Task 1 NURSING PROFESSIONAL PORTFOLIO — C493

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COMPETENCIES

982.1.1 : Program Portfolio

The graduate exhibits artifacts that both demonstrate the graduate’s competency across all program areas as well as provide evidence of professional growth.

INTRODUCTION

A professional portfolio will showcase your knowledge and skills to prospective employers and will increase your marketability as a baccalaureate-prepared nurse. This portfolio will help you, as a nurse, hone in on the concepts, strengths, and critical-thinking abilities that define professional nursing practice. Throughout your time at WGU, you have developed skills and knowledge that distinguish your practice as that of a baccalaureate-prepared nurse. Items that display your skills and knowledge will be showcased in this professional portfolio. You should organize your portfolio around the four areas of professional nursing practice: quality and safety, advanced evidence-based practice, applied leadership, and community and population health. This portfolio will expand on the portfolio you already created in your Professional Roles and Values course.

REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A.  Complete the following, using OneNote:

Note: The directions to access and use your e-portfolio can be found in the web links section below, which will take you to the “Knowledge Base Article.”  

1.   Create a professional mission statement (suggested length of 1 paragraph) that includes the following:

•  a representation of your career goals, your aspirations, and how you want to move forward with your career

•  an overview of where you would like to focus your time and energies within the profession

a.   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 “Nursing Conceptual Model.”

e.   Analyze how you fulfilled the following roles during your program:

•    scientist

•    detective

•    manager of the healing environment

f.   Discuss how you have grown professionally since the beginning of your program.

B.  Complete the following within the section “Quality and Safety”:

1.   Reflect (suggested length of 1 page) on your professional definition of quality and safety developed in Professional Roles and Values, including any necessary changes to your definition.

a.   Discuss how the program assisted you in developing your professional definition.

b.   Identify the artifacts in your portfolio that support your definition.

i.   Explain how these artifacts support your definition from part B1.

Note: The artifacts should be attached within the portfolio.

2.   Discuss the importance of the Institute for Healthcare Improvement (IHI) certificate for your future role as a professional nurse.

C.   Complete the following within the section “Evidence-Based Practice”:

1.   Reflect (suggested length of 1 page) on your professional definition of evidence-based practice developed in Professional Roles and Values, including any necessary changes to your definition.

a.   Discuss how the program assisted you in developing your professional definition.

b.   Identify the artifacts in your portfolio that support your definition.

i.   Explain how these artifacts support your definition from part C1.

Note: The artifacts should be attached within the portfolio.

2.   Reflect (suggested length of 1 page) on your understanding of evidence-based practice and applied nursing research by doing the following:

a.   Discuss how you are able to evaluate current primary research and apply the concepts to your nursing practice, considering the following:

•    relevancy and believability of data

•    differences between quality improvement and research (places and uses of each)

•    differences between primary and secondary research and resources and the implications of each in clinical practice

b.   Explain how your experience in the program helped you achieve excellence in evidence-based practice.

D.   Complete the following within the section “Applied Leadership”:

1.   Reflect (suggested length of 1 page) on your professional definition of applied leadership you developed in Professional Roles and Values, including any necessary changes to your definition.

a.   Discuss how the program assisted you in developing your professional definition.

b.   Identify the artifacts in your portfolio that support your definition.

i.   Explain how these artifacts support the definition from part D1.

Note: The artifacts should be attached within the portfolio.

2.   Summarize (suggested length of 1 paragraph to 1 page) your Learning Leadership Experience task by doing the following:

a.   Discuss the importance of professional collaboration for effective nursing leadership.

E.   Complete the following within the section “Community and Population Health”:

1.   Reflect (suggested length of 1 page) on your professional definition of community and population health you developed in Professional Roles and Values, including any necessary changes to your definition.

a.   Discuss how the program assisted you in developing your professional definition.

b.   Identify the artifacts in your portfolio that support your definition.

i.   Explain how these artifacts support the definition from part E1.

Note: The artifacts should be attached within the portfolio.

2.   Summarize (suggested length of 1 page) your Community and Population Health task by doing the following:

a.   Discuss what you learned during your Community Health Nursing task.

b.   Discuss what you learned that led to your community diagnosis.

c.   Discuss how your initial focus and diagnosis evolved after working with your population.

3.   Discuss the importance of the American Museum of Natural History (AMNH) certificate for your future role as a professional nurse.

F.   Provide an appendix to your portfolio by doing the following:

1.   Include all the documents, prior assignments, and additional items that are examples of your best work to support your mastery of all sections given in parts B, C, D, and E.

2.   Include the following materials:

•    the attached “Nursing Conceptual Model”

•    a link to the current IHI Course Catalog

3.   Provide an updated professional résumé.

Note: If you have a LinkedIn account, you can take a screenshot and include a copy with the rest of your documents.

4.   Provide professional references, using one of the following:

•    a professional reference questionnaire

•    a full letter of recommendation

•    a list of four professional references

5.   Include a copy of your IHI certificate of completion.

6.   Include a copy of your AMNH certificate of completion.

G.   Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

H.  Demonstrate professional communication in the content and presentation of your submission.

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Discuss why nutrition is a central component in health promotion. What are some of the nutritional challenges for emerging populations? What roles do nutritional deficiency and nutritional excess play in disease?

Nursing Professional Paper – due in 36 hours

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Minimum of 7 to 8 pages

5 recent peer-reviewed professional NURSING literature articles within 10 years

must be APA format

All instructions are attached

Deliverable 7 – Using Visual Communication to Deliver a Global Message

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 Competency

This project allows you to demonstrate your mastery of visual communication concepts discussed in this course.

Scenario

You are newly appointed to the communication team for a reputable philanthropic organization. The current task is for your team to create a global campaign that visually conveys a social message both here in the United States, as well as globally. This visual campaign message will use strategic visual communication to appeal to these differing audiences to reduce and potentially eliminate racial prejudice. Your visual communication campaign will be directed toward audiences from both the United States and another country of your choice.

The board of directors has asked you to assemble four video presentations and one instructional document to submit for their review. They have asked that the total video presentations’ length be under three minutes, and that you present visual examples while verbally explaining the main points of the analysis. You are reminded that four separate links need to be submitted for their review, along with your instructional document for the communication team.

Visual Campaign Elements: Create two ideas for promotional documents (flyers, pamphlets, etc.) to appeal to both your targeted U.S. viewers and to your targeted viewers from the other global country of your choice.
Both of these documents should strategically utilize the following visual communication elements: color lines balance contrast
Create your video presentation for the board members clearly explaining how the visual communication elements on each of the two promotional documents strategically convey the message and meaning to viewers. Be sure to compare and contrast how the viewers from the U.S. and the other country might interpret these differing visuals elements, and how you used them strategically to please each targeted audience. Find two different images to be used on the organization’s website page. One will be for the U.S. website, and one for the website in the country of your choice. Be sure that each of these images visually appeals to these two targeted audience viewers, and that the visual enhances the message to help eliminate racial prejudice. In your video presentation for the board of directors, identify and analyze the visual elements of cultural familiarity, semiotics, and emotional appeal (cognitive). Additionally, explain how each of those visual elements visually persuades the U.S. and global viewers in different ways. Design two logos for this anti-racism campaign. One logo should be designed for U.S. audiences, and the other should be designed for the other country of your choice. Design your video presentation to explain how each of these logos can clearly be seen on both small and large settings (example: cell phone app size and billboard size), as well as a comparison of how the color, lines, and visual elements are specifically designed to visually appeal to each of these different countries Create two social media posts, one for the United States and one for the other country of your choice. The posts should include text, images, and the logo matching the country where the social media post will appear. In your video presentation to the board members, compare and analyze how these visual elements (the images and the logo) emotionally engage and persuade each specified target audience (the United States and the country of your choice) to reduce and eliminate racial prejudice. Create a one-page instructional document for your communication team members outlining the ethical concepts regarding finding and using visuals in communication. Within your instructional document, use images and/or clip art to enhance each of your points in the document, and address the following items: How might the organization properly obtain and use images from outside sources? What are the dangers and problems that arise when altering and digitally enhancing images?

Instructions

The presentation must include a visual and an audio recording using Screencast-O-Matic®, a free audio recording software compatible with PC and MAC computers. Follow these instructions to download and use this software to create your presentation. Access the Screencast-O-Matic® homepage by clicking on the box in the upper right-hand corner titled, “Sign Up” to create your free account. Create a free account (be sure to write down the email and password created for account access.) Once logged in, click on the “Tutorials” link at the top of the homepage and view Recorder Intros. Create your presentation by clicking on the “Start Recorder” box. Once finished recording click on the “Done” button. Next, choose, “Upload to Screencast-O-Matic®”. Select “Publish”.

nursing leadership and management

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Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end. Outline the purpose of an organization’s mission, vision, and values. Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes. Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed. Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration. Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective.

While APA style format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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case study question 1 

Selection of your colleagues' responses.

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The Assignment:

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues by providing one alternative therapeutic approach. Explain why you suggest this alternative and support your suggestion with evidence-based literature and/or your own experiences with clients. In APA Format and proper citation, provide at least two references in each response post.

Colleagues’ Response Post #1

Patient with Post -Trauma Stress Disorder

Post-traumatic stress disorder (PTSD) is common among U.S military war veterans and about 20 of them are affected with estimates ranging from 8.1% to 15.2. Post-Traumatic Stress Disorder (PTSD) is a chronic psychological disorder that can develop from exposure to traumatic events in an individual’s life. It can also be caused by witnessing or perceived traumatic events (as serious injury, violence, or death), but war time veterans are more at risk.  Symptoms may include flashbacks, nightmares, severe anxiety hypervigilance, as well as recurrent thoughts about the event (American Psychiatric Association [APA], 2013 (Lancaster et al., 2016).  

The Diagnostic and Statistical Manual of Mental disorders (DSM-5) criteria of the traumatic event must include an actual exposure or threatened death, serious injury, a violence in at least one criterion (American Psychiatric Association, 2013). In this case, William meet the criterion for PTSD. He is an Iraq war veteran captain which implies he would have directly experienced the traumatic event, witnessing the event occur to others, exposure to adverse details of the traumatic events, and self-destructive behavior (American Psychiatric Association, 2013).

The focus in the case study is William Thompson as a military captain and an Iraq war veteran, Lawyer, husband who is about to lose his job, has lost his home as a result of his inability to pay his mortgage due to alcohol use and PTSD. As a result, he lives with his elder brother and his family

Therapeutic Approaches

In the case of Williams, I will be utilized both the psychotherapy and psychopharmacological treatment to manage his PTSD.

The first psychotherapy treatment I will use for this patient with trauma is the Eye Movement Desensitization and Reprocessing (EMDR). This therapy was developed to resolved symptoms from disturbing and unresolved life experiences like trauma. EMDR is a unique kind of psychotherapy used to eliminate negative emotions linked with traumatic events’ memories by focusing less on the traumatic event but more on the disturbing feelings that derive from the event (Wheeler, 2014). This therapy used approach to address past and present aspect of memories. Francine Shiparo was to first to develop this approach. The Veterans Affairs/Department of Defense clinical practice guideline for PTSD recommends treating PTSD with individual trauma-focused psychotherapy over medications.

Studies have shown that trauma focused therapies can lead to greater outcomes and last longer compared to using just medications (Norman, Hemblen, Schnurr, & Eftekhari, 2018).

           Secondly, Cognitive Behavioral Therapy (CBT) will be utilized both PTSD and alcohol abuse. In his case, he has already lost his home and may soon lose his job due to alcohol, CBT will benefit him. CBT focuses on learning to diminish problematic behaviors linked to substance abuse, in this case, alcohol (Wheeler, 2014)

Another therapy for PTSD or trauma survivors is Prolonged Exposure therapy.  In this therapy sessions, the client is required to relates the traumatic event or experience for an hour in the treatment session, and then listens to the audiotape of the session for an hour every day. Exposure therapy also requires in vivo exposure homework in which the client engages in an avoided activity related to the trauma. When this therapy is delivered in an intensive format, it has been shown to be highly effective in the treatment of PTSD (Hendriks, Kleine, Broekman, Hendriks, & Minnen, 2018).

           Psychopharmacologic therapy can be used if psychotherapy is not effective or in combination. In this case both will be utilized since his PTSD is causing him life. Problems. The Veterans Affairs/Department of Defense clinical practice guideline recommends the use of medication therapy if the client is nonresponsive to psychotherapy or if the client refuses to engage in therapy (Norman, Hemblen, Schnurr, & Eftekhari, 2018). The recommended medications for the treatment of PTSD are sertraline, paroxetine, fluoxetine, or venlafaxine but only sertraline and paroxetine are approved by the FDA for the treatment of PTSD (Norman, Hemblen, Schnurr, & Eftekhari, 2018).

Treatment Outcomes

With the expected results from EMDR, the client will process negative feelings to the scope of traumatic memories and can recalled without producing negative emotions (Khan et al., 2018). William Thompson will recognize his health concern and the need for therapy.

In regard to CBT, the expected outcomes are that of learning communication skills to addresses avoidance related to PTSD, relationship problems and challenging trauma-related beliefs. The benefit of CBT will cause the client to be aware of his health-related concerns and the need to receive the intervention (Flanagan, Jones, Jarnecke & Back, 2018). Also, with CBT, another expected outcome is the ability to resist alcohol use as several studies have demonstrated that CBT significantly reduces alcohol use disorder.

           In summary, the important thing to remember regardless of the treatment choice, is that therapy should be adjusted to the clients need. Using an individualized therapy, the therapy will be use with clients who get the greatest response. Also, the willingness to engage in therapy will depends on the patient. As PMHNP we have lots of different options to explore to help someone with a trauma in their life.  Everybody responds differently so one therapy might not work for one person but will work for the others.

Colleagues’ Response Post #2

Observation of Client

           William, the client in question, is a former military Captain and Iraqi war veteran. He is currently homeless and staying with his brother and his brother’s family due to an inability to pay his rent previously. William moved in with his brother because of these issues and is currently dealing with problems with his job being in jeopardy because of his current alcohol troubles. William presents with a flat affect and his family describes him as not “having it together”. According to the American Psychiatric Association (2013), DSM-5 criteria for a Post- Traumatic Stress Disorder diagnosis includes many things that William displays. Some diagnostic criteria includes “exposure to actual or threatened death or serious injury” (APA, 2013). William was exposed to these things and could have possibly experienced fellow platoon members die in war. Along with this, William exhibits signs that his disturbances cause significant distress or impairment “in social, occupational, or other important areas of functioning” by attempting to cope with his problems with alcohol use (APA, 2013). Mahoney et al. (2020) explain that PTSD “is associated with higher levels of alcohol use among returning veterans” as they turn to alcohol when they don’t know how to cope.

Therapeutic Approaches

           When considering the treatment approach for clients with PTSD and excessive alcohol use, it is important to think about the specific targeted outcomes as well as the trauma the client has gone through that has caused the issues at hand. Simons et al. (2017) explains that PTSD often debilitates Operation Iraqi Freedom veterans, and the prevalence of these veterans having PTSD has significantly increased since the year 2002, to a “current estimate of 23%”. Goodnight, Ragsdale, Rauch, and Rothbaum (2019) note that clients with PTSD should be approached with trauma-focused therapies as treatment as “trauma-focused treatments are safe and effective for PTSD even when higher-risk comorbidity presents”. If the client struggles with flashbacks and nightmares that interrupt sleep, one could consider prescribing Prazosin. If the client struggles with stopping his alcohol dependence, rehab could be considered, or even prescribing Naltrexone would be acceptable. Taylor, Petrakis, and Ralevski (2016) found that pharmacotherapy, specifically Zoloft, is helpful in reducing PTSD symptoms, and naltrexone combined with psychotherapy is “better for drinking outcomes”.

Expected Outcomes

           For this client specifically, it is important for his treatment goals to include becoming free of alcohol addiction and learning ways to effectively cope with his PTSD. Some medications may be needed in reaching these goals, but without a doubt, this client could benefit greatly from psychotherapy. Alcohol use and PTSD both have shown great improvements with effective psychotherapies. This client will likely need trauma-focused therapy and pharmacotherapy both to get himself to a desired level of functionality. Ultimately, with these issues addressed, we would want the client to have no issues with his job and financial situations, able to work without problems, and be able to move out of his brother’s house and support himself in a stable environment, both financially and emotionally.

assignment w-4

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Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following: Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group? What are the health disparities that exist for this group? What are the nutritional challenges for this group? Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors. What health promotion activities are often practiced by this group?   Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?