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Western Governors Department of Nursing Mission Assignment
Western Governors Department of Nursing Mission AssignmentWestern Governors
Department of Nursing Mission AssignmentPermalink: https:// /western-governor…ssion-
assignment/1. Create a professional mission statement (suggested length of 1 paragraph)
that includes the following:? representation of your career goals, your aspirations, and how
you want to move forward with your career. Western Governors Department of Nursing
Mission Assignment? overview of where you would like to focus your time and energies
within the professiona. Reflect on how your professional mission statement will help guide
you throughout your nursing career.2. Complete a professional summary (suggested length
of 3–4 pages) that includes the following:a. Explain how the specific artifacts or completed
work or both in your portfolio represent you as a learner and a healthcare professional.b.
Discuss how the specific artifacts in your portfolio represent your professional strengths.c.
Discuss challenges you encountered during the progression of your program.i. Explain how
you overcame these challenges.d. Explain how your coursework helped you meet each of
the nine nursing program outcomes.Note: Refer to the attachment below titled “Nursing
Conceptual Model”Artifact/complete work also attached. Western Governors Department of
Nursing Mission
Assignmentnew_nursing_conceptual_model_for_pzt1_pxt1_ahp2__1_.pdftask_1.docxA.Board
of nursing is a regulatory agency. A regulatory agency is a government agency. The primary
purpose of Board of nursing is to protect and advocate for the health and safety of the public
by ensuring the highest quality registered nurses in the state. Board of nursing is
responsible for the writing of the Nurse Practice Act, which governs the scope of practice for
all levels of nursing. Board of nursing issues nursing licenses and monitors license holders if
they are following and compliance with the state laws. The Nurse Practice Act defines what
a nurse are allowed to do at in their practice at all different levels, what type of setting a
nurse is able to practice, and the type of education needed for certain nursing practice
(“California Board of Registered Nursing,” n.d.).Essentially, a regulatory agency such as a
board of nursing wrote the Nurse Practice Act as a lay out on how practice nursing. This act
allows me to once I passed the NCLEX, and gives me the appropriate nursing title to use
within my practice. Combined with the laws of the board of nursing, the scope of practice is
laid out.Developmental Disabilities Nurses Association (DDNA) is a professional nursing
association for nurses who provide care and to persons with intellectual and
developmental disabilities (IDD). When people ask me where I work I have a hard time
explaining what it actually is. When I do say I work with patients with developmental
disabilities they think I work in a psych unit. Developmental disabilities are a group of
conditions due to an impairment in physical, learning, language, or behavior areas. In this
association, nurses already know I am talking about. This association is a place where I can
meet with other knowledgeable, interested nurses who serve persons with IDD. We strive
to improve the quality of services provided to individuals with developmental disabilities
(“DDNA | – Developmental Disabilities Nurses Association,” n.d.).A professional nursing
organization advocates for nurses. It is a place where their voice can be heard. Professional
nursing associations such as DDNA allows nurses to develop a bigger picture of health care
and nursing overall. It help nurses increase awareness of nursing issues, explore trends and
concerns facing their profession, provide networking opportunities to connect them with
peers, mentors, and nursing leaders. It is a place of for collective actions among nurses.
Western Governors Department of Nursing Mission Assignment B.Provision 1: “The Nurse
Practices with Compassion and Respect for the Inherent Dignity, Worth, and Unique
Attributes of Every Person.” (Fowler & American Nurses Association, 2015, p. 1)Even
though my patients have profound mental disability. My colleagues and I still treat them the
same as we would as a person without disability. We work together to provide them
compassionate and effective health services. Even though they are non-verbal we provide
them with optimal nursing care by reading their non-verbal cues. We do not judge them on
their culture, spiritual beliefs, social system, or sexual orientation. Provision 3: “The Nurse
Promotes, Advocates for, and Protects the Rights, Health, and Safety of the Patient.” (Fowler
& American Nurses Association, 2015, p. 9)Only the patient’s family and health care
providers have access to information pertaining our patients. We provide physical privacy
to the patient. The bathroom doors are closed whenever a patient is in shower. The patients
changed their clothes inside their rooms. Cellphone are not inside the facility to prevent
unintentional breaches of obligation to maintain and protect patient’s rights to privacy and
confidentiality. Maintaining safety is very important to us. Our manager and administrator
is always available when concerns arise. I feel that our patients are safe and their right are
protected. C.CollaborationI work at an Adult Rehabilitation Facility for people with
developmental disability. I work the night shift. There are 3 staff at night shift, sometimes 4.
There is one Registered Nurse, one Licensed Vocational Nurse, one Respiratory Therapist,
and sometimes one Certified Nursing Assistant. We collaborate with one another to give the
best care for our patients. When one of the CNAs are changing the patient, I go in the
patient’s room to help change. Sometime when there are no CNAs, the RTs help us change
the patients. We provide care that requires collaborative effort that has the strong and
active participation of all health professions. Protection of the Rights of Privacy and
ConfidentialityMy patients each have folder for their H&P. Their folder are locked up in the
cabinets where only the staff are authorized to open. I never leave it anywhere outside of
the cabinet. Every time I need to look up one of the patient’s folder I always make sure to
put it back to the locked cabinet and not just leave it outside of the locked cabinet for
anyone to see. It is my duty to maintain confidentiality of all patient information. Promotion
of Personal Health, Safety, and Well-BeingOvertime will always be available at my work. If I
want to work 60 hours per week it is always there. All I need to do is tell the HR that I want
overtime and I will get overtime. Overtime brings extra money but my mind and body goes
into cruise control after the 48th hour. My mind feels like it is half asleep. As a nurse, I know
this not unsafe not only for me but my patience as well. Fatigue affects a nurse’s
professional performance. I have to take care of myself first in able to take care of others.
Not working to much is one way for me to promote well-being and safety. Authority,
Accountability, and ResponsibilityI, as the RN, bear the primary responsibility for the care
of the patient. Even though I have a RT, LVN, and CNA with me I am accountable for the care
of the patient. When there I a change of condition to one of the patients, I will talk to the
staff who was with patient who first saw the change of condition. Once I assess the patient,
it is my responsibility to coordinate the care, if necessary delegate nursing intervention, and
evaluate interventions. Western Governors Department of Nursing Mission
Assignment D.Dorothea OremSelf-care model. Nursing facilitates client self-care by
measuring the client’s deficit relative to self-care needs; the nurse implements appropriate
measures to assist the client in meeting these needs by matching them with an appropriate
ive intervention (“Dorothea Orem’s Self-Care Theory,” n.d.). Dorothea Orem’s self-care
theory has influenced my professional practice. Orem’s general theory of nursing in three
related parts: theory of self-care, theory of self-care deficit, theory of nursing system. . My
patients are not able to do any self-care at all. The nurses do everything for them. They are
in a wholly compensatory system. I use Orem’s theory to define my role as a nurse to meet
self-care demands of my patient. I provided them air by keeping their airway patent. I raise
the HOB up to at least 45 degree when they are in feed. Food and water are supplied to
them every day. I weight them once a week to make sure they are getting sufficient intake of
nutrients and not losing or gaining more than 5 pounds per week.E.Florence Nightingale is
credited with using public health principles and statistical methods to advocate for
improved health conditions for British soldiers during the Crimean War. Through carefully
recorded statistics, Nightingale was able to document that the soldiers’ death rate
decreased from 42% to 2% as a result of health care reforms that emphasized sanitary
conditions. Because of her remarkable work in using statistics to demonstrate cause and
effect and improve the health of British soldiers, Nightingale is recognized for her
contributions to nursing research (Nies and McEwen, 2007).I became a nurse to help people
that are in need. Florence Nightingale already had everything. She was a wealthy,
intelligent, and attractive woman. Even though she had all that, she wanted to help that
people that were sick. Instead of just living a lavish life, she was out there saving people.I
have heard a couple of people say they wanted to be nurses because they want to make
money. Sure, being a nurse brings stable income but if you just think of nursing as a way of
money, I think you are in the wrong possession. Nightingale was already wealth but she still
wanted to help those that needed help. I greatly admire her for that. F.Beneficence is action
that is done for the benefit of other. An example of beneficence at my work is prior to
wound care, I always make sure to administer pain medication. Wound care can be a very
painful procedure for the patient. To lessen the pain, I give pain medication about thirty
minutes before the procedure. Less pain means more patient compliance.Autonomy is the
agreement to respect another’s right to self-determine a course of action; of independent
decision making. An example of autonomy is picking what clothes to wear. Every day I give
my patient shower. I do not pick out his clothes to wear. I always ask him what clothes to
wear, though I help him put in on because he cannot do it himself. California Board of
Registered Nursing. (n.d.). Retrieved from http://www.rn.ca.govDDNA | – Developmental
Disabilities Nurses Association. (n.d.). Retrieved from https://ddna.org/Home |
Developmental Disabilities | NCBDDD | CDC. (n.d.). Retrieved from
https://www.cdc.gov/ncbddd/developmentaldisabilities/index.htmlFowler, M. D., &
American Nurses Association. (2015). Guide to the code of ethics for nurses with
interpretive statements: Development, interpretation, and application.Dorothea Orem’s
Self-Care Theory. (n.d.). Retrieved from
http://currentnursing.com/nursing_theory/self_care_deficit_theory.htmlUniversity Missio
n Congruent to Department of Nursing Mission Western Governors Department of
Nursing Mission Western Governors University Mission Improve quality; expand acc
ess to postsecondary educational opportunities by providing a means for individuals
to learn, independent of time or place, and to earn competency-
-?based degrees and other credentials that are credible to both academic institutions
and employer. The mission of the Department of Nursing is to make a positive dif
ference in the lives of our students and the practice of nursing, primarily through a
professionally ed, competency--?based and personalized student-
-?focused learning model that assists working adults achieve success in educational g
oals and a sustained professional commitment. Western Governors Department of
Nursing Mission
AssignmentThe Department of Nursing is committed to the formation of confident, ca
ring, and competent professional nurses prepared to meet emerging healthcare needs
of diverse populations. University Goals Congruent with Department of Nursing G
oals Western Governors Department of Nursing Goals Western Governors University
Goals Provision of competency--?based programs Adherence to a student-
-?centric model Use of technology to improve quality and efficiency Use of external l
earning resources, combined with mentoring and progress management; Adherence
to an executive governance structure Oversight by external Councils • • • • • • • • •
Competency-
-?based bachelor’s and master’s degree programs that allow nurses to demonstrate th
eir professional knowledge and skills Broad access to education for nurses where th
ey live and work Professional preparation for new nursing practice roles and additio
nal education Revised 2013WGU Department of Nursing Philosophy We envision
nursing as a caring interaction between the nurse, who is a member of an interdiscip
linary team, and the patient who is a member of a family and community. This carin
g interaction occurs across the lifespan, from infancy through old age. Nurses identify
and strengthen clients’ potential to move toward health and help clients shape their
environment to promote well-
-?being. We believe that healthcare begins in the community, prior to diagnosis of illn
ess, by promoting health and wellness through advocacy, community assessment, and
preventative care. Nurses use appropriate technologies and current evidence to devel
op their plans of care, whether in the community, the clinic, an acute care facility, or
an extended care facility. Nurses assume leadership for clinical and ethical decision-
-?making. We believe that the global nature of communities and healthcare delivery
necessitates that nurses be able to engage with patients, families, and communities w
ho have diverse ways of responding to their healthcare needs. We recognize that the
definition of family has expanded to include a variety of different compositions and r
oles and is the fundamental vehicle for how clients are ed, interact with the world
around them, access resources, and engage in healthcare. We recognize that students
, particularly adult learners, have preferred learning styles, bring previous experience
to the learning environment, and develop competency at different paces. Learners see
k to make sense of new educational experiences in light of their past and existing kn
owledge and then apply their new findings to real situations. Therefore, nursing educ
ation should provide opportunities where students engage in real world application to
demonstrate competency in cognitive knowledge, clinical reasoning, and ethical comp
ortment. Revised 2013Conceptual Framework There are 10 unifying the
mes that have guided the development of the nursing programs at Western Governor
s University. These themes are depicted visually in the conceptual model below.
Revised 2013 BSN Nurse as Detective: The nurse uses clinical imagination couple
d with nursing science to detect subtle changes and deviations from expected patter
ns of being to prevent or control adverse outcomes. Nurse as Scientist: The nurse pa
rticipates in scientific inquiry to inform healthcare decisions; and critiques, disseminat
es and implements evidence to influence practice. Nurse as Manager of the Healing
Environment: The healing environment is global in nature and includes consideratio
ns of healthcare policy, finance and regulations. Acknowledging this, the nurse create
s, coordinates, and advocates for a respectful, interdisciplinary environment that pro
motes optimal well-
-?being and affirms the dignity of the human experience MSN Nurse as Detective: T
he nurse uses clinical imagination coupled with nursing science to judge and determi
ne the consequence of subtle changes and deviations from expected patterns of being
to prevent or control adverse outcomes. Nurse as Scientist: The nurse uses translati
onal science to influence healthcare decisions; to prescribe and implement best pract
ice and broadly disseminate the findings. Nurse as manager of the Healing Environm
ent: The healing environment is global in nature and includes social, cultural, politica
l and economic influences. Acknowledging this, the nurse, as a member of the inter-
-?professional community, influences public policy and promotes social justice in the
human health experience. Revised 2013Operational Definitions of Th
readed Curriculum Concepts Compassionate Patient-
-?centered care is the provision of holistic care with respect for values, preferences a
nd needs of the patient, family and community in the journey to well-
-?being cross the lifespan. Cultural competency is providing care that is acceptable t
o patients, families and communities from diverse cultural, ethnic, and social backgrou
nds. Evidence based practice is integrating the “best current evidence with clinical
expertise and patient/family preferences and values for delivery of optimal healthcare
” (QSEN, 2009) Genomics and Genethics include knowledge about the genetic basis
of health and illness, the variables that impact the responses to genomic information
and related ethical issues. Informatics/Technology Informatics is the engineering, st
oring, organizing and manipulation of data to the provision of safe, effective quality
care. Technology is the continuously changing array of devices and software used for
patient care. Leadership/Education Leadership is the process of identifying and pri
oritizing goals to achieve optimal quality outcomes. Education is assessing learning ne
eds and facilitating acquisition of knowledge, skills and abilities. Safety and Quality
care minimizes risk of harm to patients, families, communities and providers through
analyses of systems effectiveness and individual performance while continually measu
ring quality of care in terms of cost, structure, process, and outcomes. Communicati
on is effective interaction with patients, families, communities, professional colleagues
and other health care team members. Teamwork and collaboration is effective engag
ement with nursing and interprofessional teams to foster open communication, mutual
respect and shared decision making to achieve quality patient care. Professional/Le
gal/Ethical is effective decision-
-?making and reflection within a framework of social justice and law, advocacy, and s
tandards of practice to promote the common good. Revised 2013BSN PROGRA
M OUTCOMES The WGU Bachelor’s Degree in Nursing Program Graduate Will: 1.
Communicate effectively in oral, written, interpersonal and electronic modes. 2.
Use clinical reasoning to provide safe, quality, nursing care based on the best availab
le evidence and ethical principles. 3.
Assume accountability for providing and ensuring safe, efficient, quality care congruen
t with ethical, professional and legal standards. 4.
Synthesize theoretical, clinical and empirical knowledge from nursing, scientific, comm
unity and humanistic disciplines within the practice of nursing. Synthesizes theoretica
l and empirical knowledge drawing from the arts and sciences to understand the hu
man experience as a social advocate, and professional nurse. 5.
Provide compassionate, patient-
-?centered care to individuals, families, and communities from a variety of cultures ac
ross the lifespan. 6.
Apply leadership and education skills to engage others in creating and promoting a h
ealing environment for continued self--?improvement. 7. Engage in inter-
-?professional collaboration to improve safety and quality of healthcare. 8.
Incorporate knowledge of genomics and genethics into the care of patients, families a
nd communities. 9.
Use information technology to communicate, mitigate error and make decisions relate
d to the provision of patient care and incorporation of nursing knowledge in the d
evelopment of patient care technology. Western Governors Department of Nursing
Mission AssignmentMSN PROGRAM OUTCOMES 1. 2. 3. 4. 5. 6. 7. 8. 9.
The WGU Master’s Degree in Nursing Program Graduate Will: Employ appropriate pat
ient-
-? care technologies and information management strategies to lead change and impr
ove quality care outcomes. Integrates clinical reasoning with organizational, patient-
-?centered, culturally appropriate strategies to plan, deliver, and evaluate evidence-
-?based practice. Design innovative nursing practices to impact quality outcomes for
individuals, populations, and systems congruent with ethical, professional and legal st
andards. Assemble scientific findings from nursing, biopsychosocial fields, genetics, pu
blic health, and organizational sciences for the continual improvement of nursing care
across diverse settings. Utilize applied research outcomes within the practice setting,
navigating and integrating care services across healthcare systems. Design organizati
on and leadership systems that promote high quality patient-
-?care delivery and advance life-
-?long learning. Construct interprofessional teams to communicate, coordinate, collabo
rate and consult with other health professionals to advance a culture of excellence.
Integrate scientific knowledge including that from genetics and genethics in the conti
nual improvement of nursing care across diverse settings and populations. Provide o
versight and guidance in the integration of technology to manage care, identify perfor
mance measures and standards that improve quality and safety outcomes. Revised 2
013A. Board of nursing is a regulatory agency. A regulatory agency is a government agency.
The primary purpose of Board of nursing is to protect and advocate for the health and
safety of the public by ensuring the highest quality registered nurses in the state. Board of
nursing is responsible for the writing of the Nurse Practice Act, which governs the scope of
practice for all levels of nursing. Board of nursing issues nursing licenses and monitors
license holders if they are following and compliance with the state laws. The Nurse Practice
Act defines what a nurse are allowed to do at in their practice at all different levels, what
type of setting a nurse is able to practice, and the type of education needed for certain
nursing practice (“California Board of Registered Nursing,” n.d.). Essentially, a regulatory
agency such as a board of nursing wrote the Nurse Practice Act as a lay out on how practice
nursing. This act allows me to once I passed the NCLEX, and gives me the appropriate
nursing title to use within my practice. Combined with the laws of the board of nursing, the
scope of practice is laid out. Developmental Disabilities Nurses Association (DDNA) is a
professional nursing association for nurses who provide care and to persons with
intellectual and developmental disabilities (IDD). When people ask me where I work I have
a hard time explaining what it actually is. When I do say I work with patients with
developmental disabilities they think I work in a psych unit. Developmental disabilities are
a group of conditions due to an impairment in physical, learning, language, or behavior
areas. In this association, nurses already know I am talking about. This association is a place
where I can meet with other knowledgeable, interested nurses who serve persons with IDD.
We strive to improve the quality of services provided to individuals with developmental
disabilities (“DDNA | – Developmental Disabilities Nurses Association,” n.d.).A professional
nursing organization advocates for nurses. It is a place where their voice can be heard.
Professional nursing associations such as DDNA allows nurses to develop a bigger picture of
health care and nursing overall. It help nurses increase awareness of nursing issues, explore
trends and concerns facing their profession, provide networking opportunities to connect
them with peers, mentors, and nursing leaders. It is a place of for collective actions among
nurses. B. Provision 1: “The Nurse Practices with Compassion and Respect for the Inherent
Dignity, Worth, and Unique Attributes of Every Person.” (Fowler & American Nurses
Association, 2015, p. 1) Even though my patients have profound mental disability. My
colleagues and I still treat them the same as we would as a person without disability. We
work together to provide them compassionate and effective health services. Even though
they are non-verbal we provide them with optimal nursing care by reading their non-verbal
cues. We do not judge them on their culture, spiritual beliefs, social system, or sexual
orientation. Provision 3: “The Nurse Promotes, Advocates for, and Protects the Rights,
Health, and Safety of the Patient.” (Fowler & American Nurses Association, 2015, p. 9) Only
the patient’s family and health care providers have access to information pertaining our
patie … Western Governors Department of Nursing Mission Assignment

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Western Governors Department of Nursing Mission Assignment.pdf

  • 1. Western Governors Department of Nursing Mission Assignment Western Governors Department of Nursing Mission AssignmentWestern Governors Department of Nursing Mission AssignmentPermalink: https:// /western-governor…ssion- assignment/1. Create a professional mission statement (suggested length of 1 paragraph) that includes the following:? representation of your career goals, your aspirations, and how you want to move forward with your career. Western Governors Department of Nursing Mission Assignment? overview of where you would like to focus your time and energies within the professiona. Reflect on how your professional mission statement will help guide you throughout your nursing career.2. Complete a professional summary (suggested length of 3–4 pages) that includes the following:a. Explain how the specific artifacts or completed work or both in your portfolio represent you as a learner and a healthcare professional.b. Discuss how the specific artifacts in your portfolio represent your professional strengths.c. Discuss challenges you encountered during the progression of your program.i. Explain how you overcame these challenges.d. Explain how your coursework helped you meet each of the nine nursing program outcomes.Note: Refer to the attachment below titled “Nursing Conceptual Model”Artifact/complete work also attached. Western Governors Department of Nursing Mission Assignmentnew_nursing_conceptual_model_for_pzt1_pxt1_ahp2__1_.pdftask_1.docxA.Board of nursing is a regulatory agency. A regulatory agency is a government agency. The primary purpose of Board of nursing is to protect and advocate for the health and safety of the public by ensuring the highest quality registered nurses in the state. Board of nursing is responsible for the writing of the Nurse Practice Act, which governs the scope of practice for all levels of nursing. Board of nursing issues nursing licenses and monitors license holders if they are following and compliance with the state laws. The Nurse Practice Act defines what a nurse are allowed to do at in their practice at all different levels, what type of setting a nurse is able to practice, and the type of education needed for certain nursing practice (“California Board of Registered Nursing,” n.d.).Essentially, a regulatory agency such as a board of nursing wrote the Nurse Practice Act as a lay out on how practice nursing. This act allows me to once I passed the NCLEX, and gives me the appropriate nursing title to use within my practice. Combined with the laws of the board of nursing, the scope of practice is laid out.Developmental Disabilities Nurses Association (DDNA) is a professional nursing association for nurses who provide care and to persons with intellectual and developmental disabilities (IDD). When people ask me where I work I have a hard time explaining what it actually is. When I do say I work with patients with developmental
  • 2. disabilities they think I work in a psych unit. Developmental disabilities are a group of conditions due to an impairment in physical, learning, language, or behavior areas. In this association, nurses already know I am talking about. This association is a place where I can meet with other knowledgeable, interested nurses who serve persons with IDD. We strive to improve the quality of services provided to individuals with developmental disabilities (“DDNA | – Developmental Disabilities Nurses Association,” n.d.).A professional nursing organization advocates for nurses. It is a place where their voice can be heard. Professional nursing associations such as DDNA allows nurses to develop a bigger picture of health care and nursing overall. It help nurses increase awareness of nursing issues, explore trends and concerns facing their profession, provide networking opportunities to connect them with peers, mentors, and nursing leaders. It is a place of for collective actions among nurses. Western Governors Department of Nursing Mission Assignment B.Provision 1: “The Nurse Practices with Compassion and Respect for the Inherent Dignity, Worth, and Unique Attributes of Every Person.” (Fowler & American Nurses Association, 2015, p. 1)Even though my patients have profound mental disability. My colleagues and I still treat them the same as we would as a person without disability. We work together to provide them compassionate and effective health services. Even though they are non-verbal we provide them with optimal nursing care by reading their non-verbal cues. We do not judge them on their culture, spiritual beliefs, social system, or sexual orientation. Provision 3: “The Nurse Promotes, Advocates for, and Protects the Rights, Health, and Safety of the Patient.” (Fowler & American Nurses Association, 2015, p. 9)Only the patient’s family and health care providers have access to information pertaining our patients. We provide physical privacy to the patient. The bathroom doors are closed whenever a patient is in shower. The patients changed their clothes inside their rooms. Cellphone are not inside the facility to prevent unintentional breaches of obligation to maintain and protect patient’s rights to privacy and confidentiality. Maintaining safety is very important to us. Our manager and administrator is always available when concerns arise. I feel that our patients are safe and their right are protected. C.CollaborationI work at an Adult Rehabilitation Facility for people with developmental disability. I work the night shift. There are 3 staff at night shift, sometimes 4. There is one Registered Nurse, one Licensed Vocational Nurse, one Respiratory Therapist, and sometimes one Certified Nursing Assistant. We collaborate with one another to give the best care for our patients. When one of the CNAs are changing the patient, I go in the patient’s room to help change. Sometime when there are no CNAs, the RTs help us change the patients. We provide care that requires collaborative effort that has the strong and active participation of all health professions. Protection of the Rights of Privacy and ConfidentialityMy patients each have folder for their H&P. Their folder are locked up in the cabinets where only the staff are authorized to open. I never leave it anywhere outside of the cabinet. Every time I need to look up one of the patient’s folder I always make sure to put it back to the locked cabinet and not just leave it outside of the locked cabinet for anyone to see. It is my duty to maintain confidentiality of all patient information. Promotion of Personal Health, Safety, and Well-BeingOvertime will always be available at my work. If I want to work 60 hours per week it is always there. All I need to do is tell the HR that I want overtime and I will get overtime. Overtime brings extra money but my mind and body goes
  • 3. into cruise control after the 48th hour. My mind feels like it is half asleep. As a nurse, I know this not unsafe not only for me but my patience as well. Fatigue affects a nurse’s professional performance. I have to take care of myself first in able to take care of others. Not working to much is one way for me to promote well-being and safety. Authority, Accountability, and ResponsibilityI, as the RN, bear the primary responsibility for the care of the patient. Even though I have a RT, LVN, and CNA with me I am accountable for the care of the patient. When there I a change of condition to one of the patients, I will talk to the staff who was with patient who first saw the change of condition. Once I assess the patient, it is my responsibility to coordinate the care, if necessary delegate nursing intervention, and evaluate interventions. Western Governors Department of Nursing Mission Assignment D.Dorothea OremSelf-care model. Nursing facilitates client self-care by measuring the client’s deficit relative to self-care needs; the nurse implements appropriate measures to assist the client in meeting these needs by matching them with an appropriate ive intervention (“Dorothea Orem’s Self-Care Theory,” n.d.). Dorothea Orem’s self-care theory has influenced my professional practice. Orem’s general theory of nursing in three related parts: theory of self-care, theory of self-care deficit, theory of nursing system. . My patients are not able to do any self-care at all. The nurses do everything for them. They are in a wholly compensatory system. I use Orem’s theory to define my role as a nurse to meet self-care demands of my patient. I provided them air by keeping their airway patent. I raise the HOB up to at least 45 degree when they are in feed. Food and water are supplied to them every day. I weight them once a week to make sure they are getting sufficient intake of nutrients and not losing or gaining more than 5 pounds per week.E.Florence Nightingale is credited with using public health principles and statistical methods to advocate for improved health conditions for British soldiers during the Crimean War. Through carefully recorded statistics, Nightingale was able to document that the soldiers’ death rate decreased from 42% to 2% as a result of health care reforms that emphasized sanitary conditions. Because of her remarkable work in using statistics to demonstrate cause and effect and improve the health of British soldiers, Nightingale is recognized for her contributions to nursing research (Nies and McEwen, 2007).I became a nurse to help people that are in need. Florence Nightingale already had everything. She was a wealthy, intelligent, and attractive woman. Even though she had all that, she wanted to help that people that were sick. Instead of just living a lavish life, she was out there saving people.I have heard a couple of people say they wanted to be nurses because they want to make money. Sure, being a nurse brings stable income but if you just think of nursing as a way of money, I think you are in the wrong possession. Nightingale was already wealth but she still wanted to help those that needed help. I greatly admire her for that. F.Beneficence is action that is done for the benefit of other. An example of beneficence at my work is prior to wound care, I always make sure to administer pain medication. Wound care can be a very painful procedure for the patient. To lessen the pain, I give pain medication about thirty minutes before the procedure. Less pain means more patient compliance.Autonomy is the agreement to respect another’s right to self-determine a course of action; of independent decision making. An example of autonomy is picking what clothes to wear. Every day I give my patient shower. I do not pick out his clothes to wear. I always ask him what clothes to
  • 4. wear, though I help him put in on because he cannot do it himself. California Board of Registered Nursing. (n.d.). Retrieved from http://www.rn.ca.govDDNA | – Developmental Disabilities Nurses Association. (n.d.). Retrieved from https://ddna.org/Home | Developmental Disabilities | NCBDDD | CDC. (n.d.). Retrieved from https://www.cdc.gov/ncbddd/developmentaldisabilities/index.htmlFowler, M. D., & American Nurses Association. (2015). Guide to the code of ethics for nurses with interpretive statements: Development, interpretation, and application.Dorothea Orem’s Self-Care Theory. (n.d.). Retrieved from http://currentnursing.com/nursing_theory/self_care_deficit_theory.htmlUniversity Missio n Congruent to Department of Nursing Mission Western Governors Department of Nursing Mission Western Governors University Mission Improve quality; expand acc ess to postsecondary educational opportunities by providing a means for individuals to learn, independent of time or place, and to earn competency- -?based degrees and other credentials that are credible to both academic institutions and employer. The mission of the Department of Nursing is to make a positive dif ference in the lives of our students and the practice of nursing, primarily through a professionally ed, competency--?based and personalized student- -?focused learning model that assists working adults achieve success in educational g oals and a sustained professional commitment. Western Governors Department of Nursing Mission AssignmentThe Department of Nursing is committed to the formation of confident, ca ring, and competent professional nurses prepared to meet emerging healthcare needs of diverse populations. University Goals Congruent with Department of Nursing G oals Western Governors Department of Nursing Goals Western Governors University Goals Provision of competency--?based programs Adherence to a student- -?centric model Use of technology to improve quality and efficiency Use of external l earning resources, combined with mentoring and progress management; Adherence to an executive governance structure Oversight by external Councils • • • • • • • • • Competency- -?based bachelor’s and master’s degree programs that allow nurses to demonstrate th eir professional knowledge and skills Broad access to education for nurses where th ey live and work Professional preparation for new nursing practice roles and additio nal education Revised 2013WGU Department of Nursing Philosophy We envision nursing as a caring interaction between the nurse, who is a member of an interdiscip linary team, and the patient who is a member of a family and community. This carin g interaction occurs across the lifespan, from infancy through old age. Nurses identify and strengthen clients’ potential to move toward health and help clients shape their environment to promote well- -?being. We believe that healthcare begins in the community, prior to diagnosis of illn ess, by promoting health and wellness through advocacy, community assessment, and preventative care. Nurses use appropriate technologies and current evidence to devel op their plans of care, whether in the community, the clinic, an acute care facility, or an extended care facility. Nurses assume leadership for clinical and ethical decision-
  • 5. -?making. We believe that the global nature of communities and healthcare delivery necessitates that nurses be able to engage with patients, families, and communities w ho have diverse ways of responding to their healthcare needs. We recognize that the definition of family has expanded to include a variety of different compositions and r oles and is the fundamental vehicle for how clients are ed, interact with the world around them, access resources, and engage in healthcare. We recognize that students , particularly adult learners, have preferred learning styles, bring previous experience to the learning environment, and develop competency at different paces. Learners see k to make sense of new educational experiences in light of their past and existing kn owledge and then apply their new findings to real situations. Therefore, nursing educ ation should provide opportunities where students engage in real world application to demonstrate competency in cognitive knowledge, clinical reasoning, and ethical comp ortment. Revised 2013Conceptual Framework There are 10 unifying the mes that have guided the development of the nursing programs at Western Governor s University. These themes are depicted visually in the conceptual model below. Revised 2013 BSN Nurse as Detective: The nurse uses clinical imagination couple d with nursing science to detect subtle changes and deviations from expected patter ns of being to prevent or control adverse outcomes. Nurse as Scientist: The nurse pa rticipates in scientific inquiry to inform healthcare decisions; and critiques, disseminat es and implements evidence to influence practice. Nurse as Manager of the Healing Environment: The healing environment is global in nature and includes consideratio ns of healthcare policy, finance and regulations. Acknowledging this, the nurse create s, coordinates, and advocates for a respectful, interdisciplinary environment that pro motes optimal well- -?being and affirms the dignity of the human experience MSN Nurse as Detective: T he nurse uses clinical imagination coupled with nursing science to judge and determi ne the consequence of subtle changes and deviations from expected patterns of being to prevent or control adverse outcomes. Nurse as Scientist: The nurse uses translati onal science to influence healthcare decisions; to prescribe and implement best pract ice and broadly disseminate the findings. Nurse as manager of the Healing Environm ent: The healing environment is global in nature and includes social, cultural, politica l and economic influences. Acknowledging this, the nurse, as a member of the inter- -?professional community, influences public policy and promotes social justice in the human health experience. Revised 2013Operational Definitions of Th readed Curriculum Concepts Compassionate Patient- -?centered care is the provision of holistic care with respect for values, preferences a nd needs of the patient, family and community in the journey to well- -?being cross the lifespan. Cultural competency is providing care that is acceptable t o patients, families and communities from diverse cultural, ethnic, and social backgrou nds. Evidence based practice is integrating the “best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal healthcare ” (QSEN, 2009) Genomics and Genethics include knowledge about the genetic basis
  • 6. of health and illness, the variables that impact the responses to genomic information and related ethical issues. Informatics/Technology Informatics is the engineering, st oring, organizing and manipulation of data to the provision of safe, effective quality care. Technology is the continuously changing array of devices and software used for patient care. Leadership/Education Leadership is the process of identifying and pri oritizing goals to achieve optimal quality outcomes. Education is assessing learning ne eds and facilitating acquisition of knowledge, skills and abilities. Safety and Quality care minimizes risk of harm to patients, families, communities and providers through analyses of systems effectiveness and individual performance while continually measu ring quality of care in terms of cost, structure, process, and outcomes. Communicati on is effective interaction with patients, families, communities, professional colleagues and other health care team members. Teamwork and collaboration is effective engag ement with nursing and interprofessional teams to foster open communication, mutual respect and shared decision making to achieve quality patient care. Professional/Le gal/Ethical is effective decision- -?making and reflection within a framework of social justice and law, advocacy, and s tandards of practice to promote the common good. Revised 2013BSN PROGRA M OUTCOMES The WGU Bachelor’s Degree in Nursing Program Graduate Will: 1. Communicate effectively in oral, written, interpersonal and electronic modes. 2. Use clinical reasoning to provide safe, quality, nursing care based on the best availab le evidence and ethical principles. 3. Assume accountability for providing and ensuring safe, efficient, quality care congruen t with ethical, professional and legal standards. 4. Synthesize theoretical, clinical and empirical knowledge from nursing, scientific, comm unity and humanistic disciplines within the practice of nursing. Synthesizes theoretica l and empirical knowledge drawing from the arts and sciences to understand the hu man experience as a social advocate, and professional nurse. 5. Provide compassionate, patient- -?centered care to individuals, families, and communities from a variety of cultures ac ross the lifespan. 6. Apply leadership and education skills to engage others in creating and promoting a h ealing environment for continued self--?improvement. 7. Engage in inter- -?professional collaboration to improve safety and quality of healthcare. 8. Incorporate knowledge of genomics and genethics into the care of patients, families a nd communities. 9. Use information technology to communicate, mitigate error and make decisions relate d to the provision of patient care and incorporation of nursing knowledge in the d evelopment of patient care technology. Western Governors Department of Nursing Mission AssignmentMSN PROGRAM OUTCOMES 1. 2. 3. 4. 5. 6. 7. 8. 9. The WGU Master’s Degree in Nursing Program Graduate Will: Employ appropriate pat ient- -? care technologies and information management strategies to lead change and impr ove quality care outcomes. Integrates clinical reasoning with organizational, patient-
  • 7. -?centered, culturally appropriate strategies to plan, deliver, and evaluate evidence- -?based practice. Design innovative nursing practices to impact quality outcomes for individuals, populations, and systems congruent with ethical, professional and legal st andards. Assemble scientific findings from nursing, biopsychosocial fields, genetics, pu blic health, and organizational sciences for the continual improvement of nursing care across diverse settings. Utilize applied research outcomes within the practice setting, navigating and integrating care services across healthcare systems. Design organizati on and leadership systems that promote high quality patient- -?care delivery and advance life- -?long learning. Construct interprofessional teams to communicate, coordinate, collabo rate and consult with other health professionals to advance a culture of excellence. Integrate scientific knowledge including that from genetics and genethics in the conti nual improvement of nursing care across diverse settings and populations. Provide o versight and guidance in the integration of technology to manage care, identify perfor mance measures and standards that improve quality and safety outcomes. Revised 2 013A. Board of nursing is a regulatory agency. A regulatory agency is a government agency. The primary purpose of Board of nursing is to protect and advocate for the health and safety of the public by ensuring the highest quality registered nurses in the state. Board of nursing is responsible for the writing of the Nurse Practice Act, which governs the scope of practice for all levels of nursing. Board of nursing issues nursing licenses and monitors license holders if they are following and compliance with the state laws. The Nurse Practice Act defines what a nurse are allowed to do at in their practice at all different levels, what type of setting a nurse is able to practice, and the type of education needed for certain nursing practice (“California Board of Registered Nursing,” n.d.). Essentially, a regulatory agency such as a board of nursing wrote the Nurse Practice Act as a lay out on how practice nursing. This act allows me to once I passed the NCLEX, and gives me the appropriate nursing title to use within my practice. Combined with the laws of the board of nursing, the scope of practice is laid out. Developmental Disabilities Nurses Association (DDNA) is a professional nursing association for nurses who provide care and to persons with intellectual and developmental disabilities (IDD). When people ask me where I work I have a hard time explaining what it actually is. When I do say I work with patients with developmental disabilities they think I work in a psych unit. Developmental disabilities are a group of conditions due to an impairment in physical, learning, language, or behavior areas. In this association, nurses already know I am talking about. This association is a place where I can meet with other knowledgeable, interested nurses who serve persons with IDD. We strive to improve the quality of services provided to individuals with developmental disabilities (“DDNA | – Developmental Disabilities Nurses Association,” n.d.).A professional nursing organization advocates for nurses. It is a place where their voice can be heard. Professional nursing associations such as DDNA allows nurses to develop a bigger picture of health care and nursing overall. It help nurses increase awareness of nursing issues, explore trends and concerns facing their profession, provide networking opportunities to connect them with peers, mentors, and nursing leaders. It is a place of for collective actions among nurses. B. Provision 1: “The Nurse Practices with Compassion and Respect for the Inherent
  • 8. Dignity, Worth, and Unique Attributes of Every Person.” (Fowler & American Nurses Association, 2015, p. 1) Even though my patients have profound mental disability. My colleagues and I still treat them the same as we would as a person without disability. We work together to provide them compassionate and effective health services. Even though they are non-verbal we provide them with optimal nursing care by reading their non-verbal cues. We do not judge them on their culture, spiritual beliefs, social system, or sexual orientation. Provision 3: “The Nurse Promotes, Advocates for, and Protects the Rights, Health, and Safety of the Patient.” (Fowler & American Nurses Association, 2015, p. 9) Only the patient’s family and health care providers have access to information pertaining our patie … Western Governors Department of Nursing Mission Assignment