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Feb 23, 2024 NR393 Nursing History – Week 3 Assignment

NR393 Nursing History – Week 3 Assignment
NR393 Nursing History – Week 3 Assignment
Week 3 Assignment Course Project Phase 2: Conversation with the Selected Nurse
Purpose:
The purpose of this course project is for learners to explore how living nurses are making nursing history, apply lessons from nursing history, and analyze the impact of this project on nursing history today.
Oh man do I have a great example of how my nursing education affected a patient’s healthcare decisions! At one of my SNF’s, there was an older gentleman who came to us with second-degree renal failure, moderate liver failure, COPD, and risk for diabetes. One day, while doing rounds, there was a very strong smell of marijuana down one of the hallways, and it was brought to my attention by multiple staff and patients. At this point, I had a good relationship with the suspected patients, as there were 2 people staying in the room where the odor was coming from. I went into the room, and point-blank asked – “who’s is it? I don’t care that you have it, that you smoke it, or whatever excuse you are going to give me to cover this up.” Of course, the suspected patient owned up flushed it in front of me, and it was never an issue again (at the facility). I started to notice that this patient would go out nearly every day, and come back just a little too happy, if you know what I mean. As this was a little more than I felt comfortable to handle, I brought it up to my superiors and it was decided that every time this patient went out, he would be immediately tested for any drugs of abuse and alcohol – or they were at risk of losing their residency within our facility.
This patient pulled me aside and asked me, “why y’all being so harsh. It’s just some beer and weed with friends”. I told him that after my shift was over, I would spend some time talking with him about why these behaviors are so risky, and unacceptable at our, or any, SNF. What he chose to do in his own home was on him, but these behaviors were strictly forbidden during his stay with us. After the shift change, I kept my promise. I explained to the patient all the current health issues were worsening with the use of drugs and alcohol, and how it was negatively affecting their health. We went to the patio, where no one could hear us but I was still in sight of another nurse. I spent probably an hour with this patient, dumbing medical terms down to everyday English so that this patient could understand why we were so strict. The patient complied, actually reversed a lot of liver and kidney damage, and was able to come off oxygen once he was discharged some weeks later.
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They came back to the facility a few weeks after discharge and asked for me. The patient explained that no one had ever taken the time to explain why behaviors such as drinking a few beers with the crew and taking a few hits of pot could be so dangerous to the body. The patient had returned to tell me that they had just had the best checkup in years. Liver, and kidneys continuing to recover – and that since the day I took the time to sit down with them – they hadn’t even touched a cigarette. While it may be a time-consuming process, sometimes a little bit of humanity to our patients can truly make a huge difference. I know beyond any doubt that my time that day probably gave this patient years on their life – and so did they. 
Course Outcomes:
This course project enables the student to meet the following course outcomes:
CO2: Apply lessons from nursing history to today’s professional nursing practice. (PO4)
CO4: Analyze the impact of nursing history on professional nursing roles today and in the future. (PO7)
This part enables the student to meet the following course outcome:
CO2: Apply lessons from nursing history to today’s professional nursing practice. (PO4)
Overview of NR393 Course Project:
There are three parts to the NR393 Course Project
Phase 1: Selected Nurse Information due end of Week 1
Phase 2: Conversation with the Selected Nurse due end of Week 3
Phase 3: Reflection Paper due end of Week 6
Carefully review the instructions, templates, and rubrics for each of the three parts of this Course Project
Contact your instructor with questions
Due Date for Phase 2:
Submit by Sunday at 11:59 p.m. MT at the end of Week 3.
Late Assignment Policy:
If the assignment is not submitted by due date, a late deduction will be applied. See rubric below.
Points Possible:
The entire project is worth 600 points. NR393 Course Project Phase 2: Conversation with the Selected Nurse is worth 225 points of this total.
Directions:
Download the NR393 Course Project Phase 2: Conversation with the Selected Nurse Template (under Template below). This contains all areas to be addressed and the required questions you are to ask your Selected Nurse.
View the Phase 2: Conversation with the Selected Nurse Tutorial (Links to an external site.)
Conduct the Phase 2: Conversation with the Selected Nurse after receiving approval from your instructor in the Gradebook for your Phase 1: Selected Nurse Information. The conversation will occur between Saturday of Week 2 or during Week 3 after instructor approval is documented.
The Conversation may take place face to face or via phone or video chat. You may NOT provide the questions to the nurse and ask the nurse to provide written or typed answers.
You may use audio, audio/video, or typed format (on the template) to record and submit the Phase 2: Conversation with the Selected Nurse. Use the format you agreed to in Phase 1. There is no advantage to using any one format. Grading will be the same (see rubric below) regardless of the format selected.
NOTE: Recordings must be 20 minutes or shorter.
Only one file may be submitted and must include all rubric areas.
Obtain permission from the Selected Nurse to participate in the Conversation by reading the statement provided on the Template for this purpose (Selected Nurse must agree).
Clearly explain to the Selected Nurse that statements made in the Conversation will be recorded (audio, video, and/or written as transcript on template) and submitted to the instructor. The Conversation is not intended for public access.
Questions and topics for the Phase 2: Conversation with the Selected Nurse are provided for you on the required Template; these are the questions that must be included in the Conversation. Please notice that you will state the question/topic, the Selected Nurse will answer, and then you will add your own answer to that question/topic. This is not a traditional interview, but instead is a Conversation with sharing of memories and ideas related to the questions and topics. You may ask up to three additional questions if you like, but these are not scored.
At the close of the conversation, make a clear and detailed statement of gratitude for the Selected Nurse’s time and sharing in this Conversation (Note: A simple “thank you” is not sufficient.)
Write a summary of the content of the Conversation.  Be clear and thorough.
NR393 COURSE PROJECT PHASE 2: CONVERSATION WITH THE SELECTEDNURSE TEMPLATE
Directions: Prior to completing this conversation, carefully review directions, tutorial, and rubric for this assignment. Replace “Name of Student” with your first and last name. Replace “Name of Selected Nurse” with Selected Nurse’s first and last name.Use exact words spoken by each person if using as a transcript. Highlighted italicized questions need to be stated exactly.
For Example:
SelectedNurse States Verbal Permission for Conversation and Submission (25 points)
Karen (Student): Do you agree to this recorded conversation and submission to my instructor for grading purposes?
Margaret (SelectedNurse): Yes. I agree
Student Name: _____________________
Introduction:
Student Introduction and Statement of Purpose (20 points)
Name of Student: [Words Student says]
SelectedNurse Introduction (20 points)
Name of SelectedNurse: [Words Nurse says]
SelectedNurse States Verbal Permission for Conversation and Submission (25 points)
Name of Student: Do you agree to this recorded conversation and submission to my instructor for grading purposes?
Name of SelectedNurse: [Words Nurse says]
Questions and Answers
Question 1 What are your favorite memories of nursing school from your Student days?
Question 2How did your first year of RN practice compare to your nursing practice today?
Question 3What were some nursing practices that you used in your earlier years that are no longer used today? Why are they no longer used?
Question 4How have specific persons or events significantly impacted your practice over the years?
Question 5How have you impacted the nursing practice of others?
Question 6What contributions have you made to nursing in the areas of leadership, provision of care, and/or evidence-based practice?
Question 7What challenges in today’s nursing can be improved using lessons from the past?
Question 8Who is your favorite famous Nurse from nursing history?
Question 9How do you use that famous Nurse’s examples in your own practice?
Question 10Based on your nursing past, what advice would you give to the new Nurse today?

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