Practicum Journal and Time Log

Assignment 3:Practicum Journal and Time Log?A vital part of the reflective process is to plan for changes in your behavior.?? Somerville & Keeling, 2004.Being a reflective practitioner enables NPs to identify weaknesses and target professional development in order to address these weaknesses. In turn, this increases the NPs? ability to provide the best care to patients and their families. Reflection also affords the NP time to consider communication and their efforts toward creating a culture of mutual support with colleagues, a characteristic that is essential to successful NP practice (Somerville & Keeling, 2004).Each week you will complete a Journal Entry and Time Log that prompts you to reflect on your Practicum Experiences and how they relate to your Professional Goals and Self-Assessment of Clinical Skills. This week you will begin documenting your Practicum Experiences in your Practicum Journal.Somerville, D., Keeling, J. (2004). A practical approach to promote reflective practice within nursing. Nursing Times, 100(12), 42?45. Retrieved from http://www.nursingtimes.net/Journals/2012/11/30/v/l/x/040323A-practical-approach-to-promote-reflective-practice-within-nursing.pdfTo prepareFor this course?s Practicum Experience, address the following in your Practicum Journal:From your perspective, explain the role of nurse practitioners in clinical settingsDevelop goals and objectives for the Practicum Experience in this courseCreate a proposed timeline of practicum activities based on your practicum requirements.

 
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Quality Data Sources Organizer

The purpose of this assignment is to become familiar with various data sources used by health care organizations to obtain quality data. The Agency for Healthcare Research and Quality (AHRQ) creates an annual report, the National Healthcare Quality and Disparities Report, which assesses the performance of the U.S. health care system. This report identifies strengths and weaknesses of the health care system in addition to disparities for access to health care and quality of health care. The report is based on more than 250 measures of quality and disparities, and it covers a broad range of health care services and settings.Access the “2017 National Healthcare Quality and Disparities Report Data Sources” through the AHRQ website, using the link provided in the topic materials. Select five data sources from this report and fill in the required components on the “Quality Data Sources Organizer.”

 
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Assignment: Evidence-Based Project, Part 3: Critical Appraisal of Research

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:1). ZERO (0) PLAGIARISM2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS3). ÿPLEASE SEE THE FOLLOWING ATTACHMENTS: RUBRIC DETAILS, CRITICAL APPRAISAL TOOLTEMPLATE, ONE ARTICLEPlease carefully review the grading rubric, especially the first column that says, ?Excellent?, and please include each component in the assignment requirements.4). Please Include Introduction, purpose statement, conclusion, and reference page, (APA formatting)5). PLEASE STICK TO THE NUMBER OF PAGES REQUIRED FOR THE ASSIGNMENT.Thank you.ASSIGNMENT:Realtors rely on detailed property appraisals?conducted using appraisal tools?to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.To Prepare:Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.The Assignmentÿ(Evidence-Based Project)Part 3A: Critical Appraisal of ResearchConduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer-reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.Part 3B: Critical Appraisal of ResearchBased on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

 
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Postop

You are part of a surgical team and your role is postoperative management of thoracic surgery. In your role, you are required to determine the course of action for the patient before you call surgeon. A right lower-lobe resection occurred due to adenocarcinoma. The nurse has called at the 12-hour interval from surgery concerned with the amount of drainage within the chest tube.Describe the role of an AGACNP at each of the steps in postoperative care for a surgical patient.Describe the assessment steps you would take.Explain the drainage and decompression devices and how you manage these as an AGACNP.Discuss potential differential diagnoses you could expect from the assessment.Discuss the hemodynamic findings one might see with your provided diagnosis.Propose potential treatment plans that would be appropriate.

 
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double standard

Suppose a 17-year-old male was in a sexual relationship with a female in her thirties. This is a willing relationship on both sides, perhaps even a relationship begun by the male. Now, if the genders were reversed and the male was the older member of the couple, the relationship would be considered sexual assault, pure and simple. But, in a situation with an older woman/younger man:1. what do you think could or should be done? Anything?2.Should the woman be prosecuted in this case? Should the young man (a willing participant) be considered as an adult, or as still under-aged?Think again about the scenario as it stands, and then as it would be with reversed gender roles.Did your opinions change from one to the other, and if so, how? Is this a double standard?

 
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Assgn 4 – WK4 (G)

Practicum ? Assessing Client FamiliesTo prepare:ú Select a client family that you have observed or counseled at your practicum site.ú Review pages 137?142 of Wheeler (2014) and the Hernandez Family Genogramvideo in this week?s Learning Resources. (SEE ATTACHED VIDEO TRANSCRIPT)ú Reflect on elements of writing a comprehensive client assessment and creating agenogram for the client you selected.The AssignmentPart 1: Comprehensive Client Family AssessmentCreate a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following:ú Demographic informationú Presenting problemú History or present illnessú Past psychiatric historyú Medical historyú Substance use historyú Developmental historyú Family psychiatric historyú Psychosocial historyú History of abuse and/or traumaú Review of systemsú Physical assessmentú Mental status examú Differential diagnosisú Case formulationú Treatment planPart 2: Family GenogramDevelop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).N:B. (1)PLEASE THIS ASSIGNMENT HAS 2 PARTS, AND I HAVE ATTACHED A SAMPLE OF THE ASSIGNMENT, BUT THE SAMPLE TALKS ONLY ABOUT HERNANDEZ, BUT THIS ASSIGNMENT IS FOCUS ON HERNANDEZ FAMILY.(2). HERNANDEZ FAMILY GENOGRAM VIDEO TRANSCRIPT IS ATTACHED INCASE YOU CAN NOT VIEW THE VIDEOLearning ResourcesRequired ReadingsNichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.Chapter 8, ?Experiential ÿÿÿÿÿFamily Therapy? (pp. 129?147)Chapter 13, ?Narrative Therapy? (pp. 243?258)Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.?Genograms? pp. 137-142Cohn, A. S. (2014). Romeo and Julius: A narrative therapy intervention for sexual-minority couples. Journal of Family Psychotherapy, 25(1), 73?77. doi:10.1080/08975353.2014.881696Escudero, V., Boogmans, E., Loots, G., & Friedlander, M. L. (2012). Alliance rupture and repair in conjoint family therapy: An exploratory study. Psychotherapy, 49(1), 26?37. doi:10.1037/a0026747Freedman, J. (2014). Witnessing and positioning: Structuring narrative therapy with families and couples. Australian & New Zealand Journal of Family Therapy, 35(1), 20?30. doi:10.1002/anzf.1043Phipps, W. D., & Vorster, C. (2011). Narrative therapy: A return to the intrapsychic perspective. Journal of Family Psychotherapy, 22(2), 128?147. doi:10.1080/08975353.2011.578036Saltzman, W. R., Pynoos, R. S., Lester, P., Layne, C. M., & Beardslee, W. R. (2013). Enhancing family resilience through family narrative co-construction. Clinical Child and Family Psychology Review, 16(3), 294?310. doi:10.1007/s10567-013-0142-2Required MediaGovernors State University (Producer). (2009). Emotionally focused couples therapy [Video file]. Chicago, IL: Author.Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author. (SEE ATTACHED VIDEO TRANSCRIPT)Psychotherapy.net (Producer). (1998). Narrative family therapy [Video file]. San Francisco, CA: Author.

 
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Discussion: Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.To Prepare:Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.Reflect on which type of dissemination strategy you might use to communicate EBP.Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

 
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help

very important

 
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COST SAVING/COST INCREASING IN HEALTHCARE

Describe the difference between cost-saving and cost-increasing technology-based innovations. Provide an example of each and analyze why a cost-increasing innovation would continue to be used. PROVIDE IN TEXT CITIATION

 
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Family Assessment Part II

Details:Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 
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