Week 7 Discussion 1: Application to Pragmatic Adequacy Assignment Reflections

Week 7 Discussion 1: Application to Pragmatic Adequacy Assignment Reflections

Our group chose the article “Crisis Emergencies for Individuals with Severe, Persistent Mental Illness: A Situation-Specific Nursing Theory” by Brennaman (2012). The theory we connected it with was Ball’s mid-range theory. We related this to the Healthy People 2020 topic objectives of treatment expansion and mental health status improvement. According to the Office of Disease Prevention and Health Promotion (2020), the mental health goals aim to improve mental health through prevention and ensuring access to appropriate, quality mental health services in the public population. To summarize our research, Ball’s mid-range theory was applied by stating that explores vulnerabilities that individuals suffering from mental illnesses have, combined with crises experienced by the population. We found that prior research looked primarily on how external factors influence crises. Special skills that should be grasped by nurses are determining whether the client is experiencing an emergency or crisis and the ability to implement the appropriate intervention based on this. Since Ball’s model of crisis states that when people are experiencing crisis, they may exhibit a variety of behaviors stemming from the sense of being overwhelmed and feeling a loss of control, the nurse must be able to identify these early signs and symptoms, and react quickly to treat them.

Another Healthy People 2020 topic that relates to this is access to health services. Since not everyone in the United States is insured, or many people do not seek medical help, it is an important topic to dive into. If an individual is in crisis, and they are not insured or are for some reason scared to access health services, they may not get the treatment they need. According to Healthy People 2020, these individuals are more likely to have poor health status, and less likely to receive medical care. A nursing intervention we would be able to apply to this situation would be to prevent illness in these populations by promoting healthy behaviors for people with psychological issues, this would lead to greater patient trust in the provider, and better patient-provider communication. For the relation of this topic to Ball’s theory, if we as providers were able to identify patients who are more at risk for mental health issues, such as a family history, we would be better able to detect early signs that something may be wrong, and treat earlier than we would have normally. According to Peterson & Bredow (2020), the evaluation of middle range theories tends to be new in nursing. However, it is easy to relate middle range theories such as Ball’s theory to topics we as nurses are subjected to in our daily lives.

Initial Post

Please respond to the following prompts:

Identify the article your group wrote their assignment about.
Which theory or model did your group choose and which Healthy People 2020 objective/topic did you connect it to as a group?
Provide a summary of your group’s work in five- to seven-sentences.
Then select a different Healthy People 2020 objective/topic and connect it to your group’s selected theory or model. Identify this new objective topic and discuss how you would apply your chosen Healthy People 2020 objective/topic to the selected theory or model, focusing on the following two areas:
1. Outlining client outcomes
2. Designing nursing interventions

Ensure you utilize at least three scholarly sources in your initial post.

Reply Posts

Reply to at least two of your classmates by providing a description of how each group’s theory or model can be applied to a different Healthy different Healthy People 2020 objective/topic that the original group did not examine. Ensure you utilize at least two scholarly sources in APA style in your replies.

Please refer to the Grading Rubric for details on how this activity will be graded. The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.

Posting to the Discussion Forum

Select the appropriate Thread.
Select Reply.
Create your post.
Select Post to Forum.

This is a question and answer forum. In order to see other responses to these questions, you must first post your answer

ORDER NOW a one-of-a-kind top nursing paper, produced just for you by our most qualified writers. Plagiarism-free in every respect. : Week 7 Discussion 1: Application to Pragmatic Adequacy Assignment Reflections

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your

Week 7 Discussion 1 Application to Pragmatic Adequacy Assignment Reflections

textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Note: The value of each of the criterion on this rubric represents a point range. (example: 17-0 points)

My group wrote about maintaining a culture of silence in the neonatal intensive care unit (NICU). Noise can have negative effects on development. For example, noise increases the risks for apnea, oxygen desaturations, as well as leading to fewer calories available for growth. One of the Healthy People 2020 Topics and Objectives is to reduce the prevalence and severity of disorders of hearing and balance; smell and taste; and voice, speech, and language (Healthy People, 2020). In 2020, the goal is to have at least 90.2% of newborns screened for hearing loss before 1 month of age (Healthy People, 2020). According to the Office of Disease Prevention and Health Promotion, 1 to 3 out of every 1,000 children is born with hearing loss. Neonates, particularly premature infants, are at increased for hearing loss due to the constant loud noises that surround them. My group discussed several recommendations to reduce the noise levels on NICUs.

Another Healthy People 2020 objective is to increase public knowledge of how adequate sleep and treatment of sleep disorders improve health, productivity, wellness, quality of life, and safety on roads and in the workplace (Healthy People 2020) Of course babies do not drive or go to work, but sleep is essential for their growth and development. If they are constantly being stimulated, their body cannot perform basic life functions such as cellular metabolism, digestion, and overall growth. According to the Office of Disease Prevention and Health Promotion (2020), adequate sleep is necessary to fight off infections, and performing basic metabolic, endocrine, and neurological functions.

To promote a “culture of silence” in the NICU during non-emergency situations, there are many steps that both parents and caregivers can do. This includes designated “touch-times” for the babies. Every 3-4 hours is appropriate, based on gestational age, and this is to allow babies to get an adequate amount of sleep. Gemin Ribas et. al (2019) studied the effects of Hammock positioning on reducing pain and improving the sleep-wakefulness cycle in preterm infants. By creating this particular position, babies are reminded of the womb. This is the place where babies had their best sleep. By creating a similar intrauterine environment, babies are calmer and have better sleep.

References:
Gemin Ribas, C., Gorette Andreazza, M., Cabral Neves, V., & Valderramas, S. (2019). Effectiveness of Hammock Positioning in Reducing Pain and Improving Sleep-Wakefulness State in Preterm Infants. Respiratory Care, 64(4), 384–389. https://doi.org/10.4187/respcare.06265

Hearing and other sensory or communication disorders. (2020, April 10). Retrieved April 09, 2021, from https://www.healthypeople.gov/2020/topics-objectives/topic/hearing-and-other-sensory-or-communication-disorders

Sleep health. (n.d.). (2020, April 10). Retrieved April 12, 2021, from https://www.healthypeople.gov/2020/topics-objectives/topic/sleep-health

Discussion Question Rubric – 100 Points
Criteria	Exemplary Exceeds Expectations	Advanced Meets Expectations	Intermediate Needs Improvement	Novice Inadequate	Total Points
Quality of Initial Post	Provides clear examples supported by course content and references. Cites three or more references, using at least one new scholarly resource that was not provided in the course materials. All instruction requirements noted. 40 points	Components are accurate and thoroughly represented, with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Synthesizes course content using course materials and scholarly resources to support importantpoints. Meets all requirements within the discussion instructions. Cites two references. 35 points	Components are accurate and mostly represented primarily with definitions and summarization. Ideas may be overstated, with minimal contribution to the subject matter. Minimal application to evidence-based practice, theory, or role development. Synthesis of course content is present but missing depth and/or development. Is missing one component/requirement of the discussion instructions. Cites one reference, or references do not clearly support content. Most instruction requirements are noted. 31 points	Absent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial. Demonstrates incomplete understanding of content and/or inadequate preparation. No references cited. Missing several instruction requirements. Submits post late. 27 points	40
Peer Response Post	Offers both supportive and alternative viewpoints to the discussion, using two or more scholarly references per peer post. Post provides additional value to the conversation. All instruction requirements noted. 40 points	Evidence of further synthesis of course content. Provides clarification and new information or insight related to the content of the peer’s post. Response is supported by course content and a minimum of one scholarly reference per each peer post. All instruction requirements noted. 35 points	Lacks clarification or new information. Scholarly reference supports the content in the peer post without adding new information or insight. Missing reference from one peer post. Partially followed instructions regarding number of reply posts. Most instruction requirements are noted. 31 points	Post is primarily a summation of peer’s post without further synthesis of course content. Demonstrates incomplete understanding of content and/or inadequate preparation. Did not follow instructions regarding number of reply posts. Missing reference from peer posts. Missing several instruction requirements. Submits post late. 27 points	40
Frequency of Distribution	Initial post and peer post(s) made on multiple separate days. All instruction requirements noted. 10 points	Initial post and peer post(s) made on multiple separate days. 8 points	Minimum of two post options (initial and/or peer) made on separate days. 7 points	All posts made on same day. Submission demonstrates inadequate preparation. No post submitted. 6 points	10
Organization	Well-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas. 5 points	Organized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow. 4 points	Poor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work. Purpose statement is noted. 3 points	Illogical flow of ideas. Prose rambles. Purpose statement is unclear or missing. Demonstrates incomplete understanding of content and/or inadequate preparation. No purpose statement. Submits assignment late. 2 points	5
APA, Grammar, and Spelling	Correct APA formatting with no errors. The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately). Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions. There are no spelling, punctuation, or word-usage errors. 5 points	Correct and consistent APA formatting of references and cites all references used. No more than two unique APA errors. The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability. There are minimal to no grammar, punctuation, or word-usage errors. 4 points	Three to four unique APA formatting errors. The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused. Multiple grammar, punctuation, or word usage errors. 3 points	Five or more unique formatting errors or no attempt to format in APA. The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language). The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented. Grammar and punctuation are consistently incorrect. Spelling errors are numerous. Submits assignment late. 2 points	5
Total Points					100