Tag: Nursing

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    I need someone to paraphrase this discussion post by tomorrow morning!!! no plagiarism or AI use please! **Observational Study Designs** Strengths and limitations of the Studies' research designs Batty and Hamer (2020) employed a prospective cohort study design whereby participants with initial simi…

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    I need someone to paraphrase this discussion post by tomorrow morning!!! no plagiarism or AI use please!
    **Observational Study Designs**
    Strengths and limitations of the Studies' research designs
    Batty and Hamer (2020) employed a prospective cohort study design whereby participants with initial similar conditions wereobserved over a period of time to determine how exposure led tocertain outcomes. One of this design's key strengths is its precise temporal sequence, which enables researchers to establish a clear pathway between exposure and outcomes, an effective approach to deducing causality. This design also has minimal recall bias because the data collection processes are prospective, and the approach barely relies on subject recalls, consequently reducing errors resulting from recall bias. However, the study design is time-consuming, a factor that serves as a limitation. As illustrated by the Framingham Heart Study, cohort studies require long follow-up periods, thus delaying findings and results. Delayed results and findings may limit the applicability and generalizability because a study fails to serve its intendedpurpose.
    On the other hand, Hillyer et al. (2021) adopted a cross-sectional study design, which entails collecting data from a population or representative group of the population at a specific time, as explained by Bell et al. (2022). The notable strength of this design is that researchers are able to obtain findings relatively faster and cheaper, which is also explained in the Let's Learn Public Health (2017) video. The Framingham Heart Study also demonstrates that compared to other study designs, the cross-sectional design is relatively cheap to deploy since it is quick and requires minimal resources. Another strength is that it assesses the prevalence of a disease, therefore offering a pathway for understanding health conditions and behaviors within a population. However, one major limitation of a cross-sectional study design is that it lacks temporal information, creating complications in determining the causation and relationship of health conditions. As discussed in Let's Learn Public Health (2017), the cross-sectional approach only records data from a single-entry point, making it difficult to establish the direction and relationship between variables.
    Population, Data Sources, and Epidemiologic Measures of Association
    Batty and Hamer (2020) recruited participants from the UK Biobank, targeting adults aged between 40 and 69. As such, the UK BioBank served as a primary data source, and it was used to acquire baseline information such as age, ethnicity, blood pressure, and diabetes diagnosis. Public Health England (PHE) also served as a data source for the study since it provided the authors with Covid-19 test results. The authors used Framingham Risk Score (RFS) as a key epidemiological measure of association, whereby COVID-19 risks were categorized into groups and computed using categories such as age, sex, and diabetes status.
    Hillyer et al. (2021) recruited adults aged 18 years and above from primary care and oncology clinics based in New York. Additionally, the authors drew data from electronic health records and self-administered email surveys. The epidemiological measures of association of the study included Risk ratios (RRs) with 95% confidence intervals (CIs), whereby e-cigarette usage was compared across various demographic groups.
    My Insights about the Appropriateness of the Design
    The prospective cohort research design employed by Batty and Hamer (2020) is appropriate, as it allowed the researchers to explore COVID-19 in relation to relevant clinical measures such as BMI and blood pressure. Further, this research design enabledthe researchers to leverage UK Biobank's data (2006-2010), which would have been ignored if methods such as cross-sectional study were used, as explained by Bell et al. (2022).
    In contrast, Hillyer et al. (2021) used a cross-sectional design, which was appropriate, as it helped the researchers capture the prevalence of e-cigarette usage and associated behaviors. I also believe that the research design allowed the researchers to focus on high-risk groups (oncology patients), which would not have been easier if another design, such as prospective cohorts, had been used.
    Do you agree with the researchers' conclusions? Justify your reasoning.
    I agree with the conclusion made by Batty and Hamer (2020) that cardiovascular risk factors such as smoking and obesity and Framing Risk Score have a positive correlation with COVID-19 hospitalization, but these findings lack generalizability outside the UK. Even though the researchers used a large sample size and prospective design to enhance their validity, the generalizability is limited to the UK, as the researchers only access UK data sources.
    I agree with Hillyer et al.'s (2021) conclusion that e-cigarette use among young adults (18–40 years) presents an opportunity for healthcare providers to intervene in risky behaviors (binge drinking, smoking) to reduce cancer risk. The study's findingsthat e-cigarette use is strongly associated with current smoking (RR=4.64), binge drinking (RR=3.04), and secondhand smoke exposure (RR=3.90) support the idea that these behaviors are related and increase cancer risk.
    References
    Batty, G. D., & Hamer, M. (2020). Vascular risk factors, Framingham risk score, and COVID-19: Community-based cohort study. Cardiovascular Research, 116 (10), 16641665. [https://doi.org/10.1093/cvr/cvaa178Links to an external site.](https://doi.org/10.1093/cvr/cvaa178)
    Bell, E., Bryman, A., & Harley, B. (2022). Research designs. Business Research Methods. [https://doi.org/10.1093/hebz/9780198869443.003.0013Links to an external site.](https://doi.org/10.1093/hebz/9780198869443.003.0013)
    Framingham Heart Study. (n.d.). Epidemiological background and design: The Framingham heart study. [https://www.framinghamheartstudy.org/fhs-about/history/epidemiological-background/Links to an external site.](https://www.framinghamheartstudy.org/fhs-about/history/epidemiological-background/)
    Hillyer, G. C., Nazareth, M., Lima, S., Schmitt, K. M., Reyes, A., Fleck, E., Schwartz, G. K., & Terry, M. B. (2021). E-cigarette use among young adult patients: The opportunity to intervene on risky lifestyle behaviors to reduce cancer risk. Journal of Community Health, 47(1), 94-100. [https://doi.org/10.1007/s10900-021-01027-7Links to an external site.](https://doi.org/10.1007/s10900-021-01027-7)
    Let's Learn Public Health. (2017, May 5). Epidemiological studies—made easy! [Video]. YouTube. [https://www.youtube.com/watch?v=Jd3gFT0-C4sLinks to an external site.](https://www.youtube.com/watch?v=Jd3gFT0-C4s)![](https://waldenu.instructure.com/images/play_overlay.png)

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    I need someone to paraphrase this template with no plagiarism or AI use! The assignment is attached. – ## MindmapTemplate.docx **## MindmapTemplate.docx** Concept Map Template Primary Diagnosis: _______ Hypertension \_\_\____ 1. Describe the pathophysiology of the primary diagnosis in …

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    I need someone to paraphrase this template with no plagiarism or AI use!
    The assignment is attached.

    – ## MindmapTemplate.docx

    **## MindmapTemplate.docx**

    Concept Map Template

    Primary Diagnosis: _______
    Hypertension \_\_\____

    1. Describe the pathophysiology of the primary diagnosis in your own words. What are the patient’s risk factors for this diagnosis?

    | | |
    | — | — |
    | Pathophysiology of Primary Diagnosis |
    | Several mechanisms contribute to the development of hypertension. These include increased vascular wall thickness, neurohormonal disorders, autonomic dysregulation, and hemodynamic changes (Oliveros et al., 2020). Vascular wall thickness contributes to the narrowing of arterial lumen, which increases peripheral resistance and leads to hypertension. Autonomic dysregulation through increased adrenergic tone mediated by catecholamines like epinephrine contributes to the disruption of cardiovascular homeostasis and, consequently, increased arterial blood pressure. Hemodynamic changes like increased intravascular volume through sodium-sparring effects of aldosterone and neurohormonal disorders involving vasoconstrictor effects of angiotensin II released by the renin-angiotensin-aldosterone system (RAAS) also contribute to the development of hypertension. |
    | Causes | Risk Factors (genetic/ethnic/physical) |
    | Hypertension is classified into essential and secondary types. The causes of essential hypertension are idiopathic, but interactions between environmental and genetic factors are the most likely cause (Oliveros et al., 2020). Secondary hypertension is due to renal, endocrine, cardiovascular, and neurologic causes. | · Advanced age, black ethnicity, family history, genetics, obesity/overweight, tobacco use, alcohol intake, stress, and excess consumption of dietary salt (Oparil et al., 2019). |

    2. What are the patient’s signs and symptoms for this diagnosis? How does the diagnosis impact other body systems and what are the possible complications?

    | | |
    | — | — |
    | Signs and Symptoms – Common presentation | How does the diagnosis impact each body system? Complications? |
    | · Headache<br>· Visual changes<br>· Palpitations<br>· Shortness of breath<br>· Nausea | Hypertension is a multi-systemic disorder. It accelerates the rate of end-organ damage for most of the major organs in the body.<br>The complications of hypertension include:<br>· Hemorrhagic stroke in the brain <br>· Hypertensive retinopathy affecting the eyes<br>· Myocardial ischemia and hypertensive cardiomyopathy in the heart<br>· Chronic renal failure in kidneys<br>· Arteriosclerosis in arterial blood vessels (Loscalzo et al., 2022). |

    3. What are other potential diagnosis that present in a similar way to this diagnosis (differentials)?

    | |
    | — |
    | a. Renal artery stenosis<br>b. Pheochromocytoma <br>c. Obstructive uropathy<br>d. Eclampsia in pregnant women<br>e. Coarctation of the aorta |

    4. What diagnostic tests or labs would you order to rule out the differentials for this patient or confirm the primary diagnosis?

    | |
    | — |
    | a. At least two serial elevated blood pressure readings are needed to diagnose hypertension.<br>b. Hematocrit<br>c. Urea, creatinine, and electrolytes<br>d. Echocardiogram<br>e. Serum metanephrine test to rule out pheochromocytoma (Loscalzo et al., 2022)<br>f. Renal ultrasound to rule out obstructive uropathy<br>g. CT angiogram to rule out renal artery stenosis |

    5. What treatment options would you consider? Include possible referrals and medications.

    | |
    | — |
    | A two-pronged approach utilizing pharmacological and non-pharmacological interventions is used in the management of hypertension. Non-pharmacological interventions include tobacco cessation, dietary modification, increased physical activity, and proper weight management in overweight and obese patients. Pharmacological interventions involve administering antihypertensives either in monotherapy or fixed-dose combinations. The commonly prescribed drug classes include calcium channel blockers, thiazide diuretics, angiotensin-2 receptor blockers, and beta blockers. These drugs are initiated in patients with blood pressure above 140/90 (Oparil et al., 2019). <br>Possible referrals would be guided by hypertension-related complications. The services consulted would include cardiology, nephrology, ophthalmology, and neurology. |

    **References**

    Loscalzo, J., Fauci, A. S., Kasper, D. L., Hauser, S., Longo, D., & Jameson, J. L. (2022).
    _Harrison’s Principles of Internal Medicine, (Vol. 1 & Vol. 2)_. McGraw Hill Professional.

    Oliveros, E., Patel, H., Kyung, S., Fugar, S., Goldberg, A., Madan, N., & Williams, K. A. (2020). Hypertension in older adults: Assessment, management, and challenges.
    _Clinical cardiology_,
    _43_(2), 99-107.

    [https://doi.org/10.1002/clc.23303](https://doi.org/10.1002/clc.23303)

    Oparil, S., Acelajado, M. C., Bakris, G. L., Berlowitz, D. R., Cífková, R., & Dominiczak, A. F. (2019). Vascular Hypertension.
    _Nat Rev Dis Prim_,
    _4_, 1-48.
    [https://doi.org/10.1038%2Fnrdp.2018.14](https://doi.org/10.1038%2Fnrdp.2018.14)

    **## MindmapTemplate.docx**

    Concept Map Template

    Primary Diagnosis: _______
    Hypertension \_\_\____

    1. Describe the pathophysiology of the primary diagnosis in your own words. What are the patient’s risk factors for this diagnosis?

    | | |
    | — | — |
    | Pathophysiology of Primary Diagnosis |
    | Several mechanisms contribute to the development of hypertension. These include increased vascular wall thickness, neurohormonal disorders, autonomic dysregulation, and hemodynamic changes (Oliveros et al., 2020). Vascular wall thickness contributes to the narrowing of arterial lumen, which increases peripheral resistance and leads to hypertension. Autonomic dysregulation through increased adrenergic tone mediated by catecholamines like epinephrine contributes to the disruption of cardiovascular homeostasis and, consequently, increased arterial blood pressure. Hemodynamic changes like increased intravascular volume through sodium-sparring effects of aldosterone and neurohormonal disorders involving vasoconstrictor effects of angiotensin II released by the renin-angiotensin-aldosterone system (RAAS) also contribute to the development of hypertension. |
    | Causes | Risk Factors (genetic/ethnic/physical) |
    | Hypertension is classified into essential and secondary types. The causes of essential hypertension are idiopathic, but interactions between environmental and genetic factors are the most likely cause (Oliveros et al., 2020). Secondary hypertension is due to renal, endocrine, cardiovascular, and neurologic causes. | · Advanced age, black ethnicity, family history, genetics, obesity/overweight, tobacco use, alcohol intake, stress, and excess consumption of dietary salt (Oparil et al., 2019). |

    2. What are the patient’s signs and symptoms for this diagnosis? How does the diagnosis impact other body systems and what are the possible complications?

    | | |
    | — | — |
    | Signs and Symptoms – Common presentation | How does the diagnosis impact each body system? Complications? |
    | · Headache<br>· Visual changes<br>· Palpitations<br>· Shortness of breath<br>· Nausea | Hypertension is a multi-systemic disorder. It accelerates the rate of end-organ damage for most of the major organs in the body.<br>The complications of hypertension include:<br>· Hemorrhagic stroke in the brain <br>· Hypertensive retinopathy affecting the eyes<br>· Myocardial ischemia and hypertensive cardiomyopathy in the heart<br>· Chronic renal failure in kidneys<br>· Arteriosclerosis in arterial blood vessels (Loscalzo et al., 2022). |

    3. What are other potential diagnosis that present in a similar way to this diagnosis (differentials)?

    | |
    | — |
    | a. Renal artery stenosis<br>b. Pheochromocytoma <br>c. Obstructive uropathy<br>d. Eclampsia in pregnant women<br>e. Coarctation of the aorta |

    4. What diagnostic tests or labs would you order to rule out the differentials for this patient or confirm the primary diagnosis?

    | |
    | — |
    | a. At least two serial elevated blood pressure readings are needed to diagnose hypertension.<br>b. Hematocrit<br>c. Urea, creatinine, and electrolytes<br>d. Echocardiogram<br>e. Serum metanephrine test to rule out pheochromocytoma (Loscalzo et al., 2022)<br>f. Renal ultrasound to rule out obstructive uropathy<br>g. CT angiogram to rule out renal artery stenosis |

    5. What treatment options would you consider? Include possible referrals and medications.

    | |
    | — |
    | A two-pronged approach utilizing pharmacological and non-pharmacological interventions is used in the management of hypertension. Non-pharmacological interventions include tobacco cessation, dietary modification, increased physical activity, and proper weight management in overweight and obese patients. Pharmacological interventions involve administering antihypertensives either in monotherapy or fixed-dose combinations. The commonly prescribed drug classes include calcium channel blockers, thiazide diuretics, angiotensin-2 receptor blockers, and beta blockers. These drugs are initiated in patients with blood pressure above 140/90 (Oparil et al., 2019). <br>Possible referrals would be guided by hypertension-related complications. The services consulted would include cardiology, nephrology, ophthalmology, and neurology. |

    **References**

    Loscalzo, J., Fauci, A. S., Kasper, D. L., Hauser, S., Longo, D., & Jameson, J. L. (2022).
    _Harrison’s Principles of Internal Medicine, (Vol. 1 & Vol. 2)_. McGraw Hill Professional.

    Oliveros, E., Patel, H., Kyung, S., Fugar, S., Goldberg, A., Madan, N., & Williams, K. A. (2020). Hypertension in older adults: Assessment, management, and challenges.
    _Clinical cardiology_,
    _43_(2), 99-107.

    [https://doi.org/10.1002/clc.23303](https://doi.org/10.1002/clc.23303)

    Oparil, S., Acelajado, M. C., Bakris, G. L., Berlowitz, D. R., Cífková, R., & Dominiczak, A. F. (2019). Vascular Hypertension.
    _Nat Rev Dis Prim_,
    _4_, 1-48.
    [https://doi.org/10.1038%2Fnrdp.2018.14](https://doi.org/10.1038%2Fnrdp.2018.14)

  • [Solved] Nursing

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    – ## DocumentationforIVInsertionandRemovalusingGravityTubing2.docx **## DocumentationforIVInsertionandRemovalusingGravityTubing2.docx** ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/nursing-20953705) **Documentation for IV Insertion and Removal us…

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    – ## DocumentationforIVInsertionandRemovalusingGravityTubing2.docx

    **## DocumentationforIVInsertionandRemovalusingGravityTubing2.docx**

    ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/nursing-20953705)

    **Documentation for IV Insertion and Removal using Gravity Tubing**

    **ADNG 1050 Foundations of Nursing Skills**

    **Scenario:**

    · Tom McBride is a 46 year old male in the Emergence Department complaining of weakness, dizziness, and a headache. He reports working outside in hot weather

    for 6 hours without adequate water intake. Nausea but no vomiting. He appears flushed and slightly diaphoretic.

    Vital signs:

    Temp: 99.1°F (37.3°C)

    · HR: 108 bpm

    · BP: 98/60 mmHg

    · RR: 20

    · O₂ Sat: 97% on room air

    Skin: Dry lips, poor skin turgor

    Neuro: Alert and oriented × 4, slightly slow responses

    ·
    **Order:** Start peripheral IV and administer 1 Liter of 0.9% Normal Saline via gravity tubing. Discontinue IV when complete.

    **🗂️ Documentation**

    📍
    **To complete:** Upload this document to your computer & fill it out electronically (directly into the assignment)

    📍
    **To turn it in:** Re-upload it to the correct file/drop box in D2L.

    \_\_\__________________________________________________________________________________

    ✍️
    **1.** Write a
    **DARP** note including:

    **D: Data**

    **A: Action**

    **R: Response/Results**

    **P: Plan**

    🧑‍🏫
    **2. Patient Education (Write as a Script) Keep short and to the point.**

    **🔐 3. National Patient Safety Goal (NPSG) Choose 1 priority NPSG that is relevant to this scenario and tell us why in 1 paragraph.**

    **NPSG Chosen:** **Why It Matters:**

    **📝 4. Nursing Diagnosis & Care Plan**

    **✅ 3-Part Nursing Diagnosis:**

    **Student nursing diagnosis:**

    **🎯 5. SMART Goal:**

    **Student SMART goal:**

    **🩹 List:**

    ·
    2 Interventions to accomplish this goal

    · Rationale for each intervention

    · Evaluation for each intervention

    1. Intervention:

    · Rationale:

    · Evaluation:

    2. Intervention:

    · Rationale:

    · Evaluation:

    **🎥Video Review:**

    ## image1.jpeg

    **## DocumentationforIVInsertionandRemovalusingGravityTubing2.docx**

    ![A blue and yellow logo Description automatically generated](https://www.sweetstudy.com/questions/nursing-20953705)

    **Documentation for IV Insertion and Removal using Gravity Tubing**

    **ADNG 1050 Foundations of Nursing Skills**

    **Scenario:**

    · Tom McBride is a 46 year old male in the Emergence Department complaining of weakness, dizziness, and a headache. He reports working outside in hot weather

    for 6 hours without adequate water intake. Nausea but no vomiting. He appears flushed and slightly diaphoretic.

    Vital signs:

    Temp: 99.1°F (37.3°C)

    · HR: 108 bpm

    · BP: 98/60 mmHg

    · RR: 20

    · O₂ Sat: 97% on room air

    Skin: Dry lips, poor skin turgor

    Neuro: Alert and oriented × 4, slightly slow responses

    ·
    **Order:** Start peripheral IV and administer 1 Liter of 0.9% Normal Saline via gravity tubing. Discontinue IV when complete.

    **🗂️ Documentation**

    📍
    **To complete:** Upload this document to your computer & fill it out electronically (directly into the assignment)

    📍
    **To turn it in:** Re-upload it to the correct file/drop box in D2L.

    \_\_\__________________________________________________________________________________

    ✍️
    **1.** Write a
    **DARP** note including:

    **D: Data**

    **A: Action**

    **R: Response/Results**

    **P: Plan**

    🧑‍🏫
    **2. Patient Education (Write as a Script) Keep short and to the point.**

    **🔐 3. National Patient Safety Goal (NPSG) Choose 1 priority NPSG that is relevant to this scenario and tell us why in 1 paragraph.**

    **NPSG Chosen:** **Why It Matters:**

    **📝 4. Nursing Diagnosis & Care Plan**

    **✅ 3-Part Nursing Diagnosis:**

    **Student nursing diagnosis:**

    **🎯 5. SMART Goal:**

    **Student SMART goal:**

    **🩹 List:**

    ·
    2 Interventions to accomplish this goal

    · Rationale for each intervention

    · Evaluation for each intervention

    1. Intervention:

    · Rationale:

    · Evaluation:

    2. Intervention:

    · Rationale:

    · Evaluation:

    **🎥Video Review:**

    ## image1.jpeg

  • [Solved] Nursing week 14 assignment review

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  • [Solved] Using the template attached, create a 2 pages lenght (no icluding title or references) Add the DNP essentials on

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    2 pages length Add the DNP essentials on APA 7 format. References from the last 5 years. – ## DNP7800SelfAssessmentTemplate-2.docx – ## DNP7800Week7Self-AssessmentAssignmentRubric-3.docx **## DNP7800SelfAssessmentTemplate-2.docx** 1 4 **Self-Assessment Assignment** Student Name Miami Regional Univer…

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    2 pages length Add the DNP essentials on APA 7 format. References from the last 5 years.

    – ## DNP7800SelfAssessmentTemplate-2.docx

    – ## DNP7800Week7Self-AssessmentAssignmentRubric-3.docx

    **## DNP7800SelfAssessmentTemplate-2.docx**

    1

    4

    **Self-Assessment Assignment**

    Student Name

    Miami Regional University

    DNP 7800: Health Care Management, Economics, Financing, and Ethics

    Professor Name

    Month Day, Year

    **Self-Assessment**

    (Introduction – not labeled ‘Introduction’) Introduce the purpose of your paper & short introduction reflect on the Course Level Student Learning Outcomes, some of the End-of -Program Outcomes, and Leadership Role-Specific Competencies acquired through the DNP7800 course.

    **Self-Assessment**

    In this section answer, the following: Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent DNP competencies as a result of active learning throughout this course.

    This assignment provides documentation of student ability to meet the following course outcomes:

    · Describe the basic principles of health care economics, financing, and ethics.

    · Develop the most common modes of health care financing and reimbursement mechanisms.

    · Evaluate the financial aspects inherent in practice initiatives.

    · Construct practice initiatives that assist with the resolution of health care disparities according to effective health care management, economic, financing, and ethics principles.

    · Develop strategies to advocate for just and ethical practices in health care policy and health care delivery systems.

    Use examples from selected readings, threaded discussions, and/or applications to support your assertions.

    IMPORTANT: Reflect some of the
    **DNP Essentials** and
    **Leadership Role-Specific Competencies** acquired through the DNP7800 course.

    **DNP Practicum Project Team Mentorship reflection**

    In this section, reflect on how do you feel that your collaboration with your mentor will be beneficial in reaching your academic goals? The statement shows insight into how the partnership with your DNP Practicum Project team mentor will enhance success in the DNP.

    **Conclusion**

    Identify the main ideas and significant conclusions from the body of your manuscript. Do not add new information in conclusion.

    **References**

    **## DNP7800Week7Self-AssessmentAssignmentRubric-3.docx**

    ![](https://www.sweetstudy.com/questions/using-the-template-attached-create-a-2-pages-lenght-no-icluding-title-or-references-add-the-dnp-essentials-on)**Doctor of Nursing Practice Program**

    **Self-Assessment Assignment Guidelines DNP 7800–Healthcare Management Economics, Financing, and Ethics**

    ## Purpose

    The purpose of this application is to provide the student an opportunity to reflect on the Course Level Student Learning Outcomes, some of the End-of -Program Outcomes, and Leadership Role-Specific Competencies acquired through the DNP7800 course.

    ## Course Level Student Learning Outcomes (CLSLO’s)

    This assignment provides documentation of student ability to meet the following course outcomes:

    · Describe basic principles of health care economics, financing and ethics.

    · Develop the most common modes of health care financing and reimbursement mechanisms.

    · Evaluate the financial aspects inherent in practice initiatives.

    · Construct practice initiatives that assist with the resolution of health care disparities according to effective health care management, economic, financing and ethics principles.

    · Develop strategies to advocate for just and ethical practices in health care policy and health care delivery systems.

    **End of Program Student Learning Outcomes (EPSLO’s)**

    · I-Integrate Scientific Underpinnings into Practice

    · II-Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking

    · III-Apply Clinical Scholarship and Analytical Methods for Evidence-Based Practice

    · IV-Use Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

    · V-Influence Health Care Policy for Advocacy in Health Care

    · VI-Employ Interprofessional Collaboration for Improving Patient and Population Health Outcomes

    · VII-Synthesize Clinical Prevention and Population Health concepts for Improving the Nation’s Health

    · VIII-Demonstrate advanced levels of clinical judgment, systems thinking, and accountability in designing, delivering, and evaluating evidence-based care to improve patient outcome

    **Role-Specific Professional Competencies**

    ·
    **Demonstrate effective communication and relationship building:**

    · Through the production of written materials

    · Through collaborative relationships with DNP stakeholders

    · Through engagement of stakeholders

    ·
    **Demonstrate knowledge of the healthcare environment**

    · By demonstrating current knowledge of patient care delivery systems across the continuum

    · By demonstrating understanding of the regulation and payment issues that affect an organization’s finance

    · By articulating the organization’s performance improvement program and goals

    ·
    **Demonstrate Leadership Skills**

    · By demonstrating applied critical analysis to organizational issues after a review of the evidence

    · By demonstrating reflective practice and an understanding that all leadership begins from within

    · Considering the impact of nursing decisions on the healthcare organization as a whole

    ·
    **Demonstrate Professionalism**

    · By seeking input and mentorship from other in career planning and development

    ·
    **Develop business skills through financial management**

    · By using business models for healthcare organizations and apply fundamental concepts of economics

    · Educate patient care team members on financial implications of patient care decision

    ·
    **Demonstrate business skills through demonstration of strategic management:**

    · Conduct a SWOT and Gap analyses

    **Due Date**

    Submit your completed application in Moodle by
    **Saturday** 11:59 p.m. ET of
    **Week 7** as directed.

    ## Requirements

    1. The
    **Self-Assessment Assignment** is worth 100 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

    2. Create your essay using Microsoft Word (a part of Microsoft Office), which is the required format for DNP Nursing assignments unless specified otherwise. You can tell that the document is saved as a MS Word document because it will end in “.docx”

    3. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A Forum.

    4. The length of the reflection is to be
    **no less than 2 pages and no greater than 4 pages** excluding title page and reference pages.

    5. APA format is required with both a title page and reference page.

    Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the
    _Publication manual of the American Psychological Association_(2010, p. 63).

    a. Self-Assessment Reflection

    b. Conclusion: so, based on your self-assessment, how do you feel this course has helped you achieve the DNP essentials and role-specific leadership competencies.

    ## Preparing Your Self-Assessment

    The
    _DNP Essentials_ (AACN, 2006) outline a number of competencies regarding scientific underpinnings for practice. Reflect on the DNP7800 course readings, discussion threads, and assignments you have completed across this course and write a short essay regarding the extent to which you feel you have learned the knowledge related with this course student learning outcomes, program outcomes, and role-specific competencies.

    Reference

    American Association of Colleges of Nursing [AACN]. (2006).
    _The essentials of doctoral education for_

    _advanced nursing practice._ Washington, DC: Author.

    ## Directions and Grading Criteria

    | | | | |
    | — | — | — | — |
    | Category | Points | % | Description |
    | Introduction | 8 | 8 | Introduces the purpose of the reflection pertinent to the course DNP7800. |
    | Self-Assessment Assignment | 70 | 70 | Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent DNP competencies as a result of active learning throughout this course. Be sure to answer the following<br>Reflect on the DNP7800 course readings, discussion threads, and assignments you have completed across this course and write a short essay regarding the extent to which you feel you have learned the knowledge related with this course student learning outcomes, program outcomes, and role-specific competencies.<br>Use examples from selected readings, threaded discussions, and/or applications to support your assertions. |
    | DNP Practicum Team Mentor Reflection | 10 | 10 | How do you feel that you collaboration with your mentor will be beneficial in reaching your academic goals? |
    | Conclusion | 4 | 4 | An effective conclusion identifies the main ideas and major conclusions from the body of your essay. Minor details are left out. |
    | Clarity of writing | 6 | 6 | Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers. |
    | APA format | 2 | 2 | All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (6th ed.) format:<br>1. Document setup<br>2. Title and reference pages<br>3. Citations in the text and references. |
    | Total: | **100** | **100** | **A quality essay will meet or exceed all of the above requirements.** |

    ## Grading Rubric

    | | | | |
    | — | — | — | — |
    | Assignment Criteria | Meets Criteria | Partially Meets Criteria | Does Not Meet Criteria |
    | Introduction<br>(8 pts) | Short introduction of competencies pertinent to the course DNP7800. Rationale is well presented and purpose fully developed. <br>**7 – 8 points** | Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.<br>**5 – 6 points** | Little or very general introduction of selected competencies. Little to no original explanation; inappropriate emphasis on an area.<br>**0 – 4 points** |
    | Self-Assessment Assignment (70 pts) | Excellent self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Excellent reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting. <br>**60 – 70 points** | Basic self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Basic reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting. <br>**49 – 59 points** | Little or very general self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Little or very general reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting. <br>**0 – 48 points** |
    | DNP Practicum Team Mentor<br>Reflection <br>(10 pts) | Statement shows insight into <br>**_how_** the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. Reflection is supported by an example.<br> <br>**9 – 10 points** | Statement shows some insight into <br>**_how_** the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. Reflection is supported by an example.<br> <br>**5 – 8 points** | Little or no reflection on <br>**_how_** the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. <br> <br>**0 – 4 points** |
    | Conclusion<br>(4 pts) | Provide an excellent conclusion identifying the main ideas and major conclusions from the body of the essay. <br>**3 – 4 points** | Provide a basic conclusion identifying some of the main ideas of the essay. <br>**2 points** | Provide a very general conclusion, does not identify the main idea of the paper. <br>**0 – 1 point** |
    | Clarity of writing<br>(6 pts) | Excellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning. <br>**5 – 6 points** | Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.<br>**3 – 4 points** | Language needs development. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.<br>**0 – 2 points** |
    | APA format<br>(2 pts) | APA format correct with no more than 1-2 minor errors. <br>**2 points** | 3-5 errors in APA format and/or 1-2 citations are missing.<br>**1 point** | APA formatting contains multiple errors and/or several citations are missing.<br>**0 points** |
    | Total Points Possible = <br>100 points |

    | | |
    | — | — |
    | Prepared by Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Itzel Vega Crespo, Dr. Angel Garcia, Dr. David Trabanco.<br>DNP7800 Self-Assessment Assignment 12/07/19 | 1 |

    ## image1.jpg

    **## DNP7800Week7Self-AssessmentAssignmentRubric-3.docx**

    ![](https://www.sweetstudy.com/questions/using-the-template-attached-create-a-2-pages-lenght-no-icluding-title-or-references-add-the-dnp-essentials-on)**Doctor of Nursing Practice Program**

    **Self-Assessment Assignment Guidelines DNP 7800–Healthcare Management Economics, Financing, and Ethics**

    ## Purpose

    The purpose of this application is to provide the student an opportunity to reflect on the Course Level Student Learning Outcomes, some of the End-of -Program Outcomes, and Leadership Role-Specific Competencies acquired through the DNP7800 course.

    ## Course Level Student Learning Outcomes (CLSLO’s)

    This assignment provides documentation of student ability to meet the following course outcomes:

    · Describe basic principles of health care economics, financing and ethics.

    · Develop the most common modes of health care financing and reimbursement mechanisms.

    · Evaluate the financial aspects inherent in practice initiatives.

    · Construct practice initiatives that assist with the resolution of health care disparities according to effective health care management, economic, financing and ethics principles.

    · Develop strategies to advocate for just and ethical practices in health care policy and health care delivery systems.

    **End of Program Student Learning Outcomes (EPSLO’s)**

    · I-Integrate Scientific Underpinnings into Practice

    · II-Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking

    · III-Apply Clinical Scholarship and Analytical Methods for Evidence-Based Practice

    · IV-Use Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

    · V-Influence Health Care Policy for Advocacy in Health Care

    · VI-Employ Interprofessional Collaboration for Improving Patient and Population Health Outcomes

    · VII-Synthesize Clinical Prevention and Population Health concepts for Improving the Nation’s Health

    · VIII-Demonstrate advanced levels of clinical judgment, systems thinking, and accountability in designing, delivering, and evaluating evidence-based care to improve patient outcome

    **Role-Specific Professional Competencies**

    ·
    **Demonstrate effective communication and relationship building:**

    · Through the production of written materials

    · Through collaborative relationships with DNP stakeholders

    · Through engagement of stakeholders

    ·
    **Demonstrate knowledge of the healthcare environment**

    · By demonstrating current knowledge of patient care delivery systems across the continuum

    · By demonstrating understanding of the regulation and payment issues that affect an organization’s finance

    · By articulating the organization’s performance improvement program and goals

    ·
    **Demonstrate Leadership Skills**

    · By demonstrating applied critical analysis to organizational issues after a review of the evidence

    · By demonstrating reflective practice and an understanding that all leadership begins from within

    · Considering the impact of nursing decisions on the healthcare organization as a whole

    ·
    **Demonstrate Professionalism**

    · By seeking input and mentorship from other in career planning and development

    ·
    **Develop business skills through financial management**

    · By using business models for healthcare organizations and apply fundamental concepts of economics

    · Educate patient care team members on financial implications of patient care decision

    ·
    **Demonstrate business skills through demonstration of strategic management:**

    · Conduct a SWOT and Gap analyses

    **Due Date**

    Submit your completed application in Moodle by
    **Saturday** 11:59 p.m. ET of
    **Week 7** as directed.

    ## Requirements

    1. The
    **Self-Assessment Assignment** is worth 100 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

    2. Create your essay using Microsoft Word (a part of Microsoft Office), which is the required format for DNP Nursing assignments unless specified otherwise. You can tell that the document is saved as a MS Word document because it will end in “.docx”

    3. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A Forum.

    4. The length of the reflection is to be
    **no less than 2 pages and no greater than 4 pages** excluding title page and reference pages.

    5. APA format is required with both a title page and reference page.

    Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the
    _Publication manual of the American Psychological Association_(2010, p. 63).

    a. Self-Assessment Reflection

    b. Conclusion: so, based on your self-assessment, how do you feel this course has helped you achieve the DNP essentials and role-specific leadership competencies.

    ## Preparing Your Self-Assessment

    The
    _DNP Essentials_ (AACN, 2006) outline a number of competencies regarding scientific underpinnings for practice. Reflect on the DNP7800 course readings, discussion threads, and assignments you have completed across this course and write a short essay regarding the extent to which you feel you have learned the knowledge related with this course student learning outcomes, program outcomes, and role-specific competencies.

    Reference

    American Association of Colleges of Nursing [AACN]. (2006).
    _The essentials of doctoral education for_

    _advanced nursing practice._ Washington, DC: Author.

    ## Directions and Grading Criteria

    | | | | |
    | — | — | — | — |
    | Category | Points | % | Description |
    | Introduction | 8 | 8 | Introduces the purpose of the reflection pertinent to the course DNP7800. |
    | Self-Assessment Assignment | 70 | 70 | Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent DNP competencies as a result of active learning throughout this course. Be sure to answer the following<br>Reflect on the DNP7800 course readings, discussion threads, and assignments you have completed across this course and write a short essay regarding the extent to which you feel you have learned the knowledge related with this course student learning outcomes, program outcomes, and role-specific competencies.<br>Use examples from selected readings, threaded discussions, and/or applications to support your assertions. |
    | DNP Practicum Team Mentor Reflection | 10 | 10 | How do you feel that you collaboration with your mentor will be beneficial in reaching your academic goals? |
    | Conclusion | 4 | 4 | An effective conclusion identifies the main ideas and major conclusions from the body of your essay. Minor details are left out. |
    | Clarity of writing | 6 | 6 | Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers. |
    | APA format | 2 | 2 | All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (6th ed.) format:<br>1. Document setup<br>2. Title and reference pages<br>3. Citations in the text and references. |
    | Total: | **100** | **100** | **A quality essay will meet or exceed all of the above requirements.** |

    ## Grading Rubric

    | | | | |
    | — | — | — | — |
    | Assignment Criteria | Meets Criteria | Partially Meets Criteria | Does Not Meet Criteria |
    | Introduction<br>(8 pts) | Short introduction of competencies pertinent to the course DNP7800. Rationale is well presented and purpose fully developed. <br>**7 – 8 points** | Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.<br>**5 – 6 points** | Little or very general introduction of selected competencies. Little to no original explanation; inappropriate emphasis on an area.<br>**0 – 4 points** |
    | Self-Assessment Assignment (70 pts) | Excellent self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Excellent reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting. <br>**60 – 70 points** | Basic self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Basic reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting. <br>**49 – 59 points** | Little or very general self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Little or very general reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting. <br>**0 – 48 points** |
    | DNP Practicum Team Mentor<br>Reflection <br>(10 pts) | Statement shows insight into <br>**_how_** the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. Reflection is supported by an example.<br> <br>**9 – 10 points** | Statement shows some insight into <br>**_how_** the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. Reflection is supported by an example.<br> <br>**5 – 8 points** | Little or no reflection on <br>**_how_** the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. <br> <br>**0 – 4 points** |
    | Conclusion<br>(4 pts) | Provide an excellent conclusion identifying the main ideas and major conclusions from the body of the essay. <br>**3 – 4 points** | Provide a basic conclusion identifying some of the main ideas of the essay. <br>**2 points** | Provide a very general conclusion, does not identify the main idea of the paper. <br>**0 – 1 point** |
    | Clarity of writing<br>(6 pts) | Excellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning. <br>**5 – 6 points** | Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.<br>**3 – 4 points** | Language needs development. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.<br>**0 – 2 points** |
    | APA format<br>(2 pts) | APA format correct with no more than 1-2 minor errors. <br>**2 points** | 3-5 errors in APA format and/or 1-2 citations are missing.<br>**1 point** | APA formatting contains multiple errors and/or several citations are missing.<br>**0 points** |
    | Total Points Possible = <br>100 points |

    | | |
    | — | — |
    | Prepared by Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Itzel Vega Crespo, Dr. Angel Garcia, Dr. David Trabanco.<br>DNP7800 Self-Assessment Assignment 12/07/19 | 1 |

    ## image1.jpg

    **## DNP7800SelfAssessmentTemplate-2.docx**

    1

    4

    **Self-Assessment Assignment**

    Student Name

    Miami Regional University

    DNP 7800: Health Care Management, Economics, Financing, and Ethics

    Professor Name

    Month Day, Year

    **Self-Assessment**

    (Introduction – not labeled ‘Introduction’) Introduce the purpose of your paper & short introduction reflect on the Course Level Student Learning Outcomes, some of the End-of -Program Outcomes, and Leadership Role-Specific Competencies acquired through the DNP7800 course.

    **Self-Assessment**

    In this section answer, the following: Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent DNP competencies as a result of active learning throughout this course.

    This assignment provides documentation of student ability to meet the following course outcomes:

    · Describe the basic principles of health care economics, financing, and ethics.

    · Develop the most common modes of health care financing and reimbursement mechanisms.

    · Evaluate the financial aspects inherent in practice initiatives.

    · Construct practice initiatives that assist with the resolution of health care disparities according to effective health care management, economic, financing, and ethics principles.

    · Develop strategies to advocate for just and ethical practices in health care policy and health care delivery systems.

    Use examples from selected readings, threaded discussions, and/or applications to support your assertions.

    IMPORTANT: Reflect some of the
    **DNP Essentials** and
    **Leadership Role-Specific Competencies** acquired through the DNP7800 course.

    **DNP Practicum Project Team Mentorship reflection**

    In this section, reflect on how do you feel that your collaboration with your mentor will be beneficial in reaching your academic goals? The statement shows insight into how the partnership with your DNP Practicum Project team mentor will enhance success in the DNP.

    **Conclusion**

    Identify the main ideas and significant conclusions from the body of your manuscript. Do not add new information in conclusion.

    **References**

    **## DNP7800Week7Self-AssessmentAssignmentRubric-3.docx**

    ![](https://www.sweetstudy.com/questions/using-the-template-attached-create-a-2-pages-lenght-no-icluding-title-or-references-add-the-dnp-essentials-on)**Doctor of Nursing Practice Program**

    **Self-Assessment Assignment Guidelines DNP 7800–Healthcare Management Economics, Financing, and Ethics**

    ## Purpose

    The purpose of this application is to provide the student an opportunity to reflect on the Course Level Student Learning Outcomes, some of the End-of -Program Outcomes, and Leadership Role-Specific Competencies acquired through the DNP7800 course.

    ## Course Level Student Learning Outcomes (CLSLO’s)

    This assignment provides documentation of student ability to meet the following course outcomes:

    · Describe basic principles of health care economics, financing and ethics.

    · Develop the most common modes of health care financing and reimbursement mechanisms.

    · Evaluate the financial aspects inherent in practice initiatives.

    · Construct practice initiatives that assist with the resolution of health care disparities according to effective health care management, economic, financing and ethics principles.

    · Develop strategies to advocate for just and ethical practices in health care policy and health care delivery systems.

    **End of Program Student Learning Outcomes (EPSLO’s)**

    · I-Integrate Scientific Underpinnings into Practice

    · II-Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking

    · III-Apply Clinical Scholarship and Analytical Methods for Evidence-Based Practice

    · IV-Use Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

    · V-Influence Health Care Policy for Advocacy in Health Care

    · VI-Employ Interprofessional Collaboration for Improving Patient and Population Health Outcomes

    · VII-Synthesize Clinical Prevention and Population Health concepts for Improving the Nation’s Health

    · VIII-Demonstrate advanced levels of clinical judgment, systems thinking, and accountability in designing, delivering, and evaluating evidence-based care to improve patient outcome

    **Role-Specific Professional Competencies**

    ·
    **Demonstrate effective communication and relationship building:**

    · Through the production of written materials

    · Through collaborative relationships with DNP stakeholders

    · Through engagement of stakeholders

    ·
    **Demonstrate knowledge of the healthcare environment**

    · By demonstrating current knowledge of patient care delivery systems across the continuum

    · By demonstrating understanding of the regulation and payment issues that affect an organization’s finance

    · By articulating the organization’s performance improvement program and goals

    ·
    **Demonstrate Leadership Skills**

    · By demonstrating applied critical analysis to organizational issues after a review of the evidence

    · By demonstrating reflective practice and an understanding that all leadership begins from within

    · Considering the impact of nursing decisions on the healthcare organization as a whole

    ·
    **Demonstrate Professionalism**

    · By seeking input and mentorship from other in career planning and development

    ·
    **Develop business skills through financial management**

    · By using business models for healthcare organizations and apply fundamental concepts of economics

    · Educate patient care team members on financial implications of patient care decision

    ·
    **Demonstrate business skills through demonstration of strategic management:**

    · Conduct a SWOT and Gap analyses

    **Due Date**

    Submit your completed application in Moodle by
    **Saturday** 11:59 p.m. ET of
    **Week 7** as directed.

    ## Requirements

    1. The
    **Self-Assessment Assignment** is worth 100 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

    2. Create your essay using Microsoft Word (a part of Microsoft Office), which is the required format for DNP Nursing assignments unless specified otherwise. You can tell that the document is saved as a MS Word document because it will end in “.docx”

    3. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A Forum.

    4. The length of the reflection is to be
    **no less than 2 pages and no greater than 4 pages** excluding title page and reference pages.

    5. APA format is required with both a title page and reference page.

    Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the
    _Publication manual of the American Psychological Association_(2010, p. 63).

    a. Self-Assessment Reflection

    b. Conclusion: so, based on your self-assessment, how do you feel this course has helped you achieve the DNP essentials and role-specific leadership competencies.

    ## Preparing Your Self-Assessment

    The
    _DNP Essentials_ (AACN, 2006) outline a number of competencies regarding scientific underpinnings for practice. Reflect on the DNP7800 course readings, discussion threads, and assignments you have completed across this course and write a short essay regarding the extent to which you feel you have learned the knowledge related with this course student learning outcomes, program outcomes, and role-specific competencies.

    Reference

    American Association of Colleges of Nursing [AACN]. (2006).
    _The essentials of doctoral education for_

    _advanced nursing practice._ Washington, DC: Author.

    ## Directions and Grading Criteria

    | | | | |
    | — | — | — | — |
    | Category | Points | % | Description |
    | Introduction | 8 | 8 | Introduces the purpose of the reflection pertinent to the course DNP7800. |
    | Self-Assessment Assignment | 70 | 70 | Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent DNP competencies as a result of active learning throughout this course. Be sure to answer the following<br>Reflect on the DNP7800 course readings, discussion threads, and assignments you have completed across this course and write a short essay regarding the extent to which you feel you have learned the knowledge related with this course student learning outcomes, program outcomes, and role-specific competencies.<br>Use examples from selected readings, threaded discussions, and/or applications to support your assertions. |
    | DNP Practicum Team Mentor Reflection | 10 | 10 | How do you feel that you collaboration with your mentor will be beneficial in reaching your academic goals? |
    | Conclusion | 4 | 4 | An effective conclusion identifies the main ideas and major conclusions from the body of your essay. Minor details are left out. |
    | Clarity of writing | 6 | 6 | Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers. |
    | APA format | 2 | 2 | All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (6th ed.) format:<br>1. Document setup<br>2. Title and reference pages<br>3. Citations in the text and references. |
    | Total: | **100** | **100** | **A quality essay will meet or exceed all of the above requirements.** |

    ## Grading Rubric

    | | | | |
    | — | — | — | — |
    | Assignment Criteria | Meets Criteria | Partially Meets Criteria | Does Not Meet Criteria |
    | Introduction<br>(8 pts) | Short introduction of competencies pertinent to the course DNP7800. Rationale is well presented and purpose fully developed. <br>**7 – 8 points** | Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.<br>**5 – 6 points** | Little or very general introduction of selected competencies. Little to no original explanation; inappropriate emphasis on an area.<br>**0 – 4 points** |
    | Self-Assessment Assignment (70 pts) | Excellent self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Excellent reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting. <br>**60 – 70 points** | Basic self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Basic reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting. <br>**49 – 59 points** | Little or very general self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Little or very general reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting. <br>**0 – 48 points** |
    | DNP Practicum Team Mentor<br>Reflection <br>(10 pts) | Statement shows insight into <br>**_how_** the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. Reflection is supported by an example.<br> <br>**9 – 10 points** | Statement shows some insight into <br>**_how_** the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. Reflection is supported by an example.<br> <br>**5 – 8 points** | Little or no reflection on <br>**_how_** the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. <br> <br>**0 – 4 points** |
    | Conclusion<br>(4 pts) | Provide an excellent conclusion identifying the main ideas and major conclusions from the body of the essay. <br>**3 – 4 points** | Provide a basic conclusion identifying some of the main ideas of the essay. <br>**2 points** | Provide a very general conclusion, does not identify the main idea of the paper. <br>**0 – 1 point** |
    | Clarity of writing<br>(6 pts) | Excellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning. <br>**5 – 6 points** | Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.<br>**3 – 4 points** | Language needs development. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.<br>**0 – 2 points** |
    | APA format<br>(2 pts) | APA format correct with no more than 1-2 minor errors. <br>**2 points** | 3-5 errors in APA format and/or 1-2 citations are missing.<br>**1 point** | APA formatting contains multiple errors and/or several citations are missing.<br>**0 points** |
    | Total Points Possible = <br>100 points |

    | | |
    | — | — |
    | Prepared by Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Itzel Vega Crespo, Dr. Angel Garcia, Dr. David Trabanco.<br>DNP7800 Self-Assessment Assignment 12/07/19 | 1 |

    ## image1.jpg

    **## DNP7800SelfAssessmentTemplate-2.docx**

    1

    4

    **Self-Assessment Assignment**

    Student Name

    Miami Regional University

    DNP 7800: Health Care Management, Economics, Financing, and Ethics

    Professor Name

    Month Day, Year

    **Self-Assessment**

    (Introduction – not labeled ‘Introduction’) Introduce the purpose of your paper & short introduction reflect on the Course Level Student Learning Outcomes, some of the End-of -Program Outcomes, and Leadership Role-Specific Competencies acquired through the DNP7800 course.

    **Self-Assessment**

    In this section answer, the following: Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent DNP competencies as a result of active learning throughout this course.

    This assignment provides documentation of student ability to meet the following course outcomes:

    · Describe the basic principles of health care economics, financing, and ethics.

    · Develop the most common modes of health care financing and reimbursement mechanisms.

    · Evaluate the financial aspects inherent in practice initiatives.

    · Construct practice initiatives that assist with the resolution of health care disparities according to effective health care management, economic, financing, and ethics principles.

    · Develop strategies to advocate for just and ethical practices in health care policy and health care delivery systems.

    Use examples from selected readings, threaded discussions, and/or applications to support your assertions.

    IMPORTANT: Reflect some of the
    **DNP Essentials** and
    **Leadership Role-Specific Competencies** acquired through the DNP7800 course.

    **DNP Practicum Project Team Mentorship reflection**

    In this section, reflect on how do you feel that your collaboration with your mentor will be beneficial in reaching your academic goals? The statement shows insight into how the partnership with your DNP Practicum Project team mentor will enhance success in the DNP.

    **Conclusion**

    Identify the main ideas and significant conclusions from the body of your manuscript. Do not add new information in conclusion.

    **References**

    **## DNP7800Week7Self-AssessmentAssignmentRubric-3.docx**

    ![](https://www.sweetstudy.com/questions/using-the-template-attached-create-a-2-pages-lenght-no-icluding-title-or-references-add-the-dnp-essentials-on)**Doctor of Nursing Practice Program**

    **Self-Assessment Assignment Guidelines DNP 7800–Healthcare Management Economics, Financing, and Ethics**

    ## Purpose

    The purpose of this application is to provide the student an opportunity to reflect on the Course Level Student Learning Outcomes, some of the End-of -Program Outcomes, and Leadership Role-Specific Competencies acquired through the DNP7800 course.

    ## Course Level Student Learning Outcomes (CLSLO’s)

    This assignment provides documentation of student ability to meet the following course outcomes:

    · Describe basic principles of health care economics, financing and ethics.

    · Develop the most common modes of health care financing and reimbursement mechanisms.

    · Evaluate the financial aspects inherent in practice initiatives.

    · Construct practice initiatives that assist with the resolution of health care disparities according to effective health care management, economic, financing and ethics principles.

    · Develop strategies to advocate for just and ethical practices in health care policy and health care delivery systems.

    **End of Program Student Learning Outcomes (EPSLO’s)**

    · I-Integrate Scientific Underpinnings into Practice

    · II-Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking

    · III-Apply Clinical Scholarship and Analytical Methods for Evidence-Based Practice

    · IV-Use Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

    · V-Influence Health Care Policy for Advocacy in Health Care

    · VI-Employ Interprofessional Collaboration for Improving Patient and Population Health Outcomes

    · VII-Synthesize Clinical Prevention and Population Health concepts for Improving the Nation’s Health

    · VIII-Demonstrate advanced levels of clinical judgment, systems thinking, and accountability in designing, delivering, and evaluating evidence-based care to improve patient outcome

    **Role-Specific Professional Competencies**

    ·
    **Demonstrate effective communication and relationship building:**

    · Through the production of written materials

    · Through collaborative relationships with DNP stakeholders

    · Through engagement of stakeholders

    ·
    **Demonstrate knowledge of the healthcare environment**

    · By demonstrating current knowledge of patient care delivery systems across the continuum

    · By demonstrating understanding of the regulation and payment issues that affect an organization’s finance

    · By articulating the organization’s performance improvement program and goals

    ·
    **Demonstrate Leadership Skills**

    · By demonstrating applied critical analysis to organizational issues after a review of the evidence

    · By demonstrating reflective practice and an understanding that all leadership begins from within

    · Considering the impact of nursing decisions on the healthcare organization as a whole

    ·
    **Demonstrate Professionalism**

    · By seeking input and mentorship from other in career planning and development

    ·
    **Develop business skills through financial management**

    · By using business models for healthcare organizations and apply fundamental concepts of economics

    · Educate patient care team members on financial implications of patient care decision

    ·
    **Demonstrate business skills through demonstration of strategic management:**

    · Conduct a SWOT and Gap analyses

    **Due Date**

    Submit your completed application in Moodle by
    **Saturday** 11:59 p.m. ET of
    **Week 7** as directed.

    ## Requirements

    1. The
    **Self-Assessment Assignment** is worth 100 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

    2. Create your essay using Microsoft Word (a part of Microsoft Office), which is the required format for DNP Nursing assignments unless specified otherwise. You can tell that the document is saved as a MS Word document because it will end in “.docx”

    3. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A Forum.

    4. The length of the reflection is to be
    **no less than 2 pages and no greater than 4 pages** excluding title page and reference pages.

    5. APA format is required with both a title page and reference page.

    Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the
    _Publication manual of the American Psychological Association_(2010, p. 63).

    a. Self-Assessment Reflection

    b. Conclusion: so, based on your self-assessment, how do you feel this course has helped you achieve the DNP essentials and role-specific leadership competencies.

    ## Preparing Your Self-Assessment

    The
    _DNP Essentials_ (AACN, 2006) outline a number of competencies regarding scientific underpinnings for practice. Reflect on the DNP7800 course readings, discussion threads, and assignments you have completed across this course and write a short essay regarding the extent to which you feel you have learned the knowledge related with this course student learning outcomes, program outcomes, and role-specific competencies.

    Reference

    American Association of Colleges of Nursing [AACN]. (2006).
    _The essentials of doctoral education for_

    _advanced nursing practice._ Washington, DC: Author.

    ## Directions and Grading Criteria

    | | | | |
    | — | — | — | — |
    | Category | Points | % | Description |
    | Introduction | 8 | 8 | Introduces the purpose of the reflection pertinent to the course DNP7800. |
    | Self-Assessment Assignment | 70 | 70 | Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent DNP competencies as a result of active learning throughout this course. Be sure to answer the following<br>Reflect on the DNP7800 course readings, discussion threads, and assignments you have completed across this course and write a short essay regarding the extent to which you feel you have learned the knowledge related with this course student learning outcomes, program outcomes, and role-specific competencies.<br>Use examples from selected readings, threaded discussions, and/or applications to support your assertions. |
    | DNP Practicum Team Mentor Reflection | 10 | 10 | How do you feel that you collaboration with your mentor will be beneficial in reaching your academic goals? |
    | Conclusion | 4 | 4 | An effective conclusion identifies the main ideas and major conclusions from the body of your essay. Minor details are left out. |
    | Clarity of writing | 6 | 6 | Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers. |
    | APA format | 2 | 2 | All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (6th ed.) format:<br>1. Document setup<br>2. Title and reference pages<br>3. Citations in the text and references. |
    | Total: | **100** | **100** | **A quality essay will meet or exceed all of the above requirements.** |

    ## Grading Rubric

    | | | | |
    | — | — | — | — |
    | Assignment Criteria | Meets Criteria | Partially Meets Criteria | Does Not Meet Criteria |
    | Introduction<br>(8 pts) | Short introduction of competencies pertinent to the course DNP7800. Rationale is well presented and purpose fully developed. <br>**7 – 8 points** | Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.<br>**5 – 6 points** | Little or very general introduction of selected competencies. Little to no original explanation; inappropriate emphasis on an area.<br>**0 – 4 points** |
    | Self-Assessment Assignment (70 pts) | Excellent self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Excellent reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting. <br>**60 – 70 points** | Basic self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Basic reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting. <br>**49 – 59 points** | Little or very general self-assessment of skills, knowledge, and integrative abilities pertinent to the integration of the AACN DNP essentials, course student learning outcomes, program outcomes, and role-specific leadership competencies learned throughout this class. Little or very general reflection on pertinent ways the student feels he/she is now prepared to apply the knowledge learned in this course in the DNP practicum project experience and in a leadership role in a clinical setting. <br>**0 – 48 points** |
    | DNP Practicum Team Mentor<br>Reflection <br>(10 pts) | Statement shows insight into <br>**_how_** the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. Reflection is supported by an example.<br> <br>**9 – 10 points** | Statement shows some insight into <br>**_how_** the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. Reflection is supported by an example.<br> <br>**5 – 8 points** | Little or no reflection on <br>**_how_** the collaboration with your DNP Practicum Project team mentor will enhance success in the DNP. <br> <br>**0 – 4 points** |
    | Conclusion<br>(4 pts) | Provide an excellent conclusion identifying the main ideas and major conclusions from the body of the essay. <br>**3 – 4 points** | Provide a basic conclusion identifying some of the main ideas of the essay. <br>**2 points** | Provide a very general conclusion, does not identify the main idea of the paper. <br>**0 – 1 point** |
    | Clarity of writing<br>(6 pts) | Excellent use of standard English showing original thought. No spelling or grammar errors. Well organized with proper flow of meaning. <br>**5 – 6 points** | Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.<br>**3 – 4 points** | Language needs development. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.<br>**0 – 2 points** |
    | APA format<br>(2 pts) | APA format correct with no more than 1-2 minor errors. <br>**2 points** | 3-5 errors in APA format and/or 1-2 citations are missing.<br>**1 point** | APA formatting contains multiple errors and/or several citations are missing.<br>**0 points** |
    | Total Points Possible = <br>100 points |

    | | |
    | — | — |
    | Prepared by Dr. Anny Dionne, Dr. Karen Perez, Dr. Amarilys Gonzalez, Dr. Itzel Vega Crespo, Dr. Angel Garcia, Dr. David Trabanco.<br>DNP7800 Self-Assessment Assignment 12/07/19 | 1 |

    ## image1.jpg

    – 1
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    – ## FeedbackNursingPP.docx – ## FlorenceNightingdalenursing.pptx **## FeedbackNursingPP.docx** Feedback: Great work on your draft. The only correction I have is for your title page. Please correct to reflect APA-7 guidelines for your title page information. Add two more pages to make this complete….

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    – ## FeedbackNursingPP.docx

    – ## FlorenceNightingdalenursing.pptx

    **## FeedbackNursingPP.docx**

    Feedback: Great work on your draft. The only correction I have is for your title page. Please correct to reflect APA-7 guidelines for your title page information. Add two more pages to make this complete.

    **## FlorenceNightingdalenursing.pptx**

    Florence Nightingale’s Environmental Theory

    Adrionna Hill

    Dr. Fountain

    November 23, 2025

    Introduction: Overview of Florence Nightingale

    Founder of modern nursing and major reformer of health care

    Emphasized environment as the foundation of healing (da Silva Junior et al., 2024)

    Introduced ventilation, hygiene, and sanitation as core to care

    Advocated for scientific observation and record-keeping (Peres et al., 2021)

    Used statistical evidence to influence health policy

    Her theory continues to guide holistic nursing practice

    Florence Nightingale is commonly known as the pioneer of modern nursing due to her vast contributions in health care as well as in advancing nursing as a science. The scope of her work was the environment, which was directly related to the outcomes of patients, according to her, by the environment in terms of air quality, cleanliness, sanitation and setting proper light (da Silva Junior et al., 2024). Her environmental policy was based on such careful observation and systematic observation of health trends that she systematized during and after the Crimean War. This approach turned out to be the principles of evidence-based practice. The concept of holistic care that considers the emotional and social well-being of the subject, in addition to the physical one, is also present in the work of Nightingale (Peres et al., 2021). Her theoretical work continues to be of the core of modern nursing, shaping the existing models of promoting health, prevention, and patient safety.

    2

    Significance and Value of the Theory

    Highlights relationship between environment and patient recovery

    Shapes modern infection control and safety practices (Riegel et al., 2021)

    Encourages holistic care—body, mind, and spirit

    Supports critical thinking through observation and assessment

    Serves as foundation for multiple later nursing theories

    Influences global health, public health policy, and hospital design

    What makes the Environmental Theory by Nightingale worthwhile is its continued use in the present health systems. Nightingale established the basis of much of modern practice by insisting on recovery being dependent on the circumstances of the patient, which enabled her to establish the basis of many modern practices such as infection prevention, ventilation standards, and hospital sanitation standards. Her approach urges nurses to evaluate the environment, including the patient among others, and give them holistic and patient-centered care (Riegel et al., 2021). The theory also spurred development of critical thinking because nurses would have to observe, interpret and take actions based on environmental signals which influenced health. Her thoughts have over time influenced the world policy on health, the layout of hospital areas, and even the way of community-based care. Since most modern nursing theories (e.g., adaptation, needs-based, holistic models) are developed on the principles of Nightingale, her principles regarding the environment are still focus of nursing education and practice.

    3

    Background/Historical Perspective: Early Life and Education

    Born in Florence, Italy, in 1820 (Peres et al., 2021)

    Raised in an affluent, educated British family

    Received extensive training in mathematics, philosophy, languages

    Influenced by her father’s progressive beliefs about women’s education

    Developed calling for service and teaching at age 17

    Rejected traditional domestic expectations for women

    The way Florence Nightingale was raised was instrumental in her future contributions. She was born in 1820 to a well-educated and affluent family of Britain and was therefore, lucky to have access to education that women of her time, did not have much access to. Her father taught math, language, and philosophy strictly, and it assisted her to use statistics to promote hospital reform in the future (Peres et al., 2021). Even though the upper-class women were supposed to attend to the domestic life, Nightingale experienced a great occupational pull to service and learning as early as during adolescence. She was exposed to social problems, religion, and humanitarian values, which enhanced her wish to take care of needy people. This was the beginning of intellectual and moral growth that formed the basis of her subsequent philosophy of nursing which was based on scientific thinking and the social responsibilities and compassion. The formative years of Nightingale were therefore a direct factor to her pioneering work in the field of health care and in the health of the people.

    4

    Background/Historical Perspective: Path to Nursing and Influences

    Met religious and charitable groups providing care (Peres et al., 2021)

    Studied hospital systems during travels

    Observed conditions in European health institutions

    Developed commitment to reforming health care for the poor

    Embraced humanitarian and feminist principles

    Believed nursing was a divine calling

    Nightingale got exposed to charitable organizations, religious service groups, and European hospital systems; this influenced her path to nursing. In her travels, she examined the structure of hospitals, read health reports, and observed the conditions of patients with her own eyes, which allowed her to identify the necessity of significant reforms (Peres et al., 2021). She had a strong belief in social responsibility, which put her on the path of protestant reform movements, which were aimed at enhancing the life of the vulnerable populations. These experiences further made her believe that nursing was not just a job but her calling. Humanitarianism compelled Nightingale to work with the ill, particularly the poor or those with poor living conditions. Her conceptualization of nursing was a mixture of practical aspects, ethics, and a sense of commitment to the welfare of the population (da Silva Junior et al., 2024). These would be the foundations of the contemporary norms of patient advocacy, health promotion and nursing education.

    5

    Background/Historical Perspective: Crimean War and Rise to Prominence

    Led group of 38 nurses to military hospitals (Peres et al., 2021)

    Improved sanitation, ventilation, food, and laundry services

    Mortality rate reduced dramatically from 40% to 2% (Peres et al., 2021).

    Introduced statistical diagrams to support health advocacy

    Gained recognition as “The Lady with the Lamp”

    Work demonstrated power of environment on patient outcomes

    The Crimean War was the turning point in the career of Nightingale and the event that led to modern nursing. She arrived with a team of 38 nurses and had to face unsanitary overcrowded military hospitals where the soldiers were dying more of infectious diseases than of combat wounds (Peres et al., 2021). Nightingale introduced urgent changes which included better ventilation, systematization of laundry, healthy meals and better hygiene. Consequently, the death percentage reduced to 2 out of 40, demonstrating the critical importance of the environmental conditions to patient survival. She also employed statistical diagrams (primarily, Polar Area Diagram) to introduce her findings to policy-makers and show them the significance of environmental control (Peres et al., 2021). Her evening walks attached to her the name of The Lady with the Lamp, the symbol of kindness and devotion. The Crimean War cemented her legacy as an innovative nurse, reformist and leader of public health.

    6

    Background/Historical Perspective: Later Life, Writings & Legacy

    Authored 200+ books, reports, and letters (Peres et al., 2021)

    Founded first professional nursing school in 1860

    Influenced global nursing standards and hospital design

    Advocated for sanitation reform and public health

    Inspired later humanitarian movements, including Red Cross

    Left a foundation for holistic and environmental nursing models

    The later years of Nightingale were dedicated to writing, teaching, and reinforcing nursing as a profession. Irrespective of being chronically ill, she wrote hundreds of letters, manuals, and reports that influenced the world health policy and nursing education (Peres et al., 2021). The opening of the Nightingale Training School of Nurses in 1860 helped to introduce formal, controlled nursing education, which has had an impact on nursing curricula throughout the world. Her writings stressed on sanitation, environmental health, compassion, and the role of trained nurses in hospitals and communities. She had a worldwide influence on humanitarian leaders like Henri Dunant of the Red Cross because of her writings. Nightingale also contributed to the creation of the holistic care models, seeing the emotional and spiritual needs in addition to the physical health. Her lifetime contribution made sure that the nursing profession was transformed into a science-based, ethical, and patient-focused profession.

    7

    References

    da Silva Junior, S. V., Alves, C. C. S., de Freitas Coelho, T. M., de Andrade Forte, C. M., Fortunato, C. N., da Silva, D. N., … & de Barros, S. (2024). Florence Nightingale's Environmental Theory: Reflections for Nursing Practice. International journal of Nursing Didactics, 14(05), 03-06.
    [http://www.nursingdidactics.com/index.php/ijnd/article/download/3392/3026](http://www.nursingdidactics.com/index.php/ijnd/article/download/3392/3026)

    D'Antonio, P. (2022). What do we do about Florence Nightingale. Nursing Inquiry, 29(1), 12450.
    [https://scholar.archive.org/work/f73rlfl4nbdbfjcclscii4tx4a/access/wayback/https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nin.12450](https://scholar.archive.org/work/f73rlfl4nbdbfjcclscii4tx4a/access/wayback/https:/onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nin.12450)

    Peres, M. A. D. A., Aperibense, P. G. G. D. S., Dios-Aguado, M. D. L. M. D., Gómez-Cantarino, S., & Queirós, P. J. P. (2021). The Florence Nightingale’s nursing theoretical model: a transmission of knowledge. Revista gaucha de enfermagem, 42(spe), e20200228.
    [https://www.scielo.br/j/rgenf/a/FCtdhW9CT3k47gJS9KTSXkk/?format=pdf&lang=en](https://www.scielo.br/j/rgenf/a/FCtdhW9CT3k47gJS9KTSXkk/?format=pdf&lang=en)

    Riegel, F., Crossetti, M. D. G. O., Martini, J. G., & Nes, A. A. G. (2021). Florence Nightingale’s theory and her contributions to holistic critical thinking in nursing. Revista brasileira de enfermagem, 74(2), e20200139.
    [https://www.scielo.br/j/reben/a/hLkJwbxtP5hGFPJSpzP9RMd/?format=pdf&lang=en](https://www.scielo.br/j/reben/a/hLkJwbxtP5hGFPJSpzP9RMd/?format=pdf&lang=en)

    ## image2.jpeg

    ## image3.jpeg

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    **## FlorenceNightingdalenursing.pptx**

    Florence Nightingale’s Environmental Theory

    Adrionna Hill

    Dr. Fountain

    November 23, 2025

    Introduction: Overview of Florence Nightingale

    Founder of modern nursing and major reformer of health care

    Emphasized environment as the foundation of healing (da Silva Junior et al., 2024)

    Introduced ventilation, hygiene, and sanitation as core to care

    Advocated for scientific observation and record-keeping (Peres et al., 2021)

    Used statistical evidence to influence health policy

    Her theory continues to guide holistic nursing practice

    Florence Nightingale is commonly known as the pioneer of modern nursing due to her vast contributions in health care as well as in advancing nursing as a science. The scope of her work was the environment, which was directly related to the outcomes of patients, according to her, by the environment in terms of air quality, cleanliness, sanitation and setting proper light (da Silva Junior et al., 2024). Her environmental policy was based on such careful observation and systematic observation of health trends that she systematized during and after the Crimean War. This approach turned out to be the principles of evidence-based practice. The concept of holistic care that considers the emotional and social well-being of the subject, in addition to the physical one, is also present in the work of Nightingale (Peres et al., 2021). Her theoretical work continues to be of the core of modern nursing, shaping the existing models of promoting health, prevention, and patient safety.

    2

    Significance and Value of the Theory

    Highlights relationship between environment and patient recovery

    Shapes modern infection control and safety practices (Riegel et al., 2021)

    Encourages holistic care—body, mind, and spirit

    Supports critical thinking through observation and assessment

    Serves as foundation for multiple later nursing theories

    Influences global health, public health policy, and hospital design

    What makes the Environmental Theory by Nightingale worthwhile is its continued use in the present health systems. Nightingale established the basis of much of modern practice by insisting on recovery being dependent on the circumstances of the patient, which enabled her to establish the basis of many modern practices such as infection prevention, ventilation standards, and hospital sanitation standards. Her approach urges nurses to evaluate the environment, including the patient among others, and give them holistic and patient-centered care (Riegel et al., 2021). The theory also spurred development of critical thinking because nurses would have to observe, interpret and take actions based on environmental signals which influenced health. Her thoughts have over time influenced the world policy on health, the layout of hospital areas, and even the way of community-based care. Since most modern nursing theories (e.g., adaptation, needs-based, holistic models) are developed on the principles of Nightingale, her principles regarding the environment are still focus of nursing education and practice.

    3

    Background/Historical Perspective: Early Life and Education

    Born in Florence, Italy, in 1820 (Peres et al., 2021)

    Raised in an affluent, educated British family

    Received extensive training in mathematics, philosophy, languages

    Influenced by her father’s progressive beliefs about women’s education

    Developed calling for service and teaching at age 17

    Rejected traditional domestic expectations for women

    The way Florence Nightingale was raised was instrumental in her future contributions. She was born in 1820 to a well-educated and affluent family of Britain and was therefore, lucky to have access to education that women of her time, did not have much access to. Her father taught math, language, and philosophy strictly, and it assisted her to use statistics to promote hospital reform in the future (Peres et al., 2021). Even though the upper-class women were supposed to attend to the domestic life, Nightingale experienced a great occupational pull to service and learning as early as during adolescence. She was exposed to social problems, religion, and humanitarian values, which enhanced her wish to take care of needy people. This was the beginning of intellectual and moral growth that formed the basis of her subsequent philosophy of nursing which was based on scientific thinking and the social responsibilities and compassion. The formative years of Nightingale were therefore a direct factor to her pioneering work in the field of health care and in the health of the people.

    4

    Background/Historical Perspective: Path to Nursing and Influences

    Met religious and charitable groups providing care (Peres et al., 2021)

    Studied hospital systems during travels

    Observed conditions in European health institutions

    Developed commitment to reforming health care for the poor

    Embraced humanitarian and feminist principles

    Believed nursing was a divine calling

    Nightingale got exposed to charitable organizations, religious service groups, and European hospital systems; this influenced her path to nursing. In her travels, she examined the structure of hospitals, read health reports, and observed the conditions of patients with her own eyes, which allowed her to identify the necessity of significant reforms (Peres et al., 2021). She had a strong belief in social responsibility, which put her on the path of protestant reform movements, which were aimed at enhancing the life of the vulnerable populations. These experiences further made her believe that nursing was not just a job but her calling. Humanitarianism compelled Nightingale to work with the ill, particularly the poor or those with poor living conditions. Her conceptualization of nursing was a mixture of practical aspects, ethics, and a sense of commitment to the welfare of the population (da Silva Junior et al., 2024). These would be the foundations of the contemporary norms of patient advocacy, health promotion and nursing education.

    5

    Background/Historical Perspective: Crimean War and Rise to Prominence

    Led group of 38 nurses to military hospitals (Peres et al., 2021)

    Improved sanitation, ventilation, food, and laundry services

    Mortality rate reduced dramatically from 40% to 2% (Peres et al., 2021).

    Introduced statistical diagrams to support health advocacy

    Gained recognition as “The Lady with the Lamp”

    Work demonstrated power of environment on patient outcomes

    The Crimean War was the turning point in the career of Nightingale and the event that led to modern nursing. She arrived with a team of 38 nurses and had to face unsanitary overcrowded military hospitals where the soldiers were dying more of infectious diseases than of combat wounds (Peres et al., 2021). Nightingale introduced urgent changes which included better ventilation, systematization of laundry, healthy meals and better hygiene. Consequently, the death percentage reduced to 2 out of 40, demonstrating the critical importance of the environmental conditions to patient survival. She also employed statistical diagrams (primarily, Polar Area Diagram) to introduce her findings to policy-makers and show them the significance of environmental control (Peres et al., 2021). Her evening walks attached to her the name of The Lady with the Lamp, the symbol of kindness and devotion. The Crimean War cemented her legacy as an innovative nurse, reformist and leader of public health.

    6

    Background/Historical Perspective: Later Life, Writings & Legacy

    Authored 200+ books, reports, and letters (Peres et al., 2021)

    Founded first professional nursing school in 1860

    Influenced global nursing standards and hospital design

    Advocated for sanitation reform and public health

    Inspired later humanitarian movements, including Red Cross

    Left a foundation for holistic and environmental nursing models

    The later years of Nightingale were dedicated to writing, teaching, and reinforcing nursing as a profession. Irrespective of being chronically ill, she wrote hundreds of letters, manuals, and reports that influenced the world health policy and nursing education (Peres et al., 2021). The opening of the Nightingale Training School of Nurses in 1860 helped to introduce formal, controlled nursing education, which has had an impact on nursing curricula throughout the world. Her writings stressed on sanitation, environmental health, compassion, and the role of trained nurses in hospitals and communities. She had a worldwide influence on humanitarian leaders like Henri Dunant of the Red Cross because of her writings. Nightingale also contributed to the creation of the holistic care models, seeing the emotional and spiritual needs in addition to the physical health. Her lifetime contribution made sure that the nursing profession was transformed into a science-based, ethical, and patient-focused profession.

    7

    References

    da Silva Junior, S. V., Alves, C. C. S., de Freitas Coelho, T. M., de Andrade Forte, C. M., Fortunato, C. N., da Silva, D. N., … & de Barros, S. (2024). Florence Nightingale's Environmental Theory: Reflections for Nursing Practice. International journal of Nursing Didactics, 14(05), 03-06.
    [http://www.nursingdidactics.com/index.php/ijnd/article/download/3392/3026](http://www.nursingdidactics.com/index.php/ijnd/article/download/3392/3026)

    D'Antonio, P. (2022). What do we do about Florence Nightingale. Nursing Inquiry, 29(1), 12450.
    [https://scholar.archive.org/work/f73rlfl4nbdbfjcclscii4tx4a/access/wayback/https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nin.12450](https://scholar.archive.org/work/f73rlfl4nbdbfjcclscii4tx4a/access/wayback/https:/onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nin.12450)

    Peres, M. A. D. A., Aperibense, P. G. G. D. S., Dios-Aguado, M. D. L. M. D., Gómez-Cantarino, S., & Queirós, P. J. P. (2021). The Florence Nightingale’s nursing theoretical model: a transmission of knowledge. Revista gaucha de enfermagem, 42(spe), e20200228.
    [https://www.scielo.br/j/rgenf/a/FCtdhW9CT3k47gJS9KTSXkk/?format=pdf&lang=en](https://www.scielo.br/j/rgenf/a/FCtdhW9CT3k47gJS9KTSXkk/?format=pdf&lang=en)

    Riegel, F., Crossetti, M. D. G. O., Martini, J. G., & Nes, A. A. G. (2021). Florence Nightingale’s theory and her contributions to holistic critical thinking in nursing. Revista brasileira de enfermagem, 74(2), e20200139.
    [https://www.scielo.br/j/reben/a/hLkJwbxtP5hGFPJSpzP9RMd/?format=pdf&lang=en](https://www.scielo.br/j/reben/a/hLkJwbxtP5hGFPJSpzP9RMd/?format=pdf&lang=en)

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    **## FeedbackNursingPP.docx**

    Feedback: Great work on your draft. The only correction I have is for your title page. Please correct to reflect APA-7 guidelines for your title page information. Add two more pages to make this complete.

    **## FlorenceNightingdalenursing.pptx**

    Florence Nightingale’s Environmental Theory

    Adrionna Hill

    Dr. Fountain

    November 23, 2025

    Introduction: Overview of Florence Nightingale

    Founder of modern nursing and major reformer of health care

    Emphasized environment as the foundation of healing (da Silva Junior et al., 2024)

    Introduced ventilation, hygiene, and sanitation as core to care

    Advocated for scientific observation and record-keeping (Peres et al., 2021)

    Used statistical evidence to influence health policy

    Her theory continues to guide holistic nursing practice

    Florence Nightingale is commonly known as the pioneer of modern nursing due to her vast contributions in health care as well as in advancing nursing as a science. The scope of her work was the environment, which was directly related to the outcomes of patients, according to her, by the environment in terms of air quality, cleanliness, sanitation and setting proper light (da Silva Junior et al., 2024). Her environmental policy was based on such careful observation and systematic observation of health trends that she systematized during and after the Crimean War. This approach turned out to be the principles of evidence-based practice. The concept of holistic care that considers the emotional and social well-being of the subject, in addition to the physical one, is also present in the work of Nightingale (Peres et al., 2021). Her theoretical work continues to be of the core of modern nursing, shaping the existing models of promoting health, prevention, and patient safety.

    2

    Significance and Value of the Theory

    Highlights relationship between environment and patient recovery

    Shapes modern infection control and safety practices (Riegel et al., 2021)

    Encourages holistic care—body, mind, and spirit

    Supports critical thinking through observation and assessment

    Serves as foundation for multiple later nursing theories

    Influences global health, public health policy, and hospital design

    What makes the Environmental Theory by Nightingale worthwhile is its continued use in the present health systems. Nightingale established the basis of much of modern practice by insisting on recovery being dependent on the circumstances of the patient, which enabled her to establish the basis of many modern practices such as infection prevention, ventilation standards, and hospital sanitation standards. Her approach urges nurses to evaluate the environment, including the patient among others, and give them holistic and patient-centered care (Riegel et al., 2021). The theory also spurred development of critical thinking because nurses would have to observe, interpret and take actions based on environmental signals which influenced health. Her thoughts have over time influenced the world policy on health, the layout of hospital areas, and even the way of community-based care. Since most modern nursing theories (e.g., adaptation, needs-based, holistic models) are developed on the principles of Nightingale, her principles regarding the environment are still focus of nursing education and practice.

    3

    Background/Historical Perspective: Early Life and Education

    Born in Florence, Italy, in 1820 (Peres et al., 2021)

    Raised in an affluent, educated British family

    Received extensive training in mathematics, philosophy, languages

    Influenced by her father’s progressive beliefs about women’s education

    Developed calling for service and teaching at age 17

    Rejected traditional domestic expectations for women

    The way Florence Nightingale was raised was instrumental in her future contributions. She was born in 1820 to a well-educated and affluent family of Britain and was therefore, lucky to have access to education that women of her time, did not have much access to. Her father taught math, language, and philosophy strictly, and it assisted her to use statistics to promote hospital reform in the future (Peres et al., 2021). Even though the upper-class women were supposed to attend to the domestic life, Nightingale experienced a great occupational pull to service and learning as early as during adolescence. She was exposed to social problems, religion, and humanitarian values, which enhanced her wish to take care of needy people. This was the beginning of intellectual and moral growth that formed the basis of her subsequent philosophy of nursing which was based on scientific thinking and the social responsibilities and compassion. The formative years of Nightingale were therefore a direct factor to her pioneering work in the field of health care and in the health of the people.

    4

    Background/Historical Perspective: Path to Nursing and Influences

    Met religious and charitable groups providing care (Peres et al., 2021)

    Studied hospital systems during travels

    Observed conditions in European health institutions

    Developed commitment to reforming health care for the poor

    Embraced humanitarian and feminist principles

    Believed nursing was a divine calling

    Nightingale got exposed to charitable organizations, religious service groups, and European hospital systems; this influenced her path to nursing. In her travels, she examined the structure of hospitals, read health reports, and observed the conditions of patients with her own eyes, which allowed her to identify the necessity of significant reforms (Peres et al., 2021). She had a strong belief in social responsibility, which put her on the path of protestant reform movements, which were aimed at enhancing the life of the vulnerable populations. These experiences further made her believe that nursing was not just a job but her calling. Humanitarianism compelled Nightingale to work with the ill, particularly the poor or those with poor living conditions. Her conceptualization of nursing was a mixture of practical aspects, ethics, and a sense of commitment to the welfare of the population (da Silva Junior et al., 2024). These would be the foundations of the contemporary norms of patient advocacy, health promotion and nursing education.

    5

    Background/Historical Perspective: Crimean War and Rise to Prominence

    Led group of 38 nurses to military hospitals (Peres et al., 2021)

    Improved sanitation, ventilation, food, and laundry services

    Mortality rate reduced dramatically from 40% to 2% (Peres et al., 2021).

    Introduced statistical diagrams to support health advocacy

    Gained recognition as “The Lady with the Lamp”

    Work demonstrated power of environment on patient outcomes

    The Crimean War was the turning point in the career of Nightingale and the event that led to modern nursing. She arrived with a team of 38 nurses and had to face unsanitary overcrowded military hospitals where the soldiers were dying more of infectious diseases than of combat wounds (Peres et al., 2021). Nightingale introduced urgent changes which included better ventilation, systematization of laundry, healthy meals and better hygiene. Consequently, the death percentage reduced to 2 out of 40, demonstrating the critical importance of the environmental conditions to patient survival. She also employed statistical diagrams (primarily, Polar Area Diagram) to introduce her findings to policy-makers and show them the significance of environmental control (Peres et al., 2021). Her evening walks attached to her the name of The Lady with the Lamp, the symbol of kindness and devotion. The Crimean War cemented her legacy as an innovative nurse, reformist and leader of public health.

    6

    Background/Historical Perspective: Later Life, Writings & Legacy

    Authored 200+ books, reports, and letters (Peres et al., 2021)

    Founded first professional nursing school in 1860

    Influenced global nursing standards and hospital design

    Advocated for sanitation reform and public health

    Inspired later humanitarian movements, including Red Cross

    Left a foundation for holistic and environmental nursing models

    The later years of Nightingale were dedicated to writing, teaching, and reinforcing nursing as a profession. Irrespective of being chronically ill, she wrote hundreds of letters, manuals, and reports that influenced the world health policy and nursing education (Peres et al., 2021). The opening of the Nightingale Training School of Nurses in 1860 helped to introduce formal, controlled nursing education, which has had an impact on nursing curricula throughout the world. Her writings stressed on sanitation, environmental health, compassion, and the role of trained nurses in hospitals and communities. She had a worldwide influence on humanitarian leaders like Henri Dunant of the Red Cross because of her writings. Nightingale also contributed to the creation of the holistic care models, seeing the emotional and spiritual needs in addition to the physical health. Her lifetime contribution made sure that the nursing profession was transformed into a science-based, ethical, and patient-focused profession.

    7

    References

    da Silva Junior, S. V., Alves, C. C. S., de Freitas Coelho, T. M., de Andrade Forte, C. M., Fortunato, C. N., da Silva, D. N., … & de Barros, S. (2024). Florence Nightingale's Environmental Theory: Reflections for Nursing Practice. International journal of Nursing Didactics, 14(05), 03-06.
    [http://www.nursingdidactics.com/index.php/ijnd/article/download/3392/3026](http://www.nursingdidactics.com/index.php/ijnd/article/download/3392/3026)

    D'Antonio, P. (2022). What do we do about Florence Nightingale. Nursing Inquiry, 29(1), 12450.
    [https://scholar.archive.org/work/f73rlfl4nbdbfjcclscii4tx4a/access/wayback/https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nin.12450](https://scholar.archive.org/work/f73rlfl4nbdbfjcclscii4tx4a/access/wayback/https:/onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nin.12450)

    Peres, M. A. D. A., Aperibense, P. G. G. D. S., Dios-Aguado, M. D. L. M. D., Gómez-Cantarino, S., & Queirós, P. J. P. (2021). The Florence Nightingale’s nursing theoretical model: a transmission of knowledge. Revista gaucha de enfermagem, 42(spe), e20200228.
    [https://www.scielo.br/j/rgenf/a/FCtdhW9CT3k47gJS9KTSXkk/?format=pdf&lang=en](https://www.scielo.br/j/rgenf/a/FCtdhW9CT3k47gJS9KTSXkk/?format=pdf&lang=en)

    Riegel, F., Crossetti, M. D. G. O., Martini, J. G., & Nes, A. A. G. (2021). Florence Nightingale’s theory and her contributions to holistic critical thinking in nursing. Revista brasileira de enfermagem, 74(2), e20200139.
    [https://www.scielo.br/j/reben/a/hLkJwbxtP5hGFPJSpzP9RMd/?format=pdf&lang=en](https://www.scielo.br/j/reben/a/hLkJwbxtP5hGFPJSpzP9RMd/?format=pdf&lang=en)

    ## image2.jpeg

    ## image3.jpeg

    ## image4.jpeg

    ## image5.jpeg

    ## image6.jpeg

    ## image7.jpeg

    ## image8.jpeg

    **## FeedbackNursingPP.docx**

    Feedback: Great work on your draft. The only correction I have is for your title page. Please correct to reflect APA-7 guidelines for your title page information. Add two more pages to make this complete.

    **## FlorenceNightingdalenursing.pptx**

    Florence Nightingale’s Environmental Theory

    Adrionna Hill

    Dr. Fountain

    November 23, 2025

    Introduction: Overview of Florence Nightingale

    Founder of modern nursing and major reformer of health care

    Emphasized environment as the foundation of healing (da Silva Junior et al., 2024)

    Introduced ventilation, hygiene, and sanitation as core to care

    Advocated for scientific observation and record-keeping (Peres et al., 2021)

    Used statistical evidence to influence health policy

    Her theory continues to guide holistic nursing practice

    Florence Nightingale is commonly known as the pioneer of modern nursing due to her vast contributions in health care as well as in advancing nursing as a science. The scope of her work was the environment, which was directly related to the outcomes of patients, according to her, by the environment in terms of air quality, cleanliness, sanitation and setting proper light (da Silva Junior et al., 2024). Her environmental policy was based on such careful observation and systematic observation of health trends that she systematized during and after the Crimean War. This approach turned out to be the principles of evidence-based practice. The concept of holistic care that considers the emotional and social well-being of the subject, in addition to the physical one, is also present in the work of Nightingale (Peres et al., 2021). Her theoretical work continues to be of the core of modern nursing, shaping the existing models of promoting health, prevention, and patient safety.

    2

    Significance and Value of the Theory

    Highlights relationship between environment and patient recovery

    Shapes modern infection control and safety practices (Riegel et al., 2021)

    Encourages holistic care—body, mind, and spirit

    Supports critical thinking through observation and assessment

    Serves as foundation for multiple later nursing theories

    Influences global health, public health policy, and hospital design

    What makes the Environmental Theory by Nightingale worthwhile is its continued use in the present health systems. Nightingale established the basis of much of modern practice by insisting on recovery being dependent on the circumstances of the patient, which enabled her to establish the basis of many modern practices such as infection prevention, ventilation standards, and hospital sanitation standards. Her approach urges nurses to evaluate the environment, including the patient among others, and give them holistic and patient-centered care (Riegel et al., 2021). The theory also spurred development of critical thinking because nurses would have to observe, interpret and take actions based on environmental signals which influenced health. Her thoughts have over time influenced the world policy on health, the layout of hospital areas, and even the way of community-based care. Since most modern nursing theories (e.g., adaptation, needs-based, holistic models) are developed on the principles of Nightingale, her principles regarding the environment are still focus of nursing education and practice.

    3

    Background/Historical Perspective: Early Life and Education

    Born in Florence, Italy, in 1820 (Peres et al., 2021)

    Raised in an affluent, educated British family

    Received extensive training in mathematics, philosophy, languages

    Influenced by her father’s progressive beliefs about women’s education

    Developed calling for service and teaching at age 17

    Rejected traditional domestic expectations for women

    The way Florence Nightingale was raised was instrumental in her future contributions. She was born in 1820 to a well-educated and affluent family of Britain and was therefore, lucky to have access to education that women of her time, did not have much access to. Her father taught math, language, and philosophy strictly, and it assisted her to use statistics to promote hospital reform in the future (Peres et al., 2021). Even though the upper-class women were supposed to attend to the domestic life, Nightingale experienced a great occupational pull to service and learning as early as during adolescence. She was exposed to social problems, religion, and humanitarian values, which enhanced her wish to take care of needy people. This was the beginning of intellectual and moral growth that formed the basis of her subsequent philosophy of nursing which was based on scientific thinking and the social responsibilities and compassion. The formative years of Nightingale were therefore a direct factor to her pioneering work in the field of health care and in the health of the people.

    4

    Background/Historical Perspective: Path to Nursing and Influences

    Met religious and charitable groups providing care (Peres et al., 2021)

    Studied hospital systems during travels

    Observed conditions in European health institutions

    Developed commitment to reforming health care for the poor

    Embraced humanitarian and feminist principles

    Believed nursing was a divine calling

    Nightingale got exposed to charitable organizations, religious service groups, and European hospital systems; this influenced her path to nursing. In her travels, she examined the structure of hospitals, read health reports, and observed the conditions of patients with her own eyes, which allowed her to identify the necessity of significant reforms (Peres et al., 2021). She had a strong belief in social responsibility, which put her on the path of protestant reform movements, which were aimed at enhancing the life of the vulnerable populations. These experiences further made her believe that nursing was not just a job but her calling. Humanitarianism compelled Nightingale to work with the ill, particularly the poor or those with poor living conditions. Her conceptualization of nursing was a mixture of practical aspects, ethics, and a sense of commitment to the welfare of the population (da Silva Junior et al., 2024). These would be the foundations of the contemporary norms of patient advocacy, health promotion and nursing education.

    5

    Background/Historical Perspective: Crimean War and Rise to Prominence

    Led group of 38 nurses to military hospitals (Peres et al., 2021)

    Improved sanitation, ventilation, food, and laundry services

    Mortality rate reduced dramatically from 40% to 2% (Peres et al., 2021).

    Introduced statistical diagrams to support health advocacy

    Gained recognition as “The Lady with the Lamp”

    Work demonstrated power of environment on patient outcomes

    The Crimean War was the turning point in the career of Nightingale and the event that led to modern nursing. She arrived with a team of 38 nurses and had to face unsanitary overcrowded military hospitals where the soldiers were dying more of infectious diseases than of combat wounds (Peres et al., 2021). Nightingale introduced urgent changes which included better ventilation, systematization of laundry, healthy meals and better hygiene. Consequently, the death percentage reduced to 2 out of 40, demonstrating the critical importance of the environmental conditions to patient survival. She also employed statistical diagrams (primarily, Polar Area Diagram) to introduce her findings to policy-makers and show them the significance of environmental control (Peres et al., 2021). Her evening walks attached to her the name of The Lady with the Lamp, the symbol of kindness and devotion. The Crimean War cemented her legacy as an innovative nurse, reformist and leader of public health.

    6

    Background/Historical Perspective: Later Life, Writings & Legacy

    Authored 200+ books, reports, and letters (Peres et al., 2021)

    Founded first professional nursing school in 1860

    Influenced global nursing standards and hospital design

    Advocated for sanitation reform and public health

    Inspired later humanitarian movements, including Red Cross

    Left a foundation for holistic and environmental nursing models

    The later years of Nightingale were dedicated to writing, teaching, and reinforcing nursing as a profession. Irrespective of being chronically ill, she wrote hundreds of letters, manuals, and reports that influenced the world health policy and nursing education (Peres et al., 2021). The opening of the Nightingale Training School of Nurses in 1860 helped to introduce formal, controlled nursing education, which has had an impact on nursing curricula throughout the world. Her writings stressed on sanitation, environmental health, compassion, and the role of trained nurses in hospitals and communities. She had a worldwide influence on humanitarian leaders like Henri Dunant of the Red Cross because of her writings. Nightingale also contributed to the creation of the holistic care models, seeing the emotional and spiritual needs in addition to the physical health. Her lifetime contribution made sure that the nursing profession was transformed into a science-based, ethical, and patient-focused profession.

    7

    References

    da Silva Junior, S. V., Alves, C. C. S., de Freitas Coelho, T. M., de Andrade Forte, C. M., Fortunato, C. N., da Silva, D. N., … & de Barros, S. (2024). Florence Nightingale's Environmental Theory: Reflections for Nursing Practice. International journal of Nursing Didactics, 14(05), 03-06.
    [http://www.nursingdidactics.com/index.php/ijnd/article/download/3392/3026](http://www.nursingdidactics.com/index.php/ijnd/article/download/3392/3026)

    D'Antonio, P. (2022). What do we do about Florence Nightingale. Nursing Inquiry, 29(1), 12450.
    [https://scholar.archive.org/work/f73rlfl4nbdbfjcclscii4tx4a/access/wayback/https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nin.12450](https://scholar.archive.org/work/f73rlfl4nbdbfjcclscii4tx4a/access/wayback/https:/onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nin.12450)

    Peres, M. A. D. A., Aperibense, P. G. G. D. S., Dios-Aguado, M. D. L. M. D., Gómez-Cantarino, S., & Queirós, P. J. P. (2021). The Florence Nightingale’s nursing theoretical model: a transmission of knowledge. Revista gaucha de enfermagem, 42(spe), e20200228.
    [https://www.scielo.br/j/rgenf/a/FCtdhW9CT3k47gJS9KTSXkk/?format=pdf&lang=en](https://www.scielo.br/j/rgenf/a/FCtdhW9CT3k47gJS9KTSXkk/?format=pdf&lang=en)

    Riegel, F., Crossetti, M. D. G. O., Martini, J. G., & Nes, A. A. G. (2021). Florence Nightingale’s theory and her contributions to holistic critical thinking in nursing. Revista brasileira de enfermagem, 74(2), e20200139.
    [https://www.scielo.br/j/reben/a/hLkJwbxtP5hGFPJSpzP9RMd/?format=pdf&lang=en](https://www.scielo.br/j/reben/a/hLkJwbxtP5hGFPJSpzP9RMd/?format=pdf&lang=en)

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