NR 501 Week 2 Discussion Ways of Knowing

NR 501 Week 2 Discussion Ways of Knowing

Sample Answer for NR 501 Week 2 Discussion Ways of Knowing Included After Question

Ways of Knowing

Nursing knowledge is classified in a variety of ways, one of which is Carper’s Patterns of Knowing (Carper, 1978). Carper’s framework offers a lens through which the nurse can reflect upon insights acquired through empirical, ethical, personal, and aesthetic knowledge (Carper, 1978). Through intentional reflection using Carper’s Patterns of Knowing, nurses can process experiential learning and knowledge acquired through practice. The purpose of this assignment is to reflect upon a specific practice situation and better understand the professional knowledge and insights obtained through that experience.

Criteria for Content

Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.

Select an important nursing issue/topic that was inherent to the identified situation.

Briefly? explain the situation

Identify the nursing issue inherent in the identified situation

As a method of refection, use Carper’s Patterns of Knowing to analyze the situation. In your discussion, address ONE of the following Patterns of Knowing:

What do you think was the underlying reason for the situation? (Esthetics)

What were your thoughts and feeling in the situation? (Personal)

What was one personal belief that impacted your actions? (Ethics)

What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

What new insights did you gain through this reflective practice opportunity? How will this apply to your practice as a nurse practitioner? Be sure to use scholarly literature to support your position.

A Sample Answer For the Assignment: NR 501 Week 2 Discussion Ways of Knowing

Title: NR 501 Week 2 Discussion Ways of Knowing

Ways of Knowing

Nurses practice in highly challenging environments. The demands in their practice imply that they constantly encounter ethical issues that require the use of critical thinking and problem-solving skills. Therefore, this essay examines a challenging experience I encountered, application of Carper’s Patterns of Knowing and its influence on my practice.

One of the challenging practice situations that I have experienced as a nurse was a guardian who was against the immunization of her child. The guardian declined her child to be vaccinated because of her religious background as well as misconceptions about the negative effects of vaccines on health. I was unprepared to address the issue since it was my first time experiencing it. The important nursing issue that was inherent to the situation was respecting patient’s autonomy. Accordingly, patients have the decision to accept or decline any treatments. Nurses and other healthcare providers should respect their decisions are a way of ensuring autonomy in their practice (Navin et al., 2019). In addition, healthcare providers should inform the patients about the potential consequences of their decisions for them to make informed decisions.

The other inherent nursing issue in the situation is ethical dilemma. Often, nurses experience different forms of ethical dilemmas in their practice. They should make decisions that prioritize the needs of the patients as well as ensuring their optimal health. For example, the situation is an ethical dilemma since the child should be vaccinated to provide her with the desired immunity from communicable diseases. On the other hand, I experienced the challenge of having to respect the needs and decisions of the guardian, hence, the dilemma in addressing it.

Carper’s Patterns of Knowing can be applied to analyze the situation. The patterns include empirical, personal, ethical, and aesthetic. The model enables nurses to engage in continuous learning and apply knowledge into their daily practice (Brandão et al., 2020). The esthetics pattern of knowing can be applied to understand the underlying reasons for the guardian’s decline for her child to be immunized. One of them is religious beliefs and practices. Religious beliefs and practices influence the uptake of different treatment interventions in a population. Nurses and other healthcare providers should respect the decisions that parents and guardians make regarding the immunization of their children (Nurmi & Harman, 2022). Some states have also adopted laws that recognize the exemption of such children in educational institutions.

The other underlying reason for the guardian’s refusal for her child to be immunized is lack of knowledge about the benefits of immunization. Lack of information contributes to stereotypes that affect the population’s uptake of immunizations. Interventions such as health education may change the attitude and knowledge that parents have towards vaccines. The last potential reason for the refusal is mistrust on healthcare systems. Accordingly, individuals from ethnic minority groups have demonstrated low utilization of health promotion and disease prevention strategies such as immunizations because of their negative experiences with healthcare systems (Nurmi & Harman, 2022). These experiences inform their displeasure and rejection of interventions such as immunization for health promotion.

I gained some insights from the above experience. One of them was the importance of being competent to address ethical dilemmas in nursing practice. I learned about the steps of ethical decision-making that nurses should use in solving issues they experience in their practice. For example, I learned about the importance of collecting accurate data, using the data to formulate alternatives, selecting the best alternative, implementing, monitoring, and evaluating its effectiveness. I will apply the knowledge in addressing ethical issues in my practice. For example, I will use it in addressing similar issues such as refusal for blood transfusion among the patients that I serve in my practice.

In summary, the experience above raised my understanding of the different factors that influence people’s refusal of vaccinations. Carper’s Patterns of Knowing can be applied to understand better challenging situations and develop effective solutions. The experience increased my understanding of ethical decision-making in nursing practice.

NR 501 Week 2 Discussion Ways of Knowing References

Brandão, A. P. da C. L., Peres, M. A. de A., Aperibense, P. G. G. de S., Lopes, R. O. P., Santos, J. de C., & Brandão, M. A. G. (2020). Evidence of nursing patterns of knowing communicated by the brazilian press before Florence Nightingale’s model. Revista Brasileira de Enfermagem, 73. https://doi.org/10.1590/0034-7167-2019-0790

Navin, M. C., Wasserman, J. A., Ahmad, M., & Bies, S. (2019). Vaccine Education, Reasons for Refusal, and Vaccination Behavior. American Journal of Preventive Medicine, 56(3), 359–367. https://doi.org/10.1016/j.amepre.2018.10.024

Nurmi, J., & Harman, B. (2022). Why do parents refuse childhood vaccination? Reasons reported in Finland. Scandinavian Journal of Public Health, 50(4), 490–496. https://doi.org/10.1177/14034948211004323

A Sample Answer 2 For the Assignment: NR 501 Week 2 Discussion Ways of Knowing

Title: NR 501 Week 2 Discussion Ways of Knowing

Being a new nurse on a Medical-Surgical unit led to many uncomfortable situations. One situation where I felt underprepared was having a 95-year-old patient who could not make informed decisions. Therefore, the family made medical decisions. The patient was diagnosed with congestive heart failure, and he began to decline quickly. The family wished to keep his code status as full code; however, they were never present as they lived in a different state. The patient coded while on our floor, and we successfully revived the patient. After transferring to ICU, he returned to our unit. The patient could not follow any commands or take in nutrition, and the family decided to keep the patient a full code. The patient never recovered to his status before his code and had little quality of life. The patient was deemed too unstable for a PEG tube and received TPN. After speaking with the doctors, the family made the patient a DNR. The patient was awaiting a hospice bed when he passed. The family never came to offer support, and the patient suffered the last two weeks of life.

Experiencing death elicits a range of emotions that nursing school does not prepare for. As healthcare providers, we are trained to heal and send patients home to loved ones; moreover, a sense of failure can encompass a new graduate nurse when death occurs. Understanding the complex nature of nursing is essential to the practice of nursing. Caper’s theory is a method to identify the patterns of knowing that contribute to the professional identity of nursing; furthermore, it provides a perspective of knowledge gained from experience and science (Jacobs, 2013). The four ways of knowing included in the theory are empirical, ethical, personal, and aesthetic knowledge (Rafii et al., 2021). Empirical knowing is expressed through facts and models; ethical knowing highlights what is right and responsible; personal knowing enables the nurse to identify personal beliefs to avoid biases; aesthetic knowledge is achieved through empathy and recognizing specific cases rather than holism (Rafii et al., 2021).

Using Caper’s theory allows the nurse to reflect upon insights obtained through experiences and empirical knowledge. Using Caper’s theory of personal knowing and imagining myself in this patient’s position, I believe it would be a horrible way to live my remaining few weeks of life. Everyone wants a peaceful death surrounded by loved ones.

Reflecting upon experiences as learning opportunities to apply to future situations is essential. Nursing is complex and requires critical thinking, clinical skills, and control over practice (Parker & Smith, 2015). In the future, I will continue to use the process and reflect upon knowledge acquired through experience and practice to gain insights to apply to future encounters to continue growth and development.

 

Jacobs, B. B. (2013). An innovative professional practice model adaptation of Carper’s patterns of knowing, patterns of research, and Aristotle’s intellectual virtuesLinks to an external site.. Advances in Nursing Science, 36(4), 271-288. https://doi.org/10.1097/ANS.0000000000000002Links to an external site..

Parker, M. E., & Smith, M. C. (2015). Nursing theories and nursing practice (4th ed.). F. A. Davis Company.

Rafii, F., Nasrabadi, A. N., & Tehrani, F. J. (2021). How Nurses Apply Patterns of Knowing in Clinical Practice: A Grounded Theory Study. Ethiopian journal of health sciences, 31(1), 139–146. https://doi.org/10.4314/ejhs.v31i1.16 

A Sample Answer 3 For the Assignment: NR 501 Week 2 Discussion Ways of Knowing

Title: NR 501 Week 2 Discussion Ways of Knowing

 

I am a ICU nurse and this story really hit home with me. We do get a lot of patient that families live out of town and it is sad to witness. Some patient fear dying alone or feel as if no one cares for them anymore and they are uncertain of what to come next. Some families don’t understand that their involvement is very important and their presence can bring a patient a since of peace. In fact, half of family members of patients receiving care in the ICU report symptoms of depression, anxiety and post-traumatic stress disorder (PTSD) (Anderson et al., 2008Links to an external site.). The intense negative psychological impact of a patient’s critical illness may be further exacerbated when family members are not involved as a component of care or if they do not receive sufficient emotional support, information, or communication from critical care providers (Anderson et al., 2008Links to an external site., Tyrie and Mosenthal, 2012Links to an external site.). This is why as nurses its important to use our resources to try and keep the line of communication open between patients and families. I try to always use video call, facetime, or just dial a phone number for a patient so they can hear a family’s members voice. I know that in the ICU sometimes its not much we can do but I always try.

 

Anderson et al., 2008.W.G. Anderson, R.M. Arnold, D.C. Angus, C.L. Bryce. Posttraumatic stress and complicated grief in family members of patients in the intensive care unit. J. Gen. Intern. Med., 23 (11) (2008), pp. 1871-1876

Tyrie and Mosenthal, 2012.L.S. Tyrie, A.C. Mosenthal.Care of the family in the surgical intensive care unit. Anesthesiol Clin., 30 (2012), pp. 37-46

Lopes Write Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NR 501 Week 2 Discussion Ways of Knowing

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource