There are 9 subheadings – they should be centered according the 6th edition APA

Requirements and Outline

1.    Use the headings as below for the paper.  You may use “I” or the first person since this is your personal framework. Please do not use “you” or the second person.
2.    Introduction: In two to three paragraphs (maximum one page), summarize the primary focus of your personal practice framework.  Include references to all theorists you have incorporated into your framework. This section of the paper should “stand alone” i.e., provide a synopsis/abstract of your framework and should allow the reader to develop an understanding of the theoretical boundaries of your practice and your clinical focus.

3.    Changes to framework: How has your framework changed during your primary care clinical practice? Include how your conceptualization of the four concepts of the nursing paradigm (environment, nursing, health and client/recipient of care) have changed over the course of your Family Nurse Practitioner (FNP) educational experiences.                                                 I WANT TO USE:
Through the incorporation of Parse’s theory, man-living-man theory, (Parse, 1992) we are caring for the patient using the concepts of the person, environment and health. I do believe this theory is incorporated into daily patient caring. The environment would include the patient’s family, living environment, spiritual wellness, and what is a part of daily life. All of this will factor into the patient’s perspective of treatment and healing both in and out of the hospital. The patient needs to know there is support to return to his/her home environment having the resources necessary to heal, and function as a whole person. This will differ person to person, but the nurse is bound to include this into the nursing plan and discharge plan. This will include patient and/or family teaching, follow-up care planning, and home resource availability such as home health or hospice to name a few. Each patient may be at different stages of the healing process, and require different resources.”This theory takes into consideration that human beings live their health incarnating personal values which are each individual’s unique connectedness with the universe” (Parse, 1992,p.37). These beliefs of health, environment and human being being the major phenomena of concern in patient caring was also the basis for Florence Nightingale beliefs.

Parse, R. (1991). Human becoming: Parse’s theory of nursing. Nursing Science Quarterly, 5(1), 35-42.

4.    Other Concepts and Application: Discuss how other concepts/constructs that are integral to understanding your personal practice framework self-care. have developed due to your clinical experiences.  Give an example of the application of your theoretical framework and concepts in a short case study.  I WANT TO USE:  Dorothea Orem’s nursing theory is based upon the philosophy that “patients wish to care for themselves.” They can recover more quickly and holistically if they are allowed to perform their own self-care to the best of their ability. All nursing, no matter their culture, have one goal which is to help individuals through healthcare to maintain their wellness or conquer a disease or illness.

5.    Family Theory: Discuss how your conceptualization of family has developed/changed from its original form, and how family theory influences your practice as an Family Nurse Practitioner (FNP).  What clinical assessment skills have you consistently used in your FNP practice to ensure an integrated family approach? Give a clinical example.

6.    Role in Ideal Practice: Discuss your understanding of the nurse practitioner role within your desired practice setting. Describe that setting.

7.    Analysis: Analyze the strengths and weaknesses of your framework as it relates to clinical applicability throughout the lifespan.

8.    Family Nurse Practitioner (FNP) role in Clinical Knowledge: Describe how you envision your FNP role could contribute to the clinical body of knowledge and evidence-based practice.

9.    Summary: Provide a brief summarization of the paper.


TITLE:  Measures of Effect


1.    Analyze how measures of effect strengthen and support nursing practice. Provide at least two specific examples from the literature to substantiate your insights.
2.    Assess dangers of not using measures of effect in nursing practice.
One important application of epidemiology is to identify factors that could increase the likelihood of a certain health problem occurring within a specific population. Epidemiologists use measures of effect to examine the association or linkage in the relationship between risk factors and emergence of disease or ill health. For instance, they may use measures of effect to better understand the relationships between poverty and lead poisoning in children, smoking and heart disease, or low birth weight and future motor skills.
What is the significance of measures of effect for nursing practice? In this Discussion, you will consider this pivotal question.
To prepare:
•    With the Learning Resources in mind, consider how measures of effect strengthen and support nursing practice.
•    What would be the risk of not using measures of effect in nursing practice?
•    Conduct aIDitional research in the Library and other credible resources, and locate two examples in the scholarly literature that support your insights.

TITLE:  Screening for Disease


1.    Summarize the recommendations of your selected article. Discuss ethical considerations and whether or not you believe the recommendations are justified.
2.    Describe the epidemiological evidence in support of your position.
3.    Identify whether the screening program you review is population-based or high-risk based and how that influences your assessment.
4.    How can the reported data be used to move policy forward for improving population health around this issue?
Although many individuals and organizations may endorse the goal of screening programs, the details and implementation are often controversial. For some types of screening, it can be quite challenging to weigh the human and economic costs and benefits and determine a clear recommendation. For instance, in an article in the New England Journal of Medicine, Dr. Michael Barry (2009) indicates that “serial PSA [prostate-specific–antigen] screening has at best a modest effect on prostate-cancer mortality during the first decade of follow-up. This benefit comes at the cost of substantial over-diagnosis and overtreatment. It is important to remember that the key question is not whether PSA screening is effective but whether it does more good than harm.”
This week’s Learning Resources include articles about screening programs for four different diseases that contain potentially controversial recommendations. For this Discussion, you will select a disease and examine the epidemiological evidence to assess a recommendation for screening guidelines. In aIDition, you will consider possibilities for furthering policy to promote population health related to this disease.
To prepare:
•    Review the four articles concerned with screening and public policy listed in this week’s Learning Resources. All four articles contain potentially controversial recommendations for screening and prevention.
•    Select one article on which to focus for this Discussion.
•    Analyze how the epidemiologic data could be used to formulate policy for improving population health.