Response to peers DQ one

Need help with my Writing question – I’m studying for my class.

**** please respond to each peers DQ answers separately add citation and references to each response, Thanks ****

Response one: The leadership role I will discuss is a Director of Nursing (DON), their responsibilities are to manage services provided by the nursing personnel of healthcare facility. Their duties include overseeing the nursing personal and patient care, as well as administrative tasks such as record keeping and budgeting. They hire and train new nurses, evaluate staff performance and prepare accurate reports detailing and findings, establish policies and update existing policies, develop short and long term goals for the entire nursing department and many other duties that comes their way. For a Director of Nursing position require at least a Bachelor’s of Science (BSN) in nursing, most places prefer a Masters degree in nursing and encourage continued education.

Democratic style of leadership in my opinion is the best for the Director of Nursing, because they work with different cultures of people. The type of leadership style will help enhance the participation of employees in the decision making procedure of an organization. Although, the final decision is of the leader, collecting information, feedback, and ideas from all the staff members before finalizing everything. Democartic leadership style in nursing is quite effective as all the employees feel valued, and due to this, they attempt to give their best. Input of an organization’s employees is of foremost importance when it comes to the growth of the firm. This is one of the best for clinical settings as skills and abilities of all the professionals contribute equally to the success of the organization. Though, this management style in nursing too has some disadvantages as getting everyone’s feedback is really time-consuming process. Also, the confident group of members always come ahead and give suggestions whereas apprehensive employees may never get opportunities to provide their feedback.


TOP Nursing

Response two: There is extensive educational preparation for a Clinical nurse leader (CNL). It requires a minimum of a master’s degree with a major in nursing. The graduates that meet the criteria become eligible for the CNL certification examination (AACN, 2018). There is an extensive level of knowledge, clinical skills, and competence’s needed for patient care, in order to be a valuable resource to the health care team.

The CNL’s role is to collaborate with an inter disciplinary team. All are engaged in improving quality strategies and outcomes related to EBP. Leadership is provided beyond acute care and in all settings. These nurses are able to assess risks, collect and evaluate a patient’s outcomes, and use their knowledge to make changes to the care plan if needed (AACN, 2018). They can perform patient care in complex cases. They have the goal of ensuring the patient has the most recent and best EBP and work toward the patient having the best possible outcomes.

The CNL role was made in response to improving quality of care and patient safety. For example, the CNL can collect data on a specific group or minority and see if this is related to outcomes. Then CNL can then use the gained knowledge, from the research and literature, directly with the issue at hand. They can then develop or change plans of care to reach optimal patient outcomes.

American Association of Colleges of Nursing. (2018). CNL Frequently Asked Questions. Retrieved June 17, 2018, from

Response three:

I had heard of this leadership role in the past, but didn’t really understand what it was. Thank you for bringing it to our discussion.

I did a little further research and found that clinical nurse leader (CNL) are the newest nurse specialty added to the nursing profession in nearly 40 years (Rankin, 2018).” Nurses within this role serve as the advanced generalist overseeing the clinical care and outcomes of a group of patients through lateral integration of care” (Rankin, 2018). As we all know, most hospitals are concerned with improving care delivered to patients. This isn’t a wrong concept, but the CNL focuses on determinants of health of certain populations. Health systems that are utilizing this role are noting a decrease in readmissions as well as reduction in hospital acquired conditions (Rankin, 2018). These outcomes align perfectly with what the ACA is trying to accomplish. This is because the CNL is looking at the whole patient. Not only their current health crisis, but what is standing in the way of them being healthy. They are providing multi-dimensional holistic care to the patients.

It will be interesting to see how this leadership specialty grows in the upcoming years. Currently there are nearly 5000 certified CNL’s in the US (Rankn, 2018). I am not sure how this compares to other specialties, but I would imagine it is going to continue to grow.


Rankin, V. (2018, July-August). Clinical nurse leaders forging the path for population health. Journal of Professional Nursing, 34(4). doi:

Response to peers DQ one

I’m studying and need help with a Writing question to help me learn.

** please comments to peers DQs response separately add citations and references 🙂 *****

Response one: Many disease factors can affect an individual’s elimination processes, which include the renal, pancreatic, hepatic, biliary, and gastrointestinal systems (Grand Canyon University, 2018). Elimination complexities can affect the lives of patients and families in numerous ways because of the limited choices they have due to their diagnoses, such as renal failure, pancreatitis, and cancer. Nurses need to provide care that is specific to the individual’s needs. The nurse plays a vital role in terms of management of elimination complexities upon the initial presentation, during treatment, and upon discharge (Grand Canyon University, 2018). Patients and their families will need support and education about their disease process.

For example, with End-Stage Renal Disease, there is a limited treatment, which includes the options of a kidney transplant, dialysis, and supportive care. Unfortunately, many patients are not eligible for a kidney transplant due to multiple other prognoses’ such as diabetes. Therefore, dialysis is the only plausible option. Hemodialysis is often scheduled three times per week and lasts for 3-5 hours. Every individual copes with difficult times in different ways, and the first few months may be the hardest because of the fear and uneasiness, but it is a life-saving treatment. People who have end-stage renal disease must be educated about fluid restrictions, dietary restrictions, and healthy eating, and adjust to their new life with dialysis because of the time they spend at the dialysis center and feeling exhausted afterward. Dialysis can take a toll on the patient, and it is important to encourage patients and include their families for support. The nurse’s role is to be supportive of the patient and their families and therapeutically address their needs. The nurse must educate the patient and their families about how kidney disease will affect the patient physically, emotionally, and even financially. Nurses are the main people who provide care for the patients affected by End-Stage Renal Disease, and it is the role of the nurse to identify what care needs to be provided for their patients to reduce their fears, support their decisions, provide emotional support, and education (Shahdadi, Rahnama, 2018).


Grand Canyon University (Ed). (2018). Pathophysiology: Clinical applications for client health. Retrieved from

Shahdadi, H., & Rahnama, M. (2018). Experience of Nurses in Hemodialysis Care: A Phenomenological Study. Journal of clinical medicine, 7(2), 30. DOI:10.3390/jcm7020030

Response two: Elimination complexities in the renal, pancreatic, hepatic, biliary, and gastrointestinal tract can lead to acute and chronic conditions. In the renal system the failure “affects all body systems and can cause hyperkalemia, hypervolemia, peripheral edema, anemia, hyperphosphatemia, hypocalcaemia, axotemia, metabolic acidosis, and peripheral neuropathy” (Whitney, S., 2018). The pancreatic complexities include severe pain associated with pancreatitis, elevated serum amylase; lipase levels, and elevated liver function. Cirrhosis of the liver causes the liver to fail; symptoms include jaundice, edema, ascities, and blood clotting. Gallbladder dysfunctions can be caused by inflammation and obstruction and be very painful. The gastrointestinal tract starts and the mouth and ends at the anus, there are a multitude of disorders along this system. “The most valuable nursing intervention is encouraging resiliency” or “the capacity of individuals to successfully maintain or regain their mental health in the face of significant adversity or risk” (Whitney, S., 2018). This can enhance the patients’ quality of life as many of these conditions are irreversible or causes end-stage disease. Referring the patient to support groups specicific to their disease process, allowing the patient to process the information regarding diagnosis, treatment, and prognosis. “Providing patient education is an important part of transitioning the patient from acute or chronic illnesses to independence, lack of education can cause anxiety for some patients and their family members” (Whitney, S., 2018).


Whitney, S. (2018). Elimination Complexities. Pathophysiology Clinical Applications for Client Health. Retrieved from…

Response three: There are numerous elimination complexities that can effect the patient’s life, such as renal, pancreatic and hepatic problems and dysfunction. As an ER nurse, the one problem that appears to have the most impact on the patient’s quality of life is renal failure that leads to the need for dialysis. Patient’s who are in dialysis need careful and intense management, and compliance is so important. Patient’s who skip dialysis either due to transportation issues, schedule conflicts or depression end up in the ER with severe SOB, hypertension and activity intolerance and sometimes altered mental status. Patient’s in chronic renal failure also often need blood transfusions during dialysis so careful lab monitoring is crucial. It is important that resources be available to these patients such as transportation, home health and counseling and education for both them and their family members. Family members call be called on to assist with the management of this disease. Dialysis is very hard on the patient and their family so nurses need to do what they can to reduce the burden that is placed on these people by offering emotional support as well.

Patients who have Grand Canyon University (Ed). (2018). Pathophysiology: Clinical applications for client health. Retrieved from…