Adolescent Development: Challenges & Solutions

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Assignment2: RA1: Stages Of Development
Adolescent Development: Challenges & Solutions

(Adolescent Development: Challenges & Solutions)

Scenario:

You are an intake coordinator at a mental health agency. You meet with a father and his 14-year-old teenager daughter, Louisa. According to the father, Louisa shifted from being a happy, well-adjusted child earning excellent grades to a moody, irritable teen with slipping grades who now much prefers to be in her room.

Louisa argues with her mom when asked to help with her siblings and spends an increased amount of time surfing on the Internet. Dad shares that he and Louisa’s mom recently discussed separation and have yet to share it with Louisa, the oldest, and her younger twin brothers. Dad asks you about ways to reach Louisa and pull her out of her shell.

When you meet with Louisa privately, you initially find her to be quiet and reticent to engage. However, after a few art activities, she begins to open up and talk more freely. Louisa shares that she recently discovered that her group of friends who she has had since elementary school is now hanging out with an older, more popular group. She also tearfully mentions that she discovered a series of Facebook messages where they ridiculed her for not having the “right” clothes, not being skinny enough, and being socially awkward with boys. She states, “You wouldn’t believe some of the other insulting comments that I’ve read about myself on social media! I have no idea when they turned into complete mean girls.”

She discloses that recently she has been skipping lunch to avoid seeing her “friends” in the cafeteria and hangs out in bathroom stalls to study. She denies any thoughts of hurting herself but does share that she has been approached by a senior in her advanced math class to try marijuana and is seriously considering it. She states, “He says that it will help relieve some of my stress.” She further asks, “Who wants to deal with people you can’t trust and will turn on you? I’m better off alone.”

Tasks: 4 page paper

 

Part A:

Analyze the psychosocial stage of development Louisa is in; why you believe she is in this stage; and how personal, family, and community relationships, as well as related attachments, influence her psychosocial development. Be sure to provide a research-based discussion on why she should or should not experiment with marijuana.

Part B:

You are a member of a multidisciplinary national advisory committee charged with developing programs to help children manage the psychosocial aspects of adolescence. Based on your readings and research-based findings, what recommendations might you make? Consider all of the possible positive and negative ways teens influence each other with regard to specific topics such as cyber bullying, substance abuse, sexual activity, etc.

Support your rationale and analysis by using at least five resources from professional literature. Professional literature may include the Argosy University online library resources, relevant textbooks, peer-reviewed journal articles, and websites created by professional organizations, agencies, or institutions (websites ending in .edu or .gov).

Your document should be written in APA format. Your document should be written in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.

 
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Criminal Justice Assignment Unit9

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Criminal Justice Assignment Unit9

(Criminal Justice Assignment Unit9)

Complete this week’s Practice Activity.

Matching exercises give you an opportunity to practice definitions and develop logical and critical thinking skills. By using such techniques as inversion, diversion, and the process of elimination, you are able to greatly increase the probability of answering questions correctly. This is an important skill to have, as it is commonly found on nearly all standardized tests and increases critical thinking.

The objective of this exercise is to understand restitution, parole, mandatory release, and parole.

Unit 9 Practice Activity

Review the details of the Coatesville Fires.

Complete the Unit 9 Assignment Worksheet: The Coatesville Fires Case.

Directions for Submitting Your Assignment

Save your Assignment in the following format: Last name First name Assignment. (Example: SmithJohn_Unit9_Assignment).

Submit your Assignment to the Unit 9 Assignment Dropbox by the end of Unit 9.

respond to class mate Karen:

Probation is a type of sentence given to offenders to serve in their community rather than spending time in jail. Offenders given probation can either be supervised, unsupervised, community-control, shock probation, and crime-specific types (McKenna, 2018) and acquire certain conditions the offender must abide by.

Probation should only be given to those who have committed petty crimes such as vandalism, possession of marijuana (very small amount), drunk driving if it’s their first time breaking the law. An individual who has been charged with sexual assault, molestation, or murder should not be given probation as they pose a threat to society. Although, McKenna (2018) states that crime-specific types probation may be given to sex offenders. What is done here is that the government installs a monitoring software to track what the offenders do on his computer. I would not argue if this type of probation is given to sex offenders after they have served their time in prison.

Thinking back at one of our seminars where we discussed how probation or parole can come in conflict with the jobs individuals hold because probation may require you to show up in a specific time that you start work causing the individual to lose his job. If I were a probation officer, I would want copies of the client’s work schedule so that he is able to do both (if probation officers can do that). The goal is for the offender to not offend again and we should not pose another obstacle in their path to do better. I would also want to check on them regularly (as a pop-up), proof of what they are doing to turn their lives around, provide them with counseling, and ask my permission when they want to leave their county. For me, these conditions are important to bring safety to society and help reinstate offenders into society as a functional citizen (unknown author, 2013).

McKenna, K. (2018). What types of probation are there? Retrieved from https://www.legalmatch.com/law-library/article/what-types-of-probation-are-there.html

N/A, (2013). The importance of probation for achieving community safety. Retrieved from https://www.probationofficeredu.org/2013/06/the-importance-of-probation-for-achieving-community-safety/

respond to susan:

According to Schmalleger (2017) probation is “A sentence of imprisonment that is suspended. Also, the conditional freedom granted by a judicial officer to a convicted offender, as long as the person meets certain conditions of behavior.” When someone who has been found guilty Is being sentenced they can be given probation. This is a set number of years that they have to report to a probation officer and follow a set of rules given. Some of these rules are things like no drinking, no drugs, and no leaving the state. Probation can also be given to serve after a sentence. So, someone can get 3 years jail time and 3 years’ probation. The probation starts once they are released. The federal government no longer has probation it is now called supervised release. The difference is probation you have an officer that supervises you and it is up to them if they want to report a violation to the court. Supervised release also has an officer, but everything has to be reported to the courts. I personally had t serve 3 years supervised release and it was no fun at all. I personally think that setting guidelines depends on each person’s crime. The courts actually set the guidelines but if given the opportunity the main ones would be no drugs, no excessive drinking, and they must report when scheduled. These main ones will help with tracking each convict and hoefully keep them out of trouble.

Schmalleger, F. (2017). Criminal Justice Today: An Introductory Text for the 21st Century, 14th Edition. [Purdue University Global Bookshelf]. Retrieved from https://purdueuniversityglobal.vitalsource.com/#/books/9780134145648/

 
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Cardiovascular Care: Holistic Approach

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Cardiovascular Care: Holistic Approach

(Cardiovascular Care: Holistic Approach)

Analyze and create a comprehensive care plan foe acute/ chronic cardiovascular, assignment help

Question description

Provided case studies that focused on cardiovascular disorders. You will analyze and create a comprehensive care plan for acute/chronic care, disease prevention, and health promotion for that patient and disorder. Your care plan should be based on current best practices and supported with citations from current literature, such as systematic reviews, published practice guidelines, standards of care from specialty organizations, and other research based resources. In addition, you will provide a detailed scientific rationale that justifies the inclusion of this evidence in your plan. Your paper should adhere to APA format for title page, headings, citations, and references. The paper should be no more than 10 pages typed excluding title page and references.

Criteria:

  • Case Study Evaluation
    • Analyze the disorder addressing the following elements: pathophysiology, signs/symptoms, progression trajectory, diagnostic testing, and treatment options.
    • Differentiate the disorder from normal development.
    • Discuss the physical and psychological demands the disorder places on the patient and family.
    • Explain the key concepts that must be shared with the patient and family to achieve optimal disorder management and outcomes.
    • Identify key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes.
    • Interpret facilitators and barriers to optimal disorder management and outcomes.
    • Describe strategies to overcome the identified barriers.
  • Care Plan Synthesis
    • Design a comprehensive and holistic recognition and planning for the disorder.
    • Address how the patient’s socio-cultural background can potentially impact optimal management and outcomes.
    • Demonstrate an evidence-based approach to address key issues identified in the case study.
    • Formulate a comprehensive but tailored approach to disorder management.
    • References to be used is no later than 5 years old: please include these references:
      • O’Gara PT et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013 Jan 29;127(4):e362–425. Erratum in: Circulation. 2013 Dec 24;128(25):e481. [PMID: 23247304]
      • Beigel R et al. Prognostic implications of nonobstructive coronary artery disease in patients undergoing coronary computed tomographic angiography for acute chest pain. Am J Cardiol. 2013 Apr 1;111(7):941–5. [PMID: 23332596]
      • Diercks DB et al. Diagnostic accuracy of a point-of-care troponin I assay for acute myocardial infarction within 3 hours after presentation in early presenters to the emergency department with chest pain. Am Heart J. 2012 Jan;163(1):74–80.e4. [PMID: 22172439]

 

Criteria Weight
Case Study Evaluation

  • Analyzed the disorder addressing the following elements: pathophysiology, signs/symptoms, progression trajectory, diagnostic testing, and treatment options.
  • Differentiated the disorder from normal development.
  • Discussed the physical and psychological demands the disorder places on the patient and family.
  • Explained the key concepts that must be shared with the patient and family to achieve optimal disorder management and outcomes.
  • Identified key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes.
  • Interpreted facilitators and barriers to optimal disorder management and outcomes
  • Described strategies to overcome the identified barriers.
  

10

10

10

10

10

10

10
Care Plan Synthesis

  • Designed a comprehensive and holistic recognition and planning for the disorder.
  • Addressed how the patient’s socio-cultural background can potentially impact optimal management and outcomes.
  • Demonstrated an evidence-based approach to address key issues identified in the case study.
  • Formulated a comprehensive but tailored approach to disorder management.
  

20

20

20

10
APA Style/Format: Free of grammatical, spelling, or punctuation errors. Citations and references are written in correct APA Style. 10
Total
 
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Action Research Final Presentation

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Action Research Final Presentation

(Action Research Final Presentation)

EDU 675 W6 Change Leadership Differentiate Education Environment FA

Question description

Action Research Formal Presentation of Findings

This Final Project is designed to report what you have learned and to apply the information obtained from your action research in its entirety including the proposal, observations, data collection, analysis, sharing, and feedback acquired through collaboration with your peers. As a scholarly practitioner, you have had the opportunity to continue your exploration of action research principles and implement your intervention/innovation in the setting of your choice.

To clarify, the planned action research intervention or innovation will occur in the approved setting while you are enrolled in EDU675. You will again submit the Informed Consent form during Week One of EDU675, verifying approval to conduct their AR intervention/innovation. The available settings for your research are limited depending on your personal situation:

  • Employed in a classroom setting:
  • Employed in a non-classroom setting:
  • Not employed:

As you have learned, the rationale of this type of research is to discover evidence that examines perceived problems in a given setting. Recall, the purpose of action research is to improve practice or to implement change for the purpose of professional development. Mills (2014) states “. . . educational change that enhances the lives of children is a main goal of action research. But action research can also enhance the lives of professionals” (p.13). Furthermore, action research is the process of telling the story of your research journey. This final project is your opportunity to tell the story of your research experience in the Masters of Arts in Education (MAED) Program.

Writing the Final Project
Construct your final project to meet the content and written communication expectations below.

Content Expectations

  • Introduction (1 point): Create a one-to-two paragraph introduction that provides a succinct overview of the scope and organization of the assignment.
  • Context (2 points): In one-to-two paragraphs, explain what the reader must know about the organization/school setting to enrich their understanding of the intervention/innovation. (e.g., details about the organization/school, staff, number and type of learners/employees, programs, ages, locale, and any other pertinent details regarding the specific content of the project).
  • Literature Review (3 points): In two-to-three pages, summarize the literature related to the problem using 4-5 scholarly resources including a brief historical overview and that expands the introduction and presents the current research published about the problem.
  • Area of Focus Statement (1 point): In one-to-two sentences, discuss the issues that were addressed, how they emerged, and the goal of your research.
  • Research Questions (1 point): State one-to-three questions addressed by the research in list format.
  • Intervention/Innovation Description (3 points): In one page, describe the intervention applied for your action research study including comments on the type of adjustments you may have had to make to the intervention.
  • Data Collection Strategies (2 points): In one-to-two pages, describe the data obtained through the observations using charts, diagrams, or other visual depictions of your data to supplement the description.
  • Outcome Analysis (2 points): In one-to-two pages, explain the conclusions of the data analysis addressing the specific strategies that were successful, which strategies did not work as well as was anticipated, and how the strategies support the research questions.
  • Learning Themes (2 points): In one-to-two pages, reflect on the research themes, including the unintended/unexpected outcomes, what worked well, what worked less well, and any process you would conduct differently.
  • Action Plan (3 points): In one-to-two pages, explain the anticipated steps that are necessary to continue with this change initiative and the leadership strategies needed to implement them action plan.
  • Conclusion (2 points): In two-to-three paragraphs, summarize the major outcome and analysis of the project including the gaps that were uncovered providing insight into the relationship between the topic of the literature review and your overall findings.

Written Communication Expectations

  • Page Requirement (.5 points): 18-to-20 pages, not including title and references pages.
  • APA Formatting (.5 points): Use APA formatting consistently throughout the assignment.
  • Syntax and Mechanics (.5 points): Display meticulous comprehension and organization of syntax and mechanics, such as spelling and grammar.
  • Source Requirement (.5 points): References five scholarly sources in addition to the course textbook, providing compelling evidence to support ideas. All sources on the references page need to be used and cited correctly within the body of the assignment.

Next Steps: Review and Submit the Assignment 
Review your assignment with the Grading Rubric to be sure you have achieved the distinguished levels of performance for each criterion. Next, submit the assignment to the course room for evaluation no later than Day 7.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

 
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Draft of Literature Findings

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Review Paper—Draft of Literature Findings

(Draft of Literature Findings)

Evaluate the evidence. Create a draft of the findings of the articles you have selected and how they contribute to our knowledge of this problem. Be sure to address each of the following items in your draft:

1.  Discuss the strengths and weaknesses of each piece.
2.  If the articles talk to each other (that is, if they support or contrast with one another), explain how and why.
3.  What does the evidence tell us?
4.  Is there another possible explanation you can think of?  Based on what you have read, what is your hypothesis?  In other words, what is your explanation for the findings?
5.  How can you refine your question or topic even further, now that you have described the findings?

Your draft should be double-spaced and in 12 point, Times New Roman font with normal one-inch margins, written in APA style, and free of typographical and grammatical errors.  It should include a title page with a running head and a reference page. The body of the paper should be at least 5-6 pages in length. Submit your paper to the Submissions Area by the due date assigned.

Copy of the first assignment

The Psychological Impact of Cyberbullying on Adolescents

In today’s Internet age where an online presence is as important to the individual as their offline activities and life, the threat or dangers posed by activities such as cyberbullying are increasingly becoming an international public health concern, especially as this vice affects the development of adolescents. The victimization arising from cyberbullying can be so intense as to result in depressive symptoms in adolescents and even suicide attempts.

Indeed, those adolescents prone to cyberbullying are also susceptible to school bullying, and these victims will often have lower school performance and school attachment. There is need, therefore, to examine in detail the psychological impact that cyberbullying has on adolescents and their mental health, as well as various suggestions for therapy for affected victims.

References

Asam, A.E., & Samara, M. (2016). Cyberbullying and the law: A review of psychological and legal challenges. Computers in Human Behavior, 65, 127-141. https://doi.org/10.1016/j.chb.2016.08.012

Barlińska, J., Szuster, A., & Winiewski, M. (2013). Cyberbullying among adolescent bystanders: role of the communication medium, form of violence, and empathy. Journal of Community & Applied Social Psychology, 23(1), 37-51. Doi: 10.1002/casp.2137

Foody, M., Samara, M. Carlbring, P. (2015). A review of cyberbullying and suggestions for online psychological therapy. Internet Intervention, 2(3), 235-242. http://doi.org/10.1016/j.invent.2015.05.002

Hinduja, S., & Patchin, J.W. (2008). Cyberbullying: An exploratory analysis of factors related to offending and victimization. Deviant Behavior, 29, 129-156. Doi: 10.1080/01639620701457816 

Hinduja, S., & Patchin, J. W. (2010). Bullying, cyberbullying, and suicide. Archives of Suicide Research, 14(3), 206-221. doi:10.1080/13811118.2010.494133

Kowalski, R.M., & Limber, S.P. (2013). Psychological, physical, and academic correlates of cyberbullying and traditional bullying. Journal of Adolescent Health, 53(1), s13-s20. https://doi.org/10.1016/j.jadohealth.2012.09.018

 
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Leadership Implications

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Assignment # 1.Leadership Implications

Leadership Implications

W10- Discussion:

“The greatest leader is not necessarily the one who does the greatest things. He is the one that gets the people to do the greatest things.”

— Ronald Reagan
U.S. President (1981-1989)

Leadership is a critical role for advanced practice nurses. In order to be an effective leader, one must examine his or her role as an advanced practice nurse, and use his or her knowledge, and leadership skills to address issues related to his or her specialty area. There is a saying that one must know when to follow and when to lead. In order to be a good leader, you must also learn how to follow. As you transition from student to practicing NP, seek opportunities for mentorship to develop your leadership skills. Recognizing when to lead and when to follow is an interchangeable process that requires experience and preparation. The future for Americans in health care is unpredictable. This week it is important to focus on the complex and advanced leadership role that is needed to make effective change in a dynamic and demanding health care system.

This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues.

State Practice Agreements

Write 1 page

This week you will have an opportunity to evaluate state practice agreements in your state ( of TEXAS ) and examine issues related to NP practice.

To prepare:

1. Review and Post a brief description of the REVIEW of practice agreements for NPs in your state of TEXAS.

2. dentify /name at least two physician collaboration issues in your state of Texas.

3. Explain what you think are the barriers to NPs practicing independently in your state mof TEXAS.

4. Finally, outline a plan for how you might address NP practice issues in your state.

5. Suggest additional actions you will  take.

6. Validate an idea with your own clinical experiences with the support of an additional literature search from a reputable source.

REFERENCES: Leadership Implications
Required Readings

Buppert, C. (2015). The Employed Nurse Practitioner. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.). (323-336). Burlington, MA: Jones & Bartlett.

This chapter covers the rights of employed NPs, contract negotiation, interviewing, responsibilities of an NP employee, employer’s evaluation of the NP’s performance, malpractice insurance, and collaborative practice agreements.

Hatt, K. (2015). 5 Interview Pitfalls. Recruiters reveal how to respond to the most complicated questions. Advance Healthcare Network for NPs & PAs. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/student-and-new-grad-center/student-top-story/5-interview-pitfalls.aspx

Thomas, A. C., Crabtree, M. K., Delaney, K. R., Dumas, M. A., Kleinpell, R., Logsdon, C.,…Nativio, D. G. (2012). Nurse Practitioner Core Competencies. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pd

Assignment #2W11 – Discussion: Write 1 page.State Practice AgreementsSocial Change AgentsAssignment #2

W 11 Discussion

STATE PRACTICE AGREEMENT

Social change Agents

“We’ve been called disruptive innovators,” Ford said. “And I think ‘disruptive innovators’ is great – we just need more of them.”

— Heidesch, T. (2008)

As NPs, we are obligated to promote our profession. A component of promoting the profession is proactively being engaged with our communities and identifying areas where change is needed. An example of this would be identifying a community issue, such as an increase in the rate of obesity in a middle-school population and discovering that soda machines are present in the schools. Identifying a problem and being a positive change agent is an essential component of the NP role. Understanding the lawmaking process and how to initiate a local or state change empowers the NP to impart Social Change.

This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues.

Consider the following:

During NP clinical practicum experiences, we identify, as nurses, many health care issues that need to be addressed at the local, state, or national level. Addressing the need for change in health care policy is now an intricate part of your role as a social change agent.

For this Discussion, you will identify a change needed in your community and what your nursing legacy for positive social change will be.

To prepare:

· 1. Consider the health care issues and deficits you have recognized in your professional practice.

· 2. Identify a change needed in your community in health care policy and discuss how you could impart change during your career as an NP.) (A change needed in my community is Obesity ).

· 3. Consider your future as a NP and what your nursing legacy will be. How will you impart Social Change?

1. Post a change needed in your community and an explanation for how you will begin to implement that change.

2. Then, share with your colleagues a brief explanation of what your nursing legacy will be:(My nursing legacy  will be (Being an advocate for health promotion through disease screenings and illness prevention)

3.  How will you impart Social Change. 

4.  Provide  at least one suggestion for a colleague in your class on how they could implement this change and for their nursing legacy.

REFERENCES: Required Readings -Leadership Implications

Buppert, C. (2018). Nurse practitioner’s business practice and legal guide (6th ed.). Sudbury, MA: Bartlett & Jones Learning.

· Chapter 12, “Lawmaking and Health Policy” (pp. 421-433)

This chapter covers the legal process, the judicial system and health policy. Additionally, law and rules that affect NPs, how to initiate a change in law and the process involved from beginning until law or rule is finalized.

Christensen, C. M., Bohmer, R. M. J., & Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, 78(5), 102-112, 199.

Note: Retrieved from the Walden Library databases.

Heidesch, T. (2008). Disruptive innovation NPs are true Health Care Reformers. Advance Healthcare Network for NPs & PAs, 16(12), 94. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Disruptive-Innovator.aspx

National Conference of State Legislatures (n.d.). Glossary of Legislative Terms. Retrieved from http://www.ncsl.org/research/about-state-legislatures/glossary-of-legislative-terms.aspx

No plagiarism. Due Jan.30.18 by 12noon

Write 1 page only on each discussion (2 pages $20)

Use references provides ONLY

Check your grammar and sentences on gramerler.com. its free.

 
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Overcoming Barriers: Nurse Empowerment

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Overcoming Barriers: Nurse Empowerment

(Overcoming Barriers: Nurse Empowerment)

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

The health care sector is experiencing major changes due to extensive research and development activities. As nurses play a crucial role in the delivery of health care, they need to embrace new and innovative techniques to provide effective and best possible treatment to their patients. Several institutional and personal barriers can hinder nurses from adopting EBP (Wood, 2013).

The two potential barriers that can prevent continuation of my evidence based practice change proposal in the future is poor coordination among the clinical team and staff turnover. My project focuses on Coronary Artery Bypass Graft patients and working with these high-risk patients need the best coordination and team work from the whole clinical team including devising appropriate discharge planning. Poor communication between the clinical team members can affect the outcome. My strategy is to recommend three interventions: staff appreciation events, monthly review of the continued adherence to the changes made, and monitoring the staff compliance by the administration. These interventions can motivate the clinical team to continue to pursue the change proposal. The second barrier I assume is staff turnover. There is lot of staff turnover in our hospital. Floating nurses and agency nurses on contract can affect the continuation of my change project. My strategy is to promote ongoing training which is absolutely necessary. These training needs to be scheduled and to be listed in the calendar every week.

Hospital management can help to overcome these barriers. The nurses preferred to consult their supervisors and colleagues to obtain needed information. Hospital management can create a conducive environment and provide socializing opportunities for nurses to promote peer-to-peer information and knowledge sharing (Melnyk & Overholt, 2011).

References,

Melnyk, B., & Overholt, E., (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

Wood., R., (2013). Progress and Barriers Toward Innovation in Clinical Nursing Education. https://www.rwjf.org/en/library/articles-and-news/2014/10/progress-and-barriers-toward-innovation-in-clinical-nursing-educ.html

 
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Nursing Shortage: Impact & Solutions

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Nursing Shortage: Impact & Solutions

(Nursing Shortage: Impact & Solutions)

Comment1

The nursing shortage causes nurses to have to take on larger caseloads, work longer hours and overtime, creates nurse fatigue and ultimately lends way to burnout, injury and medical errors. The impact of reimbursement, legislation, regulation and technological advances must also be considered. A failure to consider the relationships among all these aspects limits the full appreciation of the complexity of the nursing shortage today (ANA, n.d.).

Some of the ways specifically the nursing shortage is impacting the public are higher mortality rates, increased hospital acquired infections, higher medication errors,  patients being diverted to facilities farther away from their families, surgeries being postponed longer than they should be and longer wait times (ANA, n.d.).

To facilitate improvements in nurse staffing, now and in the future, healthcare organizations must focus on recruitment, maintenance, and retention. In an attempt to address nurse burnout and shortage healthcare institutions are offering incentives  such as providing sign on bonuses, offering competitive wages, providing tuition reimbursement; implementing nurse patient ratios protocols and providing ongoing training and CE’s for their employees. Nurses in general can help work toward the shortage by providing appropriate and thorough education to their patients, decreasing hospital admissions and office visits (Minority Nurse Staff, 2013).

Coment2

The nurse shortage almost seems to be used to promote many other issues besides nursing.  In my previous places of employment, I have felt that the nursing shortage was more of an issue of a short staffing pattern, not that nurses were not available.  And I also think that phasing out the LPN/LVN is a mistake.  Many nurses that are LPN/LVN do not want to advance to being and RN and many cannot.  I have talked to many LPN’s who do not want the added responsibility and I understand that too.  I believe there will always be a need for LPN/LVN and I love working with them.  I have often thought that in hospitals there should be teams consisting of three-member teams; a RN, a LVN/LPN and a CNA. I do realize that this is not needed everywhere but our profession is continuously being burdened with added responsibilities.  If you supply a RN with these qualified positions, the RN can handle more cases while learning gaining experience in leadership and educating.  What are your thoughts with your experiences thus far as a RN?

 
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Managing Schizophrenia Diagnosis Impact

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Discussion1: Managing the Impact of Schizophrenia Diagnosis

(Managing Schizophrenia Diagnosis Impact)

A diagnosis of schizophrenia most often comes in early adulthood. Often what are called “first breaks” come while an individual is in college. This lifelong and life-changing diagnosis for a 20- or 21-year-old often comes as a shock and causes much dismay for the client and his or her family members.

For this Discussion, consider how you would work with the client and his or her family members to acclimate to this diagnosis. Then consider how you would prepare them for the changed expectations they will now have for their loved one. Finally, using your skills from previous coursework, describe the developmental expectations that have changed since the diagnosis. Consider also the grief and loss the family will experience. Be sure to use a strengths perspective to address potential concerns.

· Post a description of how you, as a social worker, might work with a client and the client’s family in acclimating to the client’s recent diagnosis of schizophrenia. 

· Then explain how you might help the client’s family manage the grief and loss related to the changes in developmental expectations since the client’s diagnosis. 

· Finally, explain how you might help the client and the client’s family prepare for the changed expectations they now have for the client. 

· Be sure to use the strengths perspective to address their concerns.

References (use 3 or more)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

· “Schizophrenia Spectrum and Other Psychotic Disorders” (pp. 87–122)

Beecher, B. (2009). The medical model, mental health practitioners, and individuals with schizophrenia and their families. Journal of Social Work Practice, 23(1), 9–20.

Bradshaw, W., Armour, M. P., & Roseborough, D. (2007). Finding a place in the world: The experience of recovery from severe mental illness. Qualitative Social Work, 6(1), 27–47.

Perkins, D. V., Raines, J. A., Tschopp, M. K., & Warner, T. D. (2009) Gainful employment reduces stigma toward people recovering from schizophrenia. Community Mental Health Journal, 45(3), 158–162.

Prince, J. D. (2005). Family involvement and satisfaction with community mental health care of individuals with schizophrenia. Community Mental Health Journal, 41(4), 419–429.

Somers, V. (2007). Schizophrenia: The impact of parental illness on children. The British Journal of Social Work, 37(8), 1319–1334.

Discussion2: Managing Schizophrenia Diagnosis Impact

Policy Process and Public OpinionManaging public opinion and understanding the balance between its influence and your advocacy goals is a delicate matter. It is a task fraught with uncertainty because, as a policy advocate, you must navigate through the territory of politicians, bureaucrats, and lobbyists whose primary goals are to appease and please their constituents.

In this Discussion, you select a social problem that is of interest to you and identify how public opinion influences the process and political approaches involved in addressing that social problem.

· Post a description of the importance of public opinion in addressing the social problem you have selected. 

· How does public opinion influence political approaches to the problem? 

· Explain. 

· What policy advocacy approaches and skills can you use to address the problem with political leaders? 

· What are the social justice implications of your approach?

References (use 3 or more)

Burns, J. C., Paul, P. D., & Paz, S. R. (2012). Participatory asset mapping: A community research lab toolkit. Retrieved from http://www.communityscience.com/knowledge4equity/AssetMappingToolkit.pdf

Community Toolbox. (2016). 2. Assessing community needs and resources. Retrieved from http://ctb.ku.edu/en/assessing-community-needs-and-resources 

Jansson, B. S. (2018). Becoming an effective policy advocate: From policy practice to social justice. (8th ed.). Pacific Grove, CA: Brooks/Cole Cengage Learning Series.

· Chapter 4, “Understanding the Ecology of Policy in Government, Electoral, Community, and Agency Settings” (pp. 100–140)

Rome, S. H., & Hoechstetter, S. (2010). Social work and civic engagement: The political participation of professional social workers. Journal of Sociology & Social Welfare, 37(3), 107–129.

 
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Health Care Leadership Challenges

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Health Care Leadership Challenges

(Health Care Leadership Challenges)

Health care leadership faces several critical challenges. First, the rapidly evolving technological landscape demands leaders who can integrate advanced technologies like telemedicine, AI, and electronic health records while ensuring data security and patient privacy. Second, the rising costs of health care necessitate efficient management and cost-containment strategies without compromising the quality of care. Leaders must also navigate the complexities of regulatory compliance and adapt to frequent policy changes.

Additionally, the shortage of health care professionals, exacerbated by burnout and high turnover rates, requires innovative workforce planning and support systems to retain talent. Leaders must foster a culture of continuous improvement and lifelong learning to keep pace with medical advancements.

Equity in health care delivery is another significant challenge, with leaders needing to address disparities in access and outcomes among different populations. Building inclusive environments and community partnerships is essential for achieving health equity.

Finally, the COVID-19 pandemic has underscored the importance of crisis management and resilience. Leaders must develop robust emergency preparedness plans and maintain the agility to respond to unforeseen challenges effectively. Overall, health care leadership requires a multifaceted approach to navigate these dynamic and interconnected challenges.

DETAILS: CHOOSE TWO ISSUES.

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

1. Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)

2. Reorganization in Response to Merger or Consolidation of Services

3. Layoffs as a Result of Declining Revenues

4. Influx of Registry, Part-Time, and Temporary Contract Staff

5. Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars

6. Poor Job Satisfaction Rates Resulting in Turnover

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (800-1,200 words) that is directed toward your staff, in which you address the following:

1. Inform the staff of the two issues (from the topics provided) your organization is facing.

2. Describe the impact of these issues on your department.

3. Describe how improved communication, collaboration, and teamwork can improve conditions in your department.

4. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.

5. A minimum of FOUR academic references from credible sources are required for this assignment.

Prepare this assignment according to the APA guidelines

In addition to your textbook, “The Interprofessional Health Care Team: Leadership and Development”. A minimum of FOUR academic references from credible sources are required for this assignment.

 
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