save feature so you can get that information back – so you have to be careful and aware when dealing with paper charting. Another con would be room to chart – I tend to write comprehensive, complete notes, and they can often take up more space on the paper charting than I may be able to afford. With EMR, that isn’t a concern. While the EMR may be a little more time consuming, at least until you get used to the program you are using, there are some definite positives. It is nice when doing an assessment that there are drop-down boxes that can prompt or remind you to ask certain questions, for a more complete exam. Having things all in one place, such as medication list or past medical history. There isn’t a need to go searching through a paper chart when it is under its own little tab on the computer. Of course, there is always the nursing notes tabs that allow you to chart whatever you need in, for me, what is like a word document. There is also not a concern for running out of space, like with paper. However, when the EMR or computer systems go down, we always need to make sure that we have a back-up paper system! I know at the SNF/s I work at, the MAR’s automatically print if the system crashes for any reason, and they print the most recent one saved into the system, and the charting systems are pretty good about updating quickly when orders are input.

Today, nurses are so heavily trained on the EMR that they forget that we always have to know how to paper chart as well, and I fully believe that our new nurses, whether in school or at their first jobs, need to be fully educated on the do’s and don’t’s of paper charting. There is nothing worse than doing a night shift and the scheduled computer updates shut your entire floor or facility down – and you don’t know where the paper charting forms are, or how to fill them out! I feel like with the EMR, it’s kinda self-explanatory, as everyone is so adapted to the use of computers and cell phones in our everyday lives. However, I have seen many newer nurses have complete panic attacks because they are unaware of knowing how to use the fallback of paper charting.

Thanks to Richards, we are able to communicate with our team members, as well as the patient’s family and friends, through a charting system, which has become a crucial area to a nurse’s success in the field. When I think about what she would think today – I fully believe the technology would be kind of a shock – but for her to see what her works 150 years ago have allowed for today, she would be proud.

I think some people that are from ethnic and racial diverse backgrounds also face economic, social, and environmental challenges.  Therefore, they may feel that becoming a nurse is not possible.  They may not know about financial assistance, they may not think that they have a chance at being a nurse as most others in the same race and ethnicity are not nurses, and perhaps they are not close to a school or have a way to get to a school.  They may also feel that they have no chance of getting admitted to a school due to their race or ethnicity.  Unfortunately, racism does still exist in America, and they may feel that nurses are white men and women, and that they would be chosen over them for entry into a nursing school.  This may not even be a factor, but they may feel that way anyway.  There is not that much advertising for nursing school, and I think there should be more as they say we are entering another nursing shortage, perhaps more advertising showing diversity and financial assistance should be done.  It is said if you want something bad enough you will find a way, but people need the information also.  Mary Mahoney had the perserverance to go for what she wanted.  Patient care is affected in that people of the same race know about their own culture and can relate better with the patient, and may make them feel more comfortable with their patient care.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an underastanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

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Lopes Write Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course.

Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource