NR 500 Week 6 Discussion: Systems-Structure and Function

Chamberlain University NR 500 Week 6 Discussion: Systems-Structure and Function-Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 500 Week 6 Discussion: Systems-Structure and Function  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 500 Week 6 Discussion: Systems-Structure and Function                  

Whether one passes or fails an academic assignment such as the Chamberlain University NR 500 Week 6 Discussion: Systems-Structure and Function  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 500 Week 6 Discussion: Systems-Structure and Function                  

The introduction for the Chamberlain University NR 500 Week 6 Discussion: Systems-Structure and Function 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.

How to Write the Body for NR 500 Week 6 Discussion: Systems-Structure and Function                  

After the introduction, move into the main part of the NR 500 Week 6 Discussion: Systems-Structure and Function  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 500 Week 6 Discussion: Systems-Structure and Function                  

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 500 Week 6 Discussion: Systems-Structure and Function                  

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 500 Week 6 Discussion: Systems-Structure and Function

Transitioning NICU care from where parents are ‘allowed’ to participate in simple care tasks to embracing them as partners in the primary care of their baby will empower the family unit. Improved support for each individual family, sharing and collaborating on care decisions will be evidenced at the microsystem level. While it may be a newer concept at first, I believe over time it would result in accepted practice at the micro level, much like kangaroo care became an accepted and now encouraged practice over time. D’Agata & McGrath (2016) described a study where this complex adaptive approach was implemented in a NICU setting. After 21 days of this type of intervention, a decrease in retinopathy was recorded as was an increase in breast feeding at discharge (D’Agata & McGrath, 2016). Decreased parental stress levels at discharge would also be a likely outcome at the micro level. At the mesosystem level, hospital leadership will likely see better patient outcomes and improved hospital ratings through standard survey methods that are sent out. This would open the door towards more administrative support of evidence-based practice at the micro level. At the macrosystem level, there has already been a trial called COPE (Creating Opportunities for Parent Empowerment) that supports “educational-behavioral intervention” focused on improving the mental and behavioral development of the child and supporting parent interactions (D’Agata & McGrath, 2016). Further funding and promotion of such programs will increase community awareness and healthcare systems will take notice and become more open to change. 

Reference

D’Agata, A., & McGrath, J. (2016). A framework of complex adaptive systems: Parents at partners in the neonatal intensive care unit. Advances in Nursing Science, 39(3), 244-256. doi: 10.1097/ANS.0000000000000127

A Sample Answer 2 For the Assignment: NR 500 Week 6 Discussion: Systems-Structure and Function

Title: NR 500 Week 6 Discussion: Systems-Structure and Function

NICU family care centers is a great concept for nurses and families to assist with the bonding and healing between the infant and parent. Parents with infants in NICU at times feel guilty, anxious, fearful, and lost. Many times parents are not sure how they can help assist with the recovery of their infant and shy away from bonding and offering assistance. The monitor, cords, IV’s, and pumps connected to a tiny infant; to parents seem intimating and overwhelming. NICU care centers allow for the bonding and promote education needed to assist parents feel empowered and confident to help with simple task such as changing diapers, clothing, and cuddling with the infant. The American Family Children’s Hospital is one of many pediatric medical facilities that promotes a family friendly, nonthreatening place specifically designed to be patient and family centered in the care of sick infants and children (Pediatric Care Center, 2018).  This concept of caring have proven to help improve the patient’s well-being and clinical outcomes (Pediatric Care Center, 2018). The NICU patient care concept can be properly designed at all systems level. The micro level is where the nurse educate and promote bonding between the infant and parent, in the meso level the directors and managers implement policies and procedures to promote a patient center unit, and at a macro level wide spread system change of care is promoted.

Reference: PEDIATRIC CARE CENTER. (2014). Healthcare Design, 14(7), 180-183

A Sample Answer 3 For the Assignment: NR 500 Week 6 Discussion: Systems-Structure and Function

Title: NR 500 Week 6 Discussion: Systems-Structure and Function

My specialty track is Family Nurse Practitioner (FNP). The issue that I have identified that is related to my specialty track is the increasing rise of opioid-related deaths and opioid addiction related to the over prescribing of opioids. Opioids are prescribed more frequently for pain that non-opioids or other non-pharmacological methods. Opioid over prescribing affects every level of system and by finding solutions for one level the others will be affected.  As stated by Marquis and Huston (2012) a change in any element of the healthcare system causes changes in other elements of the system.

The overuse of opioid treatment for pain affects the system at the micro level by introducing opioids to opioid naive patients. By doing so this increases the risk of addiction to opioids. It also increases the probability of requesting opioids in the future for pain management. Opioid addiction can cause financial problems by the costliness of the prescriptions and resulting to buying opioids on the street if unable to get a prescription. Opioid addiction also causes family conflict and strains. At this level I would address the issue by decreasing the amount of opioid prescriptions for pain and use alternatives such as non-opioid treatment or non-pharmacological methods such as physical therapy, massage etc. Thompson (2017) stated that non-pharmacologic methods help to lessen patients’ focus on the time remaining until their next dose of opioids. By implementing this solution the amount of opioid prescriptions will decrease thus decreasing request for opioid prescriptions and opioids as first line of treatment for pain.

The overuse of opioid treatment for pain affects the meso level by increasing visits to the emergency department for chronic pain management. It also impacts the hospital by increasing opioid overdose and death related visits/admissions to the hospital. Psychiatric related visits are also increased due to opioid related addiction. Incidents involving violence in the hospital are also increased by opioid addiction. I will address these issues by not treating chronic pain in the emergency department. By not treating chronic pain in the emergency room setting there will be less visits for patients drug seeking thus decreasing incidents involving violence. 

The overuse of opioid treatment for pain affects the macro level by increasing the cost to community through increasing cost of health insurance and home insurance. Increasing addiction rate correlates with increasing theft thus increasing home insurance. Emergency department wait times are increased with opioid addiction and drug seekers. HCAHPS scores asks about pain management and if the patient feels pain wasn’t properly managed than some organizations get decreased reimbursements. Legislation has started to decrease over prescribing of opioids. To address this issue I will advocate for increased legislation on opioid over prescribing. I will also increase education to the population of the dangers of opioids and alternative treatments to pain. 

Marquis, B.L., & Huston, C.J. (2012). Leadership roles and management functions in Nursing: Theory and application (7th ed.). Philadelphia, PA: Lippincott, Williams, & Wilkins.

Thompson, C. A. (2017). HCAHPS survey to measure pain communication, not management. American Journal Of Health-System Pharmacy: AJHP: Official Journal Of The American Society Of Health-System Pharmacists, 74(23), 1924-1926. doi:10.2146/news170084

A Sample Answer 4 For the Assignment: NR 500 Week 6 Discussion: Systems-Structure and Function

Title: NR 500 Week 6 Discussion: Systems-Structure and Function

Health organizations function in highly challenging environments. As a result, they have grown to be complex and adaptive in nature. The complexity arises from the unpredictability of the healthcare environment, which demand responsive and adaptive interventions (Chesnay & Anderson, 2019). Several issues are likely to affect my practice as a nurse practitioner in the future. One of them explored in this paper is nursing shortage. Therefore, the paper examines the issue of nursing shortage, addressing it, impact on other system levels, and use of interprofessional collaboration to solve it.  

Issue or Concern

            The selected issue that will affect my future practice is nursing shortage. Statistics shows that America will experience an acute shortage of nurses by 2030. The American Association of Colleges of Nursing (AACN) notes that about 1 million nurses will be retiring by 2030, creating a sharp demand for nurses in the county. The county will require an average of 175900 nurses yearly to meet its demand for nurses by 2030 (Graystone, 2018). The implications of the shortage to my practice are the increased workload for nurses. There will also be an increased risk of poor quality of life for nurses because of work-related challenges such as burnout and low job dissatisfaction. The impacts of nurses’ shortage on the quality, safety, and efficiency of care are evident. For example, nursing shortage has been associated with errors in the care process, missed or delays in service provision (Alexander & Johnson, 2021). Therefore, the issue should be addressed to promote the health and wellbeing of the nurses in the future as well as the quality, safety, and efficiency of patient care. The issue of nursing shortage is a meso-system problem. It arises from factors that are beyond the healthcare system. Retirement is an external factor that that the hospitals cannot influence.

Addressing the Issue

            Some interventions can be adopted to address the anticipated nursing shortage. One of them is advocating for an increased enrollment of nurses into the bachelor’s program. The number of students joining nursing education has been low as compared to the anticipated population of retiring nurses. Advocating for increased training of nurses would offset the anticipated nursing shortage (Chesnay & Anderson, 2019). The other solution is advocating for government support for nursing training institutions. Often, nursing institutions turn away students interested in training to become nurses because of the lack of adequate resources to train a high number of learners. As a result, it is essential for the government to increase financing for nursing training institutions, as an approach to addressing the issue of nursing shortage (Rosseter, 2019). The last strategy is ensuring organizations strive to retain their existing nursing staff. Strategies such as promoting their continuous professional development, rewarding performance, and offering safe working conditions minimize the risk of poor retention in healthcare organizations (Feyereisen et al., 2021).

Impact on other Levels of the System

            The proposed solutions will affect the other system levels. For example, it will lower the workload that other healthcare providers experience in their respective workplaces. The solution will also affect meso-system by enhancing care coordination and interprofessional collaboration among care teams. It will also enhance the care given in healthcare organization, hence, effective community-health organization interactions at the macrosystem level (Kennedy, 2019). Interprofessional collaboration could be used to address the issue of nursing shortage. Accordingly, nurses and other healthcare providers could collaborate in identifying effective strategies that can be adopted to enhance employee retention in their organizations. They can also advocate the adoption of policies that address the factors that contribute to nursing shortage (Feyereisen et al., 2021).

Conclusion

            In summary, nursing shortage will affect my future nursing practice. Strategies such as organizations striving to maintain their existing workforce and governments supporting nursing training institutions can address the issue of nursing shortage. Interprofessional collaboration also helps organization embrace best practices for employee retention. Therefore, I would explore these strategies to mitigate the effects of nursing shortage on my future practice.

References

Alexander, G. R., & Johnson, J. H. J. (2021). Disruptive Demographics: Their Effects on Nursing Demand, Supply and Academic Preparation. Nursing Administration Quarterly, 45(1), 58–64. https://doi.org/10.1097/NAQ.0000000000000449

Chesnay, M. de, & Anderson, B. (2019). Caring for the Vulnerable. Jones & Bartlett Learning.

Feyereisen, S. L., Puro, N., & McConnell, W. (2021). Addressing Provider Shortages in Rural America: The Role of State Opt-Out Policy Adoptions in Promoting Hospital Anesthesia Provision. The Journal of Rural Health, 37(4), 684–691. https://doi.org/10.1111/jrh.12487

Graystone, R. (2018). How Magnet® Designation Helps Hospitals Tackle the Nursing Shortage. JONA: The Journal of Nursing Administration, 48(9), 415–416. https://doi.org/10.1097/NNA.0000000000000640

Kennedy, A. (2019). Nurse Preceptors and Preceptor Education: Implications for Preceptor Programs, Retention Strategies, and Managerial Support. Medsurg Nursing, 28(2).

Rosseter, R. (2019). Fact sheet: Nursing faculty shortage. Washington, DC: American Association of Colleges of Nursing.

Participation for MSN

Threaded Discussion Guiding Principles

The ideas and beliefs underpinning the threaded discussions (TDs) guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of TDs provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The TD’s ebb and flow is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the TDs generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. TDs foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.

Participation Guidelines

Each weekly threaded discussion is worth up to 25 points. Students must post a minimum of two times in each graded thread. The two posts in each individual thread must be on separate days. The student must provide an answer to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week. If the student does not provide an answer to each graded thread topic (not a response to a student peer) before the Wednesday deadline, 5 points are deducted for each discussion thread in which late entry occurs (up to a 10-point deduction for that week). Subsequent posts, including essential responses to peers, must occur by the Sunday deadline, 11:59 p.m. MT of each week.

Direct Quotes

Good writing calls for the limited use of direct quotes. Direct quotes in Threaded Discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the Grammar, Syntax, APA category.

Grading Rubric Guidelines

Performance Category	10	9	8	4	0
ScholarlinessDemonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisionsEvaluates literature resources to develop a comprehensive analysis or synthesis.Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.Evaluates information from source(s) to develop a coherent analysis or synthesis.Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.Information is taken from source(s) without any interpretation/evaluation.The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge -Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.Applies concepts to personal experience in their professional setting and or relevant application to real lifeInteractions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real lifeDoes not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.Posts are superficial and do not reflect an understanding of the lesson contentDoes not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignoredNo discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive DialogueReplies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.(5 points possible per graded thread)	Exceeds minimum post requirementsReplies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.Replies to a post posed by faculty and to a peerSummarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate daysReplies to a question posed by a peerSummarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days.The main post is not made by the Wednesday deadlineDoes not reply to a question posed by a peer or faculty	Has only one post for the weekDiscussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the threadNo connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APANote: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.Points deducted for improper grammar, syntax and APA style of writing.The source of information is the APA Manual 6th Edition	2-3 errors in APA format.Written responses have 2-3 grammatical, spelling, and punctuation errors.Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format.Writing responses have 4-5 grammatical, spelling and punctuation errors.Writing style is somewhat focused.	6-7 errors in APA format.Writing responses have 6-7 grammatical, spelling and punctuation errors.Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format.Writing responses have 8-10 grammatical, spelling and punctuation errors.Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format.Written responses have more than 10 grammatical, spelling and punctuation errors.Writing style does not facilitate communication.The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirementsper discussion thread	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirementper discussion thread	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

NOTE: To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week’s assignments are due by the next Sunday by 11:59 p.m. MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 p.m. MT Wednesday. Any assignments and all discussion requirements must be completed by 11:59 p.m. MT Wednesday of the eighth week.